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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, FAAPis a pediatric endocrinologist in private practice in Columbus Ohio, an accomplished behavioral researcher currently at Stanford University, a mobile health entrepreneur, and a social media enthusiast (@EndoGoddess). She is a thought leader in driving data-based health outcomes and behavior change with mobile health, gaming, and social media which she has discussed at Diabetes Technology Society, ADA, The White House, Doctors 2.0 & You in Paris, TEDx, SXSW, Stanford, Mayo Clinic, mHealth Summit, and Harvard. Dr. Dyer works in private practice at Central Ohio Pediatric Endocrinology and Diabetes Services (COPEDS) in Columbus, Ohio to help young people with diabetes to live positive, full, modern, empowered, and long lives. Dr. Dyer received her MD from The University of Texas Health Science Center San Antonio, trained in pediatrics and endocrinology at The University of Texas Southwestern Medical Center Dallas, and earned her Master in Public Health from the Ohio State University College of Public Health. She began contributing to Policy Prescriptions® in 2011. Contact: Website | Facebook | Twitter | More Posts