Posts Tagged ‘EHR’

Reducing the Cost of Health Care

The new administration in Washinton seems to think they have a magic wand and can just waive it around and everything will be fixed. Or perhaps they have a Benny Hinn complex and believe they can cure what ails you.

The truth is, they have no clue.

The WSJ is reporting right now that President Obama’s budget will set aside $634 billion over 10 years for health reform, through a combination of tax increases on the wealthy and cuts in health spending.

How do tax increases on the wealthy control the cost of health care?

Truth is, it does nothing.

And just what are “cuts in health spending”? Read the rest of this entry »

Revamping Health Care . . . Washington Style

It seems Obamaman will push ahead with a desire to revamp health care in America as part of his budget proposals. According to the Washington Post, the President wants to start with Medicare and Medicaid.

Making policy changes in those programs — such as rewarding physicians who computerize their medical records or paying doctors for results rather than procedures–could improve care while generating long-term savings, expert say.

Computerization, or converting to EHR (electronic health records) is something that has been discussed for 20 years or so. There are numerous problems, not the least of which is compatibility in software and database programs.

And as we know, the internet is not secure making PHI (personal health records) a potential nightmare.

Paying doctors for results instead of procedures is nice in theory but has no practical application in our society. Much of the testing is redundant as a precaution against future litigation. If the government tells a doc you will not be paid unless your service generates a positive result then the doctor is torn between getting paid and protecting against future suits.

And just who decides if the care is effective?

If the government decides the treatment did nothing favorable is the patient then given a clear path to sue the doctor?

This is a slippery slope from which there may be no good answers.

And what happens if, as we have seen with PeachCare, the number of providers willing to see Medicare/Medicaid patients erodes even further? If you are covered by either of these programs and cannot find a doctor willing to treat you, then what?

This is a real can of worms.