There has never been a more hectic time to be in the business of healthcare. Healthcare reform has brought many players to the table. And the “game” is bound to have winners and losers. This game is analogous to the board game Monopoly — a number of health care companies are buying up property (i.e., hospital and smaller providers) to position themselves as winners in the new shared savings payment ...

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Just when American healthcare system seems so dysfunctional that it seems impossible to imagine how it could be screwed up further, a decision is made that restores one’s faith in the creativity of Man.  But before you run out of guesses as to which particular decision we’re talking about today, we’ll just blurt it out.  We are referring to a recent decision by Washington State Medicaid to deny payment for ...

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For some 30 years now, I have been tracking the work of a gifted "futurist" -- one Clement Bezold, PhD. In this context, a futurist is a social scientist who specializes in making systematic predictions of the future of society, either in general or with respect to a particular segment. Dr. Bezold has done considerable thinking about the future of healthcare, much of which he has captured in his books ("The Future ...

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An excerpt from The Future of Health Care Delivery. We Americans like to pride ourselves on having the best health care system in the world, but unfortunately that is not the case. We have a medical (that is, sick) care system—a system that waits until we become ill before it kicks into action—instead of a health care system focused on helping us stay healthy. We give lip service to prevention and, ...

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As Americans we believe we have the best healthcare system in the world. But think again, it’s really not the truth. We do have superb medical schools, very well trained providers, superb science and technology but the delivery of medical care is just not what it should be. We spend more for healthcare than any other country does on a per capita basis. And yet when we compare ourselves to other ...

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Between the Susan G. Komen-Planned Parenthood debate and the study on treatments released by the Journal of the American Medical Association recently, breast cancer has certainly gotten a lot of play in the media as of late. Every major news outlet in America covered the breast cancer study released by JAMA which said that nearly half of the women who had second surgeries for breast cancer may not have needed the ...

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Labor and deliveries are slowly closing across the United States:  California, Pennsylvania, and Ohio.  In regional areas where there have been no closures, conversations in hospital boardrooms are probably questioning whether they should be.  But why?  Because of health care reform, increasing medical expenditures, hospitals are making less money due to reduced reimbursement, and because of the financial margin of obstetrics.  To explain the complex answer further, we need to ...

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We have a real paradox in American healthcare. On the one hand we have exceptionally well educated and well trained providers who are committed to our care. We are the envy of the world for our biomedical research prowess, funded largely by the National Institutes of Health and conducted across the county in universities and medical schools. The pharmaceutical industry continuously brings forth life saving and disease altering medications. The ...

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A few months ago I was introduced to a gentleman who had been a corporate VP for employee benefits at a Fortune 100 company for many years.  I was impressed with his knowledge of health care.  He shared some of his experiences with company employees, who lived all over the country. The company had a policy that when employees were informed they had a very serious medical condition, the company paid ...

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A guest column by the American Medical Association, exclusive to KevinMD.com. This week, I’m joining hundreds of physicians and medical students in Washington, DC during the American Medical Association’s National Advocacy Conference to talk to our federal lawmakers about an end to what has become an annual chore of stopping drastic scheduled Medicare physician payment cuts to preserve access to health ...

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