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Major Change Now Imminent For Providers: Are You Ready For ICD-10?

On October 1, the transition to ICD-10 medical coding takes effect for all U.S. healthcare providers subject to HIPAA regulations. This is one of the most extensive changes in the healthcare industry in the last few decades. And it will affect every aspect of a provider’s business, from proper diagnoses to productivity to Medicare reimbursements. Full Story

Value In Healthcare: It’s Not Just About A Retail Model

In healthcare, the concept of value has been percolating for several years. We’ve seen a trend toward higher deductibles and co-pays, which accelerated with the advent of consumer directed/high deductible health plans. That raises a question: What is value? We can think of it in terms of an equation: Value = Quality/Price. Full Story

Reflecting On Discussing Death As CMS Proposes End Of Life Counseling

Last week, the Centers for Medicare and Medicaid Services (CMS) proposed changes to the 2016 Medicare Physician Fee Schedule, including paying for the controversial end-of-life counseling. Six years ago, a proposal for Medicare to cover end-of-life counseling touched off a political storm leading to discussions of “death panels.” When Medicare finally announced it will make the change, reaction is now largely one of U.S. acceptance. Full Story

How Independent Physicians And Value-Based Care Have Created A New Business Model

What once was possible only through employment with large healthcare systems has evolved into a new business model for the independent physician looking to transform his or her practice — without having to do it alone. Now, Accountable Payment Models are under development across the Dallas physician landscape. Full Story

The Physician Shortage In Texas: UT Southwestern’s Bruce Meyer On What’s Fueling It

Editor’s Note: The impending physician shortage has now bubbled to the surface. And politicians both at the state and federal levels are doing something about it. Texas is facing a broad need, particularly in the wide-open rural counties and in urban sectors where poverty is rampant and infrastructure is lacking. Statewide, there are about 186 physicians for every 100,000 residents, according to the Texas Medical Association. The national average is 236. But the need is more acute in different sectors of the state. Fifty-seven percent of the state’s practicing physicians operate in the five large urban counties of Bexar, Dallas, Harris, Travis, and Tarrant… Full Story

The Physician Shortage In Texas: Baylor S&W’s Joel Allison On Efforts To Fund More Medical Residency Slots

The impending physician shortage has now bubbled to the surface. And politicians both at the state and federal levels are doing something about it. Texas is facing a broad need, particularly in the wide-open rural counties and in urban sectors where poverty is rampant and infrastructure is lacking. Statewide, there are about 186 physicians for every 100,000 residents, according to the Texas Medical Association. The national average is 236. Full Story

The Amount Of Underinsured In Texas Is Increasing

We frequently discuss the uninsured population, but what about the “underinsured?” Perhaps you are asking, “Just what is the underinsured?” They are residents with healthcare coverage crippled by out-of-pocket health costs that are 10 percent or more of household income. That bar is lowered to 5 percent or more of household income for low-income families. Full Story