by Curtis Kauffman-Pickelle
The following is not a trick question: What does the US Army’s legendary 82nd Airborne Division have in common with today’s medical-imaging…
by Cheryl Proval
It is not accuracy of interpretations, or contrast-media administration, or wrong-site surgeries, or infection control in the MRI suite. No, the specialty’s…
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CMS released the 2011 Medicare Physician Fee Schedule (MPFS) in July, proposing myriad changes that CMS notes would result in a 6% payment cut for radiology services. That reduction doesn’t include the impact of the 23% cut that will take place on December 1, when this year’s temporary 2.2% payment update expires—or the additional 6.1% cut resulting from the 2011 sustainable growth rate (SGR) calculations, according to CMS. The 2011 proposal also begins implementing provisions of the Patient Protection and Affordable Care Act.
Plenty remains unknowable about the incipient impact of the Patient Protection and Affordable Care Act of 2010 (PPACA), but the act does stand to affect imaging providers, specifically through its compliance, fraud, and payment provisions, many of which have already taken effect or will take effect in the near future.
Tie your laces and get into the game, because reform, as viewed by the president of Kaiser Permanente Southern California, will initiate a period of great experimentation in health-care delivery.
Radiology decision support could qualify as meaningful use
Physicians are in a real bind as fee-for-service reimbursement falls under attack and alternative payment methods (such as bundling and capitation) gain traction in Washington, DC. As of June 18, Medicare Part B claims were being processed with the 21.3% cut mandated by the sustainable growth rate’s formula, and House Democrats demanded legislation on jobs before they would pass the Senate bill to reverse the cut.
The 2006 Tax Relief and Health Care Act required the establishment of a physician quality reporting system.
CMS published an interim final rule (with a comment period) on May 5, implementing several changes to the Medicare and Medicaid programs mandated by the Patient Protection and Affordable Care Act (PPACA).
The author argues that health care (in general) and imaging (specifically) are on a 10-year track to capitation
In a coincidence worth noting, Adam Smith’s The Wealth of Nations was published in 1776, the year that our nation-to-be declared its independence from what was then the Kingdom of Great Britain.