Clinical Scenario Your first patient of the day is a 59-year-old man with advanced stage IV head and neck cancer, who will be meeting with you and his medical oncologist in a discussion regarding future management of his recurrent and metastatic cancer. In spite of chemo-radiation therapy, surgical excision, and adjuvant immunotherapy, the patient’s cancer […]
The Tax Bill’s Implications for Healthcare
On December 20, 2017, Congress passed a massive tax bill, the Tax Cuts and Jobs Act, that will impact nearly every individual and business in America. While the bill makes sweeping revisions to existing tax provisions, it will also largely impact the health industry. Individual Mandate Repealed The bill repeals the individual mandate established in […]
What Will Become of the Affordable Care Act?
After the 2016 election of Donald Trump, who campaigned with a promise to “repeal and replace” the Affordable Care Act what will actually happen? While I don’t pretend to have a crystal ball, we can make some educated guesses about the upcoming year.
Reference Pricing and Otolaryngology
Most otolaryngologists likely have heard about reference pricing, the relatively nascent concept that a payer—be it a person, a plan, or a pension fund—contributes a set amount toward specific procedures. The most public example of the model is the California Public Employees’ Retirement System (CalPERS), which in 2011 began using the concept to determine what […]
FDA Panel Recommends Mandatory Opioid Training
The panel made the recommendation amid an epidemic of deaths resulting from and addictions to opioid painkillers in the United States
Medicare Reform Legislation Repeals SGR, Consolidates Incentive Programs
Bill expected to stabilize Medicare physician reimbursement, streamline pay-for-performance programs, simplify quality reporting process
Increased Medicare Funding Not Necessary for Graduate Medical Education
Institute of Medicine recommends same level of financial support for 10 years; physicians concerned amount won’t sustain residency training
Is the Fee-for-Service Physician Payment Model Doomed?
Otolaryngologists debate pros, cons of billing, reimbursement plan and its future role in healthcare
Medicare’s Open Payments Database Brings Transparency, Controversy
Releasing data on financial transactions between for-profit companies and physicians to the public raises concerns
Head Neck Cancer Associated with Significant Incremental Increases in Annual Healthcare Expenditures
What incremental costs are associated with head and neck cancer (HNCa), and how do they compare with the costs associated with other common cancers?
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