decisionhealth Newsletters, Part B News - 2013 Issue 6 (June)
Heed warnings from experts when dealing with sequestration cuts
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Article Overview
This piece is aimed at physician practices and practice managers trying to respond to sequestration-related revenue pressure. It reviews broad categories of operational and financial strategies, including staffing, compensation, Medicare patient volume, payer contract review, outsourced billing arrangements, and routine reimbursement checks, with expert commentary on how to evaluate these options.
Why This Topic Matters
It helps medical practices understand which common cost-cutting responses deserve caution and which areas of revenue cycle and contract management should be reviewed more carefully when payment reductions affect cash flow.
Article Sections
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Physician payments
Introduces the financial context of the article and frames the discussion around practice-level responses to payment pressure.
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Layoff plans
Discusses staffing reductions as a possible expense-control approach and emphasizes the need to assess operational impact before making changes.
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Pay and benefit cuts
Covers compensation and benefit adjustments, along with broader considerations related to employee morale and performance measurement.
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Limiting the number of Medicare patients
Examines patient-mix decisions involving Medicare and notes the importance of market awareness and reimbursement context.
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Reviewing payer contracts
Focuses on periodic payer contract review, fee analysis, and preparation for negotiations using market-based reimbursement information.
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Referring out chemotherapy treatments
Addresses arrangements related to drug therapy revenue and the need to consider contract structure and patient interests.
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Doing nothing
Summarizes the importance of ongoing reimbursement monitoring even when no major operational changes are made.
What You Will Learn
- How the article frames practice-management choices during payment reductions
- Which operational areas are commonly considered for expense control
- How the article approaches payer contract review and reimbursement monitoring
- What broad cautionary themes experts raise about reducing costs too aggressively
Who Should Read This
- Physician practice administrators
- Medical office managers
- Revenue cycle staff
- Healthcare consultants
- Billing and reimbursement professionals
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