Managing Managed Care

Our inequitable, inefficient, oftentimes uncaring health care "system," revealed. -- Jeffrey G. Kaplan, M.D., M.S.

Med. Newsletter / eBook

Be informed on reform; Newsletter + free eBook: "Mgd Care 101 in 2013" (No obligation)

Subscribe to Managing Managed Care newsletter feed

All Contents

nursemaid's elbow, babysitter's elbow, pulled elbow

Fri, 2014-02-14 09:08 -- fitdoc

A Nursemaid's Elbow can be reduced simply through manual reduction, if you know the technique. In the management of radial head subluxation, two methods for reducing a subluxed radial head are popular: the supination-flexion technique and the hyperpronation or forced pronation technique.  Some parents or caretakers can be taught how to reduce this condition, but I'd rater an experienced practitioner handle it.

The Real Cost of Not Immunizing

This article is posted in: 

Can you imagine a child getting sick or harmed from your refusal to protect them?  How about the observation that routine childhood immunizations may reduce the risk of leukemia? [1]

Head Size - Infants

This article is posted in: 

The infant's head is enlarging, but the doctor observes that the fontanelles are not bulging, and the infant is intact, neurologically speaking; s/he has no symptoms, i.e., is neither irritable, nor unusually sleepy -- then, follow carefully.   In the Case of Macrocephally, How Is The Diagnosis of Hydrocephalus Typically Made? Presentation "The various types of hydrocephalus can present differently in different age groups."

Transformative, High-value Models of Advanced Primary Care

This article is posted in: 

Policymakers are trying to reform health care by pushing and shoving (down one's throat) commercial over patients' needs. Nevertheless, good will come of the Affordable Care Act as it sets the stage for Single Payer and more equitable, supportive health care. 

Waste Less; Add Value

This article is posted in: 

To make health care reasonably profitable for private payers and more affordable for patients, those who manage health care must focus on reducing cost, which is far easier than increasing the health benefit or medical loss ratio.

Opportunity for Real Reform

This article is posted in: 

The confluence of a exacerbated  health care crisis and a Presidential reelection created opportunity for change, but Robert H. Brook, MD, ScD of the Rand Corporation, a non-profit think tank, warns that simultaneously improving health care coverage, the affordability of health care and its quality will be difficult.