Just a few years ago it seemed that advocates for health care transparency had scored a big victory. The Centers for Medicare & Medicaid Services (CMS) announced that they would rate nursing homes by awarding five stars to the best and fewer stars to lower-quality facilities. Families searching for care for loved ones would have access to a familiar rating system to help them make choices. After all, star ratings for ...

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Part of a series. Employers have seen their health care costs rise dramatically over the years. To compensate, they have expected employees to pay an increasing portion of the health care insurance premium, expected employees to pay significant co-pays with each physician visit and have purchased policies that restrict individuals to a narrow network of doctors and hospitals. Largely these have not worked. They have offset some of the expenditures but ...

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The Canadian health care system is often held up as an example to model or to avoid at all costs in the debates on health care in America, and elsewhere.  Yet there are a startling number of misconceptions -- on both sides of the partisan divide -- about how the Canadian health system actually works, often from experts who should know better.  Here are the facts. 1. Doctors are self-employed, not ...

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When I hear the term "charity hospital," my thoughts turn to the grand bastions of 20th century public hospitals -- Bellevue Hospital in New York City, Cook County Hospital in Chicago, and San Francisco General Hospital. These hospitals were generally affiliated with medical schools and relied on government appropriations, rather than fees, to provide care for the poor. Decades of legislation have brought about sweeping changes in hospital financing, accounting, and social ...

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I read an article recently that implied the practice of hospitals acquiring physician groups encouraged “clinical integration and multidisciplinary team-based health care.” I guess that would depend on your definition of clinical integration. The American Hospital Association has a particularly cogent one, which is: “[A practice] needed to facilitate the coordination of patient care across conditions, providers, settings, and time in order to achieve care that is safe, timely, effective, efficient, equitable, ...

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It's been pretty quiet lately on the Obamcare front. So quiet, that there has been a flurry of articles recently over how Obamacare has dropped to a second or even third tier issue and will hardly matter come election-time. Wishful thinking. Obamacare has largely been out of the news cycle for a couple of months but that is about to change. A few thoughts. The 2015 rate increases have been largely modest. Does that prove Obamacare ...

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A recent report from Rutgers University entitled "Unhappy, Worried, and Pessimistic: Americans in the aftermath of the Great Recession" found that 70% of respondents described the typical American worker as not secure in their jobs and 68% of workers are highly stressed. A quote from the study is, “The typical American worker lives in a precarious and doleful existence -- unhappy, poorly paid and fearful about losing his or ...

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Hard truths: Dispelling 10 health care myths 1. Most physicians are intellectually gifted and therefore rarely make mistakes. Perhaps Hollywood is to blame for this misconception, or maybe we simply find comfort in believing that exceptionally brilliant diagnosticians abound. Either way, I wish it weren’t a myth. But the truth is that the vast majority of physicians are average in virtually every way. Despite all claims to the contrary, ...

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Value based care: Bad for doctors, bad for patients? Value-based health care is antithetic to patient-centered care. Value-based health care is also diametrically opposed to excellence, transparency and competitive markets. And value-based health care is a shrewdly selected and disingenuously applied misnomer. Value-based pricing is not a health-care innovation. Value-based pricing is why a plastic cup filled with tepid beer costs $8 at the ballpark, why a pack of gum ...

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Doctors talk with their patients about many things that might make some people uncomfortable -- sexual issues, abuse (physical or emotional), anxiety, depression, sleep habits, bowel habits, and fears about health-related topics -- things that many people might not talk about in casual conversation at the coffee shop or at work. Doctors talk with their patients about smoking, weight, eating habits, exercise, seat belt use, helmet use, and a myriad ...

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