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Gloom and Doom in U.S. Workers

0
September 7, 2014

A recent report from Rutgers University entitled “Unhappy, Worried, and Pessimistic: Americans in the Aftermath of the Great Recession” found that 70% of respondents described the typical American worker as not secure in their jobs and 68% of workers are highly stressed. A quote from the study is, “The typical American worker lives in...
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A Glimpse of a Bleak Future for Primary Care Access

1
August 17, 2014

First, we are all so thankful that our family physician colleague Kent Brantly seems to be recovering from his Ebola infection. When his family left Liberia, they had to leave all of their possessions behind, which should have been burned by now. If you would like to donate to help him rebuild his personal...
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A Colleague with Ebola

2
July 28, 2014

I must pause a week in my continued quest to highlight waste and excess in the American healthcare system to focus on a more pressing issue. Dr. Kent Brantly graduated from the JPS Family Medicine Residency Program 2 years ago after also completing our global/maternity care fellowship. He is the young man who contracted...
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CMS Billing Rules & Family Medicine – Incentives to Over-Treat

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July 22, 2014

I’ll make this one very short. The same realities apply in the CMS documentation, coding, and billing rules that incentivize over-treating as they do for over-testing. If I see a patient with a cough, I don’t prescribe antibiotics, and I give the long speech explaining why they don’t need antibiotics, and I reassure the...
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CMS Billing Rules Subjugate Family Medicine – Incentives to Over-Test

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July 14, 2014

I’m continuing my series on the reasons there are so few family physicians in the U.S. and why the Center for Medicare and Medicaid Services (CMS) is a root cause of this deficit. My conclusions are based on recent research on the topic. This specific issue is a detail that actually wasn’t mentioned often...
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CMS Billing Rules Subjugate Family Medicine – Payment for Complexity and Time

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July 6, 2014

I’m continuing my series on the reasons there are so few family physicians in the U.S. and why the Center for Medicare and Medicaid Services (CMS) is a root cause of this deficit. My conclusions are based on recent research on the topic. If you hired an accountant to do your taxes and after...
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CMS Billing Rules Subjugate Family Medicine – No Payment for Convenient Care

1
June 23, 2014

I’m continuing my series on the reasons there are so few family physicians in the U.S. and why the Center for Medicare and Medicaid Services (CMS) is a root cause of this deficit. My conclusions are based on recent research on the topic. Have you ever wondered why doctors tell you to come in...
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CMS Billing Rules Subjugate Family Medicine – Inadequate Payment for Complex Care

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June 16, 2014

I’m continuing my series on the reasons there are so few family physicians in the U.S. and why the Center for Medicare and Medicaid Services (CMS) is a root cause of this deficit. My conclusions are based on recent research on the topic. In my last post, I showed how the American Medical Association’s...
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CMS Billing Rules Subjugate Family Medicine – The AMA and Comprehensive Primary Care

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June 9, 2014

For the next several weeks, I’ll try to explain to non-physician readers why the Center for Medicare and Medicaid Services (CMS) billing rules create the horrid lack of primary care patients experience when they simply want to find a personal physician. My conclusions are based on recent research on the topic. This task is...
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Shall We Overcome? – Reversing Decades of Primary Care Payment Bigotry

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June 4, 2014

OK, I’m back. (I had several weeks of intense work and family obligations). And OK, I’m going to go for it with the payment reform stuff. I will spend the next several weeks trying to explain to a general audience why the payment system for physicians is extremely rigged in favor of the doctors...
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