Good primary care physicians are becoming harder and harder to find. You may not have noticed it yet, but I predict that a year from now we’ll find it almost impossible to find primary care doctors who are willing to take on new patients – at least any primary care doctor worth seeing won’t be ...

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I'm often asked how healthcare reform will impact IT planning and implementation over the next few years. First, some background.  The Patient Protection and Affordable Care Act (HR 3590) and Health Care and Education Reconciliation Act (HR 4872)  were passed to to address several problems with healthcare in the US.    We're spending 17% of ...

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Recently, 47 American medical specialty societies sent Rep. Jim McDermott (D-WA) a letter, with copies to all members of Congress, containing a detailed defense of the American Medical Association’s (AMA’s) Relative Value Scale Update Committee (RUC). For 20 years, the RUC has exclusively advised the Centers for Medicare and Medicaid Services (CMS) on physician procedure valuation ...

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When applying to medical school, the American Medical College Application Service (AMCAS) asks aspiring physicians if they would like to be considered "disadvantaged" applicants or not. Many premedical students find themselves troubled by this question and wonder, what does it mean to be disadvantaged? How does being a disadvantaged applicant affect my medical school application? According to the information American Association of ...

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Beth wrote, “I plan on having my daughter vaccinated against HPV when she’s the right age (which is what by the way?). Recently, some friends were saying they were planning to have their sons receive the vaccine as well because although males obviously don’t get cervical cancer, they can spread HPV and put their future partners ...

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Two articles recently highlighted two very different areas of medicine that are quickly colliding and pointing to a new direction for health delivery. The first, published in the Wall Street Journal, discusses the steady rise of personalized health records through companies like Google, Microsoft, and WebMD. The second, published in USA Today, examines genetic tests and the disconnect between what is available and what physicians understand about ...

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Paul Grundy is IBM’s Director of Healthcare, Technology and Strategic Initiatives for IBM’s Global Well Being Services and Health Benefits. He has led the development of the Patient-Centered Primary Care Collaborative, which is leading the way to create a more efficient and responsive healthcare system. Before I go any further, let me be very clear by saying that his work is hugely important and I agree with 90% of what this ...

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Who speaks for American physicians? I really don't know? Do you? I used to think and say that the American Medical Association (AMA) spoke for American physicians. Of course, that was when I was an employee of the AMA. I disclose that I remain a more than four decade-long member of the AMA, and I believe that it should speak for American physicians. But physicians speak with many voices; most are fiercely ...

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Having a picky eater seems to be the norm these days. I'd almost dare to say that children between the ages of 2-7 more often than not wind up in the picky eater category. Why the sharp jump in membership of The Picky Eaters Club during this time? Researchers believe it could be evolutionary. That way young "cave toddlers" wouldn't walk around tasting every potentially dangerous thing in sight. Can you imagine? Still, there ...

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I took my eye off the ball for just a little while, and guess what happened? When I looked again, I discovered that familiar solo practitioner or small group physician medical practices are on the verge of disappearing. Going the way of the dinosaur. At least, that's what the pundits are saying. In a recently published nifty newsletter, STAT Monthly, I read:

Primary care physicians and other specialists will continue to ...

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