incentives
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Hospitals Buying More Doctors' Practices
The question is whether costs will decrease, patients will benefit in long run. Hospitals across the country are buying more physician practices as they prepare to move away from fee-for-service reimbursements to a system that pays for treatments focusing on outcomes and cost containment. Read More »
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Hospitals Must Attest To Meaningful Use By November 30
The Centers for Medicare and Medicaid Services (CMS) would like to remind hospitals that the deadline for attestation for the Medicare EHR Incentive Program is November 30. Those who do not attest by that time will not be able to receive a 2013 incentive. Read More »
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Hospitals Profit From Surgical Errors, Study Finds
Hospitals make money from their own mistakes because insurers pay them for the longer stays and extra care that patients need to treat surgical complications that could have been prevented, a new study finds. Read More »
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Hospitals Use 'Hot Spotting' To Zero In On Super-Users
[A] growing trend of "hot spotting" - using sophisticated data mapping to zero in on the chronic "super-users" of health services - is taking hold, spurred in part by provisions in the federal Affordable Care Act that financially reward efforts to help keep patients healthier and out of the hospital. Read More »
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How Do We Move From Cost-Increasing To Cost-Reducing Technology?
In computing, Moore's Law says costs fall by half every two years as capability improves, yet in healthcare, technology sends bills soaring. Read More »
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How Doubling The Student Loan Interest Rate Hurts The United States
University graduates are as vital a resource for the United States as anything that is mined, extracted, or farmed from nature. [...] In short, there is a very strong public interest for incentivizing intelligent students to aspire to a college education. Read More »
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How Health IT Benefits From Obama's Re-election
The day after President Obama was re-elected and Democrats held onto control of the U.S. Senate, the future looked bright to folks in the health IT field. Read More »
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How Is CPOE More Than Cookbook Medicine In The EMR?
The Office of the National Coordinator for Health Information Technology (ONC) is quite adamant about the role of computerized physician order entry (CPOE) in ensuring the delivery of evidence-based, high-quality, and most importantly safe care to patients using EMR and health IT systems. Read More »
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How Journals Like Nature, Cell And Science Are Damaging Science
The incentives offered by top journals distort science, just as big bonuses distort banking. I am a scientist. Mine is a professional world that achieves great things for humanity. But it is disfigured by inappropriate incentives. The prevailing structures of personal reputation and career advancement mean the biggest rewards often follow the flashiest work, not the best. Read More »
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How Much Are Misaligned Incentives In Health Care Costing Tax Payers?
On Christmas Eve, I took care of a patient who had just undergone surgery for an infected artificial shoulder. He was to be discharged on intravenous antibiotics three times a day for six weeks. [...] The total cost of this is approximately $7000 for nursing visits, antibiotics and supplies... Read More »
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If Open Data Is The New Oil Are Primary Healthcare Organisations The Oil Pumps Of Our Townships?
We are living in a new world. This world is driven by connection to one another and data that we generate. As a result we have opportunities to collaborate and find innovative solutions to long standing challenges. A key ingredient to this collaboration is open data. [...] Read More »
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Improved Interoperability Needed To Fulfill Health IT's Promise
Health IT has failed to live up to its promise so far, largely because it's not interconnected or easy to use, and because providers have not made changes in the way they deliver healthcare services to reap its benefits, according to Arthur Kellerman, M.D., a policy analyst with RAND Corp., who writes in this month's Health Affairs. Read More »
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Improving Quality Patient Outcomes A Money Loser For Hospitals
Surgical patients who have complications generate better margins for hospitals, a new study in the Journal of American Medical Association has found. Cue the outrage from the consumer media about “profit-hungry hospitals.” Read More »
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In Praise Of Peer Review: A Modest Proposal For Identifying Unscrupulous Open Access Journals
I remain indebted to peer review. Sure, I’ve been called a dilettante. Had ideas dismissed as half-baked. Had the floor swept with the derivative nature of my work. Been chastised for treating data as singular. And then the self-inflicted wounds of my own careless error. But having suffered from what appears only at first glance to be the slings and arrows of outrageous peer-review, I stand by this process. Read More »
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Information Asymmetry – The Politics Of Health IT Policy
Let’s recognize Healthcare.gov as the dawn of mass patient engagement – and applaud it. Before this website, patients were along for the ride. Employers choose most of the insurance benefits, hospital web portals are an afterthought, and getting anything done with an insurance company, for both doctors and patients, means a phone call and paper. [...] Read More »
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