Nestled in the emerging Affordable Care Act is a groundbreaking provision that will require pharmaceutical companies and other medical industries to report all direct payments or gifts over $10 that are made to physicians. It’s called the Sunshine Provision, and will take effect in January of 2012. Physicians have always had a complex relationship with … Continue reading
See the original article at http://www.huffingtonpost.com/maggie-kozel-md/medicaid-cuts-_b_898065.html I spent my formative years as a pediatrician in the US Navy, and so it happened that I was a seasoned pediatrician of nearly ten years before I had my first experience with Medicaid. I left the Navy for civilian practice in 1990. Moving from the military system of … Continue reading
I usually write about healthcare reform from a pediatrician’s viewpoint, but what grabbed my attention recently was a story my husband, Randy, told me about an adult in his practice – a patient on Medicaid. Randy is a neurologist in a private practice, and Medicaid patients come from every corner of Rhode Island to see … Continue reading
With the roll out of the Affordable Care Act and perhaps more significantly the approach of the 2012 elections, public discussions of healthcare reform has been drowning in an alphabet soup of ACOs (not to be confused with the above ACA), CMS, SCHIP, and RUVs, just to name a few. The challenge is twofold. Most … Continue reading
January 28, 2011, 1:20 pm A Life Lesson Learned in Medical School By MAGGIE KOZEL, M.D. Thomas Northcut/Getty Images It was in my second year of medical school that I learned one of the most important lessons of my career: That it can be hard to distinguish truth from a perfectly good answer. Certainty was … Continue reading
This memoir follows my story from the early days of my career as a young pediatrician, through the Navy’s system of universal health coverage, and on into our civilian system of managed care and third-party-payers, describing the reverence I experienced for medical science, and my relationships with patients, but also the ever-widening gap between what … Continue reading
Then, as now, nothing in this world seemed as satisfying as having the puzzle pieces fit together.