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All GLG News Analyses Filed Under: Healthcare Services

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Posted October 19, 2007
New medicare regulations might result in better care, but at what cost?
Analysis of: Nonpayment for Performance? Medicare's New Reimbursement Rule | content.nejm.org
Author: Wayel Kaakaji, Chief Executive Officer and Medical Director Spinal and Neurosurgical Institute

-The new regulations will probably result in quality improvement in the selected targeted areas -It is unclear whether the cost of implementation and monitoring will offset the savings to the medicare system -Medicare will likely introduce further quality measures to fall under similar payment cuts. ...

Posted October 19, 2007
Big Brother Strikes Again
Analysis of: Nonpayment for Performance? Medicare's New Reimbursement Rule | content.nejm.org
Author: Michael Wolff, Urologist Alamance Regional Medical Center, Inc

CMS recent decision to withhold payment to hospitals for certain complications will ultimately further decrease access to care for the most vulnerable patients.

Posted October 18, 2007

Nonpayment for Performance? Medicare's New Reimbursement Rule
Analysis of: Nonpayment for Performance? Medicare's New Reimbursement Rule | content.nejm.org
Author: GLG Member Program Contributor

It had to happen. Under any guise a socialized medical schema survives by erecting rigid barriers through rigid rules designed with the efficiency of a cookie-cutter. Performance is determined by a committee absent the individual variations that clinical medicine presents through the variable expression...

Posted October 18, 2007

Nonpayment for Performance? Medicare's New Reimbursement Rule
Analysis of: Nonpayment for Performance? Medicare's New Reimbursement Rule | content.nejm.org
Author: GLG Member Program Contributor

This is an absurdity.

Posted October 18, 2007

Nonpayment for Performance? Medicare's New Reimbursement Rule
Analysis of: Nonpayment for Performance? Medicare's New Reimbursement Rule | content.nejm.org
Author: GLG Member Program Contributor

This editorial as well as http://content.nejm.org/cgi/content/full/357/16/157 in this weeks NEJM point out 2 ways for future reimbursement changes. One, not to pay for mistakes, and the other not to pay for lack of performance (a British initiative.)

Posted October 16, 2007
Will AMP be used to solve perceived Part D problems?
Analysis of: Private Medicare Drug Plans: Seniors and Taxpayers Hurt by High Expenses, Low Rebates | oversight.house.gov
Author: Adam Fein, Founder & President Pembroke Consulting Inc

The Democrat-controlled Committee on Oversight and Government Reform kicked off another round of predictable complaints about Medicare Part D with their report on private Medicare drug plans. As I see it, the Part D debate and the Average Manufacturer Price (AMP) debate will soon converge. This potent...

Posted October 15, 2007

The Quality of Ambulatory Care Delivered to Children in the United States
Analysis of: The Quality of Ambulatory Care Delivered to Children in the United States | content.nejm.org
Author: GLG Member Program Contributor

The number of uninsured Americans, whether children or adults, is a national disgrace. Our health care system is clearly focused on profits, not prevention. and to deny that care to our children, who are our most precious and vulnerable population, is an outrage.

Posted October 15, 2007
For persistent back pain treatment, call a specialist
Analysis of: Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society | www.annals.org
Author: Wayel Kaakaji, Chief Executive Officer and Medical Director Spinal and Neurosurgical Institute

If back pain persists, the patient should be referred to a specialist so further diagnosis and workup can be undertaken. Patients with back pain are treated with a variety of interventions and medications in the hope that they will return to their normal activities. Too often, the initial...

Posted October 12, 2007

Parents of 1536 children who were randomly slected from 12 metropolitan areas provided wrriten informed consent to obtain medical records from all providers who had seen the children during a two year period just prior to the recruitment. Trained nurses abstracted these medical records. ...

Posted October 12, 2007

Quality Found Lacking in Medicaid Managed Care
Analysis of: Quality Found Lacking in Medicaid Managed Care | www.medpagetoday.com
Author: GLG Member Program Contributor

1. The article looks at patterns of care for different populations. Taken in that context, it raises interesting questions about how diferent populations and the providers who serve them utilize health services. 2. The article overreaches in its conclusions. It extrapolates utilization of services to...

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