Health Care

Millennial Physicians Bring New Expectations to Relationships With Patients, Peers and Pharma

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National Survey Reveals Four out of Five Gen Y Doctors Believe Millennial Patients Require a Different Relationship with Their Doctors than Older Patients Millennial physicians defined as 26 to 36 year old general practitioners are redefining the patient-physician relationship. According to a new report released today from inVentiv Health agencies, GSW, inVentiv Health PR Group and PALIO, 66 percent of millennial doctors change their approach according to the age of the patient they’re seeing. This includes being more likely to ask millennial patients to do additional research on their own, and simplifying explanations for non-millennial patients.

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1 in 4 Employers Offering Health Benefits Could Be Affected by the Cadillac Tax in 2018

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Share of Potentially-Affected Employers Could Grow to 30% in 2023, 42% in 2028, Analysis Finds New projections from the Kaiser Family Foundation estimate that one in four employers (26%) offering health benefits could be subject to the Affordable Care Act’s tax on high-cost health plans, also known as the “Cadillac plan” tax, in 2018 unless they make changes to their plans.

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Despite Healthcare Changes, Physicians Remain Happy

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Even with the ICD-10 coding transition looming, the rules governing “meaningful use” of their EHRs in a state of flux, and the constant shift in their reimbursement from volume to value, U.S. physicians are still happy in their careers. That’s according to the 2015 Great American Physician Survey, Sponsored by Kareo, conducted by Physicians Practice. In this year’s survey, 1,001 physicians nationwide shared thoughts on their medical careers, their personal lives, and the politics affecting the healthcare industry. When asked to characterize their happiness on a scale of 1 to 10, the average rating was a 7.3. It was the same average when physicians were polled on how healthy they were. When asked to what extent they agree with the statement, “I like being a physician,” 84 percent of physicians selected either a 4 or 5 on a scale of 1 to 5 as their reply.

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New Study Shines Spotlight on America’s Nursing Shortage

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18 Month Snapshot from 50 Hospitals in 10 States Spotlights Issue. The on-again/off-again nursing shortage in America definitely is on again, according to an 18-month study of job vacancy and hiring data at 50 hospitals across the U.S. “Everyone who works in the field feels a shortage exists already. That feeling is absolutely correct, and factors today say the situation is going to get worse, much worse,” said Mark Dixon, president and CEO of USr Healthcare, a nationwide healthcare talent acquisition company headquartered in Nashville, Tennessee.

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CMS and AMA Announce Efforts to Help Providers Get Ready For ICD-10

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With less than three months remaining until the nation switches from ICD-9 to ICD-10 coding for medical diagnoses and inpatient hospital procedures, The Centers for Medicare & Medicaid Services (CMS) and the American Medical Association (AMA) are announcing efforts to continue to help physicians get ready ahead of the October 1 deadline.  In response to requests from the provider community, CMS is releasing additional guidance that will allow for flexibility in the claims auditing and quality reporting process as the medical community gains experience using the new ICD- 10 code set.

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Incorrect 1095A Forms and Premium Tax Credit FAQ

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FAQ Incorrect 1095A Forms and Premium Tax Credit On February 20, 2015, the Centers for Medicare and Medicaid Services (CMS) announced that about 800,000 tax filers who purchased health insurance from the Federally-facilitated Marketplace during 2014 received a Form 1095-A, Health Insurance Marketplace Statement, that contained an error related to the second lowest cost Silver plan (often referred to as the benchmark plan). On February 24, 2015, the Department of the Treasury issued a statement concluding that those affected taxpayers who had already filed an income tax return using the incorrect form do need not amend their income tax return. On March 20, 2015, Treasury expanded that relief to apply to additional situations faced by tax filers.  Treasury and IRS now intend to provide penalty relief for  individuals who are unable to file a complete and accurate return by April 15 due to a delayed Form 1095-A or a Form 1095-A that the taxpayer believes to be incorrect. FAQs have been added to the original release to provide further details about it how the rules apply to specific circumstances. What relief was announced on March 20, 2015? On March 20, in light of CMS’s announcement of additional incorrect information on certain …

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Obama Administration Publishes Final Rule on Excepted Benefits

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The U.S. Departments of Labor, Health and Human Services, and Treasury have published final rules to amend the definition of excepted benefits to include certain limited coverage that wraps around individual health insurance. Such coverage would have to be specifically designed to provide meaningful benefits such as coverage for expanded in-network medical clinics or providers, reimbursement for the full cost of primary care, or coverage of the cost of prescription drugs not on the formulary of the primary plan. The final rules permit group health plan sponsors, in limited circumstances, to offer wraparound coverage to employees who are purchasing individual health insurance in the private market, including in the Health Insurance Marketplace. The rule sets forth two pilot programs for limited wraparound coverage. One pilot allows wraparound benefits only for multi-state plans in the Health Insurance Marketplace. The other allows wraparound benefits for part-time workers who enroll in an individual health insurance policy or in Basic Health Plan coverage for low-income individuals established under the Affordable Care Act. These workers could, under existing excepted benefit rules, qualify for a flexible spending arrangement alternative to this wraparound coverage. The final rules give employees who otherwise may not be able to get …

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Women and Job Based Health

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According to the Bureau of Labor Statistics, the labor force is becoming more diverse, older and more female. Today, those changing labor force demographics are already evident in terms of the increased number of working women. Working women are likely to be the primary decision maker for the family as well as the care giver when a family member falls ill. Therefore, women need adequate knowledge and tools to satisfy their multiple roles as decision makers and consumers of health care. Women As Major Health Care Consumers Approximately 80% of women age 18-64 had health insurance in 2011. The remaining 20% — which translates into 19 million women — had no health benefit coverage. Eighteen percent of women obtained insurance from public programs, including Medicaid, Medicare, and CHAMPUS. Sixty seven percent had private insurance. Private insurance was obtained mainly through employment-based plans. Sixty percent of all women had such coverage, either in their own names or as dependents, 45% through private-sector jobs and 15% through government jobs. Women utilize more health care than men, in part because of their need for reproductive services. Females of all ages accounted for 57% of all expenses incurred at doctors’ offices in 2011. Women …

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