Healthcare Reform

News and opinion articles related to healthcare reform laws and initiatives, including technological, political and institutional implications.

Caring for Chronic Conditions in Primary Care

Caring for Chronic Conditions in Primary Care | Feature

With the Patient Protec­tion and Affordable Care Act now underway, more attention is being focused on patient-centered and coordinated care. As a result, primary care physicians (PCPs) are seeking new ways to organize care around patients. This includes providing in-office services that meet all of patients’ healthcare needs and/or taking responsibility for appropriate referrals.…

Breaking Down Avoidable Healthcare Costs

Breaking Down Avoidable Healthcare Costs | Feature

Around $213 billion was spent on avoidable healthcare costs in the United States in 2012.…

Why Don’t Hospitalized Elderly Patients Walk?

Why Don’t Hospitalized Elderly Patients Walk? | Guest Blog

I'll tell you why. Medical staff are too busy documenting unnecessary garbage in the electronic medical record. But don't worry, the unresponsive comatose patient was documented to having received smoking cessation counseling.

Why I Left Academic Medicine

Why I Left Academic Medicine | Guest Blog

The position of surgical chairman in a community teaching hospital is like that of a football referee. At any given time, half your constituency is not happy with you.

Say it Ain’t So, HIPAA!

Say it Ain’t So, HIPAA! | Medical Blog

So what’s the problem? It’s the doctors. Asking doctors for their email address is taken to be as brash as asking for their credit card number or their wife’s cell phone number.

Physician Turnover Rate Hits New High

Physician Turnover Rate Hits New High | Medical Blog

Following suit with stock prices and home sales, physician turnover rate is rising, reaching the highest rate since 2005 and exceeding pre-recession levels.

According to the 8th annual Physician Retention survey from Cejka Search and the American Medical Group (AMGA), medical groups reported an average turnover rate of 6.8% (vs 5.9% in 2009) and advanced practice clinicians reported a turnover of 11.5%.…

67% of Hospitals Face Readmission Penalties

67% of Hospitals Face Readmission Penalties | Medical Blog

The Centers for Medicare & Medicaid Services’ new policy that penalizes hospitals for excessive readmissions will have an unexpected consequence: Two-thirds of U.S. hospitals will receive penalties averaging $125,000, according to the Medicare Payment Advisory Commission (MedPAC). The commission has been discussing refining the hospital readmissions reduction program.…

New Rules for Paying MDs Proposed in NY

New Rules for Paying MDs Proposed in NY | Guest Blog

A new rule proposed by a NYC hospital system would base MD pay raises on 13 quality indicators. You will be surprised to learn that I have an opinion.

4 in 10 Docs Cave in to Brand-Name Drug Demands

4 in 10 Docs Cave in to Brand-Name Drug Demands | Medical Blog

Even when generic drugs are available, approximately 4 of 10 physicians in practice more than 30 years “sometimes or often” give in to patients’ demands for brand-name drugs. This is compared with 31% of physicians in practice for 10 years or less.…

Do EMRs Make Documentation Too Easy?

Do EMRs Make Documentation Too Easy? | Guest Blog

There are many risky unintended consequences of EMRs, and over-documentation may be one of them.