Summary Of The Cost Of Cutting

Financial incentives play a significant role in how care is provided. The North Ohio Heart Center was found to perform more angioplasties compared to the Cleveland Clinic performing bypass surgeries resulting in different incentive rates (McLaughlin & McLaughlin, 2015). These non-invasive procedures (angioplasties) generated highly profitable incomes for the physicians involved at the North Ohio Heart Center. The physicians perceived these procedures to be a safer option of treatment as opposed to drug treatment or bypass surgery. These decisions impacted patient care by causing more patient visits and more tests being performed generating a cumulative higher reimbursement. These incentives are moving us away from what is best for the patient. Robert Doherty, ACP senior vice president, stated, “we need to move away from the piecemeal approach: how many visits you can generate, how many tests

It was an unexpected change from most of the books I’ve had to read on medical history, where the author expects you to be an expert on the topic and terms presented. In The Man Who Touched his Own Heart, Dunn thoroughly explains the terms and discoveries in a simple and understandable way. Along with his easy to understand writing, he provides the reader with sources to research even more on the topic if its still not fully understood. It made it an interactive read that made sure you were caught up completely before moving on to the next discovery or the next topic. I found myself looking up the websites he listed multiple times, sometimes just because I wanted to learn even more on the topic presented. It definitely stretched out the time it took for me to finish the book, but I didn’t mind. I’ve never really found myself wanting to research or learn more about something I’ve read in a medical history book until I picked this one up, which was a surprising and enjoyable change. He also presented all of his information in a very entertaining way. It was more of a personal conversation with someone who really knew their heart history instead of a lecture from a professor on the history of the

The American Recovery and Reinvestmant Act, along with the Affordable Care Act, have mandated a change in the business of health care. Federal reimbursement is now based on prevention and patient outcomes. Our class web links to Centers for Medicare & Medicaid Services(CMS.gov) and Institute for Healthcare Improvement (ihi.org) have a wealth of information on how we are going to change our current health care delivery system. The president of Institute for Healthcare Improvement Pat Rutherford, has a video on how our system is going to change-It’s Art & Science. She explains that we need evidence based on research to provide the best medical care, and then customize care to each person’s values, preferences and needs. She explains that

Overall I thought this was an interesting film and I noticed that Medicalization took part when the doctors justify the unnecessary health care can cause more medical problems towards patients, such as the use of x-ray technology, which produces a great amount of radiation and can cause cancer. For instance, “The estimate is that tens of thousands of cancer deaths are being caused each year by medical radiation”, being that the issue of extreme exposure to radiation is not seen as a “traditional” medical illness, it is still framed as one since it causes people to get cancer. Another topic that ties in very well with Money and Medicine is The U.S. Health Care System, for example, “We make more money when we do an unplanned C-Section. We get basically screwed by the payment system, but patients come first,” the government has more authority over doctors which eventually impels them to provide poor treatment because of insufficient funds, this come to show how the issues with health interfere with the medical society and the affects it has towards the sub group of

Through the history of health care, the standard of care changed from protecting our patient from injury and illness to a systemic entity to make money for insurance companies. Access to services and clinical outcomes are dependent on what health insurance providers will “pay” for in a clinical or community setting; as a result, patient safety, care and satisfaction has been negatively impacted.

Another factor that has contributed to the over-utilization and increased treatment charges is the fact that providers set the prices for services. Patients were free to seek any type of healthcare services that they thought they required for their well-being, while providers set the costs for each service that was billed to indemnity insurance companies (Shi & Singh, 2015). Insurance companies had little control on the types of services that the patient received and prices billed for each service. The fee-for-service model encourages excessive and unwarranted procedures and offers no incentives to utilize economical services

Al). This includes the increase in dexterity, the restore of proper hand-eye coordination, and improvement of visualization (Meyers et al.). In Cameron Scott’s article from the Healthline News, “Is da Vinci Robotic Surgery a Revolution or a Ripoff?,” he states that robotic devices including the da Vinci surgical device succeeds well in urology and the removal of prostate. Prostate removal is extremely difficult for open surgery practice, however the da Vinci made is easier with about 90 percent of these kinds of surgeries are now done robotically (Scott). Some evidence even suggest that with robotics used in prostatectomy, there is less blood loss, faster recovery, and fewer internal scarring (Scott.). There are many other examples from hospitals and manufactures that support the uses of robotic surgery and its benefits. However, even though these new technologies of robotic devices are supposedly be helping patients and making surgeries less invasive, they are still many concerns of how they should be properly regulated.

Where there is transparency, there is good accountability thereby reducing government deficit. “Its past time to require transparency of cost and outcomes, so consumers can make informed choices about their care. As patient – consumers increasingly transition to high-deductible plans and other models that increase their cost exposure, they will demand more transparency and information for the choices they need to make. However, simply having some awareness that not every hospital is performing equally well and consumers should be making informed choices is an important first step towards a true market-based healthcare system”(Rita Numerof

Shannon Brownlee writes of the flaws of the medical field in her book Overtreated. Medicine is one of the largest businesses in the United States, we spend now trillions of dollars on the health care system and most of it is wasteful spending. Wasteful spending includes: unnecessary tests like MRI’s, over prescribing drugs, and many ineffective surgeries. Many of these surgeries are unnecessary and can lead to problems in the future that can lead to even more surgeries that could have been avoided. Brownlee believes that this overtreatment is what is essentially wrong with the health care system today. This has led to excessive spending and a debate between affordable health care and well paid salaries for doctors, whose salaries weren’t as high as they are known to be today.

Henderson, a well known transplant specialist. Dr. Henderson believes medicine in the United States has become a repetitive system of doctors who prescribe patients with similar symptoms generic prescriptions, whether it is surgery or just a medicine, instead of focusing on the individual patient’s needs. He believes the inflation of medical care costs are associated with doctors doing the same thing over and over again. I can personally relate to this because, in February of 2015, I was emitted into the hospital due to excruciating stomach pains. The doctors did not know what was wrong with me, but after I was in the emergency room for over 48 hours, they decided to take out my appendix. Before I went into the surgery, the surgeon reassured me and my parents by saying she has done this surgery hundreds of times, proving an appendectomy is a go-to surgery for stomach pain. The uncertainty of the success of the surgery resolving the problem worried me and my family. Luckily, the surgery did eliminate the preexisting pain. If it had not, however, my parents would have been out thousands of dollars that would go directly to the surgeon’s pockets. Socialized medicine would be able to resolve problems like this one by increasing the quality, safety, and outcomes of each procedure. Dr. Henderson uses the example of Scotland to explain how socialized medicine increased the quality, safety, and outcomes of each procedure. Compared to the United States, Scotland is a lot more advanced medically. The United States can get to Scotland’s level of healthcare by adopting a program of socialized medicine similar to

When giving an opportunity to share to the world the industry that you dedicate your life, energy, and passion that come with many hidden flaws, influence on the economic and medical decision behind the closed door of our healthcare system, do you write a book about it? Dr. Paul Ruggieri’s book “The Cost of Cutting,” discusses his personal experience as a surgeon between the struggles with the cost of surgery, quality of care, business influences on the surgical decision process and the reimbursements declining from hospitals/providers main sources of incomes. This book has allowed me to realize the truth about the business practice for surgery services as a student in the HIMS program.

Quality health care is an issue in America for everyone, despite our numerous tests and advances in technology. In his article, “Overkill,” Atul Gawande argues against a common assumption that our healthcare system is the best because of these medical advances. In fact, Gawande claims that our health care provides much unnecessary care that often causes harm and that costs a lot . He follows that claim by redefining “low-value care” as “no-value care” and provides considerable scientific data along with his own experience with his own patients to support his claim. He also states logical reasons by referring to expert authorities who critique our health care by viewing it from an economic perspective: like talking about information asymmetry where a doctor is more informed than the patient, thus the doctor has more power over the patient. All of these emphases strongly defend his controversial claim. But what stands out most is how Gawande uses several stories showing vastly different outcomes, depending on how informed the patient and doctor are including offering non invasive treatments. We need to explore how his unusual storytelling strategy exposes how surgeons and patients should care more about quality than the mere quantity of tests and what alternatives are available to change the unnecessary over testing and over-diagnosis which prevent good health care.

However, the quality of these services seems to need improvements as better services to patients and proper care for health will impact the revenue cycle and reimbursements. Obama-care supporters are making the false impression that new government rules would promote opposition, control costs, and advance the quality of health care delivered within Medicare. Believing that, implementing this method would concurrently regulate the growth of Medicare costs in a more rational fashion and close the gap of health care we currently have and the health we would have in our future. No matter what department is seeking insurance reimbursement, accurate documentation is required along with proper billing codes to receive timely reimbursement.

An issue in the medical world today is that expensive tests and procedures are being done unnecessarily. In his article “Overkill” Atul Gawande, surgeon at Brigham and Women’s Hospital, in Boston, and a professor in the department of health policy and management at Harvard School of Public Health argues that as someone in the medical profession he sees how unnecessary some medical procedures are. “The researchers called it “low-value care.” But, really, it was no-value care” (Gawande). Many people today are easily influenced by the power of the internet it’s as easy as googling a symptom and and coming up with a diagnosis and going into doctors offices and demanding a test or procedure, what these people don’t know is the cost of these tests

The real problem as pertains to the reimbursement of managed care organizations is that these managed care has had an effect on slowing the rates of growth concerning the costs of hospitals and specialist physicians. For both the hospitals and practitioners, the sources of revenue have been shifted with over 20 percent of the charges being paid from the pocket, others coming from third parties who demand for complex accounting of the charges, lack a pre-authorization process and they can review in a retrospective manner and deny the reimbursement (Furrow et al., 2013). The