Managing Managed Care

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

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Care Mgm't, Communication Curriculum Tools and Diagnostic Coding

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Coding systems that support clinical decision-making, 'measurement and management,' communication, especially about transitions of care and outcomes (acuity-adjusted) become the modus operandi of the new Managed Care.

Quality of Care--When is "Good," Good Enough?

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A payer judges a physician or a practice organization by the proportion of patients for which the physician adhered to one or more practice measures. Those in quality measurement seem to be attempting to align the clinical quality measures that are relevant to the Electronic (EHR) Incentive Program.  Isn't that artificial and once removed from the patient's care?

The Best Diet

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Six Cardinal Rules when attempting to lose weight and/or reduce the risk of heart and other diseases You MUST take in (eat) less calories than you burn (exercise and by being active) Portion size must be reasonable; do not eat to satiety; try to eat a fair amount of whole grains, fruits, and vegetables, but consume Fewer carbohydrates, especially refined and high sugar-loaded ones. Enjoy more polyunsaturated fats (e.g., plant oils and fish). Veer away from low-fat dairy products and nuts.

Delaying Shots ⇔ No Benefit; Much Risk

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In faith there is enough light for those who want to believe\enough shadows for those who don't [modified quote: Blaise Pascal]  I'm so tired of the excuses some parents make for not giving or wanting to delay vaccinations.  So, here's evidence; take or fight it on faith or consider the recommendation to immunize on time to be scientifically validated, 'best medical advice (BMA).

Avoiding too much medical care

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3 poignant cases of overuse, i.e., where over-supply (of docs) leads to over-testing or over-treating .... First Goodwin JS, Singh A, Reddy N, Riall TS, Kuo Y-K. "Overuse of Screening Colonoscopy in the Medicare Population."     Arch Intern Med Published online May 9, 2011.      doi:10.1001/archinternmed.2011.212

Battling Cancer Beyond Everything

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It is crazy to deny terminal patients access to possibly life-saving drugs for fear of offending the Statistics gods! Sent by Harvey Frey, MD, PhD, Esq.  Nov 2, 2013 11:50 PMSubject: [Dialog] How Dying Patients Get Access to Experimental Drugs