By Joan Justice
First Posted at HealthWorks Collective on 5/14/2013
Joan Justice, Moderator, HealthWorks Collective
Last week we heard Ivana Schnur tell us about Sense.ly and the remote assessment hub that diagnoses and treats and helps those with post-discharge activities. This week, Dr. Joseph Valenti, a practising physician in Texas, talks about The Physicians Foundation, an non-for-profit organization founded in 2003 to support healthcare improvements in the delivery of patient care, provide physicians with a support system, promote physician leadership and education, and further improve physician practices. The Physicians Foundation sponsors grants, white papers and research in order for decision-makers to have the information they need to improve the healthcare system.
The Physicians Foundation has released a new white paper that suggests “redesigns” of the US healthcare system based on four core principles: [click to continue…]
By Paul Levy
First Posted at Not Running a Hospital on 5/18/2013
Paul Levy, Host of (Not) Running a Hospital
Sometimes when something is right in front of you, you don’t see it.
A friend who serves on a Boston hospital board writes:
Great cover story in the New York Times today on how the new private owners of Bayonne Hospital made it for-profit and canceled their insurance contracts. By becoming out-of-network they were able to jack up their prices and make a lot of money. Talk about gaming the system!
The writers of the story, “New Jersey Hospital has the Highest Billing Rates in the Country,” missed the major point. My friend did, too, but less so.
This is not about the relative prices in the hospital’s chargemaster, nor is it about gaming the system. It is the system.
The name of the game is to have sufficient market power in a geographic area that you can demand higher than market prices from the insurance companies. [click to continue…]