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	<title>The Healthcare Entrepreneur Blog &#187; specialty care</title>
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		<title>Specialization in health care means more cost to the system</title>
		<link>http://www.vantageclinicalsolutions.com/blog/2009/06/16/specialization-in-health-care-means-more-cost-to-the-system/</link>
		<comments>http://www.vantageclinicalsolutions.com/blog/2009/06/16/specialization-in-health-care-means-more-cost-to-the-system/#comments</comments>
		<pubDate>Tue, 16 Jun 2009 13:58:00 +0000</pubDate>
		<dc:creator>Tannus Quatre PT, MBA</dc:creator>
				<category><![CDATA[Economics]]></category>
		<category><![CDATA[Insurance]]></category>
		<category><![CDATA[Policy]]></category>
		<category><![CDATA[Primary Care]]></category>
		<category><![CDATA[cognitive medicine]]></category>
		<category><![CDATA[primary care]]></category>
		<category><![CDATA[specialization]]></category>
		<category><![CDATA[specialty care]]></category>

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		<description><![CDATA[<p>It&#8217;s the unfortunate reality that while increased specialization of labor in health care <span style="font-style: italic;">can </span>result in better care, it <span style="font-style: italic;">most certainly</span> results in more expensive care.&#160; This is going to be an issue until we find a way to pay more for &#8220;brain time&#8221; or &#8220;cognitive medicine.&#8221;</p>
<p>From, the NY Times: <a target="_blank" href="http://www.nytimes.com/2009/06/04/opinion/04bach.html?_r=2&#38;partner=rss&#38;emc=rss&#38;pagewanted=all">Let Doctors Bid for Medicare Business</a><br />
<blockquote>Researchers have observed that having one additional specialist (per 100,000 people) in</blockquote>&#8230;</p>]]></description>
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		<title>There is a downside to specialization of labor in medical care</title>
		<link>http://www.vantageclinicalsolutions.com/blog/2009/06/05/there-is-a-downside-to-specialization-of-labor-in-medical-care/</link>
		<comments>http://www.vantageclinicalsolutions.com/blog/2009/06/05/there-is-a-downside-to-specialization-of-labor-in-medical-care/#comments</comments>
		<pubDate>Fri, 05 Jun 2009 20:24:34 +0000</pubDate>
		<dc:creator>Tannus Quatre PT, MBA</dc:creator>
				<category><![CDATA[Business Models]]></category>
		<category><![CDATA[Customer Service]]></category>
		<category><![CDATA[Primary Care]]></category>
		<category><![CDATA[A Happy Hospitalist]]></category>
		<category><![CDATA[continuum of care]]></category>
		<category><![CDATA[medical care]]></category>
		<category><![CDATA[quality]]></category>
		<category><![CDATA[specialty care]]></category>

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		<description><![CDATA[<p>Specialization of labor helps to improve quality, efficiency, and profitability.&#160; In health care however, there is a downside – it can come at the cost of the quality of the continuum of care that patients need and deserve. </p>
<blockquote><p>This is one of the worst examples of patient abandonment I can imagine. Surgeons are paid a bundled fee to provide surgical care for a 90 day period.&#160; I&#8217;m pretty sure CMS would like to hear</p></blockquote><p>&#8230;</p>]]></description>
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		<title>The business of referrals in medicine</title>
		<link>http://www.vantageclinicalsolutions.com/blog/2009/05/26/the-business-of-referrals-in-medicine-and-health-care/</link>
		<comments>http://www.vantageclinicalsolutions.com/blog/2009/05/26/the-business-of-referrals-in-medicine-and-health-care/#comments</comments>
		<pubDate>Tue, 26 May 2009 16:57:23 +0000</pubDate>
		<dc:creator>Tannus Quatre PT, MBA</dc:creator>
				<category><![CDATA[Economics]]></category>
		<category><![CDATA[Marketing]]></category>
		<category><![CDATA[Primary Care]]></category>
		<category><![CDATA[Business]]></category>
		<category><![CDATA[economics]]></category>
		<category><![CDATA[incentives]]></category>
		<category><![CDATA[New York Times]]></category>
		<category><![CDATA[primary care]]></category>
		<category><![CDATA[referrals]]></category>
		<category><![CDATA[specialty care]]></category>
		<category><![CDATA[Tannus Quatre]]></category>
		<category><![CDATA[Vantage Clinical Solutions]]></category>

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		<description><![CDATA[<p>In any industry, new business is required for growth, but it&#8217;s naturally much harder to come by.  This has an impact on health care.</p>
<p>The New York Times published an essay titled, &#8220;<a title="Referral System Turns Patients Into Commodities " href="http://www.nytimes.com/2009/05/26/health/26essa.html?_r=1&#38;scp=1&#38;sq=referral%20system&#38;st=cse" target="_blank">Referral System Turns Patients Into Commodities</a>&#8221; recently, and it provides stellar insight into the behind-the-scenes business relationships that are driving supply and demand of both patients and specialty care.</p>
<blockquote><p>Logic says that a referral should depend</p></blockquote><p>&#8230;</p>]]></description>
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		<title>Doctors aren&#8217;t paid to think</title>
		<link>http://www.vantageclinicalsolutions.com/blog/2008/05/06/doctors-arent-paid-to-think/</link>
		<comments>http://www.vantageclinicalsolutions.com/blog/2008/05/06/doctors-arent-paid-to-think/#comments</comments>
		<pubDate>Tue, 06 May 2008 23:31:05 +0000</pubDate>
		<dc:creator>Tannus Quatre PT, MBA</dc:creator>
				<category><![CDATA[Insurance]]></category>
		<category><![CDATA[Policy]]></category>
		<category><![CDATA[Primary Care]]></category>
		<category><![CDATA[medical practice]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[reimbursement]]></category>
		<category><![CDATA[specialty care]]></category>

		<guid isPermaLink="false">http://www.vantageclinicalsolutions.com/blog/?p=97</guid>
		<description><![CDATA[<p>If you read this blog regularly, this won&#8217;t be the first time you&#8217;ve read a post about the growing trend in medicine that favors reimbursement for procedures over time spent with patients, regardless of how important or necessary that time is to the overall plan of care.  As the leader of many trends in medicine, Medicare is the driving force behind this direction our reimbursement system is taking, and there isn&#8217;t an immediate end in sight.  <a&#8230;</p>]]></description>
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