Oct 16, Hans Duvefelt
People know the most powerful way to provide substance abuse treatment to patients is in a group setting, but having a group for families is proving extremely valuable as well. Group members share stories and insights, car rides and job leads, and they form a community that stays connected between sessions. There is magic in having these patients explain, to sometimes bewildered parents and family members, how the addicted and recovering mind works—not from having seen it a hundred times like the clinicians, but by actually having lived it.
Oct 15, Hayward Zwerling
It is almost universally true that the only time a patient is charged in excess of 3 times Medicare rates is when they are seen by a healthcare provider who is non-contracting or is an out-of-network provider. If healthcare providers and institutions were prohibited from setting their fee schedule in excess of 250% of Medicare’s fee schedule, it would ensure that an unexpected medical event does not result in an irrational medical bill, while not causing the vast majority of healthcare providers & institutions to experience a significant loss of income.
Oct 14, Kip Sullivan
In the final installment of his series, Kip Sullivan reviews the research cited by the Yale New Haven Health Services Corporation in their 2011 report to CMS, in which they recommended that CMS apply readmission penalties to all Medicare patients regardless of diagnosis and regardless of the patient’s interest in or ability to respond to the intervention. Should we wait for that happy day when research proves conclusively that readmission-penalty programs are harming patients before pulling the plug on them? The experiment has gone on long enough.