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Health Reform

Expanding Insurance May Not Mean Long Lines and Trouble Seeing the Doctor

September 26, 2014 by Brad Wright

lone lines / shutterstock

If more people have the ability to go to the doctor, and there isn’t suddenly a corresponding increase in doctors, then either doctors are going to have to see more patients in less time, or patients are going to have to wait to be seen. There’s just one important question: Is that really what will happen?[read more]

Uninsured Rate Has Fallen, But May Soon Increase

September 22, 2014 by Brad Wright

insurance / shutterstock

The early indications are that more people have coverage, and things seem to be moving in the right direction. But let’s not get ahead of ourselves. According to a recent report, the end of the third quarter may bring a slight uptick to the number of uninsured.[read more]

Why Do I Only Get 10 Minutes with My Doctor?

September 22, 2014 by Stephen Schimpff

The doctor asks a few questions, does a brief exam, gives you a prescription, suggests you see the specialist and off you go, all within 8-12 minutes. No time for delving deeply into your issues. No time to build trust. No time for compassion. No time for actual healing. Why so quick? It is all in the numbers.[read more]

Will Physicians Ever Embrace ACOs?

September 21, 2014 by Abby Norman

ACOs

Saying goodbye to HMOs, which were not all bad, and welcoming ACOs onto the scene has been a bit of a bitter pill for physicians and payers alike to swallow. ACOs shift the concept of “being choosy” from physician and payers to patients.[read more]

Republican States Swallow Their Pride on Medicaid Expansion

September 19, 2014 by David E Williams

photo: hragv / photopin cc

Pennsylvania and now Utah are joining other Republican-run states that have decided to say yes to the expansion of Medicaid under the Affordable Care Act after all, after obstinately deciding to say no after the Supreme Court effectively made expansion optional more than two years ago.[read more]

How Merck's Jain is Helping Pharma Catch up to the Digital Health Movement

September 18, 2014 by Deanna Pogorelc

Jain is Catching Merck Up

Dr. Sachin Jain is a very good example of how pharma is leveraging digital technologies to improve how treatments are developed and delivered to patients. He joined Merck in 2012 as its chief medical information and innovation officer charged with pairing with health systems.[read more]

Veterans and mHealth: A Sensible Patient Engagement Strategy

September 17, 2014 by Bill Crounse

Patient Engagement

The US Department of Veterans Affairs has been taking it on the chin of late with allegations (and proof) of delayed appointments and care at some facilities, and charges that these delays have led to poor outcomes and even death. This is most likely caused by poor administration rather than poor care.[read more]

Taking a Fresh Look at Disruptive Physician Conduct

September 17, 2014 by Kenneth Cohn

The reason that I entitled this post “A Fresh Look at Disruptive Physician Conduct” is that I was pleased that it had been selected for presentation at a major surgical meeting. For too long, this subject has been swept under the rug.[read more]

Health Wonk Review: September

September 15, 2014 by David E Williams

photo: @jbtaylor / photopin cc

Welcome to the September edition of the Health Wonk Review. We’ve got a hearty and healthy set of posts from our wonkish community, including submissions on Obamacare, Medicare, obesity, performance measurement and power plants.[read more]

Modern Family Doctor Visit

September 14, 2014 by Matthew Taber

A primary care payment model is re-emerging which reduces expenses for patients dramatically and puts practices on a cash-only / direct pay basis that completely takes fee-for-service insurance out the picture. The model, direct primary care, turns primary care practices into cash-positive businesses that work for patients and physicians.[read more]

Massachusetts Governor's Race: Views on Healthcare

September 9, 2014 by David E Williams

It’s primary election day in Massachusetts today, and the candidates for Governor are doing their best to attract the attention of voters. Earlier this year I interviewed all nine candidates for Governor about healthcare. Here are a few key takeaways, with links to each candidate’s interview.[read more]

Top 5 Strategic Planning Challenges for CIOs

September 9, 2014 by Abby Norman

CIO strategy

The Chief Information Officer in a healthcare system has perhaps one of the most complex and ever-evolving roles in the hospital C-Suite today. Since information technology has now permeated our entire culture – and particularly in medicine – executive level information management is hot field nowadays.[read more]