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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

Most medical practices are still stuck doing piecework. Even the required operational framework for Patient Centered Medical Home recognition is completely top-down. Since we basically don’t have a clue, let alone agreement, about what Quality really is ( see my 2009 post “ Quality or Conformity?

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Oregon-based medical group Northwest Permanente announces affiliation with The Permanente Medical Group of Northern California

Permanente Medicine

Affiliation will allow groups to drive high-value care and innovation PORTLAND, ORE, April 16, 2025 – Oregon-based Northwest Permanente (NWP) and The Permanente Medical Group (TPMG) of Northern California announced a formal affiliation today. Most transactions are largely focused on size, scale, and finance.

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2009 to 2018 saw increase in total expenditure for insulin

Medical Xpress

7 in the Journal of Diabetes. The price of insulin has increased in the United States, with the burden of out-of-pocket (OOP) costs rising considerably among uninsured individuals, according to a study published online Feb.

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Meta-analysis shows association between autism in children and cardiometabolic diseases

Medical Xpress

A study conducted by the Centers for Disease Control and Prevention (CDC) from 2009 to 2017 determined that approximately 1 in 44 children ages 3-17 are diagnosed with some form of autism spectrum disorder (ASD).

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Identifying and Resolving Red Flags: DEA Continues to “Run it Up the Flagpole”

FDA Law

DEA regulations state that a pharmacist has a corresponding responsibility not to fill a prescription unless it is issued for a “legitimate medical purpose by an individual practitioner acting in the usual course of [their] professional practice.” 12, 2012) (quoting Bob’s Pharmacy & Diabetic Supplies; Revocation of Registration, 74 Fed.

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