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A better flu shot for the elderly? High dose flu vaccine as a breakthrough?

By Andy Lazris, MD
December 21, 2014

Should high dose flu shots be used in the elderly? The New York Times said it best, mirroring the chorus of praise in the press after a major study evaluated the efficacy of high dose flu vaccine in the elderly compared to standard dose: “Now a study, published recently in The New England Journal of Medicine, finds that Fluzone High-Dose does indeed prevent influenza in older adults, reducing cases of the flu by 24 percent compared with the standard version.”

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Should hospitals be part of the solution?

By Andy Lazris, MD
December 14, 2014

Recently someone shared with me an article, An Amazing Healthcare Revolution is Happening in Maryland, written by Brett Logiurato in Business Insider. The revolution, it seems, is triggered by changes in hospitals that are encouraging fewer admissions and better communication. Under Maryland’s Total Payment Revenue Budget Cap, Maryland hospitals are capitated by Medicare; they earn just as much if they do not admit patients than if they do.

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When is Medical Treatment Overtreatment? Maine Doctors Take New Look

November 26, 2014
By Patty Wight

Medical treatment can cure illnesses and save lives. But too much treatment can cause harm, even death.

The Lown Institute in Boston estimates that between 10 and 30 percent of medical treatment in this country is unnecessary and racks up between $2 billion and $800 billion in extra costs. In Maine, some health care providers are changing their approach to ensure that they give patients what they call “right” treatment.

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