'Global package' saves money but stirs criticism

Article Abstract:

The Medicare-Participating Heart Bypass Demonstration Project shows that bundled payments may reduce health care costs without affecting the quality of care. This project involves the consolidation of surgeons' and physicians' fees into a single negotiated charge for coronary bypass surgery. This project has saved Medicare approximately $14 million on 2,552 coronary bypass surgeries. The project was started in May 1991 with four hospitals, and three more hospitals decided to participate during early 1993. The doctors who have participated in the project are enthusiastic about its effect on the cost and quality of health care. It has increased cooperation between physicians caring for patients who have coronary bypass surgery and has reduced the cost of this type of surgery significantly. Patients remain in the hospital for a shorter period of time and are treated with generic drugs. They also have fewer laboratory tests and x-rays.

Economic aspects, Prices and rates, Hospitals, Coronary artery bypass, Medicare, Hospital rates

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Medical educators confront the future

Article Abstract:

Medical educators discussed ways that medical schools can survive in the era of managed care at the 1995 annual meeting of the Association of American Medical Colleges (AAMC). The AAMC intends to take a more active political role in the re-structuring of academic medical practice. Proposals to reduce Medicare expenditures will have a severe impact on medical schools, which receive much of their funding from Medicare. Medical schools can ensure their survival by forging alliances with for-profit health care corporations. The corporation will benefit from its association with an academic medical center and the medical school will receive much-needed funding. Medical schools can also create their own health care systems, as was done by the University of Pennsylvania School of Medicine.

Conferences, meetings and seminars, Mergers, acquisitions and divestments, Medical colleges, Medical schools, Medical education, Multihospital systems

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Appeals board exonerates Baltimore, Imanishi-Kari

Article Abstract:

A Departmental Appeals Board of the Department of Health and Human Services has stuck down a decision by the Office of Research Integrity (ORI) to bar Thereza Imanishi-Kari from doing scientific research because of allegations of fraud. Imanishi-Kari was originally accused of scientific fraud by Margot O'Toole, but two research universities and the National Institutes of Health found no evidence. Congressman John Dingell continued to push for an investigation, which was completed by ORI in Oct, 1994. However, the Appeals Board has found the charges to be without merit.

Investigations, Fraud in science, Science fraud, Imanishi-Kari, Thereza

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