Healthcare Revenue Cycle and Finance



New Directions for Medicare Physician Payment

By Jordan Kiszla & Rachel Nuzum – HHS issued a proposed rule to implement MACRA. Congress passed this bipartisan legislation last year to replace the sustainable growth rate formula (SGR)—which tied the growth of Medicare physician payments to growth in the economy—with an approach that rewards high-performing providers and supports alternative payment models.


Why DSM is a Failure for Referral Management

By Jeremy Guttman – Contrary to what some EHR proponents believe, DSM by itself is an unpopular and ineffective solution when it comes to true interoperability, care coordination and referral management. It has almost no practical benefit for referral management beyond what primary care practices use it for right now: getting credit for Meaningful Use stage 2.




Why Apple HealthKit in iOS 10 Makes View/Download/Transmit Real

By John Halamka MD – Meaningful Use Stage 2 has a requirement that I’ve always considered to be the “cart before the horse” – patients must be able to View/Download/Transmit their data. Viewing is great – we’ve done that at BIDMC since 1999 for all patients and all data.