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The MGMA Content Portal is a collection of articles and information from consumer, trade and MGMA publications and resources to help you and your physicians keep pace with the dynamic healthcare environment.

ACO success key to value-based care
By: Healthcare IT News - Tue, 22 Apr 2014 10:28:40 -0400
If the U.S. is going to get a handle on healthcare spending, providers and healthcare organizations are going to have to get serious about accountable care organizations, says one expert.

Michigan health systems seek cure for dearth of doctors
By: Rene Wisely, The Detroit News - Tue, 22 Apr 2014 10:26:51 -0400
Michigan’s medical schools, doctors offices and health care networks are tackling a shortage of primary care doctors that is expected to worsen under the Affordable Care Act.

House Calls Are Making a Comeback
By: MILT FREUDENHEIM - Mon, 21 Apr 2014 10:16:10 -0400
A relic from the medical past — the house call — is returning to favor as part of some hospitals’ palliative care programs, which are sending teams of physicians, nurses, social workers, chaplains and other workers to patients’ homes after they are discharged. The goal is twofold: to provide better treatment and to cut costs.

FAQ On ACOs: Accountable Care Organizations, Explained
By: Jenny Gold - Mon, 21 Apr 2014 10:09:52 -0400
ACOs have become one of the most talked about new ideas in Obamacare. Here are answers to some of the more common questions about how they work.

Incomplete Face-To-Face Doctor Exams Put Home Health Agencies In Tight Spot
By: Capsules - Mon, 21 Apr 2014 10:08:43 -0400
Medicare is paying billions of dollars to home-health providers without adequate documentation of patients’ needs by doctors, according to a new report by the Department of Health and Human Services Office of Inspector General.

Why Paper Prescriptions Are Going The Way Of Snail Mail
By: - Mon, 21 Apr 2014 10:04:05 -0400
E-prescribing is no small feat. It requires that nearly every pharmacy in the country be networked. And the drugstores' computers have to be able to talk the language of scores of different electronic medical record systems in use, none of which look or work exactly the same way.

Scribes Are Back, Helping Doctors Tackle Electronic Medical Records
By: - Mon, 21 Apr 2014 10:03:09 -0400
Medical scribes are in high demand nationally. Any doctor who doesn't make the switch from paper to electronic records by 2015 will face Medicare penalties, and this deadline is fueling the demand.

Community Factors and Hospital Readmission Rates
By: The Commonwealth Fund - Wed, 16 Apr 2014 16:30:00 -0400
A majority of the variation seen in U.S. hospitals’ readmission rates for heart attack, heart failure, and pneumonia can be attributed to hospitals’ location, rather than to the quality of care provided in individual hospitals.

How Doctors Rate Patients
By: Laura Landro - Tue, 08 Apr 2014 09:20:49 -0400
Studies show that patients who are actively engaged in their own healthcare have better outcomes and lower costs, but many Americans lack the skills and confidence to be this kind of patient. 

Fourth HIPAA breach for Kaiser
By: Healthcare IT News - Tue, 08 Apr 2014 09:16:21 -0400
Some 5,100 patients treated at Kaiser Permanente were sent HIPAA breach notification letters Friday after a KP research computer was found to have been infected with malicious software. 

Healthcare CIO work keeps expanding
By: Healthcare IT News - Tue, 08 Apr 2014 09:15:39 -0400
Healthcare CIOs report their workload is growing in both scope and complexity, and there seems to be no end in sight. 

Ma Drug Prescriptions Go Unfilled
By: NICHOLAS BAKALAR - Tue, 08 Apr 2014 09:10:12 -0400
A Canadian study has found that almost one-third of patients never fill the prescriptions for the medicines they are told to take.

The Hospital-Dependent Patient
By: PAULINE W. CHEN;M.D. - Tue, 08 Apr 2014 09:06:23 -0400
Insurers and third-party payers have begun penalizing health care systems for "quick re-admissions"; and hospitals, in response, have begun significant efforts to improve the transition from hospital to home, creating clinics that remain open beyond usual working hours and marshaling teams of care coordinators, post-discharge pharmacists and “care transition coaches.”

Malpractice insurance: Understanding the importance of coverage limits
By: Roy W. Breitenbach - Tue, 08 Apr 2014 09:01:21 -0400
hen shopping for a medical malpractice liability insurance policy, most physicians focus on premium costs. But physicians shopping for a malpractice policy should also focus on getting the right coverage limits.

The rise of locum tenens among primary care physicians
By: Rachael Zimlich - Tue, 08 Apr 2014 08:58:12 -0400
Primary Care physicians were the most requested locum tenens, followed by behavioral health, hospitalists, emergency medicine physicians, and surgeons, according to a new report from Staff Care, a temporary healthcare staffing firm and division of AMN Healthcare.

How one doc got rid of too many notes
By: Healthcare IT News - Tue, 25 Mar 2014 10:04:24 -0400
One physician was determined to make EHRs more valuable, and that’s where what he affectionately calls his `one note per day per patient’ policy comes in.

Senators press FDA for mHealth answers
By: Healthcare IT News - Tue, 25 Mar 2014 10:03:37 -0400
A group of senators are now urging the Food and Drug Administration to provide clarification on how the agency would classify mobile applications. 

Infographic: Top 5 most expensive conditions treated in U.S. hospitals
By: Healthcare Finance News - Tue, 25 Mar 2014 10:02:27 -0400
Costs associated with inpatient stays constitute the largest single component of healthcare spending.

Medicaid Expansion, Payer Oversight Seen as Vital to Healthcare Reform
By: HCPro, Inc. - Tue, 25 Mar 2014 08:14:00 -0400
Medicaid expansion, regulation of insurers, and oversight of private insurance plans are key factors in the national healthcare reform effort, a Commonwealth Fund report suggests.

Integrating the Health System Revenue Cycle
By: HCPro, Inc. - Mon, 24 Mar 2014 07:52:00 -0400
As healthcare CFOs work to protect the fiscal strength of their organizations, they are increasingly aware of the need to engage clinicians from across the continuum of care in the revenue cycle process.

Health law cited as US uninsured rate drops
By: Associated Press - Tue, 11 Mar 2014 11:43:55 -0400
The share of Americans without health insurance is dropping to the lowest levels since President Barack Obama took office, but sign-ups under his health care law lag among Hispanics — a big pool of potential beneficiaries.

Next Step for Smart Phones: Keeping Tabs on Patients
By: Daniela Hernandez - Tue, 11 Mar 2014 11:39:27 -0400
Physicians and other providers seek to monitor patients remotely through new technologies, aiming to identify problems early and cut costs and inefficiencies in the healthcare system. 

Meaningful Use audits: Seven strategies to protect your practice
By: Pamela Lewis Dolan - Tue, 11 Mar 2014 11:33:23 -0400
As of December 2013, the Centers for Medicare and Medicaid Services (CMS) had doled out more than $19 billion in meaningful use incentive payments. As the agency inches closer to its $27 billion budget, there’s evidence that it’s increasing its auditing activities. Physicians should assume they will be audited, and prepare accordingly.

Seven steps for managing transitions of care
By: Elizabeth W. Woodcock, MBA, FACMPE, CPC - Tue, 11 Mar 2014 11:32:37 -0400
While it is easy to feel powerless during care transitions and difficult to influence the processes and handoffs taking place outside your practice’s walls, don’t despair: You can build a rigorous transition of care process that can make a difference in how your practice operates.

White House Withdraws Plan Allowing Limits to Medicare Coverage for Some Drugs
By: ROBERT PEAR - Tue, 11 Mar 2014 11:29:39 -0400
Under pressure from patients, pharmaceutical companies and members of Congress from both parties, the Obama administration on Monday withdrew a proposal that would have allowed insurers to limit Medicare coverage for certain classes of drugs, including those used to treat depression and schizophrenia.

Government expands help for buying health insurance
By: Jenna Johnson - Mon, 03 Mar 2014 10:14:11 -0500
With just a month left for Americans to select health plans this year through new insurance marketplaces, the Obama administration is bending some rules to prevent people from being stranded without coverage because of state-run exchanges riddled with computer problems.

Physician Compare website adds quality performance information
By: - Mon, 03 Mar 2014 10:09:10 -0500
The Centers for Medicare & Medicaid Services (CMS) recently announced additional quality measure performance information for select groups will be posted to the Physician Compare website.

MGMA calls for additional time and flexibility for Stage 2 Meaningful Use
By: - Mon, 03 Mar 2014 10:08:21 -0500
In a letter to the Secretary of the Department of Health and Human Services (HHS), MGMA joined with other leading organizations in calling on the government to make significant modifications to Stage 2 of the Meaningful Use EHR Incentive Program.

Doctors' Offices Get Put On Hold Trying to Find Out Who's Insured
By: - Mon, 03 Mar 2014 10:06:48 -0500
In the past, offices have been able to make sure patients are insured quickly by using online verification systems run by the insurance companies. But for exchange patients, offices also have to call to make sure the patient has paid the premium.

Medical Practice Mergers: Is Bigger Really Better?
By: - Wed, 26 Feb 2014 06:19:36 -0500
Is bigger better when it comes to private medical practices? This is a question I get quite frequently from physicians who are considering whether to merge with other practices.

Inpatient volumes continue to decline
By: Katie Sullivan - Tue, 25 Feb 2014 12:57:39 -0500
Industry experts expect the declining inpatient volume trend to continue through the rest of 2014 and beyond, according to a Health Finance News post.

Agencies call for standardization in military healthcare
By: Zack Budryk - Tue, 25 Feb 2014 12:28:37 -0500
A series of new reports illustrates the need for common standards in military healthcare, according to the Washington Post.

Residency duty-hour limits have no effect on patient safety
By: Zack Budryk - Tue, 25 Feb 2014 11:46:06 -0500
Limits to the number of hours residents can work in a shift have made no difference in patient safety outcomes, according to research published in the Journal of Hospital Medicine.

America's healthcare prices are absurd. So, now what?
By: Columbia Journalism Review - Tue, 25 Feb 2014 11:35:56 -0500
The New York Times’s Elisabeth Rosenthal “start[ed] a very loud conversation” she hopes will be “difficult politically to ignore.” How did she do it?

Retail Medicine Syncs with High-Deductible Health Plans
By: HCPro, Inc. - Tue, 25 Feb 2014 08:16:00 -0500
The rise of high-deductible health plans means more consumers will have healthcare coverage that mainly provides protection against catastrophic injury or illness. As these plans become more common, pharmacy chains and big box retailers are taking a greater interest in expanding their healthcare provider capacities.

Few resources lead to ICD-10 creativity
By: Healthcare Finance News - Tue, 25 Feb 2014 05:55:47 -0500
With the threat of significant reimbursement losses, hospitals and health systems are feeling the pressure of getting the transition to ICD-10 right. At HIMSS14 on Monday, conference attendees learned how one of the country’s largest Catholic health systems are handling the move to ICD-10.

Four Ways to Fail at Population Management
By: Health Data Management - Mon, 24 Feb 2014 18:32:40 -0500
There are four main areas that health systems fall short in in improving population management, according to Harry Greenspun, M.D., during a Twitter event at HIMSS14 in Orlando.

Peer-to-peer aggression threatens patient care and outcomes
By: Medical Xpress - Mon, 24 Feb 2014 15:49:40 -0500
A study of the phenomenon in a perinatal department at a US hospital found that staff on labour and delivery wards experience hostile behaviour more frequently than those working elsewhere in the same service. A relationship between horizontal violence and ineffective communication, as well as between horizontal violence and poor patient outcome or near misses, was demonstrated.

Hospitals focus on pediatric patients' social, emotional health
By: Katie Sullivan - Mon, 24 Feb 2014 10:57:41 -0500
Two Pennsylvania hospitals now provide social and emotional care to patients to foster a more complete healing process, especially for pediatric patients who are constantly in and out of the hospital with chronic conditions, PennLive reported.

Why some patients become "hospital-dependent"
By: Zack Budryk - Mon, 24 Feb 2014 10:57:08 -0500
"Hospital-dependent" patients are a distinct group from patients with chronic illnesses, and hospitals must properly understand them in order to reduce readmission rates, two physicians write in an opinion piece for the New England Journal of Medicine.


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