August 4th, 2010 by KevinMD in Better Health Network, Health Policy, News, Opinion, Research
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Say the words, “Patient-centered medical home,” and you’re bound to get a variety of opinions.
On this blog alone, there are a variety of guest pieces critical of the effort, saying it does not increase patient satisfaction, nor does it save money. And that’s not good news for its advocates, who are pinning primary care’s last hopes on the model.
Medical homes hit the mainstream media recently, with Pauline Chen focusing one of her recent, weekly New York Times columns to the issue. She discussed the results of a demonstration project, showing some positive results. Read more »
*This blog post was originally published at KevinMD.com*
July 21st, 2010 by Toni Brayer, M.D. in Better Health Network, Health Policy, Opinion, True Stories
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Most doctors have a love/hate (and mainly hate) relationship with health insurance companies. We struggle with their confusing and complex coding rules in an effort to be reimbursed for our care of patients. When patients leave the office, they may think that a bill is sent to their insurance company and payment follows. More often than not it rarely happens that way.
I am staring at an explanation of benefits (EOB) from Blue Shield of California for a patient I saw for a physical exam and Pap test. This patient had recently been hospitalized with a life threatening throat infection and abscess and saw me for needed follow up. I spent about 45 minutes with the patient, reviewing the events leading to hospitalization, coordinating the medications, as well as addressing the routine screening and examination of a middle aged woman with some chronic health problems. Read more »
*This blog post was originally published at ACP Internist*
July 14th, 2010 by KevinMD in Better Health Network, Health Policy, News, Opinion
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There’s little question that medical school debt is rising rapidly, affecting the career choice of medical students.
It’s one of the main reasons why the disparity between the number of specialists and primary care doctors is widening. There have been a variety of proposed solutions — most recent of which are medical schools completely subsidizing their tuition. I think that’s a good step forward, but so far has only been limited to a few schools nationwide. Read more »
*This blog post was originally published at KevinMD.com*
June 30th, 2010 by KevinMD in Better Health Network, Health Policy, News, Opinion, Research
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Medical schools are traditionally ranked on criteria like research funding and technological innovation. These rankings are highly significant. A place on the U.S. News‘ annual “Best Medical School” list is a coveted spot indeed.
So that’s why there was some media attention paid to a recent study from the Annals of Internal Medicine, which ranked medical schools according to their “social mission” — a phrase that defines a school’s commitment to primary care, underserved populations and workforce diversity. Using this new criterion, some of the traditionally high ranking schools fell significantly. Read more »
*This blog post was originally published at KevinMD.com*
June 16th, 2010 by KevinMD in Better Health Network, Health Policy, News, Opinion, True Stories
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There’s little question that the workplace environment for doctors is deteriorating. Especially in primary care, where physicians are arguably needed the most.
That’s why is so disheartening to read this Newsweek essay from pediatrician Karen Li, explaining why she left the field. Much of her piece can be attributed to the bad old days of managed care, where doctors were frustrated by the bureaucratic impediments placed before them. Read more »
*This blog post was originally published at KevinMD.com*
