"One year ago, the Center for Medicare and Medicaid Innovation was launched to find new ways to reduce costs and improve quality. As the National Scorecard on U.S. Health System Performance released last month by the Commonwealth Fund's Commission on a High Performance Health System shows, health care in the United States is the most expensive in the world, and the quality of care available to many Americans does not match that high level of spending. But the potential for achieving access to better care, as well as lower costs, exists—we already see it at work in select high-performing organizations and regions."
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"The latest federal effort to support local health system reform initiatives will award up to $1 billion in grants for efforts to improve care and lower costs for patients with public coverage."
"Since 2009, Johns Hopkins has seen 10 percent hike in number of applicants."
"Innovation in some college science courses has been constrained by the impression that the Medical College Admission Test (MCAT) defines an immutable premedical curriculum: colleges hesitate to teach new topics not included in the MCAT and feel they must cover outdated, irrelevant material that is still included. The MCAT, however, actually reflects, rather than dictates, what is taught at the undergraduate level."
"The number of first-time applicants to U.S. medical schools reached a record high in 2011, the Association of American Medical Colleges (AAMC) said Tuesday."
"The failure of the congressional super committee could mean automatic budget cuts totaling billions of dollars for everything from Medicare to biomedical research, starting in 2013. But some health care interests stand to fare better than others."
"Dublin looks likely to win an intensely sought project — a $24 million medical college that Ohio University says will help fill a growing need for family physicians."
"With its October recommendations, MedPac attempted to solve the sustainable growth rate (SGR) physician payment formula budget crisis by spreading its more than $300 billion cost beyond the physician community. More than two-thirds of the burden would fall on hospitals, pharmaceutical and device manufacturers and, significantly, on Medicare beneficiaries themselves. Clearly MedPac’s intent was to widen the circle of pain."
"We spoke to Richard Baron, M.D., the director of the Seamless Care Models group at the Center for Medicare and Medicaid Innovation – the department that spearheaded the initiative. Before Dr. Baron moved into this government position, he was in private practice at a patient centered medical home in Philadelphia. He serves on Primary Care Progress’s National Advisory Board."
"RiverStone Health hopes to build a new $8 million clinic that would accommodate more patients, better meet their needs and enhance RiverStone's capability as a teaching health center."
"The Obama administration will announce Monday as much as $1 billion in funding to hire, train and deploy health-care workers, part of the White House’s broader 'We Can’t Wait' agenda to bolster the economy after President Obama’s jobs bill stalled in Congress."
"The Coachella Valley could soon have two physician training programs — both aimed at filling the critical shortage of primary care doctors in the region, but neither working together to reach that goal."
"Officials from FAU and the hospitals signed a formal agreement today to fulfill their commitment to increasing medical residency positions in Palm Beach County."
"The nation's largest retailer is planning to offer medical services ranging from the management of diabetes to HIV infections, NPR and Kaiser Health News have learned. In the same week in late October that Wal-Mart said it would stop offering health insurance benefits to new part-time employees, the retailer sent out a request for partners to help it 'dramatically ... lower the cost of healthcare ... by becoming the largest provider of primary healthcare services in the nation.'"
"The number of first-time applicants to allopathic medical schools reached an all-time high of 32,654 students, a 2.6% rise from 2010, said an Assn. of American Medical Colleges report released in October."
"As the U.S. health system undergoes substantial change, the nation’s medical schools and teaching hospitals are breaking free of the tyranny of national rankings systems and demonstrating a 'new excellence' through multiple pathways, AAMC President and CEO Darrell G. Kirch, M.D., said in his annual address at the association’s 122nd annual meeting."
"Michigan, like most of the nation, is confronting a growing shortage of physicians. No matter what the state of the economy, what happens with health care reform or which political party is in power in Washington or Lansing, physicians will be in short supply, because both physicians and their patients are aging."
"Many observers have been concerned about a mismatch between the knowledge, skills, and professional values of newly trained physicians and the requirements of current and future medical practice. We surveyed and interviewed Kaiser Permanente’s clinical department chiefs for internal medicine, pediatrics, general surgery, and obstetrics/gynecology to ascertain their views of the perceived gaps in the readiness of newly trained physicians."
"Shortages of 100,000 physicians and up to one million nurses are projected in the next 10 years. If these statistics are close to true, medical schools would need a 100% increase in graduates over the next 4 years, and nursing schools a 100% increase over the next 13 years. These calculations are instructive in that they demonstrate the absurdity of expecting schools to provide these sorts of increases in that time frame."
"In this issue of the journal, you will find 15 essays responding to my 2011 Question of the Year, What improvements in medical education will lead to better health for individuals and populations? These essays, selected from over 120 submissions, represent a set of important ideas, programs, and plans aimed at understanding and strengthening the link between medical education and the health of individuals and populations."
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