Lack of physician peer review

The Running a Hospital blog notes that a physician peer review system is absent in most hospitals.  Physicians are only critiqued when something goes wrong.  However, this need not be the case. “Our Chief of Neurology, Clif Saper, originated a thoughtful practice… The doctors in his department do randomly assigned reviews of the case notes…

How do the Amish pay for medical care?

There is an interesting article a few weeks back in the Wall Street Journal (“Opting Out“) which describes the plight of Amish and Old Order Mennonites who refuse to buy health insurance. Further, since these groups also refuse to participate in Medicaid government assistance will not bail them out either. Nevertheless, these societies do have…

Congress Pushes Curbs on Doctor-Owned Hospitals

The N.Y. Times reports (“Concerned about costs…“) that Congress is trying to impose new restrictions on physician-owned, for-profit hospitals. The legislators fear that these hospitals 1) drive up costs and 2) provide poor quality. Legislators worry that when physicians own the hospital, they may have more of an incentive to order more procedures to increase…