By  | November 12, 2018 |  0
I do not loathe him, actually. As you might have heard, Atul Gawande will be running the big health concern comprised of Amazon, JP Morgan, and Berkshire Hathaway. How in heavens name he was able to pump out another tome in The New Yorker, a sharp one at that, boggles my mind. If you do not […]
By  | November 5, 2018 |  1
Suppose I told you one of your patients: –Didn’t vote in the last five elections –Bought a 24 pack of Snickers bars and 12 pack of Cheetos on Amazon every three months –Participates in a  Burger King Whopper loyalty discount program –Owns a Harley Davidson What conclusions would you draw as they relate to future […]
By  | September 10, 2018 |  1
I am going to teach you something you do not know. I am almost sure of it. Warm handoffs–a term you often hear within the confines of hospital walls when transferring a patient service to service or ward to ward. You do it in-house, but its unlikely you make the same connection when you discharge […]
By  | May 1, 2018 |  0
Prices from a chargemaster are “what a drunken billionaire would pay a hospital if his wife were not around to control the bastard.” — Uwe Reinhardt You might be asking why such an outlandish quote? Last week CMS proposed* to change the way patients see the costs of hospital bills.  So what you might utter. […]
By  | February 1, 2018 |  0
By: Win Whitcomb, MD, MHM Hospitalist groups have been among the highest volume participants in Medicare’s Bundled Payments for Care Improvement (BPCI) demonstration project, initiating almost 200,000 episodes representing over $4.7B in spending since the model began1. On January 9, the Centers for Medicare and Medicaid Services (CMS) announced BPCI’s follow-on model, ‘BPCI Advanced’,2 which starts […]
By  | August 9, 2017 |  2
For several decades, providers working within hospitals have had incentives to reduce stay durations and keep patient flow tip-top. DRG-based and capitated payments expedited that shift. Accompanying the change, physicians became more aware of the potential repercussions of sicker and quicker discharges. They began to monitor their care and as best as possible, use what measures […]