Word: systemize
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...left on the economy and more aggressively toward getting into the war in Europe--but in both cases, he ultimately tacked closer to the center of American public opinion. He was a modern paradox: a revolutionary for stability, a political innovator who was intent on building a system that would be less risky for the American people. That's the same challenge Obama faces today...
This is the guiding principle of a pilot payment model called Prometheus, which, by January 2010, will be used to calculate insurance coverage for 80,000 workers in Rockford, Ill., and has already caught the eye of the White House. Why? Because it turns the current insurance reimbursement system on its ear. See the top 10 medical breakthroughs...
...that his own doctor is this focused on the bottom line. While data indicate that up to 30% of U.S. health-care spending is for unneeded and even dangerous treatments, the truth is that most doctors aren't purposely ordering up tests or treatments just for the cash. "The system is asking them to do what's right for a system that lives off of excess, as opposed to what's right for the patient," says De Brantes. See pictures from an X-ray studio...
Still, overhauling the current health-payment system has other pitfalls. Back in 1983, Medicare initiated a 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...
...next step in the new Afghan war will be a comprehensive strategy that helps the Afghan government deliver the stability that comes from economic opportunity and a working justice system that will allow Afghans to benefit from those opportunities. That kind of strategy, however, takes far more time than a military operation and requires patience - on the part of both Afghans and the U.S. Administration, which is footing the bill...