MediFormatica’s Post

Bridging the gap between HCPs and researchers is crucial for leveraging collective expertise and insights. Collaboration facilitates the exchange of knowledge, resources, and best practices, leading to informed decision-making and improved patient care. Paid medical surveys are key to this collaboration, providing a platform for direct communication. The benefits are significant: HCPs can influence impactful research, inform healthcare policies, and stay updated with advancements. Financial incentives offer supplementary income and recognition. For researchers, insights from HCPs enhance decision-making, improve research outcomes, and drive healthcare innovation. To know more, read our blog: https://bit.ly/4bDR1fS . . . #medical #hcp #healthcare #health #hcps #physician #doctor #healthcareresearch #medicalresearch #hcpcommunity #surveys #medicalsurveys #HealthcareProfessionals #Physiciansurveys #LOI #honoraria #MedicalResearch #HCP #Doctors #MedicalSurveys #PaidSurveys #ResearchCollaboration #PatientCare #HealthInnovation #MedicalInsights #MedicalCommunity #HealthcareResearch #MedicalAdvancements #ClinicalResearch #MedicalField #HealthcareIndustry #MedicalContributions

The disease: PE/VC/Hospital systems owning physicians - replacing us with AHP's. The cure? Train the next generation about the business of medicine - pipeline needs to be developed. Reduce the financial burden of student loans - reduce overhead - med mal premiums driven by out of control rewards (I said rewards- 1/3 to attorneys) - keep our reimbursements at pace with cost of living increases. Our reimbursements tend to be flat if not declining with increased burden of Insurance companies prior auth, denials, reclamations, claw backs is another term. The burnout of physicians can be directly correlated with advent of EMR, RVU's and the wholesale employment of physicians, the demoralization and disrespect of physicians. Who do we blame? Should be ourselves. The profession was given away - as much as it was taken - but it was with the permission of those that came before us - driven by their own greed. Time to fight back. For our patients and ourselves. Join the IPA (self-serving I know, but is it really?)

Jared Dashevsky, MD (healthcarehuddle.com) today's email - "Reviving Private Practice". Great title. Is it possible to turn this Titanic around? Restore the physician-patient relationship? The ideal of personalized (these days "precision" care - while recognizing the importance of population trends? community health? Forest from the Trees? Excerpt of Dr. Dashevsky's email: (go to Huddle+ to read whole article) " First, Some History of Physician Employment In the early 20th century, physicians commonly operated solo practices, forming deep personal connections with their patients. These small, independent offices were the cornerstone of healthcare, where doctors intimately knew each patient’s history. Home visits were a significant part of care delivery—physicians often visited patients in their homes, carrying a satchel of exam tools and medications. This personalized approach allowed them to evaluate and treat patients in the comfort of their own homes, fostering a strong doctor-patient relationship. Fast-forward to the 1970s and 80s, when we saw the rise of Health Maintenance Organizations (HMOs). HMOs introduced a more organized and preventative approach to healthcare, with an emphasis on cost control and efficiency. This period marked the beginning of a trend in which physicians started joining group practices and larger healthcare organizations. We then arrive at the 1990s and 2000s, when we see the emergence of Physician Practice Management Companies (PPMs or PPMCs), which played a role similar to that of private equity firms today. These companies acquired and managed multiple physician practices, offering administrative support and economies of scale. While this allowed physicians to focus more on patient care, it also marked a step towards the corporatization of medical practice. Around the same time in the 1990s and early 2000s, hospital employment became a prominent trend, with many physicians opting to become employees of larger health systems. This move was driven by the allure of stable salaries, benefits, and improved work-life balance. Hospital and corporate physician employment is approaching 80%, increasing by 25% between January 2019 and January 2024. Breaking it down further, 55% of physicians were employed by hospitals or health systems in January 2024, up approximately 20% from January 2019. Similarly, around 23% of physicians were employed by a corporate entity in January 2024, marking a nearly 50% increase from January 2019. Yes, you read that right—50%” https://lnkd.in/eySGpYuY

Interesting article on the dilemma of corporate medicine from 35 years ago. Many of the concerns have come to fruition and escalated. https://lnkd.in/gvBxADnf The futures of physicians: agency and autonomy reconsidered J W Salmon 1, W White, J Feinglass Affiliations expand PMID: 2291221 DOI: 10.1007/BF00489817 Abstract The corporatization of U.S. health care has directed cost containment efforts toward scrutinizing the clinical decisions of physicians. This stimulated a variety of new utilization management interventions, particularly in hospital and managed care settings. Recent changes in fee-for-service medicine and physicians' traditional agency relationships with patients, purchasers, and insurers are examined here. New information systems monitoring of physician ordering behavior has already begun to impact on physician autonomy and the relationship of physicians to provider organizations in both for-profit and 'not-for-profit' sectors. As managed care practice settings proliferate, serious ethical questions will be raised about agency relationships with patients. This article examines health system dynamics altering the historical agency relationship between the physician and patient and eroding the tradiational autonomy of the medical profession in the United States. The corporatization of medicine and the accompanying information systems monitoring of physician productivity is seen to account of such change, now posing serious ethical dilemmas.

Having spent the majority of my career on the technology side of healthcare, there is no doubt in my mind about the power of technology in increasing the quality of healthcare through improved patient outcomes. The accelerating advancements in areas such as AI, genomics, personalized healthcare, telehealth, digital interoperability, and robotics will continue to drive significant improvements in predictive and preventive care, early detection, more accurate interventions, and reductions in costly and resource-intensive care for catastrophic medical events. While technology will play its part in reducing hospitalizations and demand for acute care, it is also contributing to escalating costs via “technology overkill.” It is high time all stakeholders within healthcare prioritize collaboration on addressing the ticking time bomb of physician and healthcare practitioner shortages, in order to sustain healthcare quality and access for Americans.  Providers, payers, legislators, medical educators, and technology manufacturers need to urgently and boldly discuss solutions to the issues behind the looming shortage, such as those outlined in this interesting article: #Healthcare #HealthcareLeadership #Healthcaretechnology #HealthcareExcellence #HealthcareInnovation #healthcarecrisis #healthcarerevolution #healthinfluencers #PatientCareExcellence #futureofmedicine #ushealthcare #healthcareprovider #hospitals #physicians #Healthtech #Payer #HealthcareMarketing #MedicalDevices #HigherEducation #Healthcareprovider

ePrescribing in the US: How Are Non-Physician Prescribers Improving Care — Faces of digital health - Faces of Digital Health #ePrescribing in the US: How Are Non-Physician Prescribers Improving Care? #Introduction This blog post explores the role of non-physician prescribers in improving care through ePrescribing in the United States. #The Rise of Non-Physician Prescribers Non-physician prescribers, such as nurse practitioners and physician assistants, are increasingly taking on the responsibility of prescribing medications to patients. #Benefits of Non-Physician Prescribers Non-physician prescribers bring several benefits to the healthcare system, including increased access to care, improved patient outcomes, and cost savings. #ePrescribing and Non-Physician Prescribers ePrescribing, or electronic prescribing ai.mediformatica.com #about #health #pharmacists #physician #prescribing #provider #physicians #burnout #data #pharmacies #primarycarephysician #providerburnout #digitalhealth #healthit #healthtech #healthcaretechnology @MediFormatica (https://buff.ly/3TSy5Vp)

The perceptions of doctors in India today are complex and influenced by various factors. While doctors are often highly respected and valued for their expertise and dedication to saving lives, there are also challenges and criticisms faced by the medical profession. Issues such as doctor-patient communication, accessibility, affordability of healthcare services, overcrowded hospitals, and instances of medical negligence or malpractice have led to skepticism and discontent among the public. Some of the top challenges facing physicians today include burnout, lack of staffing, electronic health record systems, non-physician professionals gaining practice independence, lack of trust in healthcare institutions, recruiting young physicians, and malpractice reform. A Spectrum of Perceptions: Location:  Urban populations might have better access to qualified doctors and healthcare facilities, leading to a more positive perception. Rural areas, facing doctor shortages and limited resources, might have a more critical view. Socio-Economic Background:  Those who can afford quality private healthcare might perceive doctors more positively than those reliant on overburdened public healthcare systems. Personal Experiences:  Positive interactions with skilled, empathetic doctors can build trust and respect, while negative experiences can lead to frustration and distrust. Key Aspects of Current Perception: Respectful Image:  Doctors are generally still seen as figures of authority and knowledge, often addressed with titles like "doctor saab" (doctor sir). Questioning Authority:  The rise of social media and access to information empowers patients to be more informed and question traditional authority. Commercialization Concerns:  High costs of healthcare and concerns about unnecessary tests due to defensive medicine can create a perception of doctors being profit-driven. Shifting Landscape: Increased Scrutiny:  Social media can amplify negative experiences and highlight issues like medical negligence, potentially eroding trust. Need for Transparency:  Patients increasingly seek transparency in treatment plans, costs, and doctor qualifications. The Way Forward: Strengthening Communication:  Building trust through active listening, clear communication, and addressing patient concerns is crucial. Patient-Centered Care:  Shifting the focus towards patient-centered care, with shared decision-making and empathy, can foster a more positive doctor-patient dynamic. Addressing System Issues:  Improving healthcare infrastructure, increasing access to affordable healthcare, and tackling doctor shortages can significantly improve public perception of the medical system. Ethical Practice:  Upholding ethical practices, ensuring informed consent, and addressing concerns about over-prescription can rebuild trust. While a foundation of respect remains, there's a growing emphasis on communication, transparency, and patient-centered care.

Reading "The decline and fall of elite multispecialty medical groups" from today's STAT makes me sad. While not a healthcare provider (though I entered college aiming to be one), I have always had respect and affection for independent provider groups. I started as a patient when I had to pick my first PCP at Harvard Vanguard Medical Associates / Atrius Health, then as a solution provider / marketer of #populationhealth to many of them at Arcadia, and now as a consulting advisor at Health Advances* to many of the #digitalhealth and #healthIT companies that sell to them. The latter have business plans that are so intertwined with these independent networks' willingness to pilot patient-centered and cost-saving solutions, it is a shame that so many are being forced to consolidate into much larger and less nimble organizations. For better or worse, hospital systems, and corporate network rollups will tend to incubate their own solutions, hampering opportunity for startups in a better position to push the innovation envelope. * Fun "small world" fact, Health Advances now shares a headquarters building with Atrius Health, the same building that I visited many times when they were a very early healthcare client of Arcadia. https://lnkd.in/e6zbScKu

Did you know that there are geographical limitations on physician non-competes? Geographic limitations in physician non-competes often serve as the most restrictive element for medical professionals. Even 🚗 “25 miles” 🚗could force the physician to leave the state to search for another position. The role of geographical limitations in physician non-competes is to restrict the areas where a physician can practice after leaving a hospital or association to protect the existing patient base and the investment in the physician’s training. In Texas, the non-compete landscape, especially in the healthcare sector, has specific nuances that both employers and physicians should know. Geographical limitations play a pivotal role in determining the enforceability of a non-compete agreement pertaining to physicians. The Texas statute governing non-compete agreements requires reasonableness when evaluating the geographical scope of these agreements. For example, a non-compete clause that prevents a cardiologist from practicing anywhere in the state might be viewed as excessively restrictive. On the other hand, limiting a specialty surgeon from practicing within a 20-mile radius of an established clinic may be deemed reasonable given the specific market and the specialized nature of the services. In Texas, the geographical scope needs to align with the nature of the practice, the specialty of the physician, and the region’s demographics. It’s not just about drawing a circle on a map; it’s about ensuring that the limitations are justified by a genuine business need. To be enforceable against a physician, the hospital or association must specify an area in the non-compete that is “reasonable.”  Of course, the next question is:  ❓ What is a “reasonable” restriction? ❓   While the Texas Covenants Not to Compete Act provides a framework for these agreements, the statute does not define or explain what is a “reasonable” restriction on the geographical boundaries.  A judge, not a jury, will decide that question based on the hundreds of opinions that have been published on the subject.  Reasonableness often becomes the sole litigation point.  At its core, a reasonable geographical limitation protects legitimate business interests of the hospital or association without being overly restrictive on the physician’s ability to practice medicine and without denying medical services to patients within the geographical area. #Physicians #NonCompete  #EmploymentAttorney

#Physicians_productivity, #medical_care, and #healthcare_quality Improving physician productivity is a key focus in healthcare, with the aim of enhancing access to care and managing costs. Research suggests that increasing physician productivity can help address the shortage of health services and control the rising costs of medical care Both the shortage of health services and the rapidly escalating costs of medical care are likely to be improved by increases in physician productivity. The most promising efforts to improve productivity appear to be in the use of various types of assistants at all levels in the health care system. The relationship between physician productivity and healthcare quality is a topic of interest in the healthcare industry. However, it is important to note that the pursuit of higher productivity should not compromise the quality of healthcare. Studies emphasize the need to debunk the notion that productivity and quality are mutually exclusive, and that efforts to improve productivity should be accompanied by a focus on maintaining or enhancing healthcare quality Healthcare organizations have implemented initiatives to improve physician productivity through advanced analytics and operational improvements, aiming to provide more services while ensuring a solid bottom line https://lnkd.in/dFkiZysS https://lnkd.in/dTMDgVYn