Extraordinary study in JAMA IM confirms what many of us have warned against: "pay-for-performance" incentives in medicine reward "teaching to the test" with potentially harmful results
In this quasi-experimental study, incentivizing doctors to control blood pressure (BP)...
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Nearly $27,000 a year for family health insurance premiums, up from $6,000 in 1999.
And that’s before deductibles, copays, and surprise bills.
The system is fundamentally broken.
The Knicks have a +271 point differential in 14 games this postseason. That is the highest scoring margin by any team entering the NBA Finals and the highest in a 14-game playoff span all-time.
The Knicks haven’t lost a game in which their starters played by more than one point since March 31.
The Finals start on June 3. The Knicks are going to go through all of April and all of May without a multi-point loss.
Absolutely! I can picture micro hospitals and centers of excellence, run by highly qualified American DRs. Rheumatolgy specialty center, specialty hospitals for rare diseases, robotic surgery centers, cardiac centers of excellence. deregulate and watch American innovation blossom
This is amazing stuff, beating drug administration because it's permanent, and it only gets better from here.
We are going to get so healthy, so fast. Our grandkids are going to hear about heart attacks and have never actually seen one.
Source: https://t.co/Zt0ApIGoxr
Eli Lilly has done it.
They've gone and made what seems to be a powerful, permanent gene therapy for LDL cholesterol.
That means they'll be able to effectively prevent most heart disease with a single infusion!
Arkansas having the second-most Quad 1 wins per RPI and being ranked 21st by the same metric, and not hosting, is yet-another example of why RPI should be thrown out. (Razorbacks should have hosted due to being 13 in KPI and DSR, anyway).
@RepGregMurphy Congressman, this is a completely flawed take. You cannot possibly screen this out. Rather, we must create an environment where physicians actually WANT to keep practicing medicine. Obviously, the system is totally broken. You can be a part of fixing the latter…
The #CMA Awards are a joke for the album of the year award. I love Parker McCollum but Morgan Wallen put out one of the best selling albums this past year and you gave him a token nomination.
🚨 Fellow Surgeons:
🔪
Next time a patient asks when they can get back to strenuous activity after surgery…
Remember @JoelEmbiid playing NBA playoff basketball 17 days after emergency appendectomy.
🏀
Individual healing varies wildly but conventional wisdom is probably way too conservative.
My take: Patients can probably tell when they feel up to getting back to living (better than we can).
* I get that not all surgeries are created equal. Appendectomy is a low stakes operation, no complex vascular work, no anastomosis of any kind, etc etc.
Dr Oliverson is completely right
In 1998, the Medicare conversion factor was $36.69 for physicians. In 2025, just with inflationary updates, that number would be $72.61. It was $32.35.
The AMA graph shows that hospitals are roughly at consumer inflation
What isn’t accounted for is additional facility fees that hospitals make when physicians are employed in their facilities. Those numbers are 3x what a physician makes under Medicare and even greater under private health insurance.
@IndeMedAction
Hey employed docs. We have been sounding this alarm here for years. This is the classic bait and switch. It’s a strategy to hook you. The AHA, ACA and CMS have driven private practice pay down so low they are forcing doctors into employment. Private practice as @DutchRojas and @FixnBones have said for years was always the check for FMV on physician salaries. As more docs become employed the hospital employers can even more power and will use it to race to the bottom on salaries. We also said it will then create an over competition for these employed jobs and we will be right back to where we were 30+yrs ago when INS networks became a thing and everyone kept racing to undercut their colleagues by accepting less. Of course the law made it illegal for doctors to discuss these fees or risk “collusion”. Well executed plan.