You may have wondered how Obamacare pays for medical care for the 20 million+ newly insured. If you don’t understand the incentives and disincentives to hospitals and physicians and get caught in the regulatory quagmire, then you will be the payor! Using Medicare, here’s an example of how three related concepts determine whether or not
Back in the 1990s while I was President & CEO of LibertyHealth/ Jersey City Medical Center (a teaching hospital affiliated with Mount Sinai School of Medicine), a neighboring community purchased a linear accelerator and declared itself a Cancer Center, including signs on the New Jersey Turnpike saying “exit here” for cancer care. And I remember
Two recent health care episodes have sharpened my conviction that every practicing physician should be affiliated with a hospital. In December I was admitted to the hospital for one night for observation. My care was managed by my gastroenterologist and my primary care physician, both of whom I have been with for almost twenty years.
Remember when a hospital was just a hospital, and its reputation spoke for itself? Now we have a plethora of self named healthcare institutions such as clinics, community hospitals, institutes, medical centers, national hospitals, specialty hospitals, and teaching hospitals. My home state of New Jersey, for example, started with one children’s hospital in Newark, followed
My first experience with hospital administrative titles was in 1967 as a 2nd Lieutenant in the Air Force assigned to Wilford Hall USAF Medical Center in San Antonio. The Hospital Commander was a physician Brigadier General. That was the only title/ rank that mattered. Returning to NYC in 1972 a typical hospital had a President
My first experience in taking anesthesia seriously was in 1970 as the Administrative Officer (with the rank of second lieutenant) of the Department of Surgery at Wilford Hall USAF Medical Center. I met an oral maxillofacial surgery resident (a dentist) who was doing a rotation in anesthesiology. Did the patients know who was putting them
When “googling” for hospital information we often wind up at hospital web sites. Hospital web sites are marketing based so how does one find and aggregate key elements and then do comparative analysis? You can use these web sites for this exercise, all hospitals I have been involved with Jersey City Medical Center (I was