Managing Managed Care

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

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All Contents

Barriers To Care: Low Value; Prohibitive Out-of-Pocket Cost; Priorities

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Be careful! 'What you sow, is what you reap.' A health plan's primary responsibility is ?? (should be the patients they insure).  But, they have policies that "restrain prescription medication spending by shifting costs toward patients. It is unknown how these policies have affected children with chronic illness."  Here's research that proves that cost control may not be about managing care--worse, it can adversely affect your health.

The EHR—on the Road Where a Cottage Industry Lived

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Improving doctors' effectiveness and cost-benefit 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. 

Controlling Costs, Costs

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A New York Times article portrays physicians' frustration stemming from having to deal with the underpayment of primary care. "There is no doubt that the system for providing medical care in the country is in need of major reformation, and that the system of training the providers of that care is in need of major transformation, but the medical community needs to get a grip on their whining." Remember, the primary care physician is an advocate and nt insensitive to the costs of care.

Eczema, The Common Rash

Eczema is, briefly, the "itch that rashes." It is also called "Atopic Dermatitis." And, it has other names as well. Online eczema support & information community --   Thank you very much doctor My son slept true the night for the first time in a long time; the cream* works wonders Joel * Unfortunately, this was a short course steroid cream, mid-potency  

Rethink Breast/Prostate Cancer Screening

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With 20 years' experience screening for breast or prostate cancer, I say "uh-oh"! These cancers seemed to be more prevalent.  Relatively speaking the cancers are presenting at an earlier stage. 

Antibiotic Harm - MRSA, the Super Bug

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What's the Relationship Between Using Antibiotics and Then Getting MRSA? RE: Community-acquired methicillin-resistant Staphylococcus aureus (MRSA) such as in an abscess or cellulitis–- the more the antibiotic exposure prior to getting MRSA, the more likely it was you would get MRSA. Setting and Study Design  A population-based case-control study in children, 1 to 19 years of age using a primary care, General Practice Research Database, United Kingdom, 1994-2007.

Obesity/Overweight Prevention/Treatment

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Obesity is a contributor to or a cause of chronic medical and/or surgical conditions including diabetes, hypertension, hyperlipidemia, heart disease, stroke, certain cancers, recurrent trauma and arthritis. Here are a few of the more ponderous facts: The apparent rise in the incidence of hypertension and diabetes worldwide is concerning.  Certain populations, non-Hispanic blacks, for instance are at higher risk, but it is getting scary for all of society!