Biomedical subjects

J D Kleinke

Publications and source records attributed to J D Kleinke.

21 records · Page 2Linked to original sources

PubMedDate not supplied

Dot-gov: market failure and the creation of a national health information technology system.

The U.S. health care marketplace's continuing failure to adopt information technology (IT) is the result of economic problems unique to health care, business strategy problems typical of fragmented industries, and technology standardization problems common to infrastructure development in free-market economies. Given the information intensity of medicine, the quality problems associated with inadequate IT, the magnitude of U.S. health spending, and the large federal share of that spending, this market failure requires aggressive governmental intervention. Federal policies to compel the creation of a national health IT system would reduce aggregate health care costs and improve quality, goals that cannot be attained in the health care marketplace.

Diffusion of Innovation↗

PubMedDate not supplied

Re-naming and re-gaming: Medicare's doomed attempt to reform reimbursement for injectable drugs.

Hastily crafted provisions in the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003, intended to reform the government's flawed method for reimbursing providers who administer injectable drugs, will exacerbate existing economic and clinical problems instead of resolving them. The new provisions recast Medicare's traditional drug reimbursement system; increase temptations for physicians to overuse injectable drugs; and promise to aggravate the economic problems Congress attempted to fix with the new law. Medicare can resolve these problems by reimbursing providers for injectable drugs based on their actual acquisition cost rather than on estimates embedded in a complex drug reimbursement system.

Injections↗

PubMedDate not supplied

Equity, equity, that's our cry. Interview by Richard L. Reece.

On February 11, 1999, Richard L. Reece, MD, interviewed J.D. Kleinke to talk about his new book entitled Bleeding Edge: The Business of Health Care in the New Century. A medical economist and author living in Denver, Kleinke advocates a true partnership between hospitals and physicians--a marriage with both parties contributing equally to the relationship. He believes that "physicians and people who are running the administrative infrastructures of hospitals and other facilities need to recognize that they are equal partners in a death struggle against the insurers for ultimate control of the premium and the consumer." Though physicians are sure to balk at the suggestion that they become "captive" to the hospital, Kleinke explains that, "captivity is a necessary condition before they can work functionally together and take on managed care and contract directly with consumers, employers, and the government." Kleinke discusses five trends that he explores in his book: risk assumption, consumerism, consolidation, integration, and industralization.

Economic Competition↗