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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 

About Jennifer Shine Dyer, MD, MPH, FAAP

Jennifer Shine Dyer, MD, MPH, FAAP is a pediatric endocrinologist (2010 America’s Top Pediatricians), social media enthusiast (@EndoGoddess), and mobile health entrepreneur with a patient-centered focus looking to make health outcomes better for people living with diabetes and other chronic diseases. She received her medical education from the University of Texas Health Science Center at San Antonio, her pediatric and pediatric endocrinology training at the University of Texas Southwestern Medical Center in Dallas, and her Masters in Public Health from the Ohio State University College of Medicine in the field of health behavior studies. More Posts

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