Overtesting: Where Do We Go From Here?
avatar

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

Share

Bundled Payments and Emergency Care
avatar

A recently published article in Academic Emergency Medicine by Nedza, et al, “Emergency Department Visits Following Joint Replacement Surgery in an Era of Mandatory Bundled Payments”, made it pretty clear that emergency departments and emergency physicians play a significant role … Continue reading

Share

Hospital Charges: Should Physicians Care ?
avatar

Recently my primary care physician ordered some screening lab tests for me, some of which may not be covered by Medicare. Since he has long been associated with one of the local hospitals (he was recently Chief of the Medical … Continue reading

Share

Let’s Build a Wall Around Every ER
avatar

I have been inspired by The Donald, and have come up with a great, I say GREAT, solution to the excessive numbers of people in the U.S., and particularly poor people, who are routinely abusing the privilege of obtaining health … Continue reading

Share

Narrow Networks: Counterintuitive Assertions About Cost and Quality
avatar

The common sentiment among health care policy wonks is that consumers choose health plans on the basis of premium prices first, out-of-pocket costs next, and quality last; and research suggests that narrow networks with lower premiums provide quality care equivalent … Continue reading

Share