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Could Defensive Medicine Actually Lower Medical Malpractice Claims?

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Published on Oct 10, 2016

Join us on Healthcare Matters as we sit down with Anupam Jena, MD, PhD, one of the authors of the article "Physician spending and subsequent risk of malpractice claims: observational study." Published in the November 2015 edition of The BMJ, the article presents findings showing that physicians who spend more on patients tend to get sued less frequently than those who spend less. Though there are limitations on the study, these intriguing results help to shed light on questions surrounding the practice of defensive medicine and how it affects the healthcare system. In our wide-ranging interview the Dr. Jena, we discuss the details of the study and the implications of these findings, including the difference between defensive medicine and greater use of resources, why some physicians may use more resources than others and how these behaviors effect the cost of healthcare. We also address the implications of the study regarding the Affordable Care Act (ACA) and how changes in physician-payment models may effect spending on patients. Dr. Jena also outlines areas of further research into defensive medicine and the question of healthcare spending.

Part I: Does Defensive Medicine "Work"?
http://www.youtube.com/watch?v=QlK8Ou...

Part II: Greater Use of Resources vs. Defensive Medicine: What’s the Difference?
http://www.youtube.com/watch?v=QlK8Ou...

Part III: The Link between Physician Spending and Medical Malpractice Claims.
http://www.youtube.com/watch?v=QlK8Ou...

Part IV: Medical Malpractice Claims and the Doctor-Patient Relationship.
http://www.youtube.com/watch?v=QlK8Ou...

Part V: Physician Spending, Patient Outcomes and Future Research
http://www.youtube.com/watch?v=QlK8Ou...

Part VI: How can we differentiate between defensive medicine and “good” medicine?
http://www.youtube.com/watch?v=QlK8Ou...

Part VII: Fee-for-Service vs. Outcome-Based Models and the Effect on Healthcare Costs
http://www.youtube.com/watch?v=QlK8Ou...

More Healthcare episodes: http://www.cunninghamgroupins.com/all...
About this episode’s guest: Anupam B. Jena, MD, PhD is the Ruth L. Newhouse Associate Professor of Health Care Policy and Medicine at Harvard Medical School and a physician in the Department of Medicine at Massachusetts General Hospital. An economist and physician, Dr. Jena’s areas of research include healthcare economics and policy, medical malpractice, economics of medical innovation and cost effectiveness, geographic variation of medical care and insurance benefit design. Dr. Jena has won several awards for his research, including the 2007 Eugene Garfield Award by Research America for his work on the economic value of medical innovation in HIV/AIDS and the 2015 International Society for Pharmacoeconomics and Outcomes Research New Investigator Award.

About Healthcare Matters: We are an internet television program that explores the intersection of medicine and the law with an emphasis on medical malpractice insurance and risk management issues. Host Michael Matray, editor of Medical Liability Monitor, interviews guests from the healthcare and legal communities on issues such as tort reform, significant malpractice judgments and emerging legal trends in medical professional liability. All Healthcare Matters videos are produced by Cunningham Group, the medical malpractice insurance specialists: http://www.cunninghamgroupins.com

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