June 7th, 2010 by Stanley Feld, M.D. in Better Health Network, Health Policy, Opinion, Research
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Last week I heard a lecture about Accountable Care Organizations by a physician leader working for one of the major hospital systems. His discussion made me realize that large physician organizations and hospitals are spending lots of time solving problems of quality medical care. In my opinion quality medical care has not been adequately defined.
A working definition right now is to decrease hospital stays, efficient medical care for a disease at lower cost, avoidance of medical errors in the hospital, and avoidance of hospital acquired infections. These are important goals. They must be attached to monetary incentives. Many of these problems can be solved now.
The solution demands the development of processes of care. An important question is how much money will process improvement save? I estimate that this process improvement could save an estimated 7 to 10% of the healthcare dollar.
The real question should be focused on how to repair the healthcare system by decreasing costs while improving the health of Americans. Read more »
*This blog post was originally published at Repairing the Healthcare System*
June 7th, 2010 by GarySchwitzer in Better Health Network, Health Policy, News, Opinion, Research
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The worst-kept secret in journalism circles recently was that the New York Times was planning an article critical of the Dartmouth Atlas. Among the main points in the article:
• “The mistaken belief that the Dartmouth research proves that cheaper care is better care is widespread.”
• “The atlas’s hospital rankings do not take into account care that prolongs or improves lives.”
• “Even Dartmouth’s claims about which hospitals and regions are cheapest may be suspect.”
• “Failing to make basic data adjustments undermines the geographic variations the atlas purports to show.”
The Times has also published the correspondence it had with the Dartmouth team about methodology questions.
The Dartmouth team challenges each of these criticisms. The team says the Times made at least five factual errors and several misrepresentations. They write:
“What is truly unfortunate is that the Times missed an opportunity to help educate the American public about what our research actually shows — or about the breadth of agreement about what our findings mean for health care reform.” Read more »
*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*
June 7th, 2010 by JessicaBerthold in Better Health Network, Health Policy, News, Opinion
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An interesting press release from the Competitive Enterprise Institute recently came across our desk and is reproduced in full below. I’m curious what our readers think of it, and of the government’s role in nutritional issues, given the link between nutrition and health:
Institute Calls for Civil Disobedience on National Donut Day
As Government Meddling in Nutritional Issues Mounts, CEI Advises, “Eat Two Donuts Today—One for Yourself, and One for Your Freedom”
Washington, D.C., June 4, 2010 — The Competitive Enterprise Institute today urged Americans to turn National Donut Day into a day of protest against growing government intrusion into nutritional issues. CEI urged people to eat two donuts — “one for yourself, and one as an act of patriotic civil disobedience.” Read more »
*This blog post was originally published at ACP Hospitalist*
June 1st, 2010 by BobDoherty in Better Health Network, Health Policy, News, Opinion
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Instead of blogging (again) about Congress’s failure to stop the 21% Medicare SGR cut, which went into effect today, I could just re-run my April 16 post. I wrote then:
“It is the failure of both political parties, over many years, to honestly deal with the SGR, including the cost of getting rid of it, which has resulted in the current ongoing SGR farce. And yet members of Congress wonder why the public holds them in such low regard.”
Blogging in DB’s Medicare Rants, Dr. Bob Centor captures the outrage felt by most physicians:
“I am mad. Every physician I know is mad. Patients should join us in expressing anger. Physicians cannot trust Congress if they cannot repair this absurdity.”
(Bob references ACP’s statement, released on Friday; click here to read it in its entirety.)
That Congress allowed politics again to get in the way of doing what is best for patients makes my blood boil. Voters can and should hold them accountable. Read more »
*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*
May 25th, 2010 by EvanFalchukJD in Better Health Network, Health Policy, Opinion
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Like Ezra Klein, smart people keep saying foolish things about the health insurance business. This time it’s a pair of bloggers talking about the largest expense that health insurers face — their “medical loss ratio.”
According to Richard Dale at the Venture Cyclist:
[W]hy do they call it Medical Loss Ratio? Why is looking after me (or you) called “Medical Loss,” when the whole point of a healthcare system is to look after me (or you)?
(Sigh.)
Alan Katz, one of the leading health insurance bloggers, surprisingly links to this with approval, saying “words matter.” The problem? The word “loss” is probably one of the four oldest words in the insurance industry. I’d say the others are probably “premium,” “commission,” and “profit.” Should we start outlawing these words, too? Read more »
*This blog post was originally published at See First Blog*
