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Empathy Mandate On Its Way

  A recent study described here it the American Medical News is trying to show that doctors can learn empathy from a CD-ROM program. Personally, I this is just another exaggeration for a future product sale. The study examined how often oncologists empathize when patients relay feelings such as fear, sadness or distress. About 50 oncologists…

To Join or Not to Join an ACO

    In a recent business article from the American Medical News they do a a pretty good job explaining the the dilemma doctors have on whether to join an Accountable Care Association.   The goal of an ACO is to “allow fee-for-service payments with a bonus for lowering projected total costs while maintaining or…

Medicare Disease Management Program Fails!

    According to a NEJM study, commercially-run disease management programs within Medicare neither improved the quality of care nor produced any cost savings in a randomized study.  There was only significant improvements in only 14 of 40 pilot groups.  Reductions in patient care expenditures did not come near the $400 million in fees Medicare paid…

The Elusive Medical Home

The supposed savior of family medicine is the “medical home”.  Hold on, I can’t stop laughing. Okay, the medical…….wait, still laughing…..is a method to rename what we already do so a lucky few of us can get paid the same.  Alright, there is another definition somewhere but it is truly irrelevant.  Here is some news…

The Medicare Obesity Decision

  A new Medicare ruling means that doctors will be paid for screening for obesity and counseling of those eligible beneficiaries. What does that mean?  It means that they will pay for face-to-face counseling every week for one month, then one counseling appointment every other week for the following five months for people who screen positive for…

Administribbles

Change in the healthcare system seems like a good thing we don’t know yet whether it will be worth it.  Like a new drug on the market we may end up seeing terrible side effects that hurt a lot of unsuspecting people.   A recent article in the USA Today  proves again to me the…

The Pzifer $4 End Run

A few senators have now gotten into the scrum going on with Pfizer basically  blocking the generic release of Lipitor.    How Pfizer did this is pretty impressive.  By lowering the price to $4 and making that deal available to pharmacies and insurance companies, they effectively shut out the competition by price.   These techniques…

Compliance and the Doctor

It is a well known fact that patients often don’t fill their prescriptions or even take the medicine if they do fill them. That is what makes it so insane to “grade” doctors depending on their patients’ cholesterol, blood pressure, blood sugar average, etc.  In a study involving patients who had a recent heart attack, only half…

Soft Launch of Site

I will soon be moving this blog and a lot of my other works to www.authenticmedicine.com.   I am in the process of building this site now and hope to get it launched for the new year.  I also will be doing some videos that talk about and mock some of the lunacy in our healthcare…