Repeatedly, it has been demonstrated that costs of physician services go up when they are part of a large health system.
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The Lewin study also "found evidence of lower emergency room utilization and improved access to physician services" from "care management programs" for Medicaid patients with asthma, diabetes, heart problems and mental health disorders.
"In the face of new and compelling data that there should be no elective deliveries before 39 weeks, there is very little rational basis to act differently, " says Jonathan Perlin, president of clinical and physician services and chief medical officer at HCA. He says 96% of deliveries now meet the 39-week rule.
Sales increased in the Nurse and Allied Healthcare Staffing (up 13%) and Physician Permanent Placement Services (up 9%) segments, partly mitigated by a sales decline at the Locum Tenens Staffing segment (down 6%).
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Even though paying for referrals is generally illegal, it provides certain "safe harbors" that make it legal for a hospital to pay a referring physician for other services he provides the hospital, like consulting.
Instead, the focus is on legal medical drugs and procedures for non-cosmetic purposes that would require the services of a physician.
Only about 5-10% of patients that seek care at a physician office cannot get the services they need in the outpatient setting.
The American Medical Association recently passed guidelines that call on store-based clinics to offer only limited services and encourage patients to keep up with their primary care physician.
On February 1, 2013, the Centers for Medicare and Medicaid Services (CMS) published the long-delayed final rule that is intended to implement the Physician Payments Sunshine provisions that were included in the Patient Protection and Affordable Care Act.
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