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Dr. Angelo Falcone

What Is It Worth For An Emergency Department Ready to Respond?

I recently treated what looked like one of those unnecessary patients in one of our emergency departments. You know the ones. The ones that don’t need to be there because they should have gone somewhere else to receive care. She was a 28 year old woman who presented with lower abdominal pain. Her pain started […]

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What the NY Times Missed In Its Praise of Maryland Healthcare

The NY Times on Wednesday published a much needed and fairly adulatory story about the Maryland healthcare system, focusing much of its praise on Western Maryland Health System – a long time MEP partner. The story rightly pointed out two key differences between Maryland’s healthcare system and all the other states. One is the “Total […]

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Emergency Rooms: Massive Cost Center, or Crucial Healthcare Gateway?

There is a persistent narrative about emergency rooms. This narrative says that emergency rooms are overly expensive places to receive healthcare, that they are a cost drain on the hospitals they are attached to, and that they are a key driver of rising healthcare costs. A RAND study released this week challenges most of that […]

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Who Or What Is Forestalling The Death Of Fee For Service Medicine?

With decreasing Medicare payments, rapidly shifting market pressures, and ongoing discussions regarding value and cost in healthcare, by now it should be clear to everyone that fee-for-service is a dying way of delivering care. That is not to say that fee-for-service will not survive in certain circumstances. Particularly in emergency care, it is difficult to integrate […]

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Amid Change, Physicians are Faced With a Choice

Amid massive change in our healthcare delivery systems and seismic shifts in many regional markets, physicians are increasingly being faced with a simple choice: be acquired or become employed as part of a large healthcare system, or stay independent while offering a compelling service that hospitals and health systems value.  The changes occurring in our […]

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Skating To Where the Puck Will Be In Healthcare

A good hockey player plays where the puck is. A great hockey player plays where the puck is going to be. – Wayne Gretzky Recently, I attended an end-of-year review with one of our hospital partner’s executive team. We reviewed our performance for the past year, and discussed mutually strategic goals and how to improve […]

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60 Minutes Segment Gets at Crux of Healthcare Failings

In some ways, last month’s explosive 60 Minutes segment, “Hospitals: the cost of admission,” gets at a central crux of the healthcare problem in America. The segment accuses Health Management Associates (HMA), a hospital system with 70 locations mostly in the southeast, of pressuring its emergency physicians to admit patients regardless of medical need in […]

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