tag:blogger.com,1999:blog-6076839327674215825.post1011975964863509519..comments2024-03-27T05:14:34.288-04:00Comments on Medinnovation And Health Reform: Lessons of History: Health Care Corporate Consolidation and ConcentrationRichard L. Reece, MDhttp://www.blogger.com/profile/03446550629857699574noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-6076839327674215825.post-73664502382895311562011-01-14T05:20:04.564-05:002011-01-14T05:20:04.564-05:00Beautifully said. You have hit multiple nails squ...Beautifully said. You have hit multiple nails squarely on the head. It is hard to be innovative when you are shackled by rules, forbidden payment for change, and pushed into an electronic corner with no means of exit.Richard L. Reece, MDhttps://www.blogger.com/profile/03446550629857699574noreply@blogger.comtag:blogger.com,1999:blog-6076839327674215825.post-85830738720201387622011-01-13T14:57:35.494-05:002011-01-13T14:57:35.494-05:00How many of the changes are essentially crony capi...How many of the changes are essentially crony capitalism, i.e., regulatory barriers that favor 'corporate medicine'?<br /><br />Doctors want to provide better, comprehensive specialized care? Nope, specialty hospitals are outlawed, especially if they have physician investors.<br /><br />Doctors want to new and better services? Nope, the CPT codes don't include them, so no pay. <br /><br />Doctors want to give poor patients a break on payments? Nope, Medicare forces you to collect co-pays. <br /><br />Doctors don't trust centralized (electronic) health records? Penalties follow if you don't meet all the criteria for 'meaningful use'.<br /><br />The list of things the government forbids doctors to do goes on and on, each carving out ways that doctors might innovate and challenge the big players.Anonymousnoreply@blogger.com