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Issue Date: November 2004


Reimbursement System Needs an Overhaul
This editorial discusses the advent of disease management and its impact on health care outcomes and costs. It argues that physicians should be allowed to contract with DM companies and to be paid for achieving better outcomes and for overseeing DM programs.


Technology Engages Consumers, Improves Physician Productivity
This article discusses how physicians can use new technology in their practices to boost revenue, cut costs, improve outcomes, and educate patients.


Report: DM Programs Don’t Cut Costs
This article discusses a report by the Congressional Budget Office that concluded there is not much evidence to suggest that disease management reduces health care spending. This conclusion is contradicted by other studies and DM advocates.


Variation in Quality Exists Nationwide
This article discusses recent research into the variations in medical practice patterns, the causes of the variations, and possible solutions to the problem.


DM Is Changing the Delivery of Chronic Care, Expert Says
In this interview, Victor Villagra, MD, FACP, president of Health & Technology Vector Inc., an independent health care consulting firm in Farmington, Conn., speaks about the role of physicians in disease management programs.


EMR Helps Increase Revenue
This article discusses how an eight-physician cardiology practice in Connecticut is benefitting from the implementation of an electronic medical records system.


What You Need to Know About the Medicare Modernization Act
This article discusses many aspects of the new Medicare Modernization Act that will affect both beneficiaries and the physicians who treat them.


A Gloomy Forecast for the Medicare Program
This editorial discusses the uncertainty and controversy surrounding the passage of the new Medicare Modernization Act, as well as the testimony U.S. Comptroller General David M. Walker made to the House of Representatives Ways and Means Committee regarding the dismal financial outlook for the Medicare program before the MMA was enacted.


OIG Investigates Numerous Aspects of Medical Practice
This article discusses the fiscal year 2005 work plan of the Office of the Inspector General and the areas targeted in the plan for close scrutiny next year.


Are Nursing Home Patients Eligible for the Drug Discount Card?
This column answers three readers' questions: one about the eligibility of a nursing home resident to obtain a Medicare discount drug card; one about how to document allergies during a general examination; and one about coding and billing for the psychiatric counseling of a patient who has a support present during the session.




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