September 7th, 2010 by Davis Liu, M.D. in Better Health Network, Health Policy, Health Tips, News, Opinion
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A recent piece in The New York Times wondered if the few patients who can afford to pay for additional attention and access to their primary care doctors in a concierge medicine or boutique medicine practice might be ethical since the extra dollars are used to support the traditional primary care practice that the vast majority of patients currently receive.
Questions you might ask are:
– What is a concierge medicine or boutique medicine practice?
– Is it worth the money?
– Is the care better quality?
– Is it possible to get similar access and care by doctors not in a concierge or boutique medicine practice?
When you think of a concierge, you think about a fancy hotel staff person who answers questions and speaks various languages, books reservations to restaurants, events, and tours (even sold-out attractions) — right? The hotel concierge is your insider, someone who possesses intimate knowledge of the city and recommends must-see sites like a true local. You are personally cared for and pampered. Imagine, then, your physician providing the same attentive service. Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
September 1st, 2010 by Davis Liu, M.D. in Better Health Network, Health Policy, Opinion
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Everyone understands the need for a robust primary care workforce in making healthcare more affordable and accessible while keeping those in our care healthy. With the aging of America and healthcare reform, even more Americans will need primary care doctors at precisely the same time doctors are leaving the specialty in droves and medical students shun the career choice.
As a practicing primary care doctor, I’ve watched with great interest the solutions for the primary care crisis. And I’ve been utterly disappointed.
Patients so far don’t like the patient-centered medical home (PCMH) as noted in Dr. Pauline Chen’s New York Times column. The changes recommended won’t inspire the next generation of doctors to become internists and family doctors. Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
August 30th, 2010 by DrWes in Better Health Network, Health Policy, Health Tips, News, Opinion
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In case you haven’t seen it, a list of the 100 Most Powerful People in Health Care was [recently] published. In thinking about this list I realized that, in reality, these people had little to do with my patients’ health care delivery. So how did they became the most powerful people in health care?
Quite simply, they are not the 100 most powerful people in health care, but rather they are the 100 most powerful people overseeing the funding of health care — at least for the moment. In as little as 11 months, many of the people on this list will be gone or have moved on to their next money-making venture.
So who are the most powerful people in health care? Read more »
*This blog post was originally published at Dr. Wes*
August 25th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Policy, News, Opinion, Research
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The top moneymakers for the U.S. pharmaceutical industry might surprise you. These aren’t necessarily the most prescribed medications (although some of them are), but they’re the top products in terms of sales in 2009. The revenues were in billions:
1. Lipitor – used for high cholesterol: $7.5 billion
2. Nexium – a proton pump inhibitor for GERD: $6.3 billion
3. Plavix – a blood thinner: $5.6 billion
4. Advair Diskus – used for asthma and COPD: $4.7 billion Read more »
*This blog post was originally published at EverythingHealth*
August 23rd, 2010 by StevenWilkinsMPH in Better Health Network, Health Policy, News, Opinion, Research
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Accountable Care Organizations (ACOs) figure prominently in the new Patient Protection and Affordable Care Act (PPACA). The concept behind ACOs is that by tying both physician and hospital compensation to outcomes via a bundled fee (say for pneumonia) we can expect to see an improvement in quality and value.
In principal, accountable care makes a lot of sense. Practicality speaking, however, doctors and hospitals must address a huge challenge before they can expect benefit financially. Before doctors can be held accountable for the care they deliver, they must first be held accountable for the quality of their communication with patients.
Take hospital readmissions, which are a big healthcare cost driver today. According to a recent study in the New England Journal of Medicine, 20 percent of all Medicare patients discharged from hospitals were readmitted within 30 days, and 34 percent percent within 90 days. The Joint Commission and others rightly believe that inadequate communication between physicians — as well as between physicians and patients — is a major contributing factor. Read more »
*This blog post was originally published at Mind The Gap*
