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    Misc

    CDHP's Impact on Physician Practices

    March 20th, 2006

    I recently read a good article on how CDHPs will impact physician practices. Essentially, CDHPs will force physicians to become much more business-savvy - "pickier" patients, increased competition, and less ability to bill the patient later. As such, the article goes on give this advice to physicians and practice managers:

    - Embrace marketing. With intensifying competition and patients doing more comparison shopping, those practices with the best marketing will increase market share.

    - And of course, the best kind of marketing is word-of-mouth. So, obviously we're not just talking about a nice website. It's making every patient that comes through your doors your walking advertisement.

    - Embrace revenue cycle. There are a boatload of appropriate tactics to increase revenue (i.e. getting the revenue that's truly due). On the one hand, it will be easier with more HSAs and linked debit cards. But on the other hand, physicians will have to collect a greater percentage at the time of service. And in light of the points above, the folks in your accounts receivables aren't paper-pushers anymore - they become the practice ambassador, contacting patients to follow up on bills. This isn't a $8/hour anymore, this takes some hotel service style skill. (read this slightly-old-but-still-useful HFMA article on CDHP's impact on the revenue cycle)

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    Hospital facilities built today do not include asbestos, but many older buildings still have asbestos components in them. Steam pipes, boilers and furnace ducts were often insulated with an asbestos blanket or asbestos paper tape because of their fireproof and insulating properties. Resilient floor tiles were made from vinyl asbestos. Asbestos cement was employed in roofing, shingles and siding materials. The hazard of this carcinogen increases when the fibers become airborne, and untrained contractors can inadvertently increase risks by cutting, tearing, sawing, scraping, or sanding asbestos materials. Elevated asbestos levels can occur in hospitals where old materials are damaged or disturbed. It is best to leave undamaged asbestos material alone if it is not likely to be disturbed. Inhaling asbestos fibers is known to cause mesothelioma and other diseases. Be sure to use an experienced asbestos removal contractor when you need to get rid of old materials that might contain asbestos.