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Commentary

Reform battle more about precedent than progress

Remember these times, folks. Without a doubt, the country is at a historic point when it comes to health reform. One way or another, it seems almost guaranteed that Congress is going to pass a... Read more...

Pharma price reforms are badly needed

Well, folks, it looks like we're on the verge of getting a parcel of health insurance reforms pushed through Congress. Health insurance reform isn't precisely health system reform, but it does... Read more...

Politics and public health clash in final reform debates

As anyone could have predicted, reform has resulted in some bitter battles over what the U.S. health system should become. Unfortunately, the interest groups involved aren't working from the same... Read more...

Hospitals' H1N1 response suggests deeper capacity for change

Generally speaking, I don't give hospital executives much of a break. In fact, I'm the sort of critic that castigates hospitals for their traditional, rigid management style and palpable resistance... Read more...

Insurance industry's last-minute attacks on reform just don't make sense

As everyone knows--and even those of you working in managed care would have to admit--the health insurance industry is about as crafty a lobby as you could imagine. Admittedly, getting your way... Read more...

Some H1N1 questions that still puzzle me

Not to sound ignorant, but as I read and write about the H1N1 virus, I find that there's lots and lots of questions that I can't seem to answer for myself. In fact, I'm not sure the healthcare... Read more...

MGMA 2009: Time to get your business moving

Today, another MGMA session was held in which an extremely sharp consultant explained how physicians could improve their practice operations, quality, turnover rates, patient satisfaction and... Read more...

MGMA 2009: Are practices giving up already?

Yes, I know that many practices are facing some of the worst financial pressures they've ever faced--and realistically they fear that things could get worse. Between their financial fears, and the... Read more...

MGMA 2009: A warning from the airline business

If you're in Denver to attend the MGMA annual conference, you almost certainly got crammed into a plane as one of a hundred-odd sardines. Why do airlines do this? Well, it seems pretty simple to... Read more...

H1N1 vaccinations: Professional obligation or personal choice?

To be honest, the following is a controversy I'd never have expected to see. Apparently, a subset of healthcare professionals have decided that they don't want to get an H1N1 flu shot. And we're not... Read more...

MGMA 2009: Facing down the reform question mark

This year at MGMA, practice managers and physicians are coming together at a very tense time--a time when, in theory, Congress may be fixing to stand the industry on its head. Medical groups are... Read more...

Giving women equal time: Your thoughts

Folks, as some of you already know, this week we published out "Nine Healthcare Bloggers Worth A Click" feature, which we're grateful to say has proven quite popular. Popular, that is, other than... Read more...

An elegy for health reform

Folks, watching good ideas come and go on The Hill, and feeling a bit despairing about the prospects for constructive change, I'm just about speechless. Instead of intellectual analysis, today I give... Read more...

Federal antitrust scrutiny for insurers: It's about time

Over the past several years, health insurance companies have done an extremely good job of merging and acquiring each other. That's so much the case that in some markets, there's only one or two... Read more...

The top 15 acute-care hospitals by gross-patient revenue

Of the 15 acute-care hospitals in the nation with the highest gross-patient revenue, only seven are located outside of the states of California and Pennsylvania. Only three of the 15 recorded a... Read more...