Category: Policy

Despite progress in cancer care, cost and equity challenges still must be addressed

As a physician who has spent his career taking care of people with HIV/AIDS, cancer and various blood disorders, this is an amazing time to be working in these overlapping fields of medicine. I began my training when roughly half the people diagnosed w…

An approach to prior authorization insurance denials

Patient access to care is a high priority for all neurosurgeons. Unfortunately, many of our practices are thwarted in these efforts from unwarranted insurance denials. Know, you are not alone. Take this common scenario: When Ms. Mary Smith (not the pat…

We need to change the way we talk about climate change

There was a point in my life when the words “climate change” would recall pictures of polar bears marooned on precarious chunks of ice, bobbing aimlessly in some foreign landscape of tundra and sea. While tragic, the environmental drama playing out at …

Stop shoving metrics down nurses’ throats

One time, I applied for an emergency department (ED) nurse manager position. I thought I had the job locked up until I was asked during the interview how I would “enforce metrics.” “Enforce.” My holistic, qualitative research-based response to this aut…

It’s time to study firearm morbidity and mortality as we do any other public health issue

Among modern industrialized nations, only the United States endures the current public health epidemic of firearm-assisted injury and death. In 2017, nearly 40,000 people were shot to death in the U.S., while proponents of the Second Amendment continue…

Is this cost-saving Medicare proposal doomed?

The Trump administration has proposed that insurance plans providing drug coverage to Medicare beneficiaries will no longer be forced to cover six hitherto “protected” drug classes. The classes — which include drugs for psychiatric conditio…

To do population health right, think about individuals

How do we change the way we think about taking care of patients, particularly when it comes to not the individual patient sitting in front of us, but a whole population of patients just like them (or somewhat like them)? In our practice, we have been s…

5 anomalies about compensation physicians should know about

The term “physician compensation” could be among the top phrases in health care this year. Though it’s always been a hot topic, it got hotter when the Trump administration announced a proposal that would affect nearly 40 percent of Medicare payments. T…

3 unexpected skills to reduce medical error

This article is sponsored by Careers by KevinMD.com. To err is human, and in the health care arena, avoiding errors is crucial. Efforts to address communication-related or “soft skill” failures have been ongoing since about 20 years ago when the Instit…

How religious exemptions will affect Medicaid managed care

In the United States, 25 million adult women are insured by their state Medicaid program. Medicaid covers 60 percent of all births in the United States as per federal law, and states must cover all pregnancy-related services for pregnant women with inc…