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Business of Medicine

New Ways to Deliver Care: The Center for Medicare and Medicaid Innovation promises cost-cutting ideas

February 28, 2011

One of the most common criticisms of the 2010 health care reform law is that it doesn’t do enough to reduce health care costs. Richard Gilfillan, MD, however, begs to differ.

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Purchase Options: Review these ownership provisions before signing your employment agreement

February 28, 2011

Physicians who join a medical practice often have the opportunity to purchase an equity interest in the practice after some period of employment with the group, an issue that is usually addressed in the physician’s employment agreement. If you think you may be interested in such a partnership, you should carefully review your employment agreement before signing it. The amount of detail in the employment agreement regarding potential ownership will vary depending on the practice and the negotiating power of the individual physician. Clearly, the more specificity found in the contract, the better you will be served.

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Imaging at a Crossroads: CT scan providers urged to initiate accreditation

February 28, 2011

Otolaryngologists who provide computed tomography (CT) imaging are being urged to apply before summer to ensure their compliance with the 2008 Medicare Improvements for Patients and Providers Act (MIPPA) accreditation requirement.

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Otolaryngologist Pioneers New Practice Model: Dr. Russell heralds hospitalist role as others ponder the concept’s staying power

February 28, 2011

On July 1, after five years in the department of otolaryngology-head and neck surgery at the University of California, San Francisco (UCSF) Medical Center, most recently as chief resident, Matthew Russell, MD, is joining the faculty there as an assistant professor. Normally, that career arc is not nationally noteworthy.

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Treatment Options: Study reports neck dissection effective in patients with residual disease

February 7, 2011

Patients who had residual neck disease after treatment for a primary head and neck squamous carcinoma and then underwent neck dissection had comparable survival rates to those who had their disease resolved after their initial chemotherapy and radiation treatment, according to a retrospective analysis from researchers at the University of Louisville in Kentucky presented here Jan. 27.

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Lessons Learned: How to overcome the cultural barriers to EMR implementation

February 7, 2011

Health care reform and government incentives have intensified the dialogue on electronic medical records (EMR). Despite the financial incentives for EMR adoption included in the Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the American Recovery and Reinvestment Act of 2009, physician response remains lukewarm. The HITECH incentives program fails to recognize that the greatest barrier to EMR adoption is not financial, but cultural.

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Tonsillectomy Revisited: New guidelines represent a clinical shift for some otolaryngologists

February 7, 2011

In its ongoing commitment to develop and practice evidence-based medicine, the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) recently issued a new clinical practice guideline on tonsillectomy in children.

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Research Overhaul: Changes to cancer research organizations on the horizon, expert says

February 7, 2011

The system of clinical cancer research, including that of head and neck cancer, is in need of an overhaul, but steps are being taken that might lead to more efficient work and will hopefully mean more medical breakthroughs, said David Schuller, MD, the chair in cancer research at the Ohio State University College of Medicine in Columbus, at the Triological Society’s Combined Sections Meeting, held here on Jan. 27.

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A Glass Half Full: Triological Society president draws attention to the benefits of U.S. health care

February 7, 2011

The debate over soaring health care costs fails to properly acknowledge the benefits that have stemmed from improved medical technology and expanded medical knowledge, said Triological Society President Gerald Berke, MD, in an address at the society’s Combined Sections Meeting, held here on Jan. 27.

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Physician Groups Set 2011 Agenda: Medicare payment reform tops the list

January 10, 2011

Physician groups representing otolaryngologists have ambitious 2011 policy and legislative agendas that include pushing for replacement of the Medicare physician payment formula and helping to shape health reform’s implementation.

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