Word: careful
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...steel-cage match melting into wet kisses with his opponent while the crowd goes wild - and not in a good way. But even when Brüno is in a hotel room infuriating members of al-Aqsa Martyrs Brigades - a situation that needs to be handled with care, especially if the guy handling it is a fey blond who hasn't heard that hot pants went out with Charlie's Angels - you think, Hey, at least they're not in a bear hug. (See pictures of outrageous Brüno promotions...
Doctors are quick to say that much of the 30% of excess health-care spending is on "defensive medicine" - providing extra care in an effort to avoid malpractice liability - but De Brantes counters that the Prometheus model creates budgets based on clinical-practice guidelines that, if followed properly, help protect providers against malpractice claims...
...similar plan, bundling payments for hospital stays, but the program acquired the unfortunate label "quicker but sicker." Since hospitals were paid a certain amount of money for each patient no matter how long they stayed, many patients were discharged sooner than was prudent, which transferred the burden of care onto nursing homes and created a "mini-industry of readmissions," according to Gail Wilensky, a former head of Medicare. "Redesigning the reimbursement system is not for the faint of heart," says Wilensky. "This is in large part about changing the way doctors behave...
...recent speech to the American Medical Association, President Barack Obama urged an audience of physicians to get on board with bundled, per-episode care. "You entered this profession to be healers," he said. "Now, that starts with reforming the way we compensate our providers - doctors and hospitals. We need to bundle payments so you aren't paid for every single treatment you offer a patient with a chronic condition like diabetes, but instead paid well for how you treat the overall disease...
...that happens, health-care providers may have to put their money where their mouth is. They talk endlessly about delivering health care more efficiently and providing better preventive care - two essential factors for the reduction of overall health-care costs - but providers have been discussing the same factors as long as the idea of health reform has existed. Meanwhile, health-care costs, fueled by the "fee for service" model, are growing some 10% annually. In the end, the only way to get change may be to get real about the fact that, no matter how uncomfortable it makes us, health...