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Is MACRA All It's Cracked Up to Be? Print E-mail
Written by FHI's Week in Review   
Tuesday, 28 June 2016 16:54

'Payment gap' for docs may grow over time, analyst warns
 
Joyce Frieden, News Editor for MedPage Today reports on 6.23.16:

Physicians are likely to be hurt by the legislation passed to repeal Medicare's sustainable growth rate reimbursement formula, several experts said at a briefing here <Washington, D.C.> Thursday on the Medicare trustees' report sponsored by the Brookings Institution and the American Enterprise Institute (AEI).

Read more in the current issue of Week in Review>> http://conta.cc/28W21Wm

Last Updated on Tuesday, 28 June 2016 16:59
 
What to do when your practice is high-tech but your patients are low-tech Print E-mail
Written by Accountable Care Options, LLC   
Friday, 17 June 2016 11:36

Florida's retirees are getting better with technology, but some elderly patients just don't get it. They lack the skills to use apps and they'll never be comfortable with telemedicine.

Government initiatives for online communication such as Web portals, electronic access to medical records and streamlining care coordination make sense, but they may not be relevant to a 90-year-old in a wheelchair. Physicians must develop creative ways of engaging patients in their own care that don't require pushing a power button.

The process starts with asking individuals about their online habits. Do they have an e-mail account? How active are they online?

Some are super-savvy on social media. Others are not, so pushing news and information online about their conditions and self-care is not going to improve their outcomes.

When dealing with health care and disease states, it's so difficult to understand the medications, protocols and disease processes. A physician can throw technology at a patient, but if it's not well-received, then the result is a poor outcome.

Doctors need to ask, "What's best for you?" and integrate the response into the patient's health care plan.

If an individual doesn't use technology, find a family member or authorized caretaker who does. That person can retrieve medical records, find online answers to patient questions and check appointment schedules.

During an office visit, the doctor or staff members should review, not just hand pamphlets to the patient, and highlight the most important information. Information sheets should be printed in large type for easy reading by patients with limited eyesight.

The key is to adapt the technology to the patient, not the other way around. Keep the process human and patient-centered. Ultimately, physician practices are measured by outcomes, regardless of the technology used to achieve them.
 
Big Pharma's Sleight of Hand Print E-mail
Written by FHI's Week in Review   
Tuesday, 14 June 2016 17:20

MD Whistleblower writes on June 12, 2016:

The promotional material that pharmaceutical representatives present to doctors is riddled with soft deception. A favorite from their bag of tricks is to rely upon relative value rather than absolute value.

The author concludes: 

Like all skilled magicians, these guys are expert at distraction and sleight of hand. Hint: Whenever you hear the word 'percent', as in "35% of patients responded...", you should pay particular attention...I've taken you behind the curtain here. Let's make it a fair fight between us and illusionists.

Read more in the current issue of Week in Review>> http://conta.cc/1tlQdHe

Last Updated on Tuesday, 14 June 2016 17:26
 
When It Comes to Your Healthcare, Buyer Beware Print E-mail
Written by Michael P. Jones, MD | KevinMD   
Tuesday, 07 June 2016 17:12

...I received a call from a patient on whom I had performed an upper endoscopy to remove a small gastric polyp. Because removing stomach polyps can be complicated by bleeding, I did the procedure in the hospital rather than an outpatient center. The whole thing took 15 minutes. Anesthesia wasn't required, just routine conscious sedation. So, my patient wanted to know, what had I done that warranted an $18,000 bill from the hospital?

I had absolutely no explanation. For $18,000, you can just about buy your own endoscope. Amortized costs for an upper endoscopy at this hospital, including the use of the endoscopy unit, salaries for the whole staff, medication, and equipment expenses is probably not more than $200 for 15 minutes. By the way, the doctor doing the procedure - in that case, me - typically gets about $175 for an upper endoscopy.

And then there are the costly procedures you could probably do without.

Read More
 
Sponsor Showcase Print E-mail
Written by Sponsor   
Tuesday, 28 June 2016 00:00
 
gsk fhi 285x237 2016
Last Updated on Tuesday, 28 June 2016 17:19
 


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