A year ago, I wrote a blog on why health care reform won’t work. I was wrong, in part.

I was amazed how little coordination there was among providers in my delivery system to properly code test orders and claims as preventive medicine following a physical. The doctor’s office and hospital lab refused to talk to each other, making me deliver documents back and forth between the facilities AND explain what simple steps needed to be done to get the claims paid. If providers in partnership couldn’t cooperate to get paid, how could the emerging world of accountable care organizations and health information exchange succeed?

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