Managing Managed Care

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

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Not Just an Apple a Day...

Complementary and Alternative Medicine (CAM) is inviting and has such promise but it is unproved and it can be dangerous. As Paul Offit (Chief Infectious Diseases, Children’s Hospital of Philadelphia) states, “There’s no such thing as alternative medicine. There’s only medicine that works and medicine that doesn’t.” Offit PA. “Do You Believe in Magic? The Sense and Nonsense of Alternative Medicine.”

Cost is the Big Item in the Value Equation of Health Care and Here's Why

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The main tension about healthcare centers around medical need, quality, access and cost-efficiency, i.e., affordability. To increase "value," one must raise quality, improve access and/or lower the cost of care. 

Real Reform

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Health Care Will Be Organized (and Paid For) Differently Say Porter and Lee in the Harvard Business Review (Oct. 2013) The strategic agenda for real reform lies in creating a value-based health care delivery system. As stipulated by Porter and Lee, six critical steps in reform as as follows [modified]: Separate primary from preventive care; reorganize care around patient medical or surgical conditions, forming what they call “Integrated Practice Units” (essentially team work);

If/When Reform Fails to Reform

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"If Reform Fails" is the title of a NY Times editorial that states the status quo of health care reform is immoral, impractical and unsustainable. What can we expect now that the House approved "Health Overhaul, Sending Landmark Bill to Obama"?

Autism and Autistic Behavior

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Autism Spectrum Disorders (ASDs) From the American Psychiatric Association's Diagnostic and Statistical Manual-IV, Text Revision (DSM-IV-TR), which provides standardized criteria to help diagnose ASD. Diagnostic Criteria for 299.00 Autistic Disorder A. Six or more items from (1), (2), and (3), with at least two from (1), and one each from (2) and (3): 1. qualitative impairment in social interaction, as manifested by at least two of the following:

Hunched Backs (Kyphosis)

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Exercises Can Help Kyphosis, But.... Certain exercises may prevent or delay the progression of hyper-kyphosis or hunched back, but that cannot completely correct it; it normally progresses with age. For example, here's a YOGA pose that is recommended by Dr. Loren Fishman, a Physiatrist who is well-published on this and related topics.

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