A bipartisan group of legislators has drafted a bill that would reshape the way the nation pays doctors, responding to criticism that the nation's method of valuing medical procedures misprices payments.
A bipartisan group of legislators has drafted a bill that would reshape the way the nation pays doctors, responding to criticism that the nation’s method of valuing medical procedures misprices payments.
The pricing system, used by Medicare and most private insurers, depends upon assessments made by the American Medical Association, the chief lobbying group for physicians. In confidential meetings held every year, the AMA assigns values to thousands of services doctors provide.
But some of those values are based on exaggerated assumptions for how long a procedure takes and helps unnecessarily raise the doctors’ fees for those services, a Washington Post investigation found. The Post reported its findings this past weekend.
The values are based “on a one-sided negotiation — doctors negotiating with themselves,” said Rep. Jim McDermott (D-Wash.), a critic of the process who has introduced a separate bill on the issue. “There’s a lot of you scratch my back, I’ll scratch yours.”
Read the full story here: http://wapo.st/1beqoyj
Source: Washington Post
Empowering Community Health Through Wellness and Faith
April 23rd 2024To help celebrate and recognize National Minority Health Month, we are bringing you a special month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. In the third episode, Camille Clarke-Smith, EdD, MS, CHES, CPT, discusses approaching community health holistically through spiritual and community engagement.
Listen
Data Back Neoadjuvant Combo vs Chemo Alone for Early-Stage NSCLC
April 24th 2024For patients with early-stage non–small cell lung cancer (NSCLC), combining neoadjuvant immune checkpoint inhibitors and platinum-based chemotherapy improves 2-year outcomes over chemotherapy alone, suggest findings of an extensive literature review and meta-analysis.
Read More
Overcoming Employment Barriers for Lasting Social Impact: Freedom House 2.0 and Pathways to Work
April 16th 2024To help celebrate and recognize National Minority Health Month, we are bringing you a special month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. Welcome to our second episode, in which we learn all about Freedom House 2.0 and the Pathways to Work program.
Listen
Patient Navigation in Oncology at Heart of Priority Health White House Visit
April 24th 2024On March 27, Priority Health's president and CEO, Praveen Thadani participated in a discussion on how to expand and optimize patient navigation services in oncology care, as part of the Cancer Moonshot initiative.
Read More