Be informed on reform; Newsletter + free eBook: "Mgd Care 101 in 2013" (No obligation)
Clearly, the interface between managed care and the Pharmaceutical and Medicine Manufacturing (PMM) industries, is important for the health of either industry. In common tare he issues of appropriateness, compliance, cost-effectiveness, patient selection and symbiosis among all relevant players on the health care stage (ACCESS). I say, put the practicing clinician on the PMM team and visa versa—How and Why?
How You Choose Your Doctor? Not By Their Clinical Quality. It is unfortunate that physicians' characteristics don't relate to the quality of their performance.
The end game in health care reform I like the cogent commentary of Robert Borosage ("Private Muscle And The Public Option In Health Care." June 17, 2009), speaking about the 'end game' in health care reform: "The reform includes a broad range of measures to extend and improve care and help curb rising costs, but the epicenter of the debate is over what is called the 'public option,' " which is mandating businesses to either provide insurance or pay a comparable amount into a general fund.
Pregnant are susceptible to hemorrhoids that eventually can bleed.
Delaying childhood vaccinations, or not getting immunized at all, does not provide any neuropsychological benefits for children at 7 to 10 years of age and might even result in poorer outcomes on some measures.
Managed care (or a reasonable facsimile) is "still with us….its role is certain to grow" and its "appeal is financial." Tyler Cowen, a professor of economics at George Mason University, in "Managed Care: Get Used to It" writes that national bankruptcy would be considerably worse that managed care, even with all of its warts and "that’s where we’re heading if we don’t rein in health costs." Clearly, "third parties — the government and insurance companies — won’t be able to pay for all the care t
Dear Doctor, "They're just kicking your Medicare fees further down the road." Attached to a bill that extends unemployment, certain other benefits and subsidies for another month is a reprieve* to this October on a threatened 21% cut in Medicare physician reimbursement. Thus, Congress again has failed to address a known flaw in the Medicare rate setting formula--the annual planned rate reduction that is deferred yearly at the last minute.
In a given year in the U.S., 1/4th of US men and 2/5ths of US women attempt to lose weight or keep it off. These are sobering statistics that we see all around us, particularly poignant in my office as a pediatrician.
Clearly spending reform is not only part and parcel to "affordable insurance but also as the preeminent long-term threat to the economy and the competitiveness of American business." The article referenced below discusses policy options and various approaches to cost containment. 1) Bundled Payments as in episodes of care, 2) all-payer hospital rate setting, 3) Disease state management programs, 4) Infrastructure-related options that form the foundation for other efforts or options. Included
When patients require specific therapies and an insurance company makes the frail or sickly patients jump thru hoops, denying or delaying care, it's time to move away from the insurance model. How furious should we be when the insurer uses technicalities to refuse coverage, makes patients wait incessantly on the phone, transfers calls to G_d knows now many departments and then, after seemingly hours, the connection breaks, etc.?