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If You Don’t Have Employer Insurance, You Probably Have a High Deductible
ByadminMost people in the United States get health insurance either through their employer or through government programs like Medicare and Medicaid. But some people have to find other ways to get healthcare insurance, with an increasing number of people doing so through the Obamacare exchanges, or “marketplaces.” In fact, according to the Kaiser Family Foundation…
Peer Comparison Can Reduce Antibiotic Prescribing
ByadminVery interesting article in the Lancet recently, from the nudge unit in the United Kingdom. They give physicians feedback on how much they prescribed antibiotics compared to their peers, and found that such feedback reduced antibiotic prescriptions. I hope to see more of this work!
Have Reimbursement Rules Taken the Joy Out of Being A Physician?
ByadminShe came to the urgent care center with a sprained ankle. The primary care provider gave her excellent care, expertly applying evidence-based evaluation guidelines to her situation, and, thereby, avoiding unnecessary x-rays. By all measures, the provider’s care was excellent, but the interaction still ended up reducing his salary. You see, that patient’s only medical…
Why It’s Difficult For People With Chronic Pain To Gain Their Doctor’s Trust
Byadmin2Many people with chronic pain find themselves interacting with clinicians who do not seem to trust them. Why is it hard to establish a trusting relationship with your doctor? And what can you do about it? I have been on both sides of the exam table – as a physician caring for people with chronic…
Watch Out Hospitals: Medicare’s Planning to Punish You if You Misbehave
ByadminIt used to be that hospitals billed Medicare for the services they provided, and Medicare – I know this is crazy! – simply paid the bills. Those days are rapidly receding into history. Soon, a significant chunk of hospital revenue will be at risk, under a series of Medicare pay-for-performance programs. The idea behind P4P…