HealthLeaders Media PhysicianLeaders - July 16, 2009 | Health Reform Marks Beginning of Gen X Healthcare View as a Webpage | Subscribe for Free
Health Reform Marks Beginning of Gen X Healthcare
Elyas Bakhtiari, Managing Editor

Few topics can get physicians worked up like generational differences in practice styles. I've heard Baby Boomer physicians complain about being forced to take call during holidays because the younger physicians in the practice refused to, and I've listened to Generation X doctors lament the lack of work-life balance and the poor communication skills in their older colleagues. One of my goals in writing this month's HealthLeaders magazine cover story was to add a bit of nuance to the often-contentious discussions about the impact of generational differences between physicians. [Read More]
  January 15, 2009

Editor's Picks
House public option pays 5% more than Medicare
The House healthcare reform bill was introduced this week, answering many questions that have been lingering these past few months. Yes, there is a public option, and it would pay hospitals and physicians at rates 5% higher than Medicare. Increases would be detached from the SGR formula, and I also saw what looks like a 5% bonus for providers in counties with some of the lowest utilization rates. I haven't looked over the entire bill yet (it's over 1,000 pages), but here it is if you're interested. Keep in mind that this will eventually be reconciled with whatever comes out of the Senate (assuming both pass), so nothing is final yet. [Read More]
Obama proposes committee to set Medicare rates
President Obama is pressing lawmakers to give up boosting Medicare payments to benefit hometown providers. Delivering federal money through Medicare can be a powerful tool on the campaign trail, allowing lawmakers to argue that they are creating jobs, but it doesn't create much incentive to control the overall cost of Medicare spending. Obama wants to create a five-member Medicare Advisory Council charged with making two annual reports about updated payment rates for providers. Appointees would be nominated by the President and confirmed by Congress, and would typically be physicians or health policy experts. This wouldn't go into effect until 2014 if passed. [Read More]
Killer smart-phone apps for docs
This article should come in handy for the 64% of physicians who now use a smartphone. A lot of focus is on Epocrates, a drug and disease reference application, but smartphones are useful in medicine in many other ways. Once the security and HIPAA concerns are dealt with, these technologies have a lot of promise. Imagine being able to pull up a medical record or access the latest clinical research from anywhere, including a patient's home. [Read More]
Surgeon general boosts primary care
My initial impression is that surgeon general nominee Regina Benjamin, MD, is a much better choice than Sanjay Gupta, who was originally under consideration but withdrew. Benjamin is a primary care physician and is expected to be a proponent of delivering more healthcare and medicine to the poor, minorities, and rural areas. She also received a MacArthur "genius" grant in 2008. Check out my colleague Cheryl Clark's latest column for a good profile on Benjamin. [Read More]
Business Rx
Adopt a 'Retailish' Approach to Self-Pay Collections
"Retailish" is the word Red Gillen, senior analyst at Celent, a New York?based consulting firm, uses to describe the change that is occurring in physician practices' attitude toward self-pay collections. [Read More]
Physician News
Many Surgical Residents Say Current Duty Hour Restrictions Put Safety At Risk
Heather Comak, for HealthLeaders Media - July 15, 2009
Medical-device suits allege kickbacks
Wall Street Journal - July 16, 2009
Doctor accused of falsifying studies gave ethics talk
Wall Street Journal Health Blog - July 15, 2009
Doctors Express hopes to franchise urgent care in U.S.
USA Today - July 13, 2009

Audio Conferences/Webcasts
July 22, 2009: Service Line Strategies Workshop 2009: Spine Care
August 18: Advanced Service Line Marketing: New Orthopedics Growth Strategies
August 20: Service Lines Strategies Workshop 2009: Gastroenterology
From HealthLeaders Magazine
Time For 'Dr. Next'?
HealthLeaders July 2009
Generation X and its life-balancing, tech-oriented, team-playing doctors is taking over. But what kind of healthcare will they give us? [Read More]
Service Line Management
Prepare for the Cancer Boom
Aligning the right cancer care team and utilizing the appropriate technology is essential for maintaining a patient-centered service line. [Read More]
PhysicianLeaders Forum

Physician Retention is More Important than Ever: Andy Guenther, a physician recruiter with Delta Physician Placement, argues that physician retention policies are crucial in today's difficult recruitment environment and offers strategies proven to retain physicians. [Read More]
Audio Feature

Spine Strategies: Eula McKinney, director of the spine service line at the University of California San Francisco Medical Center, talks about the recession's impact on spine care and effective strategies for aligning with physicians to reduce costs. For more info, sign up for Service Lines Strategies: Spine Care. [Listen Now]
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Resources From HealthLeaders Media

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