Archive For The “Hospitals” Category

The Future of American Healthcare: Specialized Services vs. Common Care

By | August 20, 2012

It is true that hospitals deliver services providers can’t, but why should this give them a disproportionate voice in the allocation of reimbursement? Each segment of the healthcare system should justify their own funding. If we want to support the provision of very expensive and specialized care to relatively few patients, so be it. But […]

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The Future of American Healthcare: The Problems With Cost Shifting

By | August 17, 2012

One of the rationales for the differential compensation hospitals receive is they need this increased compensation to offset the cost for the complex and often unprofitable care that they alone can provide. But this kind of cost shifting is unethical. Why should hernia patients bear the costs of neonatal cardiac surgery? In addition this kind […]

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The Future of American Healthcare: Inefficient Hospital Care

By | August 15, 2012

While hospitals can provide very complex and elaborate care, they are always the least efficient provider in areas where competition exists. In addition they are often compensated at higher levels than physicians or free standing surgical or imaging centers for the services that they provide. If rather than support this kind of inefficiency, hospitals were […]

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Whither Hospitals: Discontinuity of Care

By | April 13, 2012

Another problem with hospitals that Howard Luks ignored in his blog entitled “Why your local hospital may not be relevant in the future” is the discontinuity of care caused by hired hospitalists. In an attempt to increase profits and control care, many hospitals have hired physicians to admit patients and render all in hospital care, […]

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Whither Hospitals: Government Over-Regulation

By | April 12, 2012

Another point that Howard Luks only alluded to in his blog entitled “Why your local hospital may not be relevant in the future” is the problem of government interference in the practice of medicine. This usually comes in the form of government regulation and the establishment of “Best Practices” guidelines and because hospitals are so […]

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Whither Hospitals: Nosocomial Infections

By | April 11, 2012

As Howard Luks pointed out in his blog entitled “Why your local hospital may not be relevant in the future”, which appeared on Kevin Pho’s website earlier this week, hospitals are dangerous places.  At Schlesinger  Pain Centers we are aware of this problem, but it is not just because of medical errors. One of the […]

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Healthcare Economics: Useless Hospital Care

By | April 10, 2012

There is an old economic statistic about healthcare that is as true today as ever. For most Americans 80% of the money that is spent on their healthcare in their lifetime will be spent in the final 6 months. Not only is it expensive, but there is little if anything to show for it. Patients […]

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Healthcare Economics: Wither Hospitals

By | April 9, 2012

I was reading an blog on Kevin Pho’s website by Howard Luks, MD entitled “Why your local hospital may not be relevant in the future”. In this blog Dr. Luks examines current state and the future of hospitals in our healthcare system. He correctly points out that most hospitals are not user friendly and that […]

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