Posts by author: Steve Freedman

Several articles in the Wall Street Journal today focus on “innovations in health care”. The innovations they are referring are not new technologies or imaging tests but rather how to get the medical profession to think about patients as partners in their care. In “Patients as Partners”, the article describes the Collaborative Chronic Care Network […]

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Blue Cross Blue Shield of Massachusetts continues to set the trend to control spiraling health care costs by offering cheaper health care plans to employers and employees.  In today’s Boston Globe (Feb. 10, 2011), the front page article by Liz Kowalczyk – “Plans Steer Patients to Lower-Cost Hospitals”- describes how this approach has rapidly taken […]

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Massachusetts can be considered the test ground for examining the effects of providing mandatory universal health care coverage. Despite putting this in place over two years ago, there has been little change in controlling the spiraling health care costs. Two articles in the Boston Globe over the past week highlight the changes that are being […]

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In this week’s New England Journal of Medicine (December 30, 2010, vol. 363, p.2579-2585), two Perspective articles bring us up to date on how we can change our fragmented health care system with the current incentives in the wrong places, to one where efficient coordinated care becomes the norm. A staggering figure that 10% of […]

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Although it is inevitable that errors will occur in patient care, a recent article in New England Journal of Medicine showed that there has been no significant change in the number of patients harmed in our hospitals (“Temporal Trends in Rates of Patient Harm Resulting from Medical Care”, NEJM 2010;363:2124-34). Landrigan and colleagues studied the […]

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Palliative care or ‘end of life’ is always difficult to discuss. However, it is important that just as we want our loved ones cared for compassionately and thoroughly, that tests or treatments not be done when they don’t change the outcome or will cause suffering.  A number of patients who are about to die from […]

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Health care costs escalated by $1B per year, leaving schools dramatically underfunded according to a report from the Boston Foundation (“Health Care Costs Drain State Aid for Schools”, Boston Globe December 9, 2010). The outcome may be “trimming employee health benefits” along with major spending cuts in education. This comes on the heels of reports […]

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