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Got Pneumonia? It’s probably a Virus
ByadminA team from the CDC recently published an implicit study cataloguing the pathogens – the evil foreign organisms – that cause Americans to find themselves in hospitals with pneumonia. And the worst offenders? Viruses! Moral of the story – get your annual flu shot, and then cross your (sanitized?) fingers that some other bug doesn’t…
The Primary Care Doctor Is Not In
ByadminIn a clever study, secret shoppers called primary care offices in an attempt to make a new patient appointment. People with Obamacare insurance, or “marketplace plans” in the below figure, had a hard time finding appointments. But so did people with traditional insurance. But there’s a bigger takeaway, one slightly obscured by the misleading y-axis,…
Making Mammograms Automatic – Unintended Consequences Of A Behavioral Economic Intervention
Byadmin2The experiment was simple. A group of behaviorally-minded researchers tested whether patients are more likely to receive mammograms when those tests are automatically scheduled (meaning they can opt out if they want) versus when they have to opt in for the tests. Automatic scheduling should have increased mammograms. It didn’t. In one respect, it even…
How Hospitals Turn Charity Care Into Profits — At Taxpayers' Expense
ByadminSometimes it is hard for hospitals to provide expensive care to poor patients. When a low-income patient needs $20,000 of chemotherapy, a hospital loses money if that patient cannot pay for the medicine, or pays through Medicaid, with its relatively stingy reimbursement. Fortunately, the federal government created a program for hospitals that care for a…
Contracts With Patients in Clinical Practice
Byadmin“Contracts With Patients in Clinical Practice” – The Lancet
The Healthcare Efficiency Myth – What Really Happens When Doctors And Hospitals Join Forces
ByadminFor much of the history of U.S. medical care, hospitals and physicians have existed as separate financial entities. Physicians in the U.S. have typically been self-employed, as solo or group practitioners and not as hospital employees. An internist like me might have admitting privileges to several local hospitals. When we admit patients to one of…

