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Morning Read: Sandbox expands to San Francisco, Harvard creates integrated clerkship

Sandbox is taking its grow-your-own model for supporting entrepreneurs to the West Coast office. Sandbox hires individuals and gives them coaching and funding to start a new company as part of the Startup Foundry. The company also invests in growing firms in the health-care field through Blue Cross Blue Shield Investments. Harvard Medical School has […]

Sandbox is taking its grow-your-own model for supporting entrepreneurs to the West Coast office. Sandbox hires individuals and gives them coaching and funding to start a new company as part of the Startup Foundry. The company also invests in growing firms in the health-care field through Blue Cross Blue Shield Investments.

Harvard Medical School has discovered that having medical students care for a group of patients over a year’s time works just as well as the more traditional clerkship model. Students in the integrated clerkship followed a panel of patients representing several medical conditions through inpatient and outpatient care. These students  expressed more satisfaction with their education and more confidence with patient care. They also performed just as well as those in the traditional clerkships on clinical skills and content knowledge, as measured by the National Board of Medical Examiners’ exams in surgery, pediatrics, obstetrics-gynecology and psychiatry.

The Government Accountability Office says a bonus program for rewarding care has failed and should be ended immediately. The office says the The Medicare Advantage Quality Bonus Payment Demonstration has simply rewarded mediocre care and has no hopes of improving in the future. Read the GAO report here.

Dr. Mitch Katz rides his bike to work and sees patients one afternoon a week even as he manages 22,000 employees and a $3.7 billion-dollar budget of the Los Angeles County’s  Department of Health Services. In addition to solving quality of care issues, Katz also has to deal with the prospect of a big loss of federal funding if many of the county’s uninsured get insurance in 2014.

Private health insurers ignored a pricing database they were required to build but not use when setting reimbursement costs. Instead, many companies started using Medicare as the benchmark for usual and customary fees, which meant customers had to pay more out of pocket.

 

[Image from flickr user digitalfreak]

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