Health maintenance organisations drop Medicare beneficiaries.
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Physicians are angry, that that's bad news for hospitals. Increasingly, doctors are unable to pay soaring liability insurance premiuyms, are refusing to accept new Medicaid and Medicare patients, and are balking at taking ED calls. What's more, many physicians are setting up niche facilities that compete directly with hospitals in the most lucrative service lines.
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In its continual efforts to manage Medicare provider enrollment, CMS has revised its provider application forms. Along with the revised forms is a new requirement for a three-year cycle revalidation process that could present a considerable challenge to large providers. Also of note are longer processing periods for initial enrollment, suspension of payments if current address information is not maintained, and deactivation of a provider's number if 12 months pass without claim activity. Improvements that providers may appreciate include electronic access to forms and a decrease in the amount of information required to enroll.
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PET is one of the most exciting advancements in medicine in many years. Its ability to image physiology rather than anatomy, combined with the wide range of organic "probes" or molecules that can be utilized, offer remarkable possibilities for medical imaging in the coming years.
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Doctors are leaving the profession in record numbers, yet the number of slots in medical schools has remained the same for the last two decades. How is this physician shortage affecting hospitals and patient care, and what can trustees do?