The University of Michigan has become the focal point in a national controversy over a revolutionary shift in medicine — away from traditional insurance-based health care, to a new model where patients pay directly, and in advance, in exchange for the promise of better quality care. Michigan Medicine this week introduced Victors Care, a high-end form of retainer-based medicine called “concierge care.” Starting at $225 a month, patients get unlimited primary care appointments, shorter waits, “executive” physicals and long talks with their doctors — no insurance accepted. The public university’s practice will be capped at 600 patients, stoking controversy at a time when primary care doctors are in short supply. More than 300 university faculty and physicians signed a letter protesting the program in March, saying Victors Care creates a two-tiered system of health care where the rich get priority over the rest. Dr. Daniel Berland, a UM family … [Read more...] about UM fuels debate on retainer-based health care
Telemedicine jobs for family physicians
When Andreas Sappok developed flulike symptoms last winter, he had no idea he'd become a test case for a futuristic approach to medicine. Photo by Cedric Angeles and Drew Kelly Andreas Sappok was at his office last February when he was walloped by an unexpected fever. An athletic 48-year-old, Sappok ran regularly and had just returned from kayaking in Florida. He was not accustomed to sudden fatigue and unexplained sweats. But it had been a wet, cold winter in New York, and he figured maybe it was his turn to get the flu. He had no idea that he was at the edge of a catastrophic health crisis. Over the next 2 days, as his fever soared to 104.5°F, Sappok went first to a local physician and then to the emergency department at Holy Name Medical Center, near his home in New Jersey. Both times he tested negative for the flu and was prescribed an antibiotic. Finally, with his health worsening and a snowstorm approaching, Sappok and his wife, Gabriele Sappok-Klink, decided to play … [Read more...] about The Doctor Who Saved This Man’s Life Never Even Met Him. Welcome To The Brave New World Of Virtual Medicine.
It certainly wasn't hard to find major telemedicine proponents at the American Telemedicine Association's annual conference, Telehealth 2.0, which wrapped up Tuesday evening in Orlando. Their message is that telehealth can benefit providers and patients and — if it is done well — they both prefer it. Billed as the largest telehealth innovation and networking event, Telehealth 2.0 featured a giant, hopping exhibit hall and numerous panels discussing the latest trends in the rapidly growing field. That growth is both a blessing and a curse. It means exciting new ideas and technology for improved care delivery. But growing pains include a lack of collaboration, agreement on best practices and a realization that providers need to be on the ground floor of the movement. Here are the top takeaways from this year's conference. People may be wary of video chatting with their doctor or think that text messaging isn’t a way to solve health problems, … [Read more...] about ATA17: 6 takeaways on the state of telemedicine
Telemedicine is a booming sector of the healthcare industry: Investments are ramping up as health systems fine-tune their EHRs, explore remote patient monitoring and look toward population health management. But with this growth comes a need for guidance and regulation. Nearly everyone agrees this is necessary, but issues — including a lack of data, interoperability problems and segmented interests — present obstacles. Now, work is under way on developing evidence-based clinical guidelines for providers and hospital systems. Leaders from multiple sectors of the industry have been tapped to work on what the guidelines should include and how they should be maintained. These guidelines should focus on encouraging cooperation among organizations, Dr. Judd Hollander, an associate dean at Thomas Jefferson University who has led telehealth initiatives, told Healthcare Dive. But they should also remember that in the end, telemedicine has the same goal as all other … [Read more...] about As telemedicine grows up, it needs some ground rules
The future is never executed exactly how it's envisioned. Using pop culture texts as examples, hoverboards didn't hit the mass market by 2015 as Back to the Future II had implied, but there is still time to reach The Jetsons' flying cars by 2062 (I wouldn't bet on it, though). The reality is many futurists currently seek to conquer boring activities in hopes to make our daily lives easier. It's this sobering thought many in healthcare industry should square against the hype and promise that's sweeping the industry over artificial intelligence and machine learning. Though artificial intelligence hasn't become deeply seeded in the healthcare industry (it is just still recovering from adopting EHRs on the whole), there is potential to make workflows more efficient with machine learning and automation. As hospitals and health systems are largely fixed costs businesses, administrators are no doubt interested in tech that prove ROI. Some wonder or worry if these new tools will … [Read more...] about Robots are not coming for physicians’ jobs — but that doesn’t mean new tech won’t change workflows