What to do when one size does not fit all
Alert: rant ahead. Early in my career working in persistent pain management, it was thought that “chronic pain is chronic pain is chronic pain” and pretty much anything that helped one person would help the next. Over time we’ve learned a lot more about persistent pain: the mechanisms differ a lot between neuropathic mechanisms and nociplastic mechanisms. Even within these groups, the mechanisms are very different. We’ve also learned a lot more about the psychosocial variables that are associated with prolonged disability and distress when pain persists. Some of the earliest work by Turk and coll...
Source: HealthSkills Weblog - September 7, 2020 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Groupwork Interdisciplinary teams Pain conditions Research Science in practice Source Type: blogs

Thriving in COVID Times
By KIM BELLARD These are, no question, hard times, due to the COVID-19 pandemic.  In the U.S., we’re closing in on 180,000 deaths in the U.S.  Some 40 million workers lost their jobs, and over 30 million are still receiving unemployment benefits.  Hundreds of thousands, if not millions, of small businesses are believed to have closed, and many big companies are declaring bankruptcy.  Malls, retailers, and restaurants have been among the hardest hit.  Yes, these are hard times.  But not for everyone.  Last week Target announced what CNBC called a “monster quarter.&...
Source: The Health Care Blog - August 25, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Health Policy Kim Bellard Source Type: blogs

How to recruit more students into family medicine
In 2019, a Policy One-Pager  produced by the Robert Graham Center reported that the percentage of the active U.S. physician workforce in primary care practice declined from 32 percent in 2010 to 30 percent in 2018. Although family physicians represent 4 in 10 primary care physicians, in several states, a large percentage o f family physicians are older than 55 […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 16, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/kenneth-lin" rel="tag" > Kenneth Lin, MD < /a > < /span > Tags: Physician Primary Care Source Type: blogs

Despite COVID-19 Challenges, Primary Care Practice Improves Patient Health Using Digital Tools
With COVID-19 transmission risks remaining high, many medical practices have been forced to change their business model from one built on face-to-face appointments to delivering patient care via telehealth visits virtually overnight . The transition has been a big challenge for many practices, some of which had been offering few if any telehealth services before […] (Source: EMR and HIPAA)
Source: EMR and HIPAA - July 22, 2020 Category: Information Technology Authors: Anne Zieger Tags: Ambulatory Clinical Communication and Patient Experience EMR-EHR Health IT Company Healthcare IT Telemedicine and Remote Monitoring Carium CCM Health Coaching and Lifestyle Management Services Lifestyle Medical Medicare Patient Bio Source Type: blogs

Thinklabs One Electronic Stethoscope Helps Physicians Stop Spread of COVID-19
The COVID-19 pandemic has led to the implementation and use of telemedicine and telehealth platforms and devices as part of current day-to-day standards of care in many hospital and healthcare systems. In this era of social distancing, doctors on our frontlines are at the most risk when diagnosing patients, and it’s therefore important to minimize exposure whenever possible. One of the devices patients immediately associate with check-ups is the stethoscope – a tool not only for assessment, but for bringing a sense of connection between doctors and patients. Thinklabs Medical has created leading electronic s...
Source: Medgadget - July 13, 2020 Category: Medical Devices Authors: Alice Ferng Tags: Anesthesiology Cardiology Critical Care Diagnostics Education Emergency Medicine Exclusive Geriatrics Informatics Pediatrics Public Health Source Type: blogs

Telehealth ’s Missing Link: In the Rush to Implement Virtual Care, What Did CMS Leave Out?
By RAY CONSTANTINI, MD Imagine three months from now when the predicted ‘second wave’ of COVID-19 is expected to resurge and we’re still without a vaccine. Telehealth has become the entry-point to care, widely adopted by patients both young and old. Now, when an elderly diabetic patient wakes up in the middle of the night with a dull ache on her left side and back, she doesn’t ignore the symptom, like she may have during the first COVID outbreak. Instead, she logs online to her local hospital’s website from a cell phone and accesses a simple questionnaire to report her health history an...
Source: The Health Care Blog - July 3, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Health Policy Health Technology Bright.md Ray Constantini Telehealth virtual care Source Type: blogs

Telemedicine is making our patient-doctor relationships more human. And that ’s a good thing.
COVID-19 essentially shut down my in-person primary care practice, and we immediately turned to telemedicine ( “seeing” a patient virtually either through a phone or video-based visit). My primary care group did this out of necessity, but nobody predicted how much we would like it, or how effective it can be for patient care. The most […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - June 1, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/amy-wheeler" rel="tag" > Amy Wheeler, MD < /a > < /span > Tags: Physician Mobile health Primary Care Source Type: blogs

Primary Care Practices Need Help to Survive the COVID-19 Pandemic
Ken Terry Paul Grundy By PAUL GRUNDY, MD and KEN TERRY Date: June 20, 2022. The Smithsonian National Museum of Natural History has reported its biggest number of visitors in more than 2 ½ years. There’s a string of new Broadway musicals that are well-attended every night. It’s safe to shop in malls, eat out in restaurants and go to movie theaters again. Of course, this has all been made possible by an effective vaccine against COVID-19 that was widely administered in the fall of 2021. Vaccinated citizens of the world are now confident that it’s safe to go out in public, albeit with a...
Source: The Health Care Blog - May 29, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Medical Practice Primary Care Ken Terry Paul Grundy Source Type: blogs

How to Practice High-Quality Telemedicine in the Era of COVID-19
By ANISH MEHTA, MD My practice received its first question about coronavirus from a patient on January 28, 2020. Though there were over 200 deaths reported in China by that time, no one could have imagined how drastically this would come to disrupt our lives at home. Thankfully, I had a head start. As a doctor at an integrated telemedicine and primary care practice in New York City, nearly two out of every three of my medical encounters that month was already virtual. I spent much of January caring for patients who had contracted seasonal viruses, like influenza or norovirus (i.e. the stomach flu). My patients ...
Source: The Health Care Blog - May 26, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Uncategorized Source Type: blogs

How Will COVID-19 Change the Health Care Balance of Power?
By KEN TERRY In any economic disaster, the largest, best-financed organizations have a natural advantage over smaller, cash-strapped organizations. The bigger entities have a greater ability to withstand economic downturns, while the small ones can quickly go out of business because they lack the financial reserves needed to tide them over. In the roughly 2 ½ months since the COVID-19 pandemic began sinking its hooks into America, the pertinence of this business axiom has been amply illustrated. Small companies across the country are desperate to reopen so they can survive, while many large corporations are se...
Source: The Health Care Blog - May 13, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Health Policy Ken Terry Source Type: blogs

A strong foundation of primary care is critical to the health system and is particularly important during pandemics like COVID-19. Primary care practices should be a natural fit for triaging, testing, treating, and educating patients. The current crisis reveals this is not happening in the United States and is highlighting the long-standing flaws in the system.         (Source: The Commonwealth Fund: Blog)
Source: The Commonwealth Fund: Blog - April 23, 2020 Category: International Medicine & Public Health Authors: Corinne Lewis, Shanoor Seervai, Tanya Shah, Melinda K. Abrams, Laurie Zephyrin, M.D. Source Type: blogs

6 self-care steps for a pandemic — always important, now essential
Airline attendants say it well: if the plane hits turbulence and the oxygen masks come down, place a mask on yourself first before turning to help others. This is absolutely critical. If we don’t, we may not be able to help anyone. Well, we’ve all hit the same turbulence, folks, and we all need to take good care of ourselves, our bodies, and our minds. Healthcare providers on the front lines of the coronavirus pandemic absolutely have to be functioning well in order to do their jobs well. At such a stressful time, with so much change and uncertainty, combined with the pressures of patient care during this pande...
Source: Harvard Health Blog - April 16, 2020 Category: Consumer Health News Authors: Monique Tello, MD, MPH Tags: Exercise and Fitness Health Healthy Eating Mental Health Source Type: blogs

The small practice primary care response to COVID-19
I am scared as I sit down to write about our journey as a small practice as we fight along with the rest of the world against the unthinkable force of nature in the form of a COVID-19 pandemic. My small primary care practice is only two years old. In a time when medical practices […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 31, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/talal-khan" rel="tag" > Talal Khan, MD < /a > < /span > Tags: Conditions COVID-19 coronavirus Infectious Disease Primary Care Source Type: blogs

The Primary Cares Initiative: How Value-Based Payment Models Aim to Strengthen Primary Care
Conclusion The Primary Cares Initiative represents not just a single push to improve the health care system as a whole through primary care, but an overarching drive to do so via many initiatives and programs. Bringing more practices on board with initiatives such as the PCMH, CPC+, innovation within Medicare Advantage, and the Primary Cares Initiative will undoubtedly solidify the success of these and future programs, as stakeholders and policymakers come to a greater understanding of how to incentivize and create a path toward improved health care outcomes. Chris Jaeger is the Advisor for ACO and Health System Stra...
Source: The Health Care Blog - February 11, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Primary Care AristaMD Chris Jaeger CMS primary cares initiative Source Type: blogs

Health Insurers and Retail Pharmacies Expand Primary Care Services
I have blogged extensively about how health insurers and retail pharmacies have been entering the primary care market.Market Watch recently published an article informing the investor community about this trend (see:Health insurers and retail pharmacies are making a play for primary care). Below is an excerpt from this article:CVS Health..., Humana..., Walgreens..., Walmart...and UnitedHealth Group now operate hundreds of clinics that directly market themselves as primary care providers or provide a majority of primary care services. And they all plan to open more clinics in 2020....As the U.S. health care system has ...
Source: Lab Soft News - February 6, 2020 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Healthcare Business Healthcare Insurance Public Health Source Type: blogs

9 Healthcare Companies Who Changed the 2010s
By ANDY MYCHKOVSKY In order to celebrate the next decade (although the internet is confused whether its actually the end of the decade…), we’re taking a step back and listing our picks for the 9 most influential healthcare companies of the 2010s. If your company is left off, there’s always next decade… But honestly, we tried our best to compile a unique listing that spanned the gamut of redefining healthcare for a variety of good and bad reasons. Bon appétit! 1. Epic Systems Corporation The center of the U.S. electronic medical record (EMR) universe resides in Verona, Wisconsin. Po...
Source: The Health Care Blog - January 7, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Health Tech Health Technology Start-Ups Andy Mychkovsky Healthcare Pizza Innovation Startups Source Type: blogs

11 Healthcare Innovation Trends To Watch In 2020
By ANDY MYCHKOVSKY As we near the end of the year, rather than reflect on fond memories of 2019 (for which I’m grateful for my family, friends, readers, and Twitter followers), I’ve already started thinking about 2020. If you ever wanted to get inside my brain for 5-10 minutes (scary proposition I know) related to healthcare startups and innovation, here are some areas or trends that I will be following in the new decade. 1. Medicare-For-All Will Be Everywhere As we move closer to the Democratic Presidential caucus, some of the top-polling candidates (Sen. Elizabeth Warren, Sen. Bernie Sander...
Source: The Health Care Blog - December 31, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Tech Health Technology 2020 Andy Mychkovsky health innovation Healthcare Pizza Source Type: blogs

Preventing falls in older adults: Multiple strategies are better
Despite considerable research and clinical effort, falls among people 65 and older are on the rise. An older adult is treated in the emergency room for a fall every 11 seconds, with injuries ranging from simple cuts and bruises to broken bones. Hip fractures are the most serious injury from falls, and more than half of older adults hospitalized for hip fractures after a fall never regain their previous levels of mobility or quality of life. Further, falls are a leading cause of death among older adults. According to the Centers for Disease Control and Prevention, an older adult dies from a fall every 19 minutes. Despite th...
Source: Harvard Health Blog - October 22, 2019 Category: Consumer Health News Authors: Brad Manor, PhD Tags: Caregiving Health Healthy Aging Injuries Safety Source Type: blogs

Too old for the pediatrician? Time to switch doctors
It happens to every young adult: at some point, they become too old for their pediatrician. When it happens depends both on the young adult and the pediatric practice. Some teens are ready for a change when they become legal adults at 18, tired of sitting with babies in the waiting room. Others want to stay with their pediatrician, and do until the very last minute the pediatrician will let them. As for practices, some have firm rules about when patients need to move on, while others don’t, letting them stay until the early years of their 20s. Ideally, young adults will have a smooth transition from one health care p...
Source: Harvard Health Blog - October 11, 2019 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Adolescent health Managing your health care Source Type: blogs

How a Value Focus Could Change Health Care
By BRIAN KLEPPER, PhD How will the drive to health care value affect health care’s structure? We tend to assume that the health care structure we’re become accustomed to is the one we’ll always have, but that’s probably far from the truth. If we pull levers that incentivize the right care at the right time, it’s likely that many of the problems we think we’re stuck with, like overtreatment and a lack of accountability, will disappear. A large part of getting the right results is making sure that health care vendors have the right incentives. All forms of reimbursement carry incenti...
Source: The Health Care Blog - August 14, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Value-Based Care Brian Klepper Health Care Reform Validation Institute Source Type: blogs

‘I Apologize for What You Are About To See’
By HILARY HATCH, PhD The growing movement to include the patient voice in medicine through Motivational Interviewing, patient-reported outcomes, social determinants of health and shared decision-making One day in 2011, as a part of my research on ways to improve patient-provider communication about health behaviors, I was shadowing Dr. G., a talented young internist with a cheerleader demeanor. He marched through 12 afternoon patient appointments with confidence and purpose. But when he saw the name of the last patient on her schedule, he turned pale, faced me and said, “I apologize for what you are about to se...
Source: The Health Care Blog - August 13, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Patients Psychology Hilary Hatch motivational interviewing patient-reported outcomes Phreesia Social Determinants of Health Source Type: blogs

Need to check your thyroid? Maybe not
As medical science advances, we have more tests and biomarkers available to help identify illnesses. Yet overdiagnosis and overtreatment that may occur following abnormal results can cause dangerous adverse effects and costly consequences. Hypothyroidism — a lower than normal range of thyroid hormones — may be the poster child for this problem because it is such a common condition. What is hypothyroidism? At the front of your neck lies the thyroid, a butterfly-shaped gland that makes the hormone T4. When released into the bloodstream, T4 converts to T3, the most active form of thyroid hormone. Having sufficient...
Source: Harvard Health Blog - July 22, 2019 Category: Consumer Health News Authors: Marcelo Campos, MD Tags: Autoimmune diseases Fatigue Tests and procedures Thyroid Disorders Source Type: blogs

Trauma-Informed Primary Care
Samyukta Mullangi By SAMYUKTA MULLANGI MD, MBA, DANIEL W. BERLAND MD, and SUSAN DORR GOOLD MD, MHSA, MA Jenny, a woman in her twenties with morbid obesity (not her real name), had already been through multiple visits with specialists, primary care physicians (PCPs), and the emergency department (ED) for unexplained abdominal pain. A plethora of tests could not explain her suffering. Monthly visits with a consistent primary care physician also had little impact on her ED visits or her pain. Some clinicians had broached the diagnosis of functional abdominal pain related to her central adiposity, and recommended weight...
Source: The Health Care Blog - April 24, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Patients Physicians Adverse Childhood Experience primary care Social Determinants of Health Trauma Source Type: blogs

Patient-Directed Access for Competition to Bend the Cost Curve
By ADRIAN GROPPER, MD Many of you have received the email: Microsoft HealthVault is shutting down. By some accounts, Microsoft has spent over $1 Billion on a valiant attempt to create a patient-centered health information system. They were not greedy. They adopted standards that I worked on for about a decade. They generously funded non-profit Patient Privacy Rights to create an innovative privacy policy in a green field situation. They invited trusted patient surrogates like the American Heart Association to participate in the launch. They stuck with it for almost a dozen years. They failed. The broken market and promi...
Source: The Health Care Blog - April 18, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Economics Health Policy Health Technology Adrian Gropper CMS Health Data Interoperability ONC Source Type: blogs

Overprescribing Is a Key Component of the Opioid Crisis — Here’s How to Stop It
By DAVE CHASE  Today’s opioid crisis is one of the most dire side effects driven by our dysfunctional U.S. healthcare system. A recent JAMA Surgery report found that many surgeons prescribe four times more opioids than their patients use. This opens the door for misuse and abuse later on. In fact, the total combined cost of misuse, abuse, dependence and overdose is about $78.5 billion. Unfortunately, there’s a direct connection between the low-quality care many patients receive, and the astounding rates of opioid addiction. Often, insurance plans offer access to high-cost, volume-centric physicians and inc...
Source: The Health Care Blog - January 29, 2019 Category: Consumer Health News Authors: matthew holt Tags: Patients Value-Based Care Dave Chase Opioid epidemic Source Type: blogs

Why we need more physician entrepreneurs
Three years ago, I had a massive, life-changing event. It passed with little notice; it was beyond banal and happened while eating sushi with a colleague in a landlocked state. Here I am with a young patient at the direct primary care practice I opened in Kansas City, Kansas, after residency. We were in our […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 20, 2018 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/allison-edwards" rel="tag" > Allison Edwards, MD < /a > < /span > Tags: Physician Primary Care Source Type: blogs

Healthcare Investors Most Focused On Health IT Sector
There are lots of ways to pick up a stake in the business, but health IT is healthcare investors’ favorite place to sink their money, according to a new survey by KPMG and Leavitt Partners.  In fact, as you see below, the investors are willing to pay a premium for positions in such companies. In September and October, KPMG and Leavitt surveyed 175 respondents about their healthcare investment plans. The two found that 34% of respondents were most interested in investing health IT, followed by care management (31%), home health (23%), retail-centric medical groups (22%) and primary care practices (21%). Before yo...
Source: EMR and HIPAA - December 18, 2018 Category: Information Technology Authors: Anne Zieger Tags: Administration AI/Machine Learning Analytics/Big Data C-Suite Leadership EHR Electronic Health Record Electronic Medical Record EMR EMR-EHR Health Care Health IT Company Healthcare Healthcare AI Healthcare Analytics Healthcare Source Type: blogs

Integrating in Health Care: 6 Tools for Working Across Boundaries
By REBECCA FOGG  Today’s health care providers face the formidable challenge of delivering better, more affordable and more convenient care in the face of spiraling care costs and an epidemic of chronic disease. But the most innovative among them are making encouraging progress by “integrating”—which in this context means working across traditional boundaries between patients and clinicians, health care specialties, care sites and sectors. The impulse to do so is shrewd, according to our innovation research in sectors from computer manufacturing to education. We’ve found that when a produ...
Source: The Health Care Blog - December 4, 2018 Category: Consumer Health News Authors: matthew holt Tags: Hospitals Physicians collaboration health innovation Health Tech Integration Iora Health Kaiser Permanente Oak Street Health partnerships Rebecca Fogg Source Type: blogs

Comprehensiveness is Killing Primary Care
By HANS DUVEFELT Dr. Hans Duvefelt In most other human activities there are two speeds, fast and slow. Usually, one dominates. Think firefighting versus bridge design. Healthcare spans from one extreme to the other. Think Code Blue versus diabetes care. Primary Care was once a place where you treated things like earaches and unexplained weight loss in appointments of different length with documentation of different complexity. By doing both in the same clinic over the lifespan of patients, an aggregate picture of each patient was created and curated. A patient with an earache used to be in and out in less than five minutes...
Source: The Health Care Blog - August 24, 2018 Category: Consumer Health News Authors: matthew holt Tags: Patients Physicians primary care primary care practices quality mandates Source Type: blogs

APRNs and 21st-Century American Healthcare
Advanced Practice Registered Nurses (APRNs) are an increasingly important fixture within the 21st-century American healthcare system and nursing profession. Full practice authority is a central key to APRNs ’ ability to fulfill the needs of the American public, and it’s time for such authority to be granted nationwide.My APRN StoryIn my own experience as a nurse, Advanced Practice Registered Nurses have figured largely. In the early years of my nursing career in Western Massachusetts, I was lucky enough to work with several teams of gifted nurse practitioners. These particular NPs were blessed to work alongside...
Source: Digital Doorway - July 9, 2018 Category: Nursing Tags: APRN APRNs family nurse practitioners healthcare healthcare careers healthcare delivery healthcare policy nurse practice nurses nursing Source Type: blogs

A patient is left with a choice: financial devastation or blindness
That statement from a recent patient was a summary to me of what is bad in our health care “system.”  It’s a terrible summary of what is seen all over this country with people who must make the choice between financial solvency and health. Here’s what happened:  It was a new patient I saw, who is a veteran who owns two businesses.  He went out on his own when he “kept getting laid off.”  He has largely been successful in what he’s doing, but as is the case with many these days, he couldn’t afford health insurance.  This was especially bad because he h...
Source: Kevin, M.D. - Medical Weblog - June 29, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/rob-lamberts" rel="tag" > Rob Lamberts, MD < /a > Tags: Physician Primary Care Public Health & Policy Source Type: blogs

The verdict is in: All three of CMS ’s “medical home” demonstrations have failed
By KIP SULLIVAN Between September of 2016 and last month, CMS released “final evaluations” of all three of its “medical home” demonstrations. All three demos failed. This spells bad news not just for the “patient-centered medical home” (PCMH) project, but for MACRA. The PCMH, along with the ACO and the bundled payment (BP), is one of the three main “alternative payment models” (APMs) within which doctors are supposed to be able to find shelter from the financial penalties inflicted by the MIPS (Merit-based Incentive Payment System) program which was recently declared to be un...
Source: The Health Care Blog - June 7, 2018 Category: Consumer Health News Authors: matthew holt Tags: OP-ED Physicians Kip Sullivan PCMH Source Type: blogs

Another Type of Urgent Care Facility Flourishing for Orthopedic Problems
In a recent note, I discussed how primary care practices and hospital-based ambulatory care are now being forced to compete with both walk-in clinics in retail drug stores and urgent care centers (see:Physicians Are Disappearing from the Front Line of Healthcare). I have just learned about another type of first-line competition for physician and physical medicine practices: walk-in, orthopedic urgent care centers (see: Orthopedic urgent care centers to expand). Below is an excerpt from the relevant article:A new orthopedic urgent care center operator is expected to start opening centers in Michigan later this yea...
Source: Lab Soft News - June 6, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Cost of Healthcare Healthcare Business Healthcare Delivery Healthcare Insurance Hospital Financial Medical Consumerism Source Type: blogs

Will Vertical Integration Kill the Primary Care Practice?
We've Moved! Update your Reader Now. This feed has moved to: http://feeds.healthblawg.com/healthblawg Update your reader now with this changed subscription address to get your latest updates from us. http://feeds.healthblawg.com/healthblawg (Source: HealthBlawg :: David Harlow's Health Care Law Blog)
Source: HealthBlawg :: David Harlow's Health Care Law Blog - April 9, 2018 Category: Medical Law Authors: David Harlow David Harlow Tags: Accountable Care Organization Digital Health Direct Primary Care Health care policy Health Insurance Health Law Health Reform Healthcare Innovation Physicians Value Based Purchasing Source Type: blogs

M édecins sans Hôpitaux (Doctors without Hospitals)
This study and others seem to show that “small is beautiful” with independent physician led ACOs apparently out performing ACOs on average. (https://catalyst.nejm.org/do-independent-physician-led-acos-have-a-future/ ) Physician Outsourcers such as Team Health, MedNax, AMN are for profit health service companies. They are not traditional healthcare providers and yet they organize tens of thousands of physicians. Team Health has 20,000 affiliated physicians and provides physicians for hospitals and health systems in several specialties especially emergency medicine, anesthesiology and hospital medicine. MedNax is...
Source: The Health Care Blog - April 5, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Health Savings Accounts: Are Lawmakers Being Target-ed or Amazon-ed?
By NIRAN AL AGBA, MD Health Savings Accounts (HSAs) allow individuals to use pre-tax dollars to pay for high deductibles and other uncovered medical expenses. Currently, individuals are ineligible for tax-advantaged HSA contributions if they have “other” coverage in addition to a High Deductible Health Plan (HDHP.) Expanding HSAs to fund out-of-pocket expenses for routine healthcare places control directly in the hands of patients, a move that could bring down health expenditures. Large corporations are wrestling for control to direct where patients spend their hard-earned money. A group of lawmakers recently i...
Source: The Health Care Blog - March 27, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Opioids in the household: “Sharing” pain pills is too common
This study alone identified almost six million people, and even this underestimates the problems because the study excluded patients with a cancer diagnosis or who were in hospice. Off the top of my head, I can think of multiple cases where I suspected or was told outright that others were using a hospice patient’s pain pills. I asked the study author, Marissa J. Seamans, PhD, about why they excluded these patients. “Because opioids are indicated for patients diagnosed with malignancy or in hospice care, we excluded them to more easily identify comparable NSAID patients,” she explained. While this made th...
Source: Harvard Health Blog - March 22, 2018 Category: Consumer Health News Authors: Monique Tello, MD, MPH Tags: Addiction Drugs and Supplements Health Pain Management Source Type: blogs

Incorporate side hustles to your primary care practice
Hustles are hustles, and side hustles add a little on the side. But if you want to maximize your income. You have to innovate. When I started as an employed medical physician at the beginning of my career, I was overjoyed to make X. After years of watching money go out the door in medical school, and then making 0.25X in residency, I couldn’t believe that I was earning so much. As the dollars piled up, I listened a little too closely to the naysayers. They kept whispering that no one ever got bonuses. That Big Fancy Medical System never paid more than the basic salary. A year later, bonus in hand, I cleared 2X. This ...
Source: Kevin, M.D. - Medical Weblog - March 15, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/docg" rel="tag" > DocG, MD < /a > Tags: Finance Practice Management Primary Care Source Type: blogs

New Study Suggests That HIEs Deliver Value by Aggregating Patient Data
Historically, I’ve been pretty skeptical about the benefits that HIEs offer, not because the concept was flawed, but that the execution was uncertain. Toss in the fact that few have figured out how to be self-supporting financially, and you have a very shaky business model on your hands. But maybe, at long last, we’re discovering better uses for the vast amount of data HIEs have been trading. New research by one exchange suggests that some of the key value they offer is aggregating patient data from multiple providers into a longitudinal view of patients. The research, completed by the Kansas Health Information...
Source: EMR and HIPAA - March 5, 2018 Category: Information Technology Authors: Anne Zieger Tags: Connected Health EHR EHR Benefits Electronic Health Record Electronic Medical Record EMR Healthcare Healthcare Interoperability HIE Population Health Population Health Management Value Based Reimbursement Diameter Health Ed.D. Source Type: blogs

Integrating Behavioral Health and Primary Care
AHRQ Academy is a resource dedicated to the integration of behavioral health and primary care. The information provided on the AHRQ Academy website is organized by experts in this field and includes research, expert insight, and suggestions for how to integrate behavioral health and primary care. The Academy also supports medication assisted treatment in primary care through technical assistance and resources. One resource available is called the Playbook, which offers guidance to primary care practices and health systems about integrating behavioral health. There is a brief video tutorial available about the Playbook. In ...
Source: BHIC - February 26, 2018 Category: Databases & Libraries Authors: Erin Seger Tags: Mental Health Source Type: blogs

The Luxury to Choose
By TRAVIS BIAS, MD The 80 year-old woman lay on her mat, her legs powerless, looking up at the small group that had come to visit her. There were no more treatment options left. The oral liquid morphine we had brought in the small plastic bottle had blunted her pain. But, she would be dead in the coming days. The cervical cancer that was slowly taking her life is a notoriously horrible disease if left undetected and untreated and that is exactly what had happened in this case. We had traveled hours by van along dirt roads to this village with a team of health workers from Hospice Africa Uganda, the country’s authori...
Source: The Health Care Blog - February 25, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Gardasil Hospice Africa Uganda vaccines Source Type: blogs

The Fusobacterium story as of 2018 – a very long post
This study followed a previous study that suggested an incidence of 1 per million.  However, in this study they estimated 14.4 per million in the 15-30 age group.  This rare disease now did not seem quite so rare. This information caused me to think about the risk to adolescents and young adults from Fusobacterium pharyngitis.  Much thought led to this perspective published in the Annals of Internal Medicine: Expand the Pharyngitis Paradigm for Adolescents and Young Adults Robert M. Centor, MD Current guidelines and review articles emphasize that clinicians should consider group A !-hemolytic streptococ...
Source: DB's Medical Rants - February 11, 2018 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs

Are family physicians the best weapon against opioid crisis?
As the national opioid crisis takes center stage, I want to make a case for the authority of the family physician in managing and treating this problem. I am a family physician and have been treating patients with opioid dependence and addiction for 12 years. These patients comprise about half of my practice. The other half is representative of a typical primary care practice. I have patients who have been treated at methadone clinics, dedicated buprenorphine clinics and pain clinics. My patients have participated in hospital-based detox programs as well as outpatient and inpatient rehabilitation programs. Most of my patie...
Source: Kevin, M.D. - Medical Weblog - December 31, 2017 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/layne-kamalu" rel="tag" > Layne Kamalu, MD < /a > Tags: Physician Pain Management Primary Care Source Type: blogs

CVS + Aetna. Are we sure this adds up?
CVS and Aetna. Love at second sight? Many of the stories I’m reading about CVS’s acquisition of Aetna suggests the deal is a bold move to expand CVS’s retail clinic business.  See for example, CVS-Aetna deal has major implications for retail health, primary care practices in FierceHealthcare. If the merger goes through, CVS plans to expand health services at its retail pharmacies, according to CVS and Aetna officials. Although it will take several years to accomplish, CVS will increase its number of clinics and add staff and equipment for a wider variety of treatments. This seems like silly reasoning...
Source: Health Business Blog - December 5, 2017 Category: Health Management Authors: dewe67 Tags: Economics Health plans Aetna cvs merger Source Type: blogs

Prioritize primary care this open enrollment season
This open enrollment season, patients will be considering their health care coverage for the coming year. To ensure they are fully utilizing their primary care benefits and building relationships with health care teams that will keep them healthy, we need to encourage them to connect with a primary care practice or medical home. A medical home is a place where a patient can seek treatment from primary care physicians and other professionals, and coordinate any needed care with sub-specialists and hospitals. It should always be the first stop — and in many cases a one-stop shop — for medical care. The prima...
Source: Kevin, M.D. - Medical Weblog - November 23, 2017 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/glen-r-stream" rel="tag" > Glen R. Stream, MD < /a > Tags: Physician Primary Care Public Health & Policy Source Type: blogs