Overtesting: Where Do We Go From Here?
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I heard recently about a case of over-testing that seems so typical nowadays that it makes me wonder not just how we got here, but how we go back.   A 9-year-old child comes to the ED with abdominal pain and … Continue reading

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Reconciling Patient Satisfaction, Drug Seeking Behavior, and Cost-effective Care in the ED
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  The first step to reconciling the seeming conflicting objectives of improving patient satisfaction, restricting the inappropriate prescribing of abused drugs, and providing cost-effective care in the face of rising patient expectations regarding testing and treatment in the ED, is … Continue reading

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The Biggest Mistake in the ACA
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It was interesting to hear Hillary Clinton, on the stump at the last Democratic Town Hall, bemoan the fact that not-for-profit health plans were not participating more in the exchanges. Blue Cross and Blue Shield, she pointed out, used to … Continue reading

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Did EMTALA Undermine the Safety Net? Part 2
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This is a follow-up to last week’s post which focused on one of the most significant impacts of the unfunded EMTALA mandate: the closure of hundreds of hospitals and emergency departments across the nation. Part 2 will address some of … Continue reading

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Why Do Physicians Over-test and Over-treat?
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What prompts physicians to over-test and over-treat patients?  This is a very big and important question, and I find it sometimes helps to make a list when I am trying to get my arms around this kind of multifactorial issue. … Continue reading

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