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Healthcare Reform

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

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.

ERs Go Mobile with Reservations

ERs Go Mobile with Reservations | Medical Blog

More than 100 hospital emergency departments are borrowing an idea from the restaurant industry: online reservations. Additional concierge services such as mobile apps for wait times make ER experiences more agreeable.…

Top 10 Physician Burnout Triggers

Top 10 Physician Burnout Triggers | Guest Blog

Being a doctor is a privilege, but sometimes the pressures can turn the nicest doc into a jerk.Here is my Top 10 list of things that make me feel symptoms of burnout.

Survey Says: 86% of Docs’ Income is “Flat or Declining”

Survey Says: 86% of Docs’ Income is “Flat or Declining” | Medical Blog

A recent survey from the Physician’s Foundation revealed a snapshot of what physicians are thinking in 2012 about the practice of medicine, their career plans, and the current state of the healthcare system. Gathering response from 13,575 physicians, the survey asked questions directly impacting quality and access to patient care in the United States, such as salary, hours worked, and number of patients being seen.…