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More or Less - Practicing Medicine in 2014: What's Out and What's Here to Stay

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What's in and what's out for healthcare providers in 2014?

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More or Less - Practicing Medicine in 2014: What's Out and What's Here to Stay

  1. 1. MORE OR  LESS Practicing  Medicine  in  2014:  What’s  Out  and   What’s  Here  to  Stay
  2. 2. It  seems  the  healthcare  industry  is  due  for   another  round  of  dramatic  changes.  Here  is   what  practices  can  expect  to  see  more  and   less  of  in  2014.
  3. 3. MORE: Patients.  In  General. The  Affordable  Care  Act  (ACA)  is  projected  to  add  32   million  patients  to  the  healthcare  system  this  year. Still,  48%  of  physicians  lack  the  resources  necessary  to  treat   new  patients.  In  response,  practices  may  have  to  hire   physician  assistants,  adopt  health  IT  software  or  outsource   billing  to  handle  the  patient  influx.
  4. 4. MORE: Certified  mHealth  Apps With  the  number  of  mobile  health  apps  increasing  rapidly,   the  FDA  has  decided  to  step  in  and  mandate  certification   for  certain  types. While  it  hopes  to  one  day  regulate  all  health  apps,  the  FDA   is  starting  with  apps  used  for  monitoring  critical  care  symp-­ tons  and  regulating  drug  delivery.
  5. 5. MORE: Patient  Portal  Usage Meaningful  Use  Stage  2’s  requirement  that  5%  of  unique   patients  must  access  their  health  information  online  means   patient  portals  will  become  more  important  than  ever. Eligible  providers  must  spend  time  educating  patients.  But   first,  doctors  must  first  become  familiar  with  the  back  end   of  the  patient  portal,  so  they  discuss  it  properly.
  6. 6. LESS: MU  Stage  2  Vendors As  a  result  of  Meaningful  Use  Stage  2’s  stringent  criteria,   many  EHR  vendors  are  having  difficulty  getting  certified  by   the  ONC.     Expect  to  see  a  drop  in  EHRs  that  help  practices  qualify  for   the  next  phase  of  incentive  payments.  
  7. 7. LESS: Coding  Ambiguity ICD-­10’s  155,000  CM  and  PCS  codes  will  provide  payers   with  more  detailed  diagnosis  and  treatment  codes  for   medical  services  rendered.   Once  your  staff  gets  the  hang  of  the  new  coding  set,  this   should,  in  theory,  result  in  higher,  more  accurate  reimburse-­ ments  for  your  practice.  
  8. 8. LESS: Medical  inflation In  a  show  against  historical  trends,  medical  inflation  in  2014   will  drop  even  lower  than  in  2013.   Healthcare  consolidation,  new  models  for  delivering  care,   and  components  of  the  Affordable  Care  Act  should  slow   inflation  as  consumers,  employers  and  the  US  government   look  for  ways  to  cut  medical  costs.
  9. 9. BOTTOM   LINE: Medicine  is  evolving  rapidly.  Technology  is  taking  hold  of   the  reins  and  forcing  providers  to  adapt  or  recede.   Will  you  get  left  behind?

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