As we focus on the affordability of healthcare, some turn to high deductible health plans (HDHPs) to lower costs and as a result, creating situations where consumers are at greater risk for the cost of their care. The theory is that if I must pay out of pocket, I will be more discriminating concerning my purchases and shop… Read More »
One of our shortcomings as health care professionals is our acceptance of evidence-based medicine, especially when the data proves that abandoning practices is required. And despite robust, research cataloging practices, that add little value, such activities remain widespread at a considerable cost and increasing the likelihood to harm. As professionals, the question remains, “Why are we so slow… Read More »
As we continue to focus on value-based payment models, there is a strong belief that moving away from fee-for-service payments towards a per-patient rate for primary care providers will decrease overall costs. The counter concern is that this may also lead to reduced care because of the financial incentive to avoid services. Primary care providers (PCPs) have the… Read More »
Radiology services play an essential role in value-based care. Yet, some believe that such services fall into the category of cost; however, if we change our perspective, we can consider such activities may elevate the overall value we deliver. In fact, diagnostic radiology can have a clinical benefit because it can help to refine differential diagnoses, define and… Read More »
As strong leaders, we strive to improve upon each situation and anticipate the next steps. There are numerous scenarios, particularly in acute situations in which our advanced preparation is vital for the operation’s success. Frequently, these are short-lived and are dependent on location, such as weather, earthquakes, fires, etc. As shown, with COVID 19, Ebola, and other recent… Read More »
As we continue to focus on improving the quality of care we deliver to those we serve, having benchmarks and external comparisons are essential. Granted we all aspire to zero harm; however, we are not here yet. Comparing our improvement to ourselves is laudable but does not give a clear indication of progress. Unquestionably, for those of us… Read More »
As we continue to improve and enhance our ability to foster shared decision making, the language we utilize to discuss treatments becomes important. Presently, we use the terms “risks” and benefits” in our conversations. However, risks are often unknown, and the benefits seem to be a given. And in actuality, neither statement is valid. When communicating risks, it… Read More »
With the recent legislative enactment of the 2016 Cures Act, I personally have received several comments and concerns. On the surface, the concept of information transparency is paramount as we move towards a more consumer-driven approach. As a patient, I should have immediate access to my information since it pertains to me and I wish to know what… Read More »
As we continue to grapple with various disease states like obesity and diabetes, which impact a significant number of people, our ability to change human behaviors is minimal. We continuously design interventions that include education and behavioral modification with limited results. In essence, we appear to be attempting to prevent water from streaming out of the hose by… Read More »
Recently, there is a tremendous amount of focus on the value of social interventions and healthcare costs. To be of optimal help to the greater society, it is important for us to thoroughly understand how to investigate the value of such interventions. In the journal, Health Affairs, a recent study by Kangovi et al. investigates the return on… Read More »