By next year, about two-thirds of American physicians will be working as salaried employees of large groups and hospitals. This movement has been underway for years. Over the last decade, the number of independent physicians was falling by about 2% a year. But these trends are now accelerating. 

Durably improving health is really, really hard. I've discussed this in the context of drug discovery, which must contend with the ever-more-apparent reality that biology is incredibly complex, and science remarkably fragile. Here, I'd like to focus on another challenge: measuring and improving the quality of patient care.

Monday's release of the annual Medicare Trustees' report seems on the face of things to be a simple exercise in dry accounting – trust fund x will run out of money in year y.  In fact, it's much more than that.  It's an annual reminder that we are...

This study examines how hospitals have evolved since 1975.

Last month, the Drug Enforcement Administration abruptly revoked the narcotics license held by the distributor Cardinal Health, preventing that firm from shipping prescription pain drugs to thousands of Florida pharmacies and hospitals. It's the latest tactic in the DEA's struggle to stem the illicit use of prescription painkillers like OxyContin and Vicodin.

Medicare is facing a fiscal calamity: how can the growth of Medicare spending be limited while ensuring that beneficiaries continue to have access to affordable health care?

The president took an extra week to develop his budget, but the extra time was apparently not enough to yield Medicare policies that could produce real savings. Competitive bidding offers a better solution, but only if we are willing to give it a chance.