6 points every physician should consider about Medicare ACOs

by Asa Lockhart, MD

Doctors, that age-old business advice still applies: Take your time and read carefully, and evaluate what it might mean to your patients and your practice, before you sign a contract.

Specifically, the Patient Protection and Affordable Care Act (PPACA) paves the way for Medicare shared savings accountable care organizations (ACOs).

Conceptually, this type of ACO is a collaboration of physicians and health care providers …

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Cake with a terminal cancer patient

by Krupali Tejura, MD

A fellow physician called me with a consult this afternoon.

He described the case as a 60 year old who had stridor (difficulty breathing) for the past week and was admitted to the hospital recently. A CT scan showed lymph nodes in his neck which was compressing the trachea, and other scans didn’t show much better. A biopsy was done but the final results were …

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How academic physicians turn into drug company shills

An excerpt from White Coat, Black Hat.

by Carl Elliott

These days many thought leaders find themselves on shaky ground. The past few years have not been good for business. Some of the most prominent thought leaders have been exposed and censured by Grassley. Others have seen public opinion turning against them and gone underground. As more states institute Sunshine laws, anyone considering an industry …

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Health blog posts of the week, ending October 1, 2010

Here are the top posts from this past week, based on the number of times they were viewed.

1. What to say to a person who is sick

2. Boston Medical Center gets screwed by the Massachusetts government

3. Can a pharmacy profit from gouging patients without insurance?

4. The story of vitamin D and its association with other diseases

5. Relationship advice for those dating American medical students

Nurses are the greatest ally of medical students

by Shawn Vuong

Besides the fact that I am going to marry one, I want to say that nurses are the greatest ally to the medical student.

“Nurses can make or break you.”  I don’t remember where I read this quote, so I do not know who to give the credit to, but the quote is true.  Nurses talk about doctors and medical students all of the time.  They …

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Heavy sleep debt extracts a price for patients

An excerpt from The Twenty-Four Hour Mind: The Role of Sleep and Dreaming in Our Emotional Lives.

by Rosalind D. Cartwright, PhD

We live in a culture that values speed; fast foods, fast cars, fast service, and fast decisions.

All of this takes a toll.  Fast food is blamed for the epidemic of obesity, fast cars for motor vehicle accidents, and the wish for fast service and decisions …

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