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Archive for November, 2011

The Bleak Future of Medicare

November 27, 2011

Now that the “supercommittee” of Congress has failed to reach a compromise to restore some fiscal sanity to our national debt, let us consider for a moment what a monumental failure of leadership this waste of time turned out to be. For starters, their task was to reduce the federal deficit...
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The Cardi-Ologists and Pediatricians Have Lost Their Minds

November 20, 2011

In a recent statement published by the journal Pediatrics, an advisory panel sponsored by the National Heart, Lung, and Blood Institute of the NIH recommended universal cholesterol screening for all children ages 9 to 11. I’m sure they meant well, but this statement means important people in leadership positions have officially...
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Family Medicine Pay Reform – A Suggestion

November 11, 2011

I’m being a little facetious with this back-of-the-envelope calculation, but not much. In several of the PCMH demonstration projects, other providers of primary care services such as WeCare, the historical record of the Starfield work, and the experience of QuadMed primary care shows that just having a typical American population shift...
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How the National Quality Foundation Dumbs Down Family Medicine

November 6, 2011

The National Quality Foundation is a non-profit founded in 1999 as a collaborative effort between representatives of many healthcare entities. Its description of itself from its website reads: NQF’smore than 375 members represent virtually every sector of the healthcare system: consumers, purchasers, health plans, providers, healthcare professionals, suppliers, community health organizations,...
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