It has been a pleasure to host another talented group of pre-medical students from my alma mater Wabash College this summer. Wabash has developed a wonderful program called the Global Health Initiative which provides students experiential learning opportunities addressing social determinants of health and health care disparities in the context of a liberal arts […]
The conventional wisdom during recent years has been health care system consolidation which includes both physician employment and hospital mergers. There are numerous potential advantages which include group purchasing, improved contracting, and standardization of services. In theory, this should result in lower costs to patients but rarely if ever does. Instead, community hospitals should be […]
How can specialists participate in value-based payment care? Value-based payment requires the deeper use of electronic health records (EHR) to capture and transmit standardized data. This analysis will include a review of 3 working models that specialists should consider joining to enhance both clinical and financial performance. These models include high-functioning primary care and pharmacy networks […]
There is endless coverage from pundits about how value-based payment will change the future of physician practice. However, go to any busy primary care provider and you see how difficult it is to keep the business going. Family physicians and pediatricians are an amazingly dedicated group of professionals that have demonstrated their value over several […]
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Nobel Prizes, Medications, and Money Ball… Todd Rowland MD, FAAPMR The newest book from Money Ball author Michael Lewis, The Undoing Project tells the story of a Nobel Prize-winning psychologist who helped invent behavioral economics. New York Times journalist David Leonhardt (NY Times 12/6/16) captured the essence of this work: “The human species is fantastically […]
During the past 2 decades I have participated in several innovation projects. The most enduring health innovations embrace communication and community. All of the commercial EHRs have undeveloped communication tools which intensify existing communication breakdowns and contribute to new problems. Treating the i-patient: Treating the i-patient occurs when clinicians overvalue the information about their patients […]