Caregiving in the United States has reached a crisis due to an aging population, a lack of investment in a professional caregiving infrastructure, and the COVID-19 pandemic. These factors pushed millions of Americans out of the workforce and into a caregiving role, particularly women. Those Americans already providing care for a loved one experienced a 36 percent increase …
“It’s rare for anyone to try and tally the precise cost of unnecessary care. But when they do, the estimates are staggering. The Washington Health Alliance, a nonprofit dedicated to making care safe and affordable, analyzed insurance claims from 1.3 million patients who received one of 47 tests or services …
One of the leading reasons for provider frustration is prior authorizations. The insurance companies initially created prior authorization (prior auth) to keep down the cost of care when a service fee was the primary payment method for payers. However, it has become a hindrance for providers and staff as they spend hours waiting for authorization to provide medical care.
In the past, hospital organizations needed approval (prior authorization) from an insurance …
Thanks to the marvels of medicine, newly vaccinated Americans are returning to life as normal and partying like it’s 2019. Doctors, who are emerging from the pandemic as national heroes, would like to turn back the clock even further—to the halcyon days of 20th-century medicine.
But doctors, unlike their maskless and freewheeling patients, will be disappointed with what the future holds.
Trying to turn back the clock
Physicians have had a rough century, …
“American medicine is facing an identity crisis. The COVID-19 pandemic brought renewed attention to socioeconomic health disparities and turned up the heat on the question of whether health care is a right or a privilege. The financial strain on hospitals resulting from the temporary postponement of scheduled surgeries exposed a vulnerability caused …
When plastic surgeon Dr. Robert Pearl published his Los Angeles Times op-ed, “How Doctor Culture Sinks U.S. Healthcare,” a polemic essay critical of primary care physicians like me, he set off a firestorm. While he made some valid points, Dr. Pearl also blamed many of the preventative health failures in the U.S. squarely on the shoulders of primary care physicians without acknowledging that our health care …
Value-based care (VBC) continues to be a popular expression across the health care landscape, but the challenges and opportunities it offers are quite different across specialties. Behavioral health (BH) providers are an important case in point. The opioid epidemic combined with increased recognition and prevalence of mental illness secondary to the pandemic has brought behavioral health to the forefront, but for BH providers, the transition to VBC continues to present …
Value-based care has become a buzzword over the past decade with early experiments in Massachusetts, followed by creating Medicare accountable care organizations (ACOs) as part of the Affordable Care Act. As commercial insurers jumped onto this bandwagon, most providers became familiar with the concepts of gainsharing, upside and downside risk, and bundled payments.
Much of the activity in this space has focused on primary care, particularly for ACOs and ACO lookalikes. …
“Where do we go from here? Conventional wisdom suggests that we can only transform ourselves. This is why I propose that we attempt to recognize the Trump that lies within each of us and to heal him. We are plagued not just by the pandemic but by the human condition—and no …
Recently, President Biden introduced legislation that would provide federal funding for paid parental leave for all parents for up to 12 weeks.
As a pediatrician and hopeful soon-to-be parent, I am ecstatic. The American Academy of Pediatrics (AAP) has long advocated for a minimum of 12 weeks of parental leave to promote the health and well-being of both the …
On Twitter @jpegjoshua recently posted about a staggering health care bill for going to the hospital for a life-threatening condition and then receiving an outrageous statement, which reminded me of a similar story that I had.
I also received a bill for nearly $40,000 but luckily managed to have it cleared through an unmentioned secret. For me, it all started the second …
American medicine is facing an identity crisis. The COVID-19 pandemic brought renewed attention to socioeconomic health disparities and turned up the heat on the question of whether health care is a right or a privilege. The financial strain on hospitals resulting from the temporary postponement of scheduled surgeries exposed a vulnerability caused by an inherently flawed payment system.
The answer to the right versus privilege question has much more significant implications …
Most of the world knows by now that on the afternoon of April 11th, a 20-year-old Black man named Daunte Wright was killed by a police officer in an inner-ring suburb of the city I call home: Minneapolis.
Most of the world is watching Minneapolis as Derek Chauvin, the former police officer who knelt on George Floyd’s neck, is tried on charges of manslaughter and homicide. Several hours before I typed …
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“It is dangerously unfortunate that the use of masks has been politicized in many parts of our nation. The Dakotas (or North and South COVID as they were recently called on Saturday Night Live) are far from exempt from this phenomenon. Likely, if Governor Burgum’s decision was less influenced by fear …
Many who know me might be shocked by this: I shot my first pistol when I was 8 or 9, taught by my father, a physician, aiming at targets in our basement. At summer camp, I loved riflery the way some kids loved art. Staring through the sight, down the barrel, I proved an excellent shot, gathering ever more advanced medals from the National Rifle Association. As a reward, for …
I urge the president to use executive action to cancel student debt. As president, he can take immediate action on student debt which would be a lifeline for students, parents, and their families.
The COVID-19 pandemic is a health crisis like we have never seen before. Adding the heavy burden of student debt is a recipe for disaster for millions of families. Student debt cancellation would provide much-needed relief during the …
“Wait, are you Chinese? I don’t want to get COVID.”
First of all, I am Vietnamese, and second, not all Asians look alike. And third, what? Those were the thoughts going through my head while working at the San Carlos Respiratory Clinic in April 2020. Initially shivering from the cold weather underneath my scrubs and PPE, I could now feel my body hot with anger as I listened to a patient’s …
In March, thousands of medical students received their residency match results. For most specialties, match rates for graduating U.S. MD seniors have typically remained above 90 percent. This almost certain job security is what allows most medical students to consider taking on astronomical amounts of student debt.
The individualist message is clear throughout medical school: Focus on yourself, your achievements, and hope for the best.
Absent from these …
Contained inside the Democrats’ $1.9 trillion coronavirus stimulus bill is a political time bomb for Republicans.
Included in the bill’s long list of stimulus spending is a provision that delivers on President Biden’s promise to strengthen the Affordable Care Act or Obamacare.
Obamacare’s big failure has been what it did not do to help––and actually hurt––middle-class buyers of individual health insurance. Since the health law’s inception, consumers, who are eligible for little …
This past year has been one of overwhelming extremes: global pandemic, a national reckoning on racism, devastating wildfires and storms, and political disarray. To some it was perhaps just a difficult year. But to those who can identify the common thread of injustice, it is clear that this was the product of decades of systemic inequities. It is also clear that if these inequities are not addressed, what we have …
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