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When Robert Bray, MD, was asked by a colleague opening a surgery center to move some of his spine procedures to his outpatient center eight years ago, Bray was willing to try a few simple procedures such as microdiscectomies.
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More than half of state Medicaid programs now operate one or more pay-for-performance (P4P) programs and nearly 85% expect to be doing so within the next five years.
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It's hard to imagine a scenario of greater emotion, conflic, and potential risk than when a mental health worker visits the home of a mentally unstable person to evaluate them for involuntary psychiatric commitment.
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Faced with a shortage of hospital beds that extends throughout the state of Washington, St. Joseph's Medical Center in Tacoma has embarked on an "express discharge" initiative, which alerts the treatment team a day in advance when physicians anticipate the patient is almost ready for discharge.
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The Centers for Medicare & Medicaid Services (CMS) has not yet issued its final rule for fiscal year 2008, but it'sï
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