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Category Archives: Guest Editorial

MACRA Overview The MACRA Quality Payment Program (QPP) replaces the Sustainable Growth Rate (SGR) for setting the physician fee schedule rate changes and consolidates several quality and incentive programs into one.  There are two performance tracks in the program, the Merit-Based Incentive Program (MIPS) and Advanced Alternative Payment Models (APMs).  The Advanced APM track offers…

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With coverage and access being thrown into question–again–by the incoming administration, it is important to not lose sight of the essentials of continuing healthcare’s 21st century migration. There are a lot of details that get magnified by competing interests, but which miss the big picture of how healthcare is evolving, and must continue to evolve…

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Advances in technology have fundamentally altered and inarguably improved the way we drive, shop and travel. Just ask anybody who uses Google Maps, Foodler or Uber. Sadly, however, information technology has failed to deliver so far in the most crucial service of all – healthcare.  This is at least partly because electronic health records (EHR)…

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Doctors complain about having to compete with–or, more often, correct–Doctor Google, and patients searching for medical answers online. But for every suspect Google search result or WebMD symptom check, there are untold swarms of social posts, shares, and comments that further dilute the reliability of online medical information. With the bluster and fury of the…

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  A few days ago, the Human Health Services’ (HHS) Office of Inspector General released a report highlighting the 10 biggest management and performance challenges the healthcare industry is facing, and yet again, EHRs and health IT have made it to the list. Healthcare is complex and the challenges we face today might take years…

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Psychotherapist and Holocaust survivor Viktor Frankl famously enjoyed quoting Nietzsche’s observation, “He who has a why to live for, can bear almost any how.” The more lay expression, “Where there’s a will, there’s a way,” covers similar ground. When we have a Why for doing something, the How can be cultivated. Determining how to do…

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PJ Carter in a blog explained how the lack of interoperability resulted in extreme physical pain to his father who had to go into an eye surgery for the repair of a detached retina. His father was told by his eye specialist that and an urgent operation had to carried out. The operation began, but…

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Guest Editorial On November 9th, 2016 the United States of America witnessed a major turnaround in the administration. Republican candidate Donald Trump was voted the 45th president-elect of the United States, leading with 279 electoral votes (now up to 290). Donald Trump plans to bring about numerous changes to “Make America Great Again,” and true to…

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The digitization of healthcare was a much-needed change brought after years of hard work and effort. One might wonder how could one justify the expenditure of 10 billion dollars in a span of five years just on digitization! The problem intensifies when after several studies we find out that EHRs only reciprocate around 30-35 cents…

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Gastroesophageal reflux disease, or GERD, affects more than 60% of the U.S. population and is one of the single most common causes of hospitalization. It can manifest as anything from an acute but isolated experience of heartburn to a chronic condition eroding the esophageal lining and compounding into all manner of other gastrointestinal and digestive…

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Making changes to healthcare–its delivery, its costs, its administration–always seem to focus on pushing providers around. While surgery is performed with a scalpel, healthcare reform is bluntly pursued by means of obtuse financial incentives: lower pay for doctors who don’t play ball, and day-to-day survival for those who go along to get along. The motivation…

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