If it ain't broke, what are we trying to fix? Reprocessing devices labeled "for single use only".
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Biomedical subjects
Publications and source records attributed to D E Nickelson.
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Protecting the privacy of the patient's medical record is a central issue in current discussions about a patient bill of rights, and controversy over a proposed "unique health identifier" has raised the decibel level of these discussions. At the heart of the debate is how best to resolve the inherent conflict between the individual's right to privacy and the need for access to patients' health information for reasons of public health, research, and health care management.
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This article explores the various major federal policies affecting medical group practices and whether these policies support, are neutral, or detract from group practice operations. Policies reviewed will consist of the Stark I and II laws with their self-referral and group practice organizational requirements; the Clinical Laboratory Improvement Act; physician reimbursement policies through the Medicare fee schedule (Resource Based Relative Value Scale); and other Medicare reimbursement policies related to teaching physicians, home health, rehabilitation, and rehabilitation services. The article concludes with recommendations as to how federal health policy might be reformed to be more supportive of and compatible with group medicine.
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