Matthew Mintz, MD recently shared how primary care doctors are set to lose more than half of their salary. It's well documented how primary care has faced a number of challenges with half of primary care physicians saying they'd leave medicine if they could as was mentioned in an earlier piece. There's talk of a "doc fix" as physicians believe the debt ceiling deal is ...

Read more...

While attending the Institute for Healthcare Improvement Annual Forum recently, my friend, Jared Conley, and I had the good fortune of finding ourselves standing a table away from Don Berwick in a relatively empty conference room. As MD/PhD in Health Policy students, we were interested in asking him a question about ACOs, so we approached him and introduced ourselves, hastily adding, "We know you’re busy, so we just have ...

Read more...

In the era of accountable care, you’ll notice that many hospitals and health systems are already driving towards more collaborative workflow. The integrated delivery network (IDN) is changing significantly, and for the better. But in high-acuity care areas, like the emergency department (ED), the challenge of treating patients more holistically in what is already a fast-paced environment is concerning for physicians evaluating the pay-for-performance model. In today’s ED, patients may ...

Read more...

A guest column by the American Medical Association, exclusive to KevinMD.com. Last month, physicians from all states and specialties came together for the American Medical Association’s (AMA) semi-annual policy-making meeting to adopt new policies that will impact the future of medicine. Of the new policies, some of the many noteworthy topics include national drug shortages, health insurance exchanges, private contracting and the ...

Read more...

As we approach the end of what has been another roller-coaster year for our country, it seems an appropriate time for an "annual checkup" on healthcare reform in the U.S. Like many of my colleagues, I have followed the implementation of the monumental Patient Protection and Affordable Care Act (ACA) with great interest, mild trepidation, and a small measure of optimism. It's hard to believe that almost two years have flown ...

Read more...

As of March 2010, there were an estimated 11.2 million undocumented immigrants in the United States.  Currently, three in ten immigrants are undocumented, while only one in seven of the uninsured is an undocumented immigrant.  As there exists no consensus on immigration reform, undocumented individuals will gradually become a larger share of the uninsured population due to exclusion from all programs of the Affordable Care Act. This study utilized data ...

Read more...

What if we had considered the following items within health care reform? What if physicians were able to practice medicine with reduced fear of malpractice litigation? Some estimates believe the cost of defensive medicine approaches 30%. What if patients were to be offered a different process for conflict resolution before litigation, one that is partially driven by greed? What if this process provided a remedy which met all our future financial and ...

Read more...

If you have read Michael Lewis’ book, The Blind Side, or seen the popular movie based on it, you know that the title refers to the fact that quarterbacks, who are typically right-handed, can’t see when a 300-pound opponent is charging at them from the left side. Not being able to see the full picture puts the quarterback directly in harm’s way and makes it harder for his team to ...

Read more...

Fortunately, the 27% reduction in Medicare payments to physicians that is set to take place in a matter of weeks unless congress acts is getting some press.  Fox News published a piece recently, as did the Washington Post. Writer Merrill Goozner breaks things down nicely in his article, "Is There a Doctor Fix in the House ... and Senate?" However, one thing that seems to be getting confused in all ...

Read more...

My colleagues who advocate improvement to our healthcare often say, “It’s a non-issue. We all benefit from better care.” Yet the political vehicle that’s to drive the reform has stirred emotions and controversy at almost every turn, leaving us baffled. Why wouldn’t anyone want better coverage, lower cost, and more evidence-based treatments?  These targeted goals improve healthcare, which is why they poll well. When asked for a general impression of the ...

Read more...

Most Popular