Tag Archives for Physicians and Practice
A report from one of the largest physician recruiting firms in the country could give some heft to the specialty of primary care (whose disciplines include general internal medicine, family medicine, general pediatrics, and primary OB/GYN). Merritt-Hawkins calls a survey … Continue reading →
20. May 2013 by Michael Douglas, MD, MBA
Categories: Corporate, Healthcare Policy & The Media, Knowledge & Medicine, Science & Research |
Tags: Health Maintenance, Healthcare Delivery, Healthcare Economics, Hospitals, Physicians and Practice, Preventive Medicine, Primary Care, Reform Law, The Uninsured, Third Parties, Transparency & Disclosure |
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This week’s issue of the NEJM features an original article on the role of midlevel providers — specifically, nurse practitioners (NPs) — in the ongoing evolution of the delivery of ambulatory primary care in this country. As we move closer … Continue reading →
17. May 2013 by Michael Douglas, MD, MBA
Categories: Clinical Education, Science & Research |
Tags: Chronic Disease Management, Nursing, Performance, Physicians and Practice, Practice Management, Primary Care, Reform Law |
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You don’t have to be a healthcare policy pundit to surmise that all facets of delivery in this country are driven by profit and minimization of costs required to do it — from the insurers to Pharma, from acute hospitals … Continue reading →
21. February 2013 by Michael Douglas, MD, MBA
Categories: CMS, Corporate, Healthcare Policy & The Media, Pharma & Devices, Politics & The Law, Science & Research |
Tags: America's Health Insurance Plans, Ethics and Responsibility, Health Insurance, Health Reform Debate, Healthcare Delivery, Healthcare Economics, Healthcare Financing, Healthcare Legislation, Healthcare Policy Polling, Medicaid, Medicare, Pharma Advertising, Physicians and Practice, Practice Management, Preventive Medicine, Taxes, The Uninsured, Third Parties |
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The concept began in the late 20th century, as some primary care clinicians could see the pending writing on the proverbial Medicare wall — their practices were losing money, as their overhead and Medicare/Medicaid beneficiary pools were increasing. The concept … Continue reading →
28. January 2013 by Michael Douglas, MD, MBA
Categories: Corporate, Politics & The Law |
Tags: Chronic Disease Management, Ethics and Responsibility, Health Insurance, Healthcare Delivery, Medicaid, Medicare, Minnesota, Physicians and Practice, Primary Care |
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How far will a patient advocate go to protect the patient to whom she is assigned? And at what cost? A suburban Saint Paul MN hospital has fired a former employee who refused to return sensitive patient data (complaints made by … Continue reading →
07. January 2013 by Michael Douglas, MD, MBA
Categories: Healthcare Policy & The Media, Politics & The Law |
Tags: Medial Malpractice, Performance, Physicians and Practice, Practice Management, Privacy |
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Would you attend a 101-year old physician? Should there be a mandatory retirement age for physicians? While that question itself is a little ridiculous, there really has never been careful consideration of the issue. Many, if not most physicians go … Continue reading →
13. December 2012 by Michael Douglas, MD, MBA
Categories: Diversions, Knowledge & Medicine |
Tags: Education, Ethics and Responsibility, Geriatric Medicine, Medical Education, Medical Malpractice, Physicians and Practice |
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It is with cautious optimism that I regard the recent news that the Obama administration is supporting an increase in Medicare outlays for “skilled home care” for dually eligible or Medicaid-only beneficiaries in the community. The administration sided with the … Continue reading →
25. October 2012 by Michael Douglas, MD, MBA
Categories: CMS, Politics & The Law |
Tags: Alzheimer Dementia, Barack Obama, Chronic Disease Management, Diabetes Mellitus II, Ethics and Responsibility, Geriatric Medicine, Health Insurance, Health Maintenance, Healthcare Delivery, Healthcare Economics, Healthcare Exchanges, Healthcare Financing, Healthcare Legislation, Long Term Care, Medicaid, Medicare, Physicians and Practice, Practice Management, Preventive Medicine, Primary Care, Public Health, Reform Law, The Uninsured, Third Parties, Vermont |
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In a study that highlights comparative effectiveness research, this week’s JAMA looks at data that shows that states which report outcomes on cardiac angioplasty procedures (debridement, lavage, stenting, etc.) offered the procedure less to patients. The journal looked at three … Continue reading →
11. October 2012 by Michael Douglas, MD, MBA
Categories: Knowledge & Medicine, Science & Research |
Tags: Cardiac Medicine, Ethics and Responsibility, Healthcare Delivery, Hospitals, Performance, Physicians and Practice |
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The former head of CMS calls the latest Medicare issue an “urgent problem that must be stopped”. Mark McClellan, CMS chief during the George W Bush administration, is referring to the gradual upcoding of services rendered by healthcare providers (principally … Continue reading →
30. September 2012 by Michael Douglas, MD, MBA
Categories: CMS, Knowledge & Medicine, Politics & The Law, Science & Research |
Tags: Donald Berwick, Election 2012, Electronic Health Record, Ethics and Responsibility, Healthcare Informatics, Medicare, Physicians and Practice, Practice Management |
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Overall enrollment within Medicare Advantage plans has increased as a result of the ACA. (The WH says that the programs — which offer Medicare benefits to beneficiaries over and above the government standard package — are “thriving”.) The CBO projected … Continue reading →
21. September 2012 by Michael Douglas, MD, MBA
Categories: CMS, Corporate, Healthcare Policy & The Media, Politics & The Law |
Tags: America's Health Insurance Plans, Barack Obama, Health Insurance, Healthcare Delivery, Healthcare Financing, Medicare, Performance, Physicians and Practice, Third Parties |
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Minnesota has been a pioneer of sorts in the manner in which it approaches policies of addressing prescription opioid abuse. One goal is to train physicians in the basics of addiction, opiate prescribing and alternative approaches to pain management, according … Continue reading →
15. September 2012 by Michael Douglas, MD, MBA
Categories: Knowledge & Medicine, Pharma & Devices, Politics & The Law, Science & Research |
Tags: Education, Healthcare Informatics, Medicaid, Medical Education, Minnesota, Pharmacological Misuse-Abuse, Physicians and Practice, Practice Management, Preventive Medicine |
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Medicaid wiavers are not a new concept. They weren’t created as part of the reform law, and they will not be used by all states come 2014. They do provide states that wish to ask for them a degree of … Continue reading →
29. August 2012 by Michael Douglas, MD, MBA
Categories: CMS, Healthcare Policy & The Media, Knowledge & Medicine |
Tags: Barack Obama, Chronic Disease Management, Education, Geriatric Medicine, Health Maintenance, Healthcare Delivery, Healthcare Economics, Healthcare Legislation, Holistic Medicine, Hospitals, Long Term Care, Mark Dayton, Medicaid, Minnesota, Physicians and Practice, Practice Management, Preventive Medicine, Primary Care, Public Health, Reform Law |
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Fantastic piece in today’s NYT which documents the perception that some hospitals and provider groups emphasize profit over patient safety. The largest such for-profit acute care system in the country — in an investigation going back a decade — allegedly … Continue reading →
07. August 2012 by Michael Douglas, MD, MBA
Categories: CMS, Corporate, Healthcare Policy & The Media, Knowledge & Medicine, Pharma & Devices, Politics & The Law, Science & Research |
Tags: Biotech, Ethics and Responsibility, Healthcare Delivery, Hospitals, Medicaid, Medical Malpractice, Medicare, Mitt Romney, Physicians and Practice |
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Originating from Saint Paul, MN, Doctor Pundit is all about the intersection between healthcare policy, science, politics, and all surrounding points and issues. Although the entire scope of healthcare delivery and policy is much too encompassing for just one blogger to cover, I'll try my best. Enjoy! From time to time, you'll also see other items of interest that probably have nothing to do with health policy in the least. Try and keep an open mind. :) Proprietor & Editor -- Michael Douglas, MD, MBA
