The Memphis Business Group on Health (MBGH) is pleased to make this forum, including all web pages and web sites accessed from this page, available to Web Site users and others. However, the MBGH does not render legal or consultation services, and legal counsel must be consulted to determine any material’s applicability to any specific situation. MBGH cannot warrant or control the quality, accuracy, or validity of the information posted here. Comments posted on this blog are the sole responsibility of their writers. Use of such information is at the risk of the accessing user and the accessing user assumes all liabilities that may result from such use.




Wonder How Much Your Physician is Paid by Medicare? Now You Can Know!

From the National Business Coalition on Health:  After decades of secrecy, the Centers for Medicare and Medicaid Services (CMS) has released files on charges and paid amounts to 880,000 medical providers who received $77.4 billion in 2012. 

It is likely that these are aggregate data, lacking the individual claim detail that would help purchasers identify which providers consistently deliver the highest quality care at the lowest episodic cost. But CMS' release indicates that they no longer believe that physicians have a right to privacy when it comes to public expenditures for their services, which could mean that, in the future, more granularity will be forthcoming. 

This is potentially a hugely disruptive health care innovation. Commercial health plans consider claims data proprietary and have jealously protected it. Having an alternative, credibly sized data source in the Medicare provider file will allow purchasers to conduct comparative analyses to determine high and low performers. 

In turn, this new level of value transparency will translate to market pressure on the medical community to demonstrate efficacy. Here's a USA Today article on the release, and here's the page where you can download the files.

Check out the Commercial Appeal's article on Memphis-area physicians (may need a subscription to access the article).

Posted by Cristie Travis at 10:40 AM

From Our Blog

Say Hello

Please feel free to drop us a line via the button below. We try to respond to every email we receive.

Stay Connected

Join the MBGH community and keep up to date with issues concerning Memphis healthcare.

Facebook Twitter LinkedIn Feed