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VA tries quality improvement approach to medical ethics

■ Tools to evaluate how health care facilities perform ethically are in their infancy. The VA Health Care System hopes others can benefit from its experience.

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Illustration by Chris Gash / www.chrisgash.com

Pay that motivates your medical practice staff

■ How physicians pay employees can be more important than what is paid to ensure they are productive — and aren't looking for work elsewhere.

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Photo by Zak Hussein / Press Association via AP Images

Infectious diseases weigh on primary care (ACP annual meeting)

■ Internists increasingly are managing complex communicable illnesses. The American College of Physicians meeting offered the latest guidance on such diseases.

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Illustration by Mario Zucca / www.mariozucca.com

Medical practice action plan: Overcome regulation overload

■ Health care is experiencing a major overhaul, and practices face the brunt of the changes. Careful planning is needed to guide practices through it all.

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Immigration bill aims to ease doctor shortage

■ Proposed reforms from a bipartisan group of senators would revamp J-1 visas and other programs that improve access to physician services in underserved areas.

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Photo by Matt Cilley / AP images for American Medical News

Physician-owned hospitals seize their moment

■ Supplied with government data ranking them among the best for value of care, doctors at these facilities keep fighting to lift expansion restrictions.

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Top news

“Seismic shift” lifts primary care's impact on hospital revenues

■ A survey finding specialists accounting for less revenue to hospitals reflects changes putting more emphasis on primary care as the Affordable Care Act is implemented. With more primary care doctors employed, hospitals are capturing more of their revenue compared with those who simply refer patients.

Millions uninsured on patchwork Medicaid expansion map

■ More than 3 million low-income people are projected to stay without coverage in states not expanding, but primary care access problems could hit expansion states. Some states may try a private or managed care approach, which might ease the shortage problem but carry a higher price tag.

Editor's pick

Scrutiny grows over EHRs and physician coding

CMS always has kept a close eye on physician billing and is focusing on the connection between electronic health records and a growing number of higher-level codes. Doctors say that concern is misplaced — but some are getting cautious with coding.

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Practice Management

Pay that motivates your medical practice staff

Pay that motivates your medical practice staff

■ How physicians pay employees can be more important than what is paid to ensure they are productive — and aren't looking for work elsewhere.

Medical practice action plan: Overcome regulation overload

■ Health care is experiencing a major overhaul, and practices face the brunt of the changes. Careful planning is needed to guide practices through it all.

� Column: Many medical practices not ADA accessible despite incentives - May 13

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Columns »

Contract Language »

Hospital bylaws can trip up employed physicians

Ethics Forum »

Caregivers have boundaries when speaking for patients

In the Courts »

Learn when it’s safe for doctors to say they’re sorry

AMA President’s Column »

Private practice's future in a changing time for medicine

AMA Board Chair’s Column »

Reflections on ourselves, our patients, our profession

Practice Management »

Many medical practices not ADA accessible despite incentives

Technically Speaking »

Mobile a likely key to more patient portal use

Multimedia »

View multimedia

Interactive graphic: Who is affiliated where?

■ Major health systems have launched affiliate programs that get their name out far beyond their usual geographic scope. Affiliates get to use the name and access to the resources of a major institution.

Don't Miss

Brain scan sheds light on Medicare's technology decisions

Brain scan sheds light on Medicare's technology decisions

■ Advanced imaging to early-diagnose Alzheimer's provides a case study on how technology proponents seek coverage through a process that involves both science and persuasion.

How to talk about hospice care

How to talk about hospice care

■ The discussions are trying for everyone involved. But there are concrete strategies to make these end-of-life care talks go more smoothly.

5 steps for employed physicians to resolve contract disputes

5 steps for employed physicians to resolve contract disputes

■ Doctors can save themselves a lot of time, money and grief during contract disputes by following a series of steps to work out their issues.

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CMS: Do EHRs lead to upcoding?

■ The Medicare agency is probing whether physicians are using paperless systems to bill costlier services, but doctors say EHR complexity is the real problem.

Qualifications of medical expert witnesses come under fire

■ Recent rulings have addressed requirements for experts who testify against physicians. The central issue: Should witnesses and defendants have the same or similar medical specialty?

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