Category: Hospital-Based Medicine

The burden of prior authorizations and denials in health care

Prior authorization — a utilization management (UM) process used by health insurance companies to determine coverage for a prescribed procedure, service, or medication — is now becoming a mandatory requirement by the vast majority of large insurance co…

The burden of prior authorizations and denials in health care

Prior authorization — a utilization management (UM) process used by health insurance companies to determine coverage for a prescribed procedure, service, or medication — is now becoming a mandatory requirement by the vast majority of large insurance co…

How to KonMari your academic life

On the first day of 2019, the reality show Tidying Up debuted. The show features tidying expert Marie Kondo and is based on her international best-seller, The Life-Changing Magic of Tidying Up. The 200-page manifesto details her approach to declutterin…

The scents in the hospital are from diseases you’ll never forget

There’s a pivotal scene in the 2007 Pixar movie Ratatouille, in which the restaurant critic Anton Ego takes a first bite of the movie’s titular food. He is then whisked back to a moment in his childhood, during which his mom provides love a…

Seeking mastery in medicine

A guest column by the American College of Physicians, exclusive to KevinMD.com. Regardless of specialty, medical practice is challenging in today’s health care landscape. Increasing demands related to workload and job inefficiencies, an ever-increasing…

The tension between hospital administrators and medical residents

One of the least motivating requests I received routinely as a new intern was something like, “… and can we make sure this is a discharge before noon?” I recall a particularly eager nursing manager surveying the resident teams on her unit to gauge our …

Is there a link between readmission and a hospital’s non-profit status?

It was the middle of winter in downtown Chicago in 1995, and I was sitting across from an apologetic alcoholic holding a slimy NG tube. Mr. Smith, an emaciated man in his sixties, had been on my service for three days with acute pancreatitis, and this …

There’s no place like labor and delivery for the holidays

It’s that time of year when the weather outside is growing colder, the evenings seem to kick off way too early in the day, and the decorations around town remind all of us all of the fast-approaching holiday season. But for many of us obstetricians, th…

Can rural health care be saved?

There are many disparities in health care. Black mothers have a much higher rate of maternal death than do white women. All women are less likely to get guideline-advised cardiac care than do men. Among the many such examples, perhaps the hardest dispa…

The unintended consequences of #MeToo in medical education

Harvard Medical School student Chloe Li typically dressed in scrubs or an efficient, professional outfit as she went about learning to care for patients in the intense, year-long clerkship program where I teach. For her capstone presentation on graduat…