Why Are Physicians So Upset about Managed Care?

Why are physicians so upset about managed care?

Why accountable care organizations are not 1990s managed care redux.

MANY PEOPLE ARE CONCERNED THAT ACCOUNTable care organizations (ACOs) and other delivery system reforms in the Affordable Care Act will simply bring back the managed care days of the 1990s. These skeptics suspect that payment reforms to control high and increasing costs will simply lead to gate keeping and service denial rather than the promise of care redesign and coordination that removes unne...

Why is gout so poorly managed?

G out has been recognised since ancient times, and we currently have a deep understanding of its pathophysiology. The disease results from a deposit of monosodium urate (MSU) crystals in joint structures and in other, generally periarticular, sites in the form of tophi. High serum uric acid (SUA) is required for the formation of these crystals. The most characteristic features of gout are acute...

Why are evergreen leaves so contrary about shade?

Leaf mass per area (LMA) is one of the most widely measured of all plant functional traits. In deciduous forests, there is similarity between plastic and evolutionary responses of LMA to light gradients. In evergreens, however, LMA is lower in shaded than sunlit individuals of the same species, whereas shade-tolerant evergreens have higher LMA than light-demanders grown under the same condition...

Why Emergency Physicians Should Care About the Salton Sea

The deterioration of the ecosystem surrounding the Salton Sea, a 376-square mile lake located between Imperial and Riverside Counties in Southern California1 has an important effect on the health of the surrounding impoverished population. The greater Salton Sea area comprises 177,000 people demographically divided into 80.9% Latino, 13.7% White/NonHispanic, and 10.5% African American.2 Median ...