Coveronly-(1).JPGApril 2013 | Volume 96 | Issue 4

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Table of Contents


ON THE COVER

Pricing problem 
Hospitals and clinics struggle to tell patients what things cost.
BY SUZY FRISCH


FEATURES

Public program snapshot 
How Minnesota’s public health insurance programs are changing under the ACA.
BY KIM KISER

Finally, a policy on policies
After months of waiting to find out which health benefits are essential, insurers are now scrambling to comply with the fed’s requirements.
BY CARMEN PEOTA

Troubles for teaching programs 
Clinical training sites adapt to funding cuts they hope will be temporary.
BY HOWARD BELL


CLINICAL AND HEALTH AFFAIRS

Care of the Frail Elder: The Nexus of Geriatrics and Palliative Care 
BY ABDULLAH LADHA, M.B.B.S., SAURABH SHARMA, M.B.B.S., JOHN A. BATSIS, M.B.B.CH., GREGORY A. HANSON, M.D., AND KEITH M. SWETZ, M.D., M.A.

Value-Based Purchasing for Physician Services 
BY BRYAN E. DOWD, PH.D., SHRIRAM PARASHURAM, M.S., TAMI SWENSON, M.S., ROBERT KANE, M.D., ROBERT COULAM, PH.D., AND DAVID KNUTSON, M.A.

Measuring Medical Productivity to Gauge the Value of Medicare 
BY STEPHEN T. PARENTE, PH.D.

The C.A.S.E. Approach: Guidance for Talking with Vaccine-Hesitant Parents 
BY ROBERT M. JACOBSON, M.D., F.A.A.P., LINDA VAN ETTA, M.D., F.A.C.P., F.I.D.S.A., AND LYNN BAHTA, R.N.


DEPARTMENTS

Editor's Note

Pulse
Cesareans and savings, U health programs rank highly, the value of the annual physical, payment reform manifesto

The Physician Advocate
The MMA's monthly report on policy, people and politics
ClearWay’s David Willoughby, MMA kicks off policy forums, MMA news briefs.


PERSPECTIVE

Lost in translation 
A simple lesson about our emergency system might have saved a life.
BY KRISTINA KROHN, M.D., AND PATRICIA WALKER, M.D., DTM&H


COMMENTARY

Beyond Obamacare 
How a single-payer system can save health care in the United States.
BY DAVE DVORAK, M.D., M.P.H.

Paying for and delivering pregnancy care 
It’s time to revamp the care delivery and payment model to improve the value of pregnancy care.
BY STEVE CALVIN, M.D., AND AMY ROMANO, C.N.M.


END NOTE

Rose 
A POEM BY MICHAEL SHREVE, M.D.