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2011 Year in Review

In 2011, the United States faced staggering unemployment and soaring national debt while changes in health policy strived to deflect the cost curve downward. Here we present some of the best evidence produced in the past year.

Access to Care:

The Delivery System

Quality Improvement


As 2011 concludes, uncertainty about physician salaries and political leadership linger. Ever since the passage of the Balanced Budget Act of 1997, Congress has repeatedly delayed mandated cuts to Medicare’s physician fees. That statutory reduction has slowly accumulated and until last week would have resulted in a 27 percent cut.  Most physicians care for a sizable number of Medicare beneficiaries. A pay cut of this magnitude seriously threatens the ability of some physicians to keep their practices open to Medicare patients. Even though Congress agreed to a 2 month “doc fix,” the intense debate on this seemingly annual issue will resume shortly.

As the sun rises on a new year, the challenge to contain health care costs while ensuring access is destined to grow larger. Providers will be challenged to care for more patients, deliver higher quality care, focus on chronic illnesses, and yet receive potentially shrinking compensation. Low-cost, high-technology solutions such as tele-health and mobile health can assist providers and payers to succeed in this challenge.


Jennifer Dyer, MD, MPH and Tyree Winters, DO

Jennifer Shine Dyer, MD, MPH, FAAP
About Jennifer Shine Dyer, MD, MPH, FAAP

Jennifer Shine Dyer, MD, MPH, FAAP is a pediatric endocrinologist in private practice at Central Ohio Pediatric Endocrinology and Diabetes Services (COPEDS) in Columbus, Ohio. Contact: Website | Facebook | Twitter | More Posts

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