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3 ways Medicare can reduce overtreatment

Jim Sabin, MD
Physician
December 16, 2013

If we in the U.S. ever hope to get a grip on Medicare costs, our society will first have to navigate a steep learning curve. That’s the lesson to take from three recent publications.

Despite the fact that Medicare is expected to represent 18% of the federal budget in 2020 (up from 15% in 2010), and that the Medicare Part A trust fund is projected to have insufficient funds to cover …

Read more…

3 ways Medicare can reduce overtreatment

How waste is directly harmful to patients

Jim Sabin, MD
Physician
May 14, 2013

Experts, most recently former CMS administrator Don Berwick, tell us that no less than 20% – 30% of medical care is waste. At the very least, waste is harmful to all those who pay for Medicare. But often it’s directly harmful to the patient as well.

I recently saw a friend at a party. Since we’d last seen each other my friend’s spouse had died. (I’m deliberately avoiding gendered pronouns and …

Read more…

How waste is directly harmful to patients

Will the accountable care organization (ACO) be a durable part of reform?

Jim Sabin, MD
Policy
October 25, 2010

Magic bullets come and go in the world of health policy, but the accountable care organization (ACO) is likely to be a durable reform. Except for group practices like Geisinger, Harvard Vanguard, Kaiser Permanente, systems like the VA, and local communities in which independent practitioners have established cooperative collaborations, health care has been grotesquely uncoordinated in the U.S. ACOs speak to that structural lesion.

Title III of the Patient Protection and …

Read more…

Will the accountable care organization (ACO) be a durable part of reform?

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  • Most Popular

  • Past Week

    • Expanding the SOAP framework boosts health outcomes

      Deepak Gupta, MD and Sarwan Kumar, MD | Physician
    • The handwashing standard nobody finished. Until now.

      Bernadette Burroughs, RN | Conditions
    • Your doctor saved your life but won’t return your call [PODCAST]

      The Podcast by KevinMD | Podcast
    • Primary care access is the real problem, not the system

      Payam Zamani, MD | Physician
    • How corporate medicine is eroding truth and patient dignity

      Ronald L. Lindsay, MD | Physician
    • Why bipolar II is not just a milder version of bipolar I

      Ethan Evans, MD | Conditions
  • Past 6 Months

    • I Googled my own name and a corporate clinic I’ve never worked at appeared [PODCAST]

      The Podcast by KevinMD | Podcast
    • Rethinking the role of family physicians vs. specialists

      Ronald L. Lindsay, MD | Physician
    • How corporate health care ruined the medical profession

      Edmond Cabbabe, MD | Physician
    • Clinicians are failing at value-based care because no one taught them the system [PODCAST]

      The Podcast by KevinMD | Podcast
    • When shared decision making gives way to medical paternalism

      DeAnna Pollock, MD | Physician
    • How xenotransplantation could finally solve organ shortages

      Rafael S. Garcia-Cortes, MD | Conditions
  • Recent Posts

    • International medical graduates need real protections

      Vasilii Khammad, MD, PhD | Physician
    • Why psychiatric medications often fail autistic patients

      Carrie Friedman, NP | Conditions
    • Missed claims filing deadlines threaten patient care

      Assinatha Mukantaganzwa | Finance
    • Point-of-care ultrasound transforms emergency medicine

      Joshua Guttman, MD | Physician
    • Health outcomes rely on more than just health care

      Jalene Jacob, MD, MBA | Physician
    • Medical malpractice risks persist even after saving a life

      Chinmeri Nwuba | Policy

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