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Almost 70 percent of Americans now have access to an accountable care organization for their health needs

Although growth slowed the number of ACOs still rose by about 16 percent; number of patients served rose 6 percent, said consultant Oliver Wyman.

Almost 70 percent of the U.S. population now lives in localities served by accountable care organizations, and 44 percent live in areas served by two or more, found new research by the Oliver Wyman consulting firm.

The total number of ACOs participating in Medicare programs has increased to 426, up from 368 in January 2014, the study found.

About 5.6 million Medicare beneficiaries, or about 11 percent of total Medicare beneficiaries, now receive their healthcare from ACOs participating in Medicare’s ACO programs.  https://www.facebook.com/TheMCIC

Source:  Oliver Wyman Study  http://www.oliverwyman.com/

What ‪‎Physicians‬ Earned in 2014 – New Results

“On average, specialists earned $284,000 a year while primary care physicians earned about $195,000, according to a new survey, which polled 19,500 physicians across 25 specialties.”

Orthopedists‬ earn an average of $450,000 a year. Cardiologists were earning a average total of $395,000 a year, the survey found.

On the lower end, pediatrics showed the lowest total compensation at $196,000, though exactly half said they felt fairly compensated. Also, 50 percent of pediatricians polled were women.

The average compensation for a self-employed male physician was $324,000, compared to $259,000 for female physicians.  https://www.facebook.com/TheMCIC

Source: Health Care Finance  http://www.healthcarefinancenews.com/

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Directories of Healthcare Payers and Provider Organizations From the Managed Care Information Center

Searching for contact information about managed care organizations, health systems and hospitals or such physician organizations as independent practice associations or physician hospital organizations visit our Directories of Health Insurers and Providers page at Health Resources Online.

https://www.healthresourcesonline.com/directories-of-health-insurers-and-providers.html
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“A small percentage of patients are responsible for the majority of healthcare spending in the United States,” study finds.

The top three percent of patients categorized as persistent high users accounted for 21 percent of total annual healthcare expenditure for a typical large business in Pennsylvania, found the study published this week in the American Journal of Managed Care.

Persistent high users incurred annual expenses of more than $38,000 compared to just $2201 for patients who never crossed the “high use” threshold, the study researchers said. While some patients experiencing acute issues or hospitalizations temporarily incurred high expenses, patients experiencing a higher burden of sustained chronic conditions were significantly more likely to be frequent users of healthcare services. https://www.facebook.com/TheMCIC

Source: Healthcare IT Analytics  www.http://healthitanalytics.com/

 

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Key Trends Facing Private Practice Physicians in the New Year Identified

Physicians in private practice have their non-clinical work cut out for them in the year ahead. Results of the ACA changes, the launch of the federal and state health insurance market places, demanding paperwork burdens, and coming changes in coding requirements and health IT are all issues facing the physicians in 2014.

Among the key trends that seen to be bearing down on practicing physicians are:

 –  Rapidly increasing medical consolidation seen across health care systems and insurance companies alike.

–   The difficulty physicians experience while trying to negotiate favorable terms with payers because  the total number of health insurers has been decreasing for some time as a result of industry consolidation.

–   Physicians are continuing to struggle with a growing regulatory paper work burden.

In addition the recent launch of the health insurance exchanges is already driving high levels of confusion among patients, physicians and employers.

Coping with minimal education and support on the new health insurance exchanges from the government, many private practice physicians are unsure of how these new insurance policies will affect their practices. Continue reading

Free Slide Presentation Provides Details About the National Directory of Physician Organizations Database

A free slide presentation with details about the National Directory of Physician Organizations Database is available.

Interest in physician organizations has grown in recent years due to a number of factors and they have taken on new importance and energy.

The physician organization database includes details and contact information on independent practice associations (IPAs), physician hospital organizations (PHOs) large multi-specialty medical groups, primary care networks and practice management services organizations.

The database is researched and produced the Managed care Information Center (MCIC.)

To receive your free, no obligation copy of the National Directory of Physician Organizations Database slide presentation please click on this link now: National Directory of Physician Organizations Database Free Slide Presentation

Physician Organizations – IPAs – PHOs Can Improve Care Management For Smaller Practices, New Study Finds

On average, physician practices participating in independent practice associations (IPAs) and physician hospital organizations (PHOs) provided nearly three times as many care management processes for patients with chronic conditions as nonparticipating practices did, the results of a new study found.

The difference is dramatic – 10.45 percent versus 3.85 percent, found the researchers. And, half of these processes were provided only by IPAs or PHOs.

All the recent initiatives surrounding physician practice including pay-for-performance, public reporting, and accountable care organization programs places pressure on physicians to use health information technology and organized care management processes to improve the care they provide.

The problem is physician practices that are not large may lack the resources and size to implement such processes.

The researchers said they used data from a “unique national survey of 1,164 practices with fewer than twenty physicians to provide the first information available on the extent to which IPAs and PHOs might make it possible for these smaller practices to share resources to improve care.”

Nearly a quarter of the practices participated in an IPA or a PHO that accounted for a significant proportion of their patients, the study found.

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IPA-PHO Database – The National Directory of Physician Organizations profiles more than 1,300 physician organizations. Listings include: physician hospital organizations (PHOs), independent practice associations (IPAs), multi-specialty medical groups, physician primary care networks, and management service organizations (MSOs) The National Directory of Physician Organizations

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These organizations may provide a way for small and medium-size practices to systematically improve care and participate in accountable care organizations, said the researchers.

“The data presented suggest that IPAs and PHOs may be able to provide an additional, potentially viable organizational alternative during an era of major changes in how health care is delivered and paid for,” the study authors wrote.

The research team was led by Lawrence P. Casalino, MD. The study results appeared in the August Issue of Health Affairs.

Physician Turnover Increases; Competition, Pace of Turnover and Retirements Expected to Increasee

Medical groups reported an average turnover rate of 6.8 percent in 2012, according to the 8th annual Physician Retention Survey.

Likewise, there was turnover of 11.5 percent among advanced practice clinicians (APCs), which includes physician assistants and nurse practitioners, found the survey by Cejka Search and the American Medical Group Association (AMGA). Continue reading

Physicians Need To Adapt and Develop A Vision For the Future, IPA-PHO Survey Finds

The resurgence of hospitals buying physician practices, the shortage of primary care physicians, contract and reimbursement models, market consolidation and the pressure to transform primary care practices are among the key issues the leadership of the nation’s physician organizations – PHOs and IPAs are keenly concerned about.

The issues emerged from the results of the IPA -PHO Physician Organization Leadership Survey 2012 by the Managed Care Information Center (MCIC.) Continue reading