Tag: Hospitals

Your Kaiser Permanente Doctor Will See You Now—At Target »

I am a pretty severe critic of hospitals. Nevertheless, I like innovation wherever we find it happening, and it is happening in some large systems: In a move that reflects the increasing wave of consumer-driven healthcare, Target Corporation is teaming up with Kaiser Permanente to open four in-store Target Clinics in Southern California, taking...
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92 Percent of Nurses Are Dissatisfied with Electronic Health Records »

Although we have discussed their dissatisfaction with electronic health records, hospitals and physicians are not the only victims of the federal government’s $30 billion adventure in underwriting poor IT investments. Nurses are almost uniformly disappointed in EHRs, according to a new survey by Black Book Market Research: Dissatisfaction with inpatient electronic health record systems...
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Is Medicaid-Associated Overuse of Emergency Departments Just a Surge? »

Research from the UCLA Center for Health Policy Research suggests that rising Medicaid dependency does not result in a secular increase in use of hospitals’ emergency departments. Rather, the jump in ED use is just pent-up demand being satisfied, and drops off. This is the conclusion of a study that examined ED visits by...
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The Case for Drugstore Clinics »

In The Atlantic, Richard Gunderman, MD, PhD, has delivered “The Case Against Drugstore Clinics.” It is a weak case. Let’s take his strongest argument first: A woman with a sore throat went to a retail clinic and received a prescription for antibiotics. After a few days, she hadn’t gotten better, so she went to...
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Hospital Administrative Costs Are Highest in the United States »

The Commonwealth Fund has sponsored yet another study that concludes that the U.S. health system is less efficient than others. This time, the measurement is specifically hospitals’ administrative costs. As always, it recommends single-payer, government monopoly as the solution. Readers of this blog know that I am not about to defend hospitals’ bloated administrative costs....
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Obamacare Might Have Enrolled Only 2.3 Million; Spent $73 Billion to Save Less Than $6 Billion in Uncompensated Care »

According to the latest report from the U.S. Department of Health & Human Services (HHS), it looks like the number of people who bought subsidized private insurance on Obamacare’s exchanges is only 2.3 million: “Based on an estimated 10.3 million decrease in the total number of uninsured and an estimated 8 million increase in the number...
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More Evidence That Medicaid Expansion Increases Emergency Department Use »

The evidence that Medicaid expansion increases use of hospitals’ emergency departments is coming fast and thick. Hospital executives are longer afraid to admit it, and have given up the pretense that Medicaid increases timely, quality, primary care. Here’s one data point from Fort Smith, Arkansas: Almost a year after the first health insurance enrollment...
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Hospitals Are Cutting Charity Care and Using Emergency Rooms More »

Hospitals, inveterate lobbyists for Obamacare, have responded rationally to its incentives: They have increased use of their emergency departments, and cut charity care. On Tuesday, NPR had a feature on hospitals’ using online services to allow frequent flyers to book appointments with emergency departments: Three times in one week, 34-year-old Michael Granillo returned to the emergency...
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A Very Weak Case for Hospital Mergers »

One consequence of Obamacare is hich can reduce competition and increase prices. Writing in the Wall Street Journal, Dr. Kenneth L. Davis, MD, CEO and President of Mount Sinai Health System in New York City, puts forward a number of claims in favor of hospital consolidation. Each assertion is weak, making an unconvincing argument overall. First, Dr....
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After $26 Billion Paid Out, Meaningful Use of Electronic Health Records Only 4 Percent of Target »

At a September 3 meeting of the Obama administration’s Health IT Policy Committee, officials disclosed that only 3,154 eligible professionals (doctors, dentists, et cetera) had “attested” to so-called “meaningful use stage 2″ to get their bounties from the federal government for installing electronic health records. Only 143 hospitals had attested. One healthcare leader, who was at the meeting,...
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