Zulfiqar Rana, MD, MPH, FACP

Board Certified in Internal Medicine

Category Archives: Politics

Insurers Clash With Health Providers As States Expand Medicaid Managed Care

Many states are trying to restrain Medicaid spending by putting more people into managed care plans, but with billions of dollars at stake, insurers and health providers are lobbying hard for their interests.HeyQbKe3NLE


“How to Conquer Your Fear of Doctors”

The term “content farm” describes a company that employs large numbers of often freelance writers to generate large amounts of textual and/or video content which is specifically designed to satisfy algorithms for maximal retrieval by search engines. Their main goal is to generate advertising revenue through attracting reader page views (source: Wikipedia).

This is what the content farms are producing nowadays:

How to Conquer Your Fear of Doctors (). A mix of good and bad advice, don’t take it seriously:

Average time patients spend waiting

The average time patients spend waiting to see a health-care provider is 22 minutes. Orthopedists have the longest waits, at 29 minutes; dermatologists the shortest, at 20.

Patient satisfaction dropped significantly with each 5 minutes of waiting time. Even the term “waiting room” has a bad connotation. Many offices prefer “reception area” instead.

“I live my life in seven-minute intervals,” says Laurie Green, a obstetrician-gynecologist in San Francisco who delivers 400 to 500 babies a year and says she needs to bring in $70 every 15 minutes just to meet her office overhead.

Measures the health-care industry is trying to minimize waiting time include:

– “Open-access” scheduling
– Minimize office visits
– Advance preparation
– Huddling up: “Mr. Jones is in a 15-minute slot, but we know he’s a 45-minute guy”
– Teamwork
– Cutting “cycle time”
– Keep patients informed
– Survey patients

References:The Doctor Will See You Eventually. WSJ..


Health care out to bid

A story from AP Mobile: Now that us a novel idea!

Created by a doctor, a lawyer and a former benefits manager, Open Health Market is an online matchmaker of sorts: Employers submit requests for proposals for a category of medical services and procedures – knee surgeries, for example, or cardiac care. Health care providers then submit competing bids, which are then evaluated by the employer…

New site lets employers put health care out to bid

For some primary care, try your local pharmacist

The average adult fills about a dozen prescriptions and refills every year; after age 65, they fill more than 30 prescriptions annually. For many people, their local pharmacist may be as familiar as their doctor — and often a lot easier to get time with. Some pharmacists are building on that position, expanding their role from drug dispenser to drug educator and chronic disease coach. By doing so, they may fill a void created by the shortage of primary-care physicians while boosting their business…

Here is the link: http://fluentnews.com/s/26594619

Medical Treatment, Out of Reach

From The New York Times:

Medical Treatment, Out of Reach

Medical device executives say regulation by the Food and Drug Administration has hurt the industry domestically.