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Medical Care

2010 Potpourri XL

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Is there anything scary about health care? Yes if you have to pay for it! Nothing scary about our Potpourri, just soothing health care nuggets, covering alternative therapies for back pain, CBO’s view on the reform law, peer interaction to help manage diabetes, diabetes prevalence, Massachusetts physician information, accountable care organizations, bias in clinical trial results and the effects of the health law on employer provided insurance.

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2010 Potpourri XXXV

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The days are shortening and the light fades, but there is still enough to read our Potpourri, which this week includes two benefit consultants’ views on health care coverage costs for next year, hospice care at end-of-life, insurance premium hikes in Connecticut, Massachusetts health reform outcomes, and how patients’ characteristics affects doctors’ quality ratings.

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Virtual Hospital Wards

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A Commonwealth Foundation Brief describes a “virtual ward” model developed in Great Britain to minimize hospitalizations for chronic disease patients. Early results are encouraging and similar models are being tried in the United States.

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Emergency Room Use

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A study discusses trends in the use of emergency rooms. Medicaid beneficiaries are the vast majority of the increase in utilization, which may reflect poor access to primary care or inappropriate health care seeking behavior.

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2010 Potpourri XXX

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Another selection of medical delights, including a telemedicine study that didn’t show improved outcomes, a telemedicine study that demonstrated the value of teleaudiology, end-of-life care, physician quality measurement, hospital quality measurement, and telemedicine for CHF patients.

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Accountable Care Organizations

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A Health Affairs/Robert Wood Johnson Issue Brief examines the accountable care organization concept, particularly as embodied in the recent federal health legislation. While there may be potential, as ACOs are structured for Medicare there will be many challenges on the road to meeting expectations.

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