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Archive for September, 2015

We Need Limits to Patient-Centeredness — the Nosebleed

September 29, 2015

A colleague recently told me of a patient encounter he had in an emergency room. When he picked up the chart, it described the patient as a 62-year-old woman complaining of epistaxis, or a nosebleed. He walked into the room and saw a perfectly well appearing 62-year-old woman. There was no blood on her clothes and none...
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The Healthcare Industry Continues to Suck the Life Out of the Rest of the Economy

September 14, 2015

Let’s start with some supposed good news. The headline recently read Jobless rate is lowest in more than 7 years. It’s officially at 5.1%, compared to 10% in 2009. But dig deeper. If people who can only get part time work and other people on the fringes of the job market are...
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CMS PPACA PCMH in FQHCs saved no $

September 2, 2015

Let me translate the title. The Center for Medicare and Medicaid Services was directed by the Patient Protection and Affordable Care Act (Obamacare) to implement the Patient Centered Medical Home model in 500 Federally Qualified Health Centers. It didn’t work. The rationale was the usual mixture of “care coordination,” primary care...
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