Paul R. DeMuro

An Elevator Ride with Dean Mark Richardson

Richardson, dean of the Oregon Health & Science University School of Medicine and winner of several faculty teaching awards, died after he was critically injured while doing a home repair.

OPINION -- I had the privilege of being a National Library of Medicine post-doctoral fellow at OHSU from 2012 to 2015, working on my PhD in Biomedical Informatics.

Some “Unanticipated” Consequences of Obamacare

Among the consequences are the popularity of high-deductible health plans and out-of-pocket costs that’s led to an increase in bad debt for hospitals and physician practices.

OPINION -- When one hears criticisms of Obamacare, one does not generally hear people complain about the fact that they may be able to include their 26-year-old children on their health plan, that certain limitations on coverage and amounts have been increased or eliminated, that their pre-existi

Biomedical Informatics' Global Reach

Enabling health information technologies coupled with data analytics and biomedical informatics facilitate our ability to make a difference in the lives of others.

OPINION -- One need only spend a few days at an international meeting of biomedical informaticians, physicians, and other scientists to realize quite quickly that many countries across the globe are experiencing many of the same issues in their healthcare systems as we are in the United States.

It's High Time for Our Elected Officals to Fix Obamacare

The health of our population is at risk, and the uncertainty is disturbing for many, and this author says it's time for a call to action

OPINION – The other day, a colleague rang me to discuss how Obamacare had affected his healthcare. For the ‎purposes of this commentary, I will call this individual Lee. Apparently, Lee has a chronic condition that ‎requires that he be infused with certain drugs periodically to ensure he survives. Lee's health plan ‎offering was no longer available. The only offering he could find was one that had a "narrow network," ‎which neither included the physician he had seen for years, nor the hospital he had gone to. Oh yes, ‎and he added that all the drugs he needed were not covered. Lee was concerned that the cost of the ‎drugs might be over a hundred thousand dollars a year.‎

I have no idea what Lee might be paying for health insurance, but let us assume it's $20,000 a ‎year. Lee was concerned about the narrow network and the additional out-of-pocket costs that he ‎would incur. Fortunately, he can afford to pay these out-of-pocket costs. I could not help but ‎think about a person who could not afford the $20,000 for health insurance before Obamacare, but now ‎may have some form of coverage. This individual presumably will receive some subsidies, but if he only ‎has a narrow network offering, he might find himself in a similar situation as Lee, but without the ‎wherewithal to pay the out-of-pocket costs.‎

Is It R.I.P. for Solo and Small Physician Practices?

Much has been penned about the death of private practice for solo and small physician practices. Some have even written the epitaph for all private physician practices, no matter what the size. This author posits that while the days of the traditional private fee-for-service practice might be numbered, many smaller physicians groups are thriving in the new era of clinical integration with aligned financial incentives, and doing better than they have done before, and suggests that this is the preferred path of private practice.


What Interoperable EHRs Might Have Done to Improve the Patient Care Experience

The author insists that patient-centered patient care cannot be realized without Interoperable EHRs shared by all the stakeholders and providers

OPINION – January 30, 2013 -- You will recall in my article last December, about my healthcare experience outside of Oregon, that both the ear doctor and the neurosurgeon professed to have electronic health records (EHRs).

The ear doctor advised that he was using the aircraft control type headset to dictate into my medical record, by pushing the button in his ear.


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