Tag Archives for Physicians and Practice

Mid-Level Providers Trending Away from Primary Care?

Congressional lawmakers are quietly advancing a bill that will probably have an immediate transformative impact upon primary care delivery, once the ACA kicks in. The bill (HR 2810) which aims to revamp Medicare also contains an ammendment that would reward … Continue reading

19. August 2013 by Michael Douglas, MD, MBA
Categories: Corporate, Healthcare Policy & The Media, Politics & The Law, Science & Research | Tags: , , , , , , , , , | Comments Off

Michigan Physician Allegedly Engages in Most Egregious Fraud

Simply sad; I cannot even begin to imagine what this doctor was thinking…

15. August 2013 by Michael Douglas, MD, MBA
Categories: Healthcare Policy & The Media | Tags: , , , | Comments Off

Foreign Medical Graduates and the Rigor to Acquire a U.S. License

A modest proposal: foreign medical grads (FMGs)? Bring ‘em on! …or rather in. Slate Magazine has a great piece up this morning that explains further the lack of motivation for the U.S. to expedite the numbers of FMGs in this … Continue reading

15. August 2013 by Michael Douglas, MD, MBA
Categories: Clinical Education, Knowledge & Medicine, Science & Research | Tags: , , , , , , , , | Comments Off

Screening for Dementia – a Cautionary Tale Yet to Begin

First a disclaimer from the principal investigators: …he and other researchers took pains to emphasize that their work shouldn’t necessarily worry everyone who’s ever had a memory glitch. Now, for the concern, or, rather pre-hysteria. If you think you have … Continue reading

17. July 2013 by Michael Douglas, MD, MBA
Categories: Clinical Education, Healthcare Policy & The Media, Science & Research | Tags: , , , , , , , , , , , , | Comments Off

Healthcare Financing in Strong Marketplaces Continues Apace

This reads like an informercial on the benefits of selling one’s practice to a hospital system. Experts say the number of physicians unloading their practices to hospitals is up 30% to 40% in the last five years. Doctors who sell … Continue reading

16. July 2013 by Michael Douglas, MD, MBA
Categories: Corporate, Healthcare Policy & The Media | Tags: , , , , , | Comments Off

Recruiting Firm Notes “Seismic Shift” with Respect to Hospital Revenues from Primary Care

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
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How Can Primary Care Physicians and Nurse Practitioners Coexist in a More Collaborative Fashion?

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: , , , , , , | Comments Off

The Price of Obtaining Healthcare Today

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: , , , , , , , , , , , , , , , , , | Comments Off

Direct-Pay Care Slowly Expands to Heavy Managed Care Markets and Dares to Survive

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: , , , , , , , , | 1 comment

Suppressed Patient Information at Core of MN Hospital Privacy Case

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: , , , , | Comments Off

Organizations Slowly Considering Greater Scrutiny of Aging Physicians’ Practice

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: , , , , , | Comments Off

Court Settlement Paves Way for Medicare Payment Expansion

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: , , , , , , , , , , , , , , , , , , , , , , , , | Comments Off

Study Shows Decrease in Rates of Critical Cardiac Procedure in Hospitals Reporting Quality Data

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
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