The Day: Payments denied, reform

Filed Under: Costs, Health plans, Patients

The Day: Payments denied, reform

Insurance companies deny payments for treatments doctors recommend, with increasing frequency. “Last month insurance tried to deny another patient of mine an in-hospital kidney biopsy after three years of multiple hospital admissions for uncontrolled hypertension. Finally after approval, the biopsy revealed a condition called IgA nephropathy that was responsible for her kidney dysfunction and high […]

Gaming the on-line doctor ratings

Filed Under: Costs, Patients, Providers

Gaming the on-line doctor ratings

Suspicions of gaming the ratings leap to mind when one reads reviews of providers in places like yelp.com and Angie’s List. So it wasn’t surprising to read the other day on arstechnica.com that Timothy B. Lee had written a long sort-of expose of the ways in which doctors and dentists may try to affect their […]

The Day: Reform, Republican doctors, free medical school

The Day: Reform, Republican doctors, free medical school

  Dave Chase, a former Microsoft executive, wrote two treatises on huffingtonpost.com about health care were choice. Here’s one: Dave Chase: Do it Yourself Health Care Reform. and here’s the other: Dave Chase: Health Insurance’s Bunker Buster. P.S. He’s really smart, and he’s also working on a startup about health care called Avado. It’s sort of like a mint.com […]

Doctors, costs and the system

Doctors, costs and the system

Cost-effective health care is something everybody wants, but it’s also something that is opposed by a lot of parties to the conversation for different reasons, a topic explored in a recent article in the New England Journal of Medicine by Victor R. Fuchs, Ph.D., and Arnold Milstein, M.D., M.P.H. Insurance companies don’t want to standardize […]

The Day: Cutting costs, a history lesson, and more cutting costs

The Day: Cutting costs, a history lesson, and more cutting costs

Here are two citations from the invaluable Maggie Mahar over at healthbeatblog: Health Beat: The “Top-Five” Ways to Improve Primary Care and Reduce Costs….  talks about how doctors have been able to stop unnecessary tests, and How Medicine became a growth business is an illuminating guest post by Dr. Clifton Meador about the history of medicine […]

Patients and doctors, all dissatisfied

Patients and doctors, all dissatisfied

Doctors and patients have wildly differing perspectives on the health-care marketplace,  and yet they share a feeling of dissatisfaction. Both constituencies were interviewed in a pair of newly released studies by the Robert Wood Johnson Foundation, Talking About Health Care Payment Reform with U.S.Consumers and Talking with Physicians about Improving Payment and Reimbursement. The big […]

Individual responsibility for health care

Individual responsibility for health care

‘”The internet has changed people’s relationships with information,” writes the invaluable Susannah Fox at the Pew Internet and American Life Project, in a new report about the social life of health information. ‘Our data consistently show that doctors, nurses, and other health professionals continue to be the first choice for most people with health concerns, […]