Archive for February, 2010
Posted on February 28, 2010 03:00:31 PM
The Massachusetts health reform law, Part II - enacted in 2008 - laid the groundwork for cost control and quality improvement, as a follow-on to the initial legislation’s emphasis on achieving near-universal coverage. The legislation authorized several studies — including a report published a few months back on global payment strategies — and set the stage for hearings on health care cost containment to be held before the state Division of Health Care Finance and Policy (DHCFP), which are scheduled to begin March 16, 2010.
Update 2/18/10: Paul Levy posted a series of questions DHCFP would like hospitals to answer at the hearings at Running a Hospital. (more…)
*This blog post was originally published at HealthBlawg :: David Harlow's Health Care Law Blog*
Posted on February 28, 2010 03:00:00 PM
The anxiety that often accompanies a chronic illness can chip away at quality of life and make patients less likely to follow their treatment plan. But regular exercise can significantly reduce symptoms of anxiety, a new study shows.
Posted on February 28, 2010 06:00:13 AM
An important article appeared in the NYT recently, describing a new paper by Peter Bach, which is in today’s NEJM. Peter’s paper (“A Map to Bad Policy“) debunks the Dartmouth Atlas and cautions against its use. As I said in the Wash Post in September, the Dartmouth Atlas is the ”Wrong Map for Health Care Reform.”
More damning even than Peter’s analysis was Elliott Fisher’s reply: “Dr. Fisher agreed that the current Atlas measures should not be used to set hospital payment rates, and that looking at the care of patients at the end of life provides only limited insight into the quality of care provided to those patients. He said he and his colleagues should not be held responsible for the misinterpretation of their data.” Really? It was someone else’s interpretation? OK, Elliott, you’re not responsible. Just stand in the corner. (more…)
*This blog post was originally published at PHYSICIANS and HEALTH CARE REFORM Commentaries and Controversies*
Posted on February 28, 2010 06:00:13 AM
An important article appeared in the NYT recently, describing a new paper by Peter Bach, which is in today’s NEJM. Peter’s paper (“A Map to Bad Policy“) debunks the Dartmouth Atlas and cautions against its use. As I said in the Wash Post in September, the Dartmouth Atlas is the ”Wrong Map for Health Care Reform.”
More damning even than Peter’s analysis was Elliott Fisher’s reply: “Dr. Fisher agreed that the current Atlas measures should not be used to set hospital payment rates, and that looking at the care of patients at the end of life provides only limited insight into the quality of care provided to those patients. He said he and his colleagues should not be held responsible for the misinterpretation of their data.” Really? It was someone else’s interpretation? OK, Elliott, you’re not responsible. Just stand in the corner. (more…)
*This blog post was originally published at PHYSICIANS and HEALTH CARE REFORM Commentaries and Controversies*
Posted on February 27, 2010 09:00:30 AM
A young adult (mid thirties), a known case of non-specific aortoarteritis (Takayasu’s arteritis) was referred for a CT scan of the Abdomen including a CT Aortogram to rule out mesenteric ischemia.
The inital plain (no IV or oral contrast) CT scan did not show any evidence of abdominal pathology. So a CT Aortogram was done.
The following is the best CT image of thoracic and abdominal wall arterial collaterals that I have seen in a decade of being a radiologist: (more…)
*This blog post was originally published at scan man’s notes*
