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Modern Physician Reader Blog
 

Board certification tied to better outcomes

August 23, 2010
The Health Affairs study noted in Andis Robeznieks' article “No real difference seen in quality of care from foreign-trained docs” presented evidence on findings about international vs. U.S.-based medical training. However, the article overlooked additional study findings that...
... FULL STORY

Healthcare is rife with opportunity for abuse

August 17, 2010
Unfortunately, medicine as carried out in our country is by and large fertile ground for dishonesty, outright theft, fraud and considerably worse.
... FULL STORY

Will RACs be ‘practicing medicine'?

August 16, 2010
State licensing authorities might question whether recovery audit contractors' determining whether particular services are medically necessary is in fact “practicing medicine.”
... FULL STORY

Berwick committed to improving healthcare

July 26, 2010
I have worked with Donald Berwick on several projects over the past decade. He is a man of high character and integrity, and has a tremendous commitment to helping people and improving healthcare in America.
... FULL STORY

Incentivize EHR use in pediatrics, too

July 23, 2010
If my reading is correct, physicians who practice pediatrics or a pediatric subspecialty will receive no incentive for implementing and utilizing an electronic medical record unless Medicaid patients account for 20% (nonrural service areas) or more of their practice or unless they see as patients...
... FULL STORY

Berwick will lead way to rationing

July 21, 2010
I am familiar with Donald Berwick's healthcare views and his love of the British national medical care program.
... FULL STORY

We're lucky to have Berwick at CMS

July 20, 2010
I read and listened with dismay over various outcries about the recess appointment of Donald Berwick as administrator of the CMS. He's a smart, thoughtful man with a good deal of common sense.
... FULL STORY

Many factors aggravate doc shortage

July 15, 2010
Declining reimbursement, high costs of a medical education (which are not addressed in the recent healthcare reform legislation), med-mal crisis, uncertainties of compensation under healthcare reform, 21%-plus threatened reduction in Medicare Part B reimbursement every few months, and immigration...
... FULL STORY

Lawmaker's concern misplaced

July 12, 2010
If Sen. John Barrasso (R-Wyo.) is so holier-than-thou about the sanctity of American healthcare, would he be so complacent about that post remaining vacant for so long?
... FULL STORY

First, legal system needs revamp

July 09, 2010
Many tests and procedures are ordered to cover the physician from legal issues. Our legal system is a monstrosity and significantly adds to medical overhead!
... FULL STORY

Berwick will do wonderful job

July 08, 2010
I'm a conservative Republican and a former health system CEO who feels strongly that Donald Berwick's appointment is great.
... FULL STORY

Appointment draws very mixed reactions

July 07, 2010
This is a wonderful gift that President Obama has given to the American people. Despite being essentially terrorized by the Republican backlash to his every initiative, Obama moved ahead and appointed the most experienced, human-focused, realistic healthcare visionary and professional...
... FULL STORY

Study mostly a boost for commission

July 01, 2010
The Joint Commission is on a confused track. Mark Chassin's study of his organization's quality process measures was interesting to those of us who find “process” measures typically indirect, microfocused and therefore misguided as an approach to improving quality.
... FULL STORY

Weigh implications of shorter resident hours

June 30, 2010
I've seen this so many times after being on call and allowing other residents to step in to continue care. The “handoffs” are huge issues for patients and for their families. They don't want to start over.
... FULL STORY

Cuts will drive docs, hospitals away

June 29, 2010
We have too few doctors and hospitals as it is. You keep cutting into the reimbursements of these entities and you will have more and more leaving the scene.
... FULL STORY

Limiting hours could limit experience

June 28, 2010
Limiting the number of continuous hours and the total number of hours worked in a week has real benefits, but it does significantly impact both continuity of care and the cumulative experience of the resident.
... FULL STORY

Limit work hours for all residents

June 25, 2010
I feel very, very strongly about supporting exactly the Institute of Medicine's recommendations of no more than 16-hour shifts per day for all residents, regardless of their year of residency. I have been a nurse for over 30 years and I have seen many, many problems with resident physicians of any...
... FULL STORY

Doc-pay debacle is nothing new

June 24, 2010
We've seen this cycle before: The feds introduce some new scheme, put providers on the hook at a certain reimbursement level and then proceed to gut the payments for services over time.
... FULL STORY

A healing profession or a business?

June 18, 2010
More procedures—more stents and open-heart surgery—equal more income. Are we really blind to the corrupting pressure this brings to bear on otherwise great people?
... FULL STORY

It took nerve to challenge ‘high utilizer'

June 17, 2010
The medical staff, the board and the involved physicians are to be applauded for having the guts to take on a “high utilizer” who obviously is a great source of income to the facility as well as to himself.
... FULL STORY

Inspiring CMS leader is needed

June 16, 2010
If Donald Berwick, M.D., supports rationed healthcare, then he is the perfect choice for CMS and the principles of ObamaCare. His explanation of how rationed care is “patient centered” will become his first step in compromising his values for a perverted political process.
... FULL STORY

Cut would also hit military dependents

June 15, 2010
The decrease in Medicare payment to physicians will have the same effect on dependents of active duty military men and women.
... FULL STORY

Cardiologist's case undermines trust

June 14, 2010
I can only imagine how these patients felt when they received a letter telling them they might have undergone an unnecessary procedure.
... FULL STORY

Training needed to deal with violence

June 08, 2010
I think that at the core of the problem, improved assessment skills by employees would have a very positive impact.
... FULL STORY

AMA members voting with their feet

June 03, 2010
It has been clear to many physicians that the American Medical Association has other priorities. That is why membership has been dropping year over year. They have offered half-price membership to entice doctors but no one is biting the bait.
... FULL STORY

AMA has other priorities

June 01, 2010
This would make great sense if one were to assume that the American Medical Association supports physicians.
... FULL STORY

Garthwaite good man for the job

May 28, 2010
Tom Garthwaite, M.D., is one of the few leaders who have successfully bridged government (as the leader in both the Veterans Affairs Department and Los Angeles County Department of Health Services) and the not-for-profit, private world.
... FULL STORY

‘Red flags' regulation would be a burden

May 26, 2010
As a physician's office, it is often difficult enough to get our patients to pay in full. Now, they want to add an additional burden to all the other regulations we must abide by at this time.
... FULL STORY

Docs, lawyers on same page regarding 'red flags' rule

May 25, 2010
These organizations should have joined the American Bar Association's lawsuit last year. There is strength in numbers, and this issue is one in which both attorneys and physicians share the same view.
... FULL STORY

AMA lacks progressive outlook

May 21, 2010
Most younger doctors are progressive in their ideas.
... FULL STORY
 
 
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