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Universal Questions
Elyas Bakhtiari, Managing Editor

It's not uncommon when I'm interviewing a physician—and the topic could be just about anything related to healthcare—for the conversation at some point to turn to the state of the reimbursement system and the need for some type of healthcare reform. Increasingly these days, that means we're talking about universal healthcare. [Read More]
  April 10, 2008

Editor's Picks
No-show patients exact a daily toll
Benjamin Brewer, MD, contemplates the value of overbooking patients to avoid no-shows in this column in The Wall Street Journal. Because he runs a small, two-physician practice, he can't afford the automated telephone reminders or pre-appointment calls from a receptionist that help larger practices avoid this problem. Though no-shows affect all docs, this is just another example of the particular challenges small practices face in today's market--and another reason why these small operations are slowly dying out. [Read More]
Survey shows state of ASC reimbursement, EHR adoption
Eighty-two percent of ambulatory surgery centers (ASCs) don't use an electronic health record, according to a new survey. Obstacles cited by administrators were similar to those other physician organizations face: lack of personnel, capital, and compatible software. On the reimbursement side of things, ASCs are worried about reimbursement changes--42% expect decreased revenue, and many think gastroenterology services will have a negative impact. The big revenue generator looks to be orthopedic services, according to the administrators. [Read More]
UK doctors debate male-female practice styles
British physician Brian McKinstry, MD, is drawing criticism for saying the rising number of female doctors is "bad for medicine" because they are more likely to work part-time and tend to be less productive. I wrote about the growing part-time trend last week, and although the observations about productivity are accurate, I want to clarify one point: Different doesn't necessarily mean worse. Research suggests that female physicians tend to have higher patient satisfaction and are sued less often than their male counterparts. Recent changes in the physician work force come with both benefits and drawbacks, and we haven't had time to gauge the net effect on patient care and healthcare spending. [Read More]
Massachusetts healthcare roundup
There's been a lot of analysis of Massachusetts' healthcare reform efforts this week. In the New England Journal of Medicine, Sherry A. Glied, Ph.D., uses the Massachusetts plan as a jumping off point for talking about universal healthcare. The Boston Business Journal reports that the state's primary care physicians outperform their peers in offering preventive care and helping patients manage their chronic conditions. On the flip side, the New York Times says the insurance mandate is widening the gap between physician supply and patient demand. [Read More]
Business Rx
Tips for saving a failed EMR project
Practices aren't always successful with electronic medical record implementation. Some have even abandoned initial attempts. To get a failed project back on track, first determine the reason for the project's collapse. [Read More]
Physician News
$30 million awarded in Florida malpractice suit
South Florida Sun-Sentinel - April 8, 2008
Kansas City docs seek results by pooling resources
Kansas City Star - April 8, 2008
Doctors to provide urgent care at Baltimore-area drugstores
Baltimore Sun - April 9, 2008
On Medicare and scorned by docs
Washington Post - April 10, 2008

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From HealthLeaders Magazine
Your Hospital, the Entrepreneur
HealthLeaders March 2008 Forget those fixed-income investments. Many organizations are funding early-stage healthcare ventures that can yield not only healthy financial returns, but also improved efficiencies and better quality care. [Read More]
PhysicianLeaders Forum

The Physician Empowerment Movement: Contributor Richard L. Reece, MD, says physicians are fed up with reimbursement struggles and being left out of discussions about healthcare reform and are beginning to organize and find their collective voice. [Read More]
Audio Feature

How to Overcome Service Line Obstacles: Keith Solinsky, chief operating officer and principal with The Coker Group, discusses obstacles to implementing service lines and ancillary investments in a physician practice. [Listen Now]
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Resources From HealthLeaders Media

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