James Doulgeris

The Obama administration’s health insurance enrollment numbers don’t match up to a conservative’s fact check. Who is telling the truth?

Family physician Marlin Gill wrote his congressman looking for help in Washington’s “war on doctors.” His facts are correct, but his reasoning is not.

The 90-day “payment grace period” for exchange insured patients puts physicians at risk for 60 days if patients don't pay their premiums.

The CBO says tacking a five-year delay to the individual mandate to the SGR fix will result in 13 million more uninsured and cost $138 billion.

Primary-care transformation is not just about meeting standards, it requires a fundamental change focused on reducing cost and utilization.

A new Kaiser Family Foundation poll indicates that 47 percent of Americans don’t like the ACA, but 56 percent would keep it. Why the confusion? Politics.

Performance, not a physician's resume, is fast becoming the new gold standard for patients and payers alike.

Value-based payment legislation would reward compliance over physician performance, stripping the value from healthcare delivery reform.

Physicians use a common, interoperable population health platform to cut healthcare spending by a third.

Uncertainty and confusion are causing many physicians to seriously consider other careers. Michelle Mudge-Riley left clinical practice to guide them.

The ACA is creating a middle class that is underinsured, threatening to undermine physicians' ability to improve population health, and to be rewarded for it.

America leads the world in technology and pharmacology, but lags far behind in managing and optimizing the health of its citizens.

Skyrocketing insurance deductibles, Medicare, and Medicaid price manipulation shifting costs to private insurers and opaque prices are robbing your patients.

This is the year Obamacare becomes real for the general public. The day of reckoning with their employers comes later. Physicians are in the middle.

We spend our lives within our own worlds - Obamacare, patient issues, practice issues - rarely looking outside where perspective lives.

Medical practices are dealing with a tsunami of data and must strive to keep statistics honest.

There are always winners and losers in game changing legislation like Obamacare, and physicians are uniquely positioned to do either in a big way.

Odds may still favor the Affordable Care Act, but not in its present form. Democrats may have no choice but to cross the aisle to fix fatal flaws.

Almost all federal legislation creates winners and losers. Under the Affordable Care Act, physicians and patients who fail to act will be the latter.

All but a well-heeled minority and the Obamacare exempted will be facing mega-deductible health insurance in 2014, meaning they are effectively self-insured.

The newly insured under Obamacare needing primary care may be in the thousands or millions. Either way, primary care is the keystone solution to reduce spending.

Simply being on time, or communicating when physicians can see a patient, can spare anxiety, stress.

Insurer denials for expensive diagnostics are often caused by physician failure to follow simple rules.

Expanding insured without lowering per capita insured spending will expand the already fragile healthcare balloon to inevitable failure.

The Health Care Cost Institute reports patient out-of-pocket expenses will rise 4.8 percent to $3,072 for a privately insured family of four.

Enterprise-level management and transforming physicians into clinical managers represents a pivotal advance in ACO and IPA models.

More coordination may lead to higher prices, according to Harvard’s Katherine Baicker and Michigan’s Helen Levy.

It is time for primary-care physicians to step up and lead the many other providers who provide direct care.

The intractability by both parties in Congress over healthcare keeps them focused on politics, not policy.

Forcing vulnerable patients to make financial decisions under high-deductible plans takes clinical decisions out of physicians’ hands.