As a practicing physician for decades, I welcome the opportunity to help improve the quality of life for individual patients. Now, as a physician executive for Highmark, a Pennsylvania-based health insurer, I am able to touch thousands of patients’ lives by helping affect the quality and cost of their care and creating more value for […]
Imagine this basic scenario: You are out of milk. You could go to your local convenience store and purchase a gallon for $3. But instead, you drive 25 miles to buy the identical gallon of milk for $5 at a large chain grocery store. If this sounds absurd, that’s because it is. However, it’s analogous […]
Imagine this basic scenario: You are out of milk. You could go to your local convenience store and purchase a gallon for $3. But instead, you drive 25 miles to buy the identical gallon of milk for $5 at a large chain grocery store. If this sounds absurd, that’s because it is. However it’s analogous […]
The American Hospital Association (AHA) and other providers are pushing back against a proposed Obama administration policy change that would introduce much greater site neutrality regarding how they are paid. Such a change would likely prevent many providers from charging more at outpatient facilities that are owned by hospitals than if they had been owned […]
Health plans, cancer patients, nursing homes, and primary care doctors and internists have formed the Alliance for Site-Neutral Payment Reform to lobby Congress for pay policies that would reduce Medicare spending while increasing pay for providers in the coalition — a move that comes as President Obama pushes site-neutral pay policies for outpatient services in […]