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This past week, the Congressional Budget Office (CBO) released two reports summarizing the results of 14 major demonstration projects aimed at improving the “quality” and/or reducing the cost of care provided to Medicare patients. These fell into two broad categories: disease management and care coordination demonstrations, and “value-based payment” projects. Both types of projects are of enormous importance to the future of the Affordable Care
Earlier this month a physician social networking website asked its subscribers to weigh in on a survey supplied by a “client” who was looking for some help with a perplexing problem. We’re forbidden under the website’s terms of use from publishing the exact post, but it went something like this: The Affordable Care (“ObamaCare”) Act requires Medicare to expand its “Physician Compare” Directory tool. This
Over the past few weeks we’ve spent an inordinate amount of time trying to help physician colleagues hire replacement employees after theirs were poached by the large health system that rents office space to them. It seems that the supposedly religion-based mega-combination health insurer, hospital chain, medical buildings owner, clinical laboratory and purchaser of physician practices had recently decided to open a large new outpatient
The U.S. health care “system” has been built up over the last 60 years during the most massive transfer of resources, outside of war, in the nation’s history. U.S. medical practice patterns, U.S. medical ethics, U.S. public expectations have all been formed during a time when health care spending has had an average growth of two-and-a-half times the rate of inflation.
Dr. David Gelber who writes the Heard in the OR blog recently had a must-read post published on KevinMD entitled “Rigid regulation can become detrimental to patient care.” Anyone and everyone involved in or affected by America’s healthcare system should read this article. It clearly illustrates exactly the type of good intentions that are sending patient, doctors and nurses further and further down the Road
 
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