April 20th, 2010 by Harriet Hall, M.D. in Better Health Network, Book Reviews, Opinion
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In his new book Breakthrough! How the 10 Greatest Discoveries in Medicine Saved Millions and Changed Our View of the World, Jon Queijo describes what he believes are the 10 greatest discoveries. Nine of them are uncontroversial discoveries that have been on other top-10 lists, but his 10th choice is one that no other list of top discoveries has ever included.
Queijo realizes this, and even admits in his introduction that a former editor of the New England Journal of Medicine refused to review his book because there is no such thing as alternative medicine, only treatments that work and treatments that don’t. But he “respectfully disagrees.” Read more »
*This blog post was originally published at Science-Based Medicine*
April 19th, 2010 by StevenWilkinsMPH in Better Health Network, Health Policy, Opinion, Research
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Hospitals today are aggressively buying physician practices in their local markets. Why? Hospitals want to solidify their referral base for inpatient and outpatient referrals as well as increase their negotiating power with insurance companies.
Over 50% of physician practices are now owned by hospitals according to the Medical Group Management Association. As such, many one-time private practitioners are now hospital employees.
Having done physician recruitment in a prior life, I know that before buying a practice that hospitals look at a variety of things including the practice’s patient volume, number of hospital referrals, estimates of patient turnover, and so on. One of the things we did not consider years ago in evaluating and buying a physician practice was the quality of the physician’s patient communication skills and supporting practices. I doubt that things have changed much since. Read more »
*This blog post was originally published at Mind The Gap*
April 19th, 2010 by RyanDuBosar in Better Health Network, Health Policy, News
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Threats of lowered Medicare payments have been postponed again until June 1.
ACP’s Neil Kirschner, Ph.D., had reported that some physicians were postponing non-emergency appointments until the issue resolved.
Medicare had announced Thursday that it would start paying doctors’ claims at the lower rate. Now, restored payment levels are retroactive to April 1, so internists will be paid at the 2009 rate for all services provided in April.
Included in the legislation are extensions of unemployment benefits to restore aid to thousands of Americans who had exhausted their benefits or whose eligibility was expiring.
(MedScape, Washington Post, New York Times)
*This blog post was originally published at ACP Internist*
April 19th, 2010 by Davis Liu, M.D. in Better Health Network, Health Policy, Opinion
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In a recent Time magazine article, the author suggests, as many others have done in the past, that forcing patients to be more like customers and comparison shop will drive healthcare costs down. Nothing could be further from the truth.
The theory of consumer-driven healthcare goes like this: If there was more information about the costs of doctors, hospitals, imaging tests, and procedures, people would hunt around to find the best deal, stimulate competition, and drive pricing downward. Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
April 19th, 2010 by KevinMD in Better Health Network, Health Policy, Health Tips, News, Research
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Poor compliance with breastfeeding recommendations costs the nation at least $13 billion each year, with nearly all of the cost related to infant morbidity and mortality, according to a comprehensive economic analysis.
If 90% of new mothers followed guidelines for six months of exclusive breastfeeding for their children, an estimated 911 deaths would be prevented annually, said authors Melissa Bartick, MD, MSc, of Harvard Medical School, and Arnold Reinhold, MBA, of the Alliance for the Prudent Use of Antibiotics, both in Boston. Read more »
*This blog post was originally published at KevinMD.com*
