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But there are ways to fix what ails the docs - and repair the health-care system in the process. In the rolling hills of central Pennsylvania, the Geisinger Health System is trying something different. The 726 physicians and 257 residents and fellows who work there don't do piecework. They...

Author: /time Magazine | Title: Is There a Better Way to Pay Doctors? | 10/26/2009 | See Source »

In 2004, Steele decided to fix this, switching Geisinger over to a prix fixe, episode-care model for surgery, starting with the heart bypass. Under the new system, a closely coordinated team of caregivers would be responsible for every stage of a bypass patient's treatment and recovery. The hospital...

Author: /time Magazine | Title: Is There a Better Way to Pay Doctors? | 10/26/2009 | See Source »

Casale was charged with implementing the new plan. The first thing he and his team did was take 20 general steps all surgeons follow throughout a bypass episode and try to sharpen them in a way that would remove as much chance and variability as possible, going so far as...

Author: /time Magazine | Title: Is There a Better Way to Pay Doctors? | 10/26/2009 | See Source »

I've come to realize that the main reason I've never resolved my title is that it's become O.K. not to care. Whether my children's friends call me Ms. Gibbs or Mrs. May or any combination of the two, I view it as a sign of respect...

Author: /time Magazine | Title: Mrs., Ms. or Miss: Addressing Modern Women | 10/26/2009 | See Source »

The war lasted five days, but the danger continues. Russia, which has recognized South Ossetia and Abkhazia as independent states (only Nicaragua and Venezuela have followed suit), has evicted all international monitors from the territories and is most likely arming those areas to the teeth. Georgia's new Defense Minister...

Author: /time Magazine | Title: The World According to Misha: Georgia's Saakashvili | 10/26/2009 | See Source »

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