ALSO NOTED: Trends in ER design;Wal-Mart memo draws fire; and much more...

> An internal Wal-Mart memo obtained by The New York Times reveals details of the company's master plan to keep healthcare expenses down.. and the wonkosphere explodes. Article

> David Williams of MedPharma Partners examines the move toward benefit-based co-pays. Under the BBC strategy, the more beneficial the drug, the lower the co-pay. In rare situations, patients are paid to take medications. Blog

> A Napster for PACS? Blog

> Are we at a tipping point for health reform? Article

> UCLA Medical Center launched a pilot program to test wireless PDA and smartphone technology developed by Global Care Quest. Release

> Sen. Ted Kennedy (D-MA), a sponsor of legislation designed to encourage EMR adoption, told a forum sponsored by BCBS of Massachusetts that the government needs to help pay for the technology. Article

> InterSystems said Partners Health Care System has gone live with a Enterprise Master Patient Index built on the company's CACHE database. Release

> CHRISTUS Health says its will use wireless technology developed by PatientKeeper to provide mobile applications for physicians at its 40 hospitals. Release

> The New York Times examines trends in hospital design partly inspired by HIPAA rules that place a premium on patient privacy, particularly in emergency rooms. Curtains are replaced by solid walls. Registration takes place in a private room. Article

And Finally... EMR use by doctors soars in Ireland. Report