MedPage Today: Family Docs Worried About Payment Reform
Aspects of health reform are some of the biggest disrupting factors facing family medicine today, a recent survey of family physicians showed. Nearly half (49%) of respondents identified payment reform as a disrupting factor, a satisfaction survey of American Academy of Family Physicians (AAFP) members showed. The survey was presented here at the AAFP Scientific Assembly. Almost a third (31%) said preserving bonus payments for primary care under the Affordable Care Act (ACA) was a concern (Pittman, 9/27).
Medscape: Primary Care Malpractice Cases 'More Difficult To Defend'
Primary care practices account for fewer than 1 in 10 malpractice cases, but those cases are far more likely to be either settled or lost in a jury trial compared with non-general medical claims, according to a new study published online today in JAMA Internal Medicine. In short, such cases in the primary care realm "seem more difficult to defend," write study author Gordon Schiff, MD, the associate director of the Center for Patient Safety Research and Practice at Harvard Medical School, Boston, Massachusetts, and coauthors (Lowes, 10/3).
Medscape: Telemedicine Eases Rising Burden Of Macular Degeneration
Telemedicine is as effective as a face-to-face office consultation for the follow-up evaluation of patients with age-related macular degeneration. Retreatment decisions made during office consultations and those made by a remote ophthalmologist were in agreement 90% of the time, a new study has found (McNamara, 10/1).
Medscape: Residents Learn From Fall-Prevention Program
A simple program to educate family practice residents can significantly increase their ability to prevent falls in elderly patients, a new study shows (Harrison, 10/1).
Reuters: Insurance May Narrow Race Gap In Access To Surgery
Wider insurance coverage erased racial differences in who got minimally invasive surgery in Massachusetts, according to a new study. After the state increased access to insurance in 2006, racial disparities in the proportion of people having gallbladders or appendixes removed with minimally invasive techniques - versus traditional "open" surgery - disappeared, researchers found (Seaman, 10/2).
Medpage Today: Out-Of-Pocket Costs Projected To Fall Under ACA
Most Americans flocking to HealthCare.gov this week to sign up for health coverage under the Affordable Care Act (ACA) will see their out-of-pocket costs fall with expanded insurance options, an analysis found. "Decreases in out-of-pocket spending will be largest for those who would otherwise be uninsured," a study from the RAND Corporation found. "In some cases, these reductions will be dramatic." However, total health spending -- which includes out-of-pocket costs and spending on health insurance premiums -- will increase for many newly insured people, except those who will be covered by Medicaid (Pittman, 10/3).
This article was reprinted from kaiserhealthnews.org with permission from the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorially independent news service, is a program of the Kaiser Family Foundation, a nonpartisan health care policy research organization unaffiliated with Kaiser Permanente.