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Guest Commentary

Guest Commentaries

Magazine
Don't do everything—a strategy to reduce costs, improve results
By Michael E. Porter and Dr. Thomas H. Lee | April 12, 2014 | Print Magazine Print Magazine Subscription Details
"World-Class Care Right in Your Neighborhood” sounds good as a marketing campaign, but as a strategy for healthcare systems, it is too often a formula for high-cost, mediocre care.
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Magazine
Changing the conversation about palliative care
By Dr. Amy Abernethy | April 05, 2014 | Print Magazine Print Magazine Subscription Details
Like so many health topics that once were off-limits but are now commonplace, everyone suddenly seems to be discussing hospice and palliative care.
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Magazine
Going beyond medicine to improve U.S. health
By Susan DeVore | April 05, 2014 | Print Magazine Print Magazine Subscription Details
Last year, the Journal of the American Medical Association reported that while the U.S. spends more on healthcare than other nations, we consistently experience poorer outcomes.
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Magazine
Time for a new test on hospitals' tax exemptions
By Bruce McPherson | April 05, 2014 | Print Magazine Print Magazine Subscription Details
As of last year, not-for-profit hospitals are required under the Patient Protection and Affordable Care Act to meet new tax-exemption reporting requirements on their policies and practices in four areas: community health needs assessment; patient financial assistance; billing and collections; and emergency-care pricing.Unfortunately, this is the wrong way for tax-exempt hospitals to demonstrate their performance in providing special benefits to their communities.
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Magazine
Feds shouldn't mandate wider networks
By Dr. Joel Shalowitz | March 29, 2014 | Print Magazine Print Magazine Subscription Details
The latest federal healthcare foray involves control of provider network size. While horror stories abound about patients being cut off from long-standing clinician relationships because they had to switch to an exchange plan, indiscriminately mandating wider networks will not solve the problem.
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Magazine
Why don't all health plans work like Castlight?
By Francois de Brantes | March 29, 2014 | Print Magazine Print Magazine Subscription Details
A startup company takes claims data from employers and serves it up to employees in a “price transparency” tool. It then launches an initial public offering, which quickly rises to a valuation of more than $1 billion. Fiction? No. But baffling, yes.
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Magazine
Medical home findings out-of-date
By Margaret O'Kane | March 22, 2014 | Print Magazine Print Magazine Subscription Details
There's an old saying that any publicity is good publicity—but outdated information can mislead. Well-informed voices must speak up in that case.
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Magazine
A Hippocratic oath for healthcare managers
By Peter Butler | March 22, 2014 | Print Magazine Print Magazine Subscription Details
At a time when the country needs strong healthcare leadership, the practice community needs to engage with the higher educational community we are trusting to prepare our future leaders.
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Magazine
Don't downplay patient satisfaction
By Irwin Press | March 22, 2014 | Print Magazine Print Magazine Subscription Details
Although various studies note some correlation between clinical quality measures and patient satisfaction, others stress the lack of a consistent, close statistical relationship between them. Such “discrepancies” are detailed in what often appears to be a campaign to cast doubt on the patient's experience as a relevant indicator of quality care.
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Magazine
Redefining healthcare leadership
By Christine Candio | March 22, 2014 | Print Magazine Print Magazine Subscription Details
Healthcare's transformation requires bold yet deliberate leadership. The need for new skills, new disciplines, new settings and new partners is increasing, and those with the ability to prepare for the future while navigating today's issues will redefine success.
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Magazine
Businesses know what's needed to tame costs
By Katie Mahoney and Jennifer Pierotti | March 15, 2014 | Print Magazine Print Magazine Subscription Details
Healthcare costs are unsustainable, and even supporters of the Patient Protection and Affordable Care Act concede that the law will not rein them in.
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Magazine
Time for healthcare to embrace change, let go of inpatient model
By Kenneth Kaufman | March 15, 2014 | Print Magazine Print Magazine Subscription Details
The healthcare business model has reached an inflection point—from inpatient to outpatient.
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Magazine
Integrate behavioral health with primary care
By David Woodlock | March 08, 2014 | Print Magazine Print Magazine Subscription Details
Modern Healthcare's recent series, “Channeling Choice,” asserted that “helping people change their behavior is the work of our century.” If this is true, behavioral-health providers have expertise that can help.
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Magazine
Collaborating on healthier communities
By Larry Cohen | March 08, 2014 | Print Magazine Print Magazine Subscription Details
The U.S. healthcare system is in the midst of a transformation—some would say a revolution—that I've waited my whole career to see.
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Magazine
Don't exclude community pharmacists
By B. Douglas Hoey | March 08, 2014 | Print Magazine Print Magazine Subscription Details
Earlier this year, Medicare proposed a rule that will foster more robust competition among pharmacies, increase rural access and give seniors more convenient interactions with trained health professionals. At issue are favorable deals between pharmacy benefit managers and big-box pharmacies.
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Magazine
Team approach needed to treat pain
By Catherine Underwood | March 08, 2014 | Print Magazine Print Magazine Subscription Details
For all its imperfections, the Patient Protection and Affordable Care Act puts healthcare delivery in a whole new light.
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Magazine
PACE has shown path to improved elder care
By Shawn Bloom | March 01, 2014 | Print Magazine Print Magazine Subscription Details
As the number of seniors with long-term service and support needs continues to grow, Medicare and Medicaid are seeking new ways to provide care and services more effectively and efficiently. One model, Programs of All-inclusive Care for the Elderly, or PACE, has a successful track record of serving low-income, dual-eligible seniors—the frailest of the frail—since its inception more than 25 years ago.
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Magazine
Direct patient access to test results adds new responsibilities for all
By Dr. Jon Cohen | March 01, 2014 | Print Magazine Print Magazine Subscription Details
Last month, the federal government took a major step toward enhancing the ability of millions of Americans to access their health data and improve patient engagement as we know it in the U.S.
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Magazine
Personal health technology can improve outcomes
By Patricia Flatley Brennan | February 22, 2014 | Print Magazine Print Magazine Subscription Details
Every provider knows that patients share only part of their health history, and the questions providers ask elicit just some of the information needed to improve their clinical care. That's because what patients do to affect their health happens outside the clinical setting, and concerns information patients aren't accustomed to sharing, such as how much they eat, the amount of sleep they get and how often they exercise.
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Magazine
HIMSS aims to transform healthcare
By Carla Smith | February 22, 2014 | Print Magazine Print Magazine Subscription Details
The Healthcare Information and Management Systems Society is on a purposeful journey toward a highly desirable goal: the positive transformation of health and healthcare through the best use of information technology.
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Magazine
Protect the 340B drug program
By Dr. Charles Hart | February 15, 2014 | Print Magazine Print Magazine Subscription Details
As a hospital CEO and former emergency room physician, I know the challenges facing healthcare providers with a mission to take care of our most vulnerable populations.
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Magazine
Making virtual care a widespread reality
By Ken Krakaur | February 15, 2014 | Print Magazine Print Magazine Subscription Details
As an executive of a large health system constantly working to improve patient care, I see firsthand how providers increasingly must provide patients with the care they need, right when they need it. This means pursuing powerful, transformative care delivery solutions.
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Magazine
Long-term care needs EHR connection
By Chip Burns | February 08, 2014 | Print Magazine Print Magazine Subscription Details
Because long-term care providers lag behind hospitals and doctors in adoption of EHRs, the crucial exchange of information between acute and long-term care providers that supports more integrated care is lacking.
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Magazine
Make 'living will' a requirement
By Peter Fine | February 08, 2014 | Print Magazine Print Magazine Subscription Details
Every day in the hospitals across the country that we lead and operate, the lack of a “living will” or “medical power of attorney” significantly contributes to divisive conflict within families huddled over dying loved ones. One child insists that mom or dad just wants to be left alone to go peacefully without complex, uncomfortable and sometimes painful treatments that won't change the inevitable. Another child insists that the parent wants everything that can be done to be done, even if the chances for survival are dismal.
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Magazine
Physicians need to set stage for talk about long-term care
By Dr. Michael Fleming | February 01, 2014 | Print Magazine Print Magazine Subscription Details
Every primary-care physician who cares for elderly patients faces hard decisions. But among the hardest of choices a doctor makes, especially with the sickest of the sick, involves long-term care.
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