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Articles by Brian W. Powers
Private Equity and Health Care Delivery-Reply
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Nonemergency Medical Transportation: Delivering Care in the Era of Lyft and Uber
Reforms under the Affordable Care Act have reduced barriers to health care access by expanding insurance coverage to millions of individuals living in the United States. With primary barriers to access removed, secondary barriers, particularly related to transportation, have become increasingly important.
The De-adoption of Low-Value Health Care-Reply
In Reply We agree with Dr Donzelli that reforming health care payment is an essential step in reducing the delivery of low-value services. This is core to our argument around the economic forces that guide the de-adoption of low-value care.1 Within this realm of economic levers, Donzelli makes an important distinction between pay-for-performance and pay-for-health models, noting some inconsistent results from the former.
Ending the Cycle of Blame in US Health Care
Despite unparalleled financial and human capital investments, the quality, safety, and value of US health care remain suboptimal.1 There is general agreement on the scope and implications of these trends, but far less consensus on the fundamental drivers of health system underperformance. The disconnect stems from the fundamental difficulty in identifying the causes behind complex policy problems.
De-adopting Low-Value Care: Evidence, Eminence, and Economics
Viewpoint October 2, 2020 JAMA. 2020;324(16):1603-1604. doi:10.1001/jama.2020.17534 Viewpoint Producing Evidence to Reduce Low-Value Care David H. Howard, PhD; Cary P. Gross, MD Viewpoint Adding Cost-effectiveness to the Definition of Low-Value Care Ankur Pandya, PhD Viewpoint Hospice Carve-In—Aligning Benefits With Patient and Family Needs William H. Shrank, MD, MSHS; Kristin Russell, MD, MBA; Ezekiel J.
Private Equity and Health Care Delivery
Private equity investments in health care delivery have increased substantially during the past decade, a trend that has raised concern among some researchers and policy makers.1-3 Critics are concerned that the financial incentives inherent in private equity ownership (ie, to substantially increase financial performance during a relatively short period) may lead to decisions and practices that are at odds with the best interests of patients and physicians.
4 Cases That Will Shape Clickwrap Litigation In 2020
Law360 (January 21, 2020, 3:40 PM EST) -- 2019 was a banner year in clickwrap, or clickthrough, litigation. Numerous companies from a variety of industries faced the uphill battle of enforcing their online terms in court. And with an overall win rate of 70%, many of these companies brought their A-game to the field. Below, we’ve listed the top four cases of 2019. These cases aren’t the top because of popularity, or even because of the businesses involved.
Primary Care Payment Model and Telemedicine Use for Medicare Advantage During the COVID-19 Pandemic
Introduction Patterns of outpatient care shifted dramatically during the early stages of the COVID-19 pandemic,1 with deferred in-person care leading to substantial revenue losses for primary care organizations.2 This shift created a strong financial incentive to move visits to telemedicine, especially among organizations reimbursed under fee-for-service payment models.
The Power of Embedded Critics
Health care is in a period of fundamental transformation, with reform activities coming from every sector: politicians and government officials; consumers; industry; payers; and the health professions. What is the role of physicians in shaping this transformation? Arguments for physician engagement typically follow a narrow dialogue. Within our profession, physicians champion self-regulation over external control.
Underground Movement
Somewhere west of Lexington on a wooded Kentucky hillside, Scott Clark sweeps his metal detector through the undergrowth in measured, graceful arcs, listening intently to the cacophony of tones that emanate from his equipment. A change in the pitch – one that would be barely noticeable to a layman such as myself – piques his interest, and Clark pulls back a step to concentrate the detector over a smaller swath, switching its console to “pinpoint” mode.
CareMore Health System
Case | HBS Case Collection | September 2017 (Revised December 2017) Intermountain Healthcare: Pursuing Precision Medicine Richard G. Hamermesh, Kathy E. Giusti, Robert S. Huckman and Julia Kelley Headquartered in Salt Lake City, Intermountain Healthcare operates 23 hospitals and hundreds of clinics in Utah and Idaho and provides insurance to approximately 850,000 patients through its insurance arm, SelectHealth.
Law Journal Newsletters
Signing, dating and keeping a record of a paper contract are standard practice ' but what about those that are native to websites, mobile apps and other digital platforms, and use such language as "Terms of Use," "Terms of Service," "Privacy Policies" and disclaimers? How do you track who is agreeing to what and when they agreed?
Estimating 1-Year Mortality for High-Risk Primary Care Patients Using the “Surprise” Question
Research Letter December 2016 JAMA Intern Med. 2016;176(12):1863-1865.
Medical education’s authenticity problem
Why we do what we do, and who we are, are often just as important as what we do Medical education is punctuated by gating mechanisms, and anyone involved knows the unsavoury and contrived behaviors that this often breeds. At each stage of their training, aspiring physicians are pressured to shape and reshape their activities, interests, and values to meet the expectations of selection committees, attending physicians, and preceptors.
Iowa resident starts cricket farming for human consumption - HeraldCourier.com: News
We sell Bristol homes in greater numbers than any other real estate company. You won't find an office with more knowledge of the market and more attention to detail. Client needs and wants are foremost in our thinking. So if you plan to buy or sell, anywhere in the Tri-Cities or Abingdon, you have come to the right place. Begin your search by clicking on either MLS site, view and contact an agent, or send us an email. We will be in touch.
Why Authentic Human Translation Is Still Essential for Localizing Software
Some time in this century there is a good chance that we will witness a phenomenon called “technological singularity”. This marks the moment in which artificial intelligence – you know, robots and stuff – will meet and then surpass human intelligence and lead to a potential “run-away effect” in which super-intelligent AI will either biologically enhance us in unfathomable ways, become a boundless source of information and miraculous change, or destroy us completely in a fiery inferno.
At lottery-fixing trial, prosecutor wants Bigfoot kept out - Appeal-Democrat: AP Strange News
IOWA CITY, Iowa (AP) — Three friends involved in buying tickets and claiming jackpots that were allegedly fixed by a state lottery insider have something else unusual in common, prosecutors say: They hunt for Bigfoot in their spare time. In a legal motion that is as strange as the elusive humanoid, Iowa prosecutor Rob Sand asked a judge Monday to bar any discussion of Bigfoot hunting at the upcoming trial of Eddie Tipton, the lottery official accused of fixing multiple jackpots.
At lottery-fixing trial, prosecutor wants Bigfoot kept out - HeraldCourier.com: News
IOWA CITY, Iowa (AP) — Three friends involved in buying tickets and claiming jackpots that were allegedly fixed by a state lottery insider have something else unusual in common, prosecutors say: They hunt for Bigfoot in their spare time. In a legal motion that is as strange as the elusive humanoid, Iowa prosecutor Rob Sand asked a judge Monday to bar any discussion of Bigfoot hunting at the upcoming trial of Eddie Tipton, the lottery official accused of fixing multiple jackpots.
At lottery-fixing trial, prosecutor wants Bigfoot kept out - Waynesboro News Virginian: Wire
IOWA CITY, Iowa (AP) — Three friends involved in buying tickets and claiming jackpots that were allegedly fixed by a state lottery insider have something else unusual in common, prosecutors say: They hunt for Bigfoot in their spare time. In a legal motion that is as strange as the elusive humanoid, Iowa prosecutor Rob Sand asked a judge Monday to bar any discussion of Bigfoot hunting at the upcoming trial of Eddie Tipton, the lottery official accused of fixing multiple jackpots.
At lottery-fixing trial, prosecutor wants Bigfoot kept out - Greensboro News & Record: Nation / World
IOWA CITY, Iowa (AP) — Three friends involved in buying tickets and claiming jackpots that were allegedly fixed by a state lottery insider have something else unusual in common, prosecutors say: They hunt for Bigfoot in their spare time. In a legal motion that is as strange as the elusive humanoid, Iowa prosecutor Rob Sand asked a judge Monday to bar any discussion of Bigfoot hunting at the upcoming trial of Eddie Tipton, the lottery official accused of fixing multiple jackpots.
Prosecutor: Lottery industry insider fixed 2 Kansas jackpots - HeraldCourier.com: News
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Optimizing High-Risk Care Management
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
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