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Tuesday, August 7, 2012

Et tu, Dr. Gupta?

The THCB Reader


The Insider's Guide - TechThe Business of Health Care - Physicians

 

Et tu, Dr. Gupta?
By PAUL LEVY


As well intentioned and thoughtful as he is, Sanjay Gupta nonetheless misses the point in his recent New York Times op-ed “More treatment, more mistakes.”  The theme of the chief medical correspondent for the Health, Medical & Wellness unit at CNN is:

"Certainly many procedures, tests and prescriptions are based on legitimate need. But many are not…. This kind of treatment is a form of defensive medicine, meant less to protect the patient than to protect the doctor or hospital against potential lawsuits."
Read more.


10 Ways to make the EMR Meaningful and Useful
By ROB LAMBERTS, MD


I am an EMR geek who isn’t so thrilled with the direction of EMR.  So what, I have been asked, would make EMR something that is really meaningful?  What would be the things that would truly help, and not just make more hoops for me to jump through?  A lot of this is not in the hands of the gods of MU, but in the realm of the demons of reimbursement, but I will give it a try anyhow. Here’s my list. Read more. 


An Important Day for China in Healthcare. What's Next?
By PER STENVALL


Private investors – foreign and Chinese—have been eyeing China’s private healthcare services industry since the Chinese government began experimenting with limited private participation in 1989. Will the next ten years see more significant developments? This depends to a large extent on the Chinese government’s willingness to allow foreign participation in the sector. Read more.


Numbers Don't Lie — The EHR Market Must Consolidate
By CONOR GREEN


According to CMS, through May of this year, 2,400 hospitals and 110,000 eligible professionals have received $5.7 billion in incentive payments for ensuring meaningful use of electronic health records, representing about half of all eligible hospitals and about 20% of all eligible providers.

Despite this widespread adoption EHRs, reliable market share data by vendor is still very hard to come by.  So, when CMS recently updated its attestation data for midyear 2012, we took notice.
Read more.


Lessons from MinuteClinic
By JOHN GOODMAN


After entering the clinic a thought occurred to me: why do we need doctors? Then a second thought: why do we need nurses? Ah, but I’m getting ahead of myself. About a decade before the Obama administration started touting electronic medical records and evidence-based protocols there was MinuteClinic. The entity came into existence primarily to cater to patients paying out of pocket.

There was no need for a law requiring price transparency. In every market where the dominant buyers are patients spending their own money, prices are always transparent. MinuteClinic posts its prices on a computer screen and on readily available pamphlets.
Read More.


App-Happy Health Care Full of Optimism, Money
By MICHAEL MILLENSON


Welcome to the realm of Internet-enabled health apps. Politicians and profit-seeking entrepreneurs alike enthuse about the benefits of “liberating data” – the catch-phrase of U.S. Chief Technology Officer Todd Park – to enable it to move from government databases to consumer-friendly uses. The potential for better information to promote better care is clear. The question that remains unanswered, however, is what role these consumer applications can play in prompting fundamental health system change. Read more. 
 

Why Medical Management Will Re-Emerge
By BRIAN KLEPPER, PhD

Several years ago I had dinner with a woman who had served in the late 1990s as the national Chief Medical Officer of a major health plan. At the time, she said, she had developed a strategic initiative that called for abandoning the plan’s utilization review and medical management efforts, which had produced heartburn and a backlash among both physicians and patients. Instead, the idea was to retrospectively analyze utilization to identify unnecessary care. Read more. 


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