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New ESI Data Shows Medicine Spending Grew Just 1.5% in 2017
In early February 2018, Express Scripts Institute (ESI) released the 2017 Drug Report, which included new data that showed spending on medicines by ESI’s commercial plan sponsors grew just 1.5 percent in 2017, which is the smallest increase since they started tracking this data. Additionally, drug spending declined for almost half of commercial payers and Medicare, Medicaid, and exchange plans all saw very modest increases.
As you can see in this chart by the Drug Channels Institute, costs for traditional drugs declined, largely due to generic substitutions available in the blood cholesterol class and pricing pressures ...
Source: Policy and Medicine - March 7, 2018 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs
Academic Medicine Cover Art Feature Undergoes Refresh, Temporarily Closes New Submissions
Academic Medicine is excited to announce that our Cover Art feature is getting a refresh! In preparation, the feature is now temporarily closed for new submissions. Please stay tuned for a relaunch of Cover Art through an organized call for new submissions in spring 2021.
Thank you for helping for us make the Cover Art feature such an integral part of the journal since the feature launched in 2008. We have enjoyed all of your art over the years and are eager to share more details of the relaunch when available. We can’t wait to see your new submissions when we issue the call!
Source: Academic Medicine Blog - July 28, 2020 Category: Universities & Medical Training Authors: Journal Staff Tags: Featured humanities in medicine medical education Source Type: blogs
Supporting American Indian Students in Pursuing Careers in Medicine and Science: Celebrating Research and Cultural Identity
On the Academic Medicine Podcast, hosts Toni Gallo and assistant editor for trainee engagement Lala Forrest (@Lala_Forrest) and guests Drs. Maija Holsti and Sam Hawkins discuss the Native American Research Internship program (@NARI_UofU) at the University of Utah, which is open to Native college students across the United States who are interested in pursuing biomedical careers. They describe the components of the NARI program, including its integration with the local Native elders and tribal nations, and share advice for other institutions looking to support the American Indian students in their communities.
This episo...
Source: Academic Medicine Blog - March 9, 2021 Category: Universities & Medical Training Authors: Guest Author Tags: Audio Featured Guest Perspective Academic Medicine podcast American Indian medical education Native American research Source Type: blogs
2-Midnight Rule: Medicare's New 2013 Inpatient Hospital Payment Policy Explained (CMS 1599-P).
Hospitalists have risen to the challenge of only providing medically reasonable and necessary inpatient hospital care under the rules of three-midnight medicine. They have refused to delay patient discharges just so patients could enjoy high quality care in the nursing home of their choice that is paid for by our Medicare National Bank. They are willing to accept discharge to home and face the music of bad patient satisfaction survey scores filled out by angry family members who are upset their hospitalist wouldn't commit Medicare fraud to get grandma to a Medicare paid nursing home for the next...
Source: The Happy Hospitalist - May 6, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
2-Midnight Rule: Medicare's New 2013 Inpatient Hospital Payment Policy Explained (CMS 1599-P Now 1599-F).
UPDATE August 4th, 2013. The CMS 2-Midnight rule is official. On August 2, 2013 the Centers for Medicare & Medicaid Services (CMS) issued a final rule [CMS-1599-F] updating fiscal year (FY) 2014 Medicare payment policies and rates under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital Prospective Payment System (LTCH PPS). As part of this ruling the 2-Midnight rule was codified into law. The final rule modifies and clarifies CMS’s longstanding policy on how Medicare contractors review inpatient hospital admissions for payment purposes. Under this final rule, in additio...
Source: The Happy Hospitalist - May 6, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
How hospital executives wish their hospitalists would act
Recently, I wrote a letter to hospital executives, urging them to deliberately invest their own personal time and effort in fostering hospitalist well-being. I suggested several actions that leaders can take to enhance hospitalist job satisfaction and reduce the risk of burnout and turnover. Following the publication of that post, I heard from several hospital executives and was pleasantly surprised that they all responded positively to my message. Several execs told me that they gained valuable new insights about their hospitalists’ challenges and needs, or that they planned to take action on one or more of my suggestio...
Source: Kevin, M.D. - Medical Weblog - March 17, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/leslie-flores" rel="tag" > Leslie Flores < /a > Tags: Physician Hospital Hospitalist Source Type: blogs
Billing For Family Meetings as Critical Care in the ICU Explained.
Discussions:Critical care CPT codes 99291 and 99292 include pre and post service work. Routine daily updates or reports to family members and or surrogates are considered part of this service. However, time involved with family members or other surrogate decision makers, whether to obtain a history or to discuss treatment options (as described in CPT),may be counted toward critical care time when these specific criteria are met:The patient is unable or incompetent to participate in giving a history and/or making treatment decisions, and The discussion is necessary for determining treatment decisions.For family discuss...
Source: The Happy Hospitalist - August 8, 2013 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs
GOMERology As a Subspecialty of Hospitalist and Emergency Medicine.
I have been a practicing hospitalist now since 2003. In that ten years, hospitalist medicine has been the fasting growing medical specialty in America. Our tentacles run deep and they run far. We offer incredible value, directly and indirectly, in the delivery of hospital based medicine. We are maturing as a field and we shall continue to define our role in the constantly changing Medicare landscape.
Hospitalist medicine even has its own focused maintenance of certification board exam. I believe this vindicates the field as a stand alone specialty. However, just as it took a decad...
Source: The Happy Hospitalist - January 24, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Hospitalist Wingman Response: GOMERology as a New Subspecialty.
I have been a practicing hospitalist now since 2003. In that ten years, hospitalist medicine has been the fasting growing medical specialty in America. Our tentacles run deep and they run far. We offer incredible value, directly and indirectly, in the delivery of hospital based medicine. We are maturing as a field and we shall continue to define our role in the constantly changing Medicare landscape.
Hospitalist medicine even has its own focused maintenance of certification board exam. I believe this vindicates the field as a stand alone specialty. However, just as it took a decad...
Source: The Happy Hospitalist - January 24, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Billing Two E/M Codes Same Day, Same Specialty and Group Explained.
Is it possible to get paid for providing two separate and identifiable face-to-face evaluation and management (E/M) charges on the same calendar date that are provided by the same physician or physicians in the same speciality from the same group practice? The answer is yes, under certain circumstances. Just make sure the documentation meets certain criteria.The Centers for Medicare and Medicaid Services reviewed a specific situation in an August 26th, 2011 claims processingtransmittal titled Clarification of Evaluation and Management Payment Policy (change request 7405) that mandates Medicar...
Source: The Happy Hospitalist - March 2, 2013 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs
Media release: Defining hospitalist physicians using clinical practice data
Open Medicine
A peer-reviewed, independent, open-access journal.
FOR IMMEDIATE RELEASE
Defining hospitalist physicians using clinical practice data: a systems level pilot study of Ontario physicians.
Today, Open Medicine <http://www.openmedicine.ca/> published a study in which the authors propose and apply a functional method to identify hospital-based physicians and describe the growth and prevalence of a relatively new but poorly-defined specialty—that of hospital-based practice.
In the province of Ontario, hospital-based physicians have grown in number since cutbacks to physician reimbursement during the mid-199...
Source: Open Medicine Blog - - September 17, 2013 Category: Medical Publishers Authors: Carlyn Zwarenstein Source Type: blogs
99213 CPT ® Code Description, Progress Notes, RVU, Distribution.
This 99213 CPT ® lecture reviews the procedure code definition, progress note examples, RVU values, national distribution data and explains when this code should be used in the hospital setting. CPT stands for Current Procedural Terminology. This code is part of a family of medical billing codes described by the numbers 99211-99215. CPT ® 99213 represents the middle (level 3) office or other outpatient established office patient visit and is part of the Healthcare Common Procedure Coding System (HCPCS). This procedure code lecture for established office patient visits is part of a comp...
Source: The Happy Hospitalist - July 23, 2013 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs
