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Family physicians in the Geisinger system, like family physicians everywhere, make less money than specialists - at first. To narrow the gap, the specialists subsidize the PCPs, keeping the family practitioners happy without taking too big a bite from the orthopedists and cardiologists. "I couldn't recruit if I didn't do that," says Dr. Glenn Steele, Geisinger's CEO. "We don't want our family doctors setting up their own radiology clinics...
...After the first 200 operations - a total of 8,000 steps - there had been just four steps not followed precisely, for a 99.95% compliance rate. A total of 320 bypasses have now been performed under the new rules. "There are fewer complications. Patients are going home sooner. There's less post-op bleeding and less intubation in the operating room," says Casale. What's more, the reduced complication rate has cut the per-patient cost by about...
Overhauling fee-for-service may well make medicine less lucrative for some practitioners. But it would give others a new opportunity to practice medicine in an almost forgotten way: getting to know their patients and keeping them healthy so they can avoid a surgeon or a hospital. "It's a chance for a primary-care doctor to be a hero again," says Dr. Thomas Graf, chairman of Geisinger's community-practice team. That's not the stuff of AA bond ratings or billion-dollar revenue streams, but it just might be worth more than both...
Evolutionary biologists teach that tying a man linguistically to his wife and children increases the odds that he'll stick around to help raise them, so using Ms. with your birth name theoretically carries some risk. Over the years, surveys have found that such women were seen as less feminine, worse mothers, more dynamic, less attractive and better educated...
Unlike many Georgians, Saakashvili doesn't smoke. He drinks, but less than those around him. He is almost compulsively social and enjoys the company of beautiful women. On the wall of his office is a series of photos of him picking up the Georgian-born British pop star Katie Melua, 25, like a newlywed crossing the threshold. More than anything, though, Saakashvili is restless. His jitters can at times make him seem like an overgrown adolescent. Cameras caught him chewing nervously on his tie during last August's war, a gesture he has been careful not to repeat...