The smoke has settled, the votes are in, and health reform is real. We’ve all heard about the supposed benefits and drawbacks of the reform package, which includes new rules on coverage for insurers, a mandate that almost every uninsured American citizen get coverage, new taxes, and cuts in Medicare. While others debate whether reform will lead to a healthier and fairer America, or to its ruin, we know you’re concerned about how the new landscape will affect you and your practice.
The short answer: It won’t affect you much in the short-term but could impact you considerably down the road. Click through the timeline to review what happens when.
David B. Nash, MD, MBA, the Dr Raymond C. and Doris N. Grandon Professor of Health Policy and founding dean of the Jefferson School of Population Health at Thomas Jefferson University in Philadelphia, provides an expert’s perspective on 2 issues in the current health care debate that are of particular concern to PCPs.
Young and optimistic, this chief resident at Swedish Family Medicine Residency, Denver, Colo., describes her vision of how healthcare now demands more partnerships and community point of view.
David B. Nash, MD, MBA, the Dr Raymond C. and Doris N. Grandon Professor of Health Policy and founding dean of the Jefferson School of Population Health at Thomas Jefferson University in Philadelphia, provides an expert’s perspective on 2 issues in the current health care debate that are of particular concern to PCPs.
Hear an interview with Ted Rosen, MD, professor of dermatology at Baylor College of Medicine, and chief of Dermatology Service at Veterans Affairs Medical Center, Houston. Dr Rosen has a keen interest in current healthcare reform; he recently attended a summit in Washington with a group of think-tank leaders who are at the forefront of reform efforts.
Recently, my wife and I received a gift certificate for one of our favorite restaurants, and we wasted no time in using it. The food and conversation were delightful, and the meal turned out to be exciting and enlightening on many levels. A patron of the restaurant, who was celebrating his 55th wedding anniversary, sustained a witnessed, public cardiac arrest. The experience led to an analysis of my involvement in the resuscitation.
Looking at contemporary medicine’s complex landscape, especially in regard to soaring costs, can make practitioners dizzy. For example, if primary care physicians were asked whether it is cost-efficient and reasonable to screen with prostate-specific antigen (PSA) measurement for early-stage prostate cancer in men with terminal pancreatic cancer or to perform colonoscopy for early diagnosis of colon cancer in women with stage IV lung cancer, the answer would be a quick and uniform no. Unfortunately, a recent publication suggests that in the real world the answer has been yes, as disturbing and wasteful as that may be.
Since continuing technological advancements are going to add to rising costs (dialysis, for example, with more “baby boomers” coming of Medicare age), one has to wonder what the something is that “has to give” in the future.
We live in a litigious society. Unfortunately, that statement may be most accurate in the setting of medical practice. Did you know that 40% and 34% of family practice and general internists, respectively, have been sued for malpractice? One in seven primary care practitioners have been sued at least twice. A recent "Business of Medicine Report" offered some very helpful advice that may keep practitioners out of court.
In many instances, our patients receive invasive and aggressive subspecialty care at or near the end of life. Such care can become burdensome and painful without a favorable outcome. As advocates for our patients, we must ensure that their pain, shortness of breath, and other bothersome symptoms are alleviated, thus leading to a “good death.”
NCSL tracks state actions on federal healthreform closely. You can learn more about federal regulations, state legislation, Medicaid, insurance reform and more at www.ncsl.org/healthreform. Several NCSL health staff contributed to this package of stories related to the two-year anniversary of the Affordable Care Act. Contributors: Exchanges: job no. 1--Martha Salazar. Big changes for insurers--Richard Cauchi. Sharp divisions persist over law's future--Richard Cauchi. Transforming Medicaid--Melissa Hansen. States decided essential benefits--Richard Cauchi. Prevention: more than an ounce--Amy Winerfeld. Help wanted: doctors and nurses--Laura Tobler.
The wide-ranging and significant disciplines representing allied health constitute the largest and one of the most rapidly growing healthcare workforces in North Carolina. With anticipated increases in patients' access to care, allied health professionals will need to call on their full scope of practice as part of a comprehensive healthcare team.
22396512 2012 03 07 2012 03 12 1538-3598 307 9 Mar 7 JAMA 919-20 Department of Medicine, University of Toronto, Toronto, Ontario, Canada. david.naylor@utoronto.ca Naylor C David CD Naylor Karline Treurnicht KT eng Journal Article United States JAMA
Although there is consensus that early behavioral health interventions should be routinely incorporated into disaster response there is mixed evidence on which strategies are most effective and how best to deploy them.3 Furthermore best practices for surveillance for mental health problems and substance abuse during disasters remain largely undeveloped. Lessons from previous incidents suggest that preparation for and response to communities’ mental and psychosocial needs after a disaster require awareness of the expected ...
Article Types Perspective Research Health Policy Report Health Law Ethics and Human Rights ... Topics Implementation Cost of Health Care Medicare and Medicaid Insurance Coverage Health Care Delivery Reform Politics of Health Care Reform Health Information Technology Drugs Devices and the FDA Comparative Effectiveness Archives ...
those laws as violations of the Second Amendment. The lawsuit began ... Topics Implementation Cost of Health Care Medicare and Medicaid Insurance Coverage Health Care Delivery Reform Politics of Health Care Reform Health Information Technology Drugs Devices and the FDA Comparative Effectiveness Archives ...
Physician Performance Goals Are Great, But Balance Is More Realistic Jennifer Frank, MD, May 15, 2012 Performance measurements for physicians are well-intentioned and get me to rethink how I practice. But in the end I won't make the goals, so I'll have to go with balance over perfection.
Designing the Perfect Business Card for Your Medical Practice C. Noel Henley, MD, May 11, 2012 Does your business card say anything substantive about the valuable work you do in your practice? Here’s how to re-design your next business card for maximum impact and engagement.
Registered Nurses an Ideal Fit for Primary Care Practices Audrey "Christie" McLaughlin, RN, May 10, 2012 Here are four good reasons to hire a registered nurse for your primary care practice …maybe even instead of a medical assistant.
The Five Biggest Medical Practice Marketing Mistakes James Doulgeris, May 10, 2012 There are best practices to marketing your practice, but often, success is more about knowing what not to do. Here are the five most common pitfalls …and how to avoid them.
Can You Practice Medicine and Manage Your Practice? Rosemarie Nelson, May 9, 2012 Whether you practice alone, or in a group, if you're trying to see patients in this pay-for-volume environment and also run the business of your practice, you may be missing out on important opportunities.
Preparing for Reform's New Patients
Health Care Reform Resource Center
Health Policy Questions That Matter to PCPs
Recently, my wife and I received a gift certificate for one of our favorite restaurants, and we wasted no time in using it. The food and conversation were delightful, and the meal turned out to be exciting and enlightening on many levels. A patron of the restaurant, who was celebrating his 55th wedding anniversary, sustained a witnessed, public cardiac arrest. The experience led to an analysis of my involvement in the resuscitation.
Looking at contemporary medicine’s complex landscape, especially in regard to soaring costs, can make practitioners dizzy. For example, if primary care physicians were asked whether it is cost-efficient and reasonable to screen with prostate-specific antigen (PSA) measurement for early-stage prostate cancer in men with terminal pancreatic cancer or to perform colonoscopy for early diagnosis of colon cancer in women with stage IV lung cancer, the answer would be a quick and uniform no. Unfortunately, a recent publication suggests that in the real world the answer has been yes, as disturbing and wasteful as that may be.
We live in a litigious society. Unfortunately, that statement may be most accurate in the setting of medical practice. Did you know that 40% and 34% of family practice and general internists, respectively, have been sued for malpractice? One in seven primary care practitioners have been sued at least twice. A recent "Business of Medicine Report" offered some very helpful advice that may keep practitioners out of court.
In many instances, our patients receive invasive and aggressive subspecialty care at or near the end of life. Such care can become burdensome and painful without a favorable outcome. As advocates for our patients, we must ensure that their pain, shortness of breath, and other bothersome symptoms are alleviated, thus leading to a “good death.”
