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When Less is More
Byadmin
Here is a news article discussing a paper I wrote with Michael Volk, in which we try to find ways to keep doctors from harming patients by finding and then getting all worked up over what we in medicine call incidentalomas–unexpected and ultimately benign findings that show up with unnecessary tests. The article is in the Archives of Internal Medicine this week.On the Undertreatment and Overtreatment of Strokes
ByadminIn research I have had the pleasure of conducting with Darin Zahurenic, we are starting to find concerning data about the variability in how neurologists and neurosurgeons treat people who have strokes caused by bleeding in their brains – or what doctors call intracerebral hemorrhage. Darin recently presented some of this research at a medical…
Healthcare.gov 3.0–Improving the Design of the Obamacare Exchanges
ByadminI joined two other, much smarter, colleagues in calling for the use of behavioral economics and decision psychology to improve the design of the websites people use to purchase health insurance in the U.S. That article came out today in the New England Journal of Medicine. Here is a taste: In October 2013, the Affordable…
Medicare Pays More Money To Doctors Taking Care Of Rich Patients. Here’s Why.
BypeterIt has always been financially rewarding for doctors to take care of rich patients. People with more money…well, they have more money to spend on healthcare. But shouldn’t this more money/higher payment relationship go away in Medicare? It doesn’t, and some recent payment reforms may be making matters worse. (To read the rest of the…
Want narcotics just ask for them?
ByadminA very disturbing new study was just published, in which physicians viewed a video of a patient with back pain asking for OxyContin. Twenty percent of docs said they would prescribe that med under that circumstance: …Too often, doctors prescribe potentially dangerous medications to patients who shouldn’t be getting them, and what they prescribe is…
Are Nursing Homes Lying About Their Patients To Increase Profits? You Decide
Byadmin2Imagine you are CEO of a chain of nursing homes. You know that the sicker your patients are, the more money you will get from Medicare. You also know that Medicare determines how sick patients are by counting how many diagnoses they have and assessing the severity of those diagnoses. Given these facts, what would…
