Unnecessary tests = unnecessary expense
This is a follow up to my last post about the dangers of too much medical care.
One of the biggest doors leading to an overabundance of healthcare and healthcare costs is the annual exam and all the “routine” lab work that is ordered almost without thought.
Doctors’ offices strive to be efficient. They have a lot of patients to see every day, after all.
One way they streamline their practices is to set up routine or “standing” orders for common lab tests, such as an electrocardiogram (EKG), complete blood count (CBC), urinalysis (UA), … Continue reading
What are PSAPs?
PSAP stands for Personal Sound Amplification Product.
They are available at Target or Walmart or Amazon for a fraction of the price of a traditional physician-prescribed hearing aid.
BUT…they can’t actually be called hearing aids and they can’t be marketed as a treatment for hearing loss. That’s because they are currently not regulated as medical devices by the Food and Drug Administration (FDA).
The FDA will only allow them to be sold as sound “amplifiers” to help with recreational activities, such as hunting, bird watching or eavesdropping 😉
Not being hard of hearing … Continue reading
What is deprescribing?
As an advocate for less medicine and better health, I love the latest healthcare trend of “deprescribing,” or cutting down the number of prescription drugs a patient is taking.
Dr. Aaron Carroll of Healthcare Triage explains the importance of deprescribing in this video:
Polypharmacy—taking multiple prescription drugs—has become much more common over the last couple of decades. There are more drugs than ever on the market, and the drug companies are spending billions of dollars to make sure we know all about them.
Related post: Bohemian Polypharmacy
The elderly are especially … Continue reading
Just last week, the Food and Drug Administration (FDA) approved a new epinephrine auto-injector, Symjepi.
I don’t much like the name, but if it’s cheaper…!
I’ve posted several times about the skyrocketing cost of EpiPens—over 500% in the last 10 years.
Anyone who, like me, has been shocked at the pharmacy to discover how much a two-pack of EpiPens costs will be hoping Symjepi will be more affordable.
It won’t be available on the market until later this year, so I don’t know yet how much it will cost. But Adamis Pharmceuticals, the company that makes Symjepi, … Continue reading
My peek into the future
Health insurance companies in my state finally submitted their requests for 2018 rate hikes.
Usually I can look up this info online by mid-May, but all the partisan and intra-party bickering over the future of healthcare in this country has left insurance companies scratching their figurative heads over how to price next year’s policies.
I remember a time when I never gave my health insurance much thought. Like my car or home insurance, it didn’t change much year to year, and was simply there when I needed it.
But for the last ten years or … Continue reading
My guest post today is from Matthew Bahr, a healthcare finance specialist.
I’ve posted about surprise medical bills before. Sadly, they are becoming more common as healthcare costs continue to rise and provider networks shrink.
Consumer Reports estimates about one third of patients with health insurance receive these unexpectedly high medical bills.
Thank you, Matthew, for sharing your tips and expertise with my readers! FN
Although we know healthcare costs a lot of money, it still stings when we see that bill.
You might think because you’re insured, your insurance will cover most or many of the costs. But … Continue reading
“Trying to make medicine great again”
I’ve been a fan of Zubin Damania, MD—aka ZDoggMD—for several years. A hospitalist physician based in Las Vegas, he began by making entertaining parody videos on a variety of healthcare topics: end-of-life, the opioid epidemic, electronic health records (EHR), sepsis, sleep apnea, and more.
Now he has expanded his social media footprint in an attempt to rally healthcare professionals behind Healthcare 3.0.
As he explains in the video, Healthcare 1.0 was the old doctor-patient relationship—”Doctor knows best” and all that (I still know doctors and nurses who … Continue reading
“An American Sickness”
I love Elisabeth Rosenthal’s work.
She’s a medical journalist (an MD, but no longer practicing) who wrote a brilliant series of articles on the high cost of healthcare for the New York Times a few years ago.
Now she has a book on the same topic. Because, of course, our healthcare system with its punishing costs for services, drugs and insurance has not improved. If anything, it’s worse.
As a physician, Dr. Rosenthal has experienced first hand the perverse incentives—illness being more profitable than health, after all—and lack of price transparency in our healthcare system. Her book … Continue reading
A hospital puts profits over patient safety
First do no harm.
That’s part of every medical school graduate’s oath. It should be the motto of anyone working in healthcare.
But I just read a disheartening piece of investigative journalism in my local newspaper, the Seattle Times, about a hospital where I trained, worked, and received care. The story highlights how the perverse financial incentives in healthcare (do more, get paid more) undermine patient care and safety.
…the aggressive pursuit of more patients, more surgeries and more dollars has undermined Providence’s values — rooted in the nonprofit’s founding as a
… Continue reading
More tests = more money
Anyone who has read my blog over the years knows this is a subject I come back to again and again: the overuse of screening and diagnostic tests.
It’s a problem in our healthcare system for a couple of reasons.
First, the majority of healthcare providers are paid based on volume. In other words, the more patients they see, the more tests they run, the more surgeries they perform, then the more they get paid. It doesn’t matter if the outcome is poor, because they still get paid. In fact, they make even more money … Continue reading