December 27th, 2011 by Stanley Feld, M.D. in Health Policy, Opinion
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The difference between the healthcare system and the medical care system is very clear to me. The stakeholders in the healthcare system are patients, physicians, government, hospital systems, pharmaceutical companies, pharmacies, pharmacy middlemen, and healthcare insurance companies.
Government, hospital systems, pharmaceutical companies, pharmacies, pharmacy middlemen, and healthcare insurance companies are secondary stakeholders in the healthcare system.
The primary stakeholders are patients and physicians. They also comprise the medical care system. Without the primary stakeholders there would be no need for a healthcare system.
The secondary stakeholders have long ago taken over the healthcare system. All businesses and the government deal with the hand they are dealt using their best judgment. The people running the business or government pursue their vested interest. The difference between businesses and government is businesses work to make as big a profit as possible. Government, depending on the political party in power, pursues fulfillment of its ideology.
Since 1942 and the Economic Stabilization Act of President Roosevelt Read more »
*This blog post was originally published at Repairing the Healthcare System*
November 30th, 2011 by DavidHarlow in Health Policy, Opinion
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Harvard Pilgrim Health Care is re-launching Let’s Talk Health Care, which started life as former CEO Charlie Baker’s blog. There’s a series of related discussions going on now in the Let’s Talk Health Care Linked In group, sponsored by Harvard Pilgrim. I’ve been participating (at the request of the group organizer; disclosure: client) and would like to invite you to do the same.
A salient characteristic of the site and of the group is the focus on three broad categories of care and cost: fostering health and wellness, balancing quality and cost, and redefining care coordination — all of which are informed by a focus on chronic health care issues.
One of the great successes of modern medicine is the conquest of most infectious disease. (Equitable global distribution of the tools necessary for eradication is another story — and some of the more compelling chapters of that story are being told these days by The Bill and Melinda Gates Foundation.) One of the great failures of the modern consumer state is Read more »
*This blog post was originally published at HealthBlawg :: David Harlow's Health Care Law Blog*
November 10th, 2011 by PreparedPatient in Expert Interviews
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This interview is the ninth and final of a series of brief chats between CFAH president and founder, Jessie Gruman, and experts—our CFAH William Ziff Fellows—who have devoted their careers to understanding and encouraging people’s engagement in their health and health care.
Trudy Lieberman is concerned that despite all the rhetoric, choosing the best hospital, the best doctor, the best health plan, is simply not possible. Some of the so-called best might be good for some people but not others, and the information available to inform/guide choices is just too ambiguous.
Ms. Lieberman is a CFAH William Ziff Fellow.
Gruman: What has changed in the past year that has influenced people’s engagement in their health and health care?
Lieberman: Costs have risen a lot, and employers and insurers have made consumers pay higher deductibles, co-pays and coinsurance. The theory is, Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
October 17th, 2011 by Happy Hospitalist in Opinion, Research
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How many patients should a hospitalist average on any given day? What do you think? The Hospitalist asked that question to hospitalists and 421 of them responded. They were given responses in quintiles of 10 or fewer, 11-15, 16-20, 21-25, and more than 25 total patient encounters per day.
Go check out their results. I’m not surprised. But, as they say, there is no right answer. The right number is the number that brings WIN-WIN-WIN-WIN to the patient-doctor-hospital-insurance quadrangle. WIN-WIN-WIN-WIN is possible. It just takes a great understanding of removing the barriers to efficiency. Efficiency and quality of care can move in the same direction. They don’t have to be opposing forces. You can be better and faster if given the tools, whether those tools are driven by IT support, systems process changes, communication enhancement, physical and structural hospital layout changes or documentation support tools. There are many others. Read more »
*This blog post was originally published at The Happy Hospitalist*
