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The United States faces an unenviable paradox: the healthcare sector is an important source of job growth and economic output, but healthcare costs-now comprising nearly one fifth of economic output-are dramatically higher than those in other developed nations, and continue to rise.

Awareness of, and preparation for, coming changes should begin now, according to Robert Doherty, senior vice president for governmental affairs and public policy with the American College of Physicians.

The cloud revolution has many wonderful advantages such as lower costs, faster ROI and more powder in the hands of customers. However, when using cloud services your company data is no longer hosted on your physical IT infrastructure so there are some new legal and technical issues that have to be addressed.

When Curtis Story, MD, a solo primary care physician in Port Charlotte, Florida, first heard that Medicare would begin paying physicians for offering patients chronic care management (CCM), he was optimistic that the additional revenue would bolster his practice for work it was already doing. But more than a year later, he has yet to bill for CCM.

In the average medical practice, the burden on physicians to meet differing quality measurement standards set by payers is substantial. Commercial health plans, the Centers for Medicare & Medicaid Services (CMS) and state Medicaid managed care plans all have different metrics for evaluating quality care.

Fee-for-service medicine is on the way out. That may be hard to believe if most of your income still comes from such payments, which reward physicians for the volume of services they provide. But it’s clear that payers are increasingly emphasizing reimbursement methods that reward value, rather than volume-and that that transition is accelerating.