Word: pennsylvania
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...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 are paid a salary - benchmarked against the national average - plus potential bonuses based on how well their patients do under their care. One result is that Geisinger is able to hang on to its PCPs while other hospitals are losing theirs. Another is that Geisinger makes money...
...credit rating. But part of that is due to the similar solidity of its patient base - a homogeneous population with a predictable range of ills. The financial team prefers things this way and has resisted any calls for expansion. "We've purposely stuck to our knitting in central Pennsylvania," says Dr. Duane Davis, chief medical officer of Geisinger Health Plans. But larger plans trying to serve more-diverse communities don't have the same luxury. What's more, while Geisinger's electronic health records may be an impressive showpiece, not every provider has a loose $120 million to plow into...
Douglas Ewbank, a demographer at the University of Pennsylvania who undertook the statistical analysis for the study, which was published Oct. 21 in the Proceedings of the National Academy of Sciences (PNAS), says that because cultural factors tend to have a much more prominent impact than natural selection in the shaping of future generations, people tend to write off the effect of evolution. "Those changes we predict for 2409 could be wiped out by something as simple as a new school-lunch program. But whatever happens, it's likely that in 2409, Framingham women will be 2 cm shorter...
...double-stacking beds. Michigan would charge some $30,000 a year for each domestic inmate brought to its maximum-security prison at Standish, about a 90-minute drive from Detroit. California has thus far balked, partly because of the cost, but Michigan officials say they are still negotiating with Pennsylvania and other states...
...return on that investment has been considerable, both in the House and in the Senate. "We've done very well," says lobbyist Jim Greenwood, a former Republican Congressman from Pennsylvania who was a member of the Energy and Commerce Committee and now heads the Biotechnology Industry Organization (BIO). "We carried a majority of the Democrats and a majority of the Republicans in each of the committees, and by very clear margins...