Category Archives: Business of Medicine

Trump the Bureaucracy

About 6 weeks ago I referred a patient of mine with a knee problem to an orthopedic surgeon in my group. He ended up seeing someone else in the same group about 3 1/2 weeks later, and the doctor prescribed … Continue reading

Posted in Business of Medicine, Government, Medical Politics | Tagged , | 5 Comments

A High Tech Call Schedule

Typical of many physicians, I have to take turns being on call. This mostly involves taking calls in the evening, at night, and on weekends for my patients, or those in my call group. I belong in a group with … Continue reading

Posted in Business of Medicine, Informatics | Tagged | 1 Comment

Medicare Payment Formula Finally Changed – Win or Loss?

Congress passed a  law in 1977 linking Medicare payments for physician services to growth in the economy.  Because it failed to take into account inflation and other factors, Congress has had to act 17 times to prevents cuts to physician … Continue reading

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Patient Satisfaction / Physician Dissatisfaction

Have you received a survey after you visit your doctor? You may be surprised to learn that how you rate them may affect their pay, their mental health, and even possibly your health. Surveys, as administered by Press Ganey, and … Continue reading

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How to Get Rich – A Guide for Pharmaceutical Companies

Thanks to Congress, Medicare is not allowed to negotiate for the cost of medications. The bill was shepherded through by congressman Tauzin, the chairman of the House Energy and Commerce Committee that regulates the industry, who subsequently stepped down then … Continue reading

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If Doctors Ran Their Practice Like The Airlines

Physicians could make so much more money if we could charge like the airline industry does. Starting with appointments, there would be a surcharge for the most popular times. Last minute appointments are extra, on the theory that the patient … Continue reading

Posted in Business of Medicine, Medical Humor | Tagged , | 1 Comment

Making the Affordable Care Act Individual Mandate Work

The Supreme Court has ruled that most of the Affordable Care Act, aka Obamacare, is constitutional. In order to provide affordable care to all, insurance companies need the healthy to pay premiums, and not just the people who will use … Continue reading

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FDA and Generic OxyContin

As recently reported in the Wall Street Journal, the pain killer OxyContin is set to go generic next year, and Purdue Pharma is trying to postpone it. A funny thing often happens before a drug goes generic. Close to that … Continue reading

Posted in Business of Medicine, Legal | Tagged , , | 7 Comments

Cruise Health

As I wrote about last time, I attended the ACP Internal Medicine 2012 meeting in New Orleans. Afterwards my wife and I took a cruise on the Carnival Conquest ship that left from New Orleans and stopped at the ports … Continue reading

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Drug Shortages and the Joint Commission Stance

Periodically there have been drug shortages in the United States, which comes as a surprise to many. There are a number of reasons for this. Recently one of my company’s pharmacists informed the physicians in my group of a nationwide … Continue reading

Posted in Business of Medicine, Government, Legal, Pharmaceuticals | Tagged , , , , , | 1 Comment