James Doulgeris

Even if you don't accept Medicaid, new state laws may require you to as its cost and failed policy overwhelms budgets.

The most asked question from state legislators: Does physician quality really impact cost?

Hospitals go to great lengths to control physicians. They take undeserved public credit for physicians’ work. Curiously, physicians capitulate. Why?

BCBS of Massachusetts' quality and cost experiment touts spending reductions that insult physicians' intelligence.

A pillar of the Affordable Care Act, "personal responsibility," changes the issue from keeping a doctor to affording one for most working families.

As CMS' bureaucracy morphs meaningful use quality reports to meaningless busywork, it converts quality incentives to penalties to enforce compliance.

John C. Goodman's recent Forbes article provides just one example of how the federal government hurts, not helps. Here are six ways to fix that.

The mainstream press used to relegate ridiculous claims and conclusions to "news of the weird." But, when it comes to patient choice, they are serious debates.

Physician sellouts to hospitals, hospital cabals, clueless and complicit regulators, lawmakers, and reporters create a perfect storm of greed and incompetence.

Crisis, real or manufactured, feeds politics and the press. In the real world, we have real problems and need real solutions. One is the primary care scare.

Three more Pioneer ACOs have dropped out of the program proving that you can't get real results without real change.

Population health is much more than a buzzword. It is the future of healthcare, but, why?

Confused about how the healthcare system is going to change? Let's follow the money to find the answers, starting with recent news from CMS.

Companies are pushing physician-based telemedicine as a solution. But, while promoters may have not thought things through, physicians must.

Here are five things that physicians can do to mitigate the risk of not only frivolous suits, but legitimate ones.

Hospitals are gearing up for shared risk and quality requirements under the Affordable Care Act that will affect hospital-physician interaction.

Value-based reimbursement has a bad reputation because it is misunderstood. Done correctly, through an IPA, it could be primary care’s saving grace.

With costs front and center for patients, in simple and stark terms: If you can’t deliver what the consumer perceives as quality, you will lose.

Social marketing, search engine optimization, practice marketing' are all good, but 'here are three sure things to increase revenues at minimal cost.

Achieving improved cost, access, and quality of healthcare is an elusive goal for good reason. Like a balloon animal, squeezing one part always affects another.

The concept of population health is straightforward. Achieving it, not so much, because it requires numerous fundamental changes in our delivery system.

The near future for physicians: Dying mom and pop store owners in a big-box health plan, hospital system world trading lab coats for a branded apron.

The Highmark BCBS purchase of a Pittsburgh health system puts insurers in the thick of hospital competition and reduces physicians to the role of bystander.

As VA bureaucrats’ fraud, incompetence, and self-interest is exposed, it vividly illustrates why government should get out of healthcare.

Harvard's Michael E. Porter and Thomas H. Lee state, "Providers must lead the way in making value the overarching goal." Physicians are at the core.

It hasn’t dawned on Washington that hospitals and hospital systems will never commit financial suicide by reducing volume, and physicians will pay the price.

Both sides of the healthcare debate are mired in political entropy, stifling innovation and leaving no options other than to cut prices.

Only one of five surveyed physicians cites reducing cost of care as a priority when that is every payer's first priority.

Why CMS should do away with hospital-led ACOs, and instead, focus on physician-led ACOs.

Bundling payments for care episodes is gaining popularity among payers. It is episodic risk-sharing, and it can be risky business for physicians.