article thumbnail

Maryland's Primary Care Program: incremental progress or breakthrough?

The Health Policy Exchange

According to MedChi , the average practice received $176,000 in care management fees in 2019. Finally, it seems awkward and unrealistic for a family doctor to tell a specialist that his or her practice style is too aggressive, even if there's good data to back it up.

article thumbnail

Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

in 2019, with 78% receiving radiation therapy and 22% undergoing surgery. A 2019 AFP editorial provided more guidance for estimating and having conversations about life expectancy with older patients. ** This post first appeared on the AFP Community Blog. in 2000 to 59.8%

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

In asymptomatic severe aortic stenosis, is earlier intervention better?

Common Sense Family Doctor

A recent editorial in the Journal of the American Heart Association discussed a “paradigm shift” in management of severe aortic stenosis: 69% of Medicare fee-for-service beneficiaries who underwent aortic valve replacement from 2012-2019 had TAVI, with the percentage undergoing SAVR falling from 75% in 2012 to just 10% in 2019.

article thumbnail

Direct-to-consumer advertising distorts prescription drugs’ benefits and costs

Common Sense Family Doctor

However, the DTCA bill has repeatedly died in every Congress since 2019, and executive action on DTCA would almost certainly prompt a First Amendment court challenge by pharmaceutical companies. ** This post first appeared on the AFP Community Blog. Kennedy, Jr.’s s previously stated intention to ban DTCA from television.

article thumbnail

Book Review: Booster Shots by Dr. Adam Ratner

Common Sense Family Doctor

to a massive resurgence in 2019, presaged by smaller blips in the prior years? How did we go from eliminating measles in the United States.

article thumbnail

RFK Jr. and vaccine politics

Common Sense Family Doctor

In 2019, his anti-vaccine platform was powerful enough to convince a large portion of the population of Samoa to refuse measles, mumps, and rubella (MMR) vaccines after two children died after receiving MMR vaccines that were accidentally mixed with expired anesthetic rather than the appropriate diluent. See Samoa, 2019.)