Managing Managed Care

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

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Lifestyle Choices Matter in Health

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That good lifestyle choices help prevent cardiovascular diseases and otherwise "enhance health….is a compelling reminder that health is the shared responsibility of individuals and communities."

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?

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.

Vit D; Reasonable Doses

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Warning: high doses of vitamin D isn't necessary and might possibly be harmful. It's time to rethink the levels. Not getting enough vitamin D?  No time or afraid to get too much sun exposure? Here's some evolving science or evidence of what you should or should not do:

Managed Care Mindset Results in a Coronary

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Was newscaster, Tim Russert’s sudden death at age 58 from a heart attack preventable? After all, he was being monitored as he was being treated for asymptomatic coronary artery disease. Unfortunately, his doctors did not realize the extent of it.  Indeed, Russert had performed well on a stress test a few months prior to his demise; he was exercising and was careful about  what he was eating.

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.

In Diabetes, More is Less

Fri, 2015-03-13 08:16 -- fitdoc
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9 of 10 persons who have pre-diabetes are not aware it is causing damage. Thus, the "Centers for Disease Control and Prevention and the American Medical Association are calling on [physicians to increase] screening efforts and raise awareness about the risk factors for developing a full onset of the disease.” Congressional Quarterly (3/13/2015, Zanona, Subscription Publication)

The EHR—on the Road Where a Cottage Industry Lived

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Improving doctors' quality, effectiveness and cost-benefit requires meaningful communication at all levels and settings. To cure health care's ills, there's an obvious remedy that is difficult, but not impossible to implement—make cogent information* available at the point of contact with the patient, regardless of setting and within HIPAA constraints.