Emergency Medicine Up Against the Ropes
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The specialty of emergency medicine has often found itself under attack, particularly by insurance plans and consumer advocates.  The former is understandable, the later never made much sense to me, given that emergency physicians provide more un-reimbursed care to the … Continue reading

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Bundled Payments and Emergency Care
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A recently published article in Academic Emergency Medicine by Nedza, et al, “Emergency Department Visits Following Joint Replacement Surgery in an Era of Mandatory Bundled Payments”, made it pretty clear that emergency departments and emergency physicians play a significant role … Continue reading

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Are Usual and Customary Charges Reasonable?
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In State legislative offices throughout the country where the issue of out-of-network physician charges, balance billing, and plan benefits are being debated, the constant refrain from health plan representatives is that usual and customary charges are an ‘unacceptable standard’ for … Continue reading

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Physician Fees: Should Hospitals Care ?
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In my previous post, I asked if physicians should care about what the hospital(s) they affiliate with charge. In this post, I will address the slightly touchier question of whether hospitals should care about what their physicians charge. I will … Continue reading

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Narrow Networks: Counterintuitive Assertions About Cost and Quality
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The common sentiment among health care policy wonks is that consumers choose health plans on the basis of premium prices first, out-of-pocket costs next, and quality last; and research suggests that narrow networks with lower premiums provide quality care equivalent … Continue reading

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