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Implications of Medicare’s Value-Based Payment Initiative for Specialty Health Systems

Despite the current uncertainty about the direction of health care reform in the United States, the Centers for Medicare and Medicaid Services (CMS) appears poised to transition from standard fee-for-service reimbursement to value-based payments in the coming years. These new models, which were codified in the Medicare Access and CHIP [Children’s Health Insurance Program] Reauthorization […]

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Healthcare Disparities Affecting Americans in the US Territories: A Century-Old Dilemma

In 1917, the Jones Act granted US citizenship to natives of Puerto Rico, the first among the 5 territories acquired by the United States since 1898.1 A dilemma in that early period—“Does the Constitution follow the flag?”—was addressed in several cases considered by the Supreme Court between 1901 and 1932, known as the “Insular Cases.”2 These decisions ultimately […]

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Site of Treatment for Non-Urgent Conditions by Medicare Beneficiaries: Is There a Role for Urgent Care Centers?

  There is limited information on where and how often Medicare beneficiaries seek care for non-urgent conditions when a physician office visit is not available. Emergency departments are often an alternative site of care, and urgent care centers have now also emerged to fill this need. The purpose of the study was to characterize the […]

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Personal Sound Amplifiers & Hearing Loss (video)

Two-thirds of Americans over 70 have some hearing loss, but only one third have hearing aids, which cost $1000s and are not covered by Medicare. Hearing loss leads to isolation and social withdrawal. In this interview, Dr. Joseph S. Alpert, editor-in chief of the American Journal of Medicine, talks about the utility of personal sound […]

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Affordable Care Act Ruled Constitutional

SCOTUS Rules Affordable Care Act Constitutional– a Look Back Today the US Supreme Court (SCOTUS) ruled that the Affordable Care Act (AKA Obamacare) is constitutional. As Republicans vow to press on and work toward repeal of the whole act, progressives vow to work toward a public option and eventually universal healthcare coverage. Over the years, […]

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