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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.

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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. Watchful waiting refers to clinical observation only. in 2000 to 59.8%

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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.

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

Common Sense Family Doctor

On the surface, this rule aligns with the American Academy of Family Physicians’ policy that information provided in DTCA "should be accurate, balanced, objective, and complete, not false or misleading, and should not promote unhealthy or unsafe practices." The ad states that patients may pay as little as $5 per dose, 4 times per year.…

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Book Review: Booster Shots by Dr. Adam Ratner

Common Sense Family Doctor

In two decades of practicing family medicine, I've never seen a patient with measles. to a massive resurgence in 2019, presaged by smaller blips in the prior years? But if there was ever a more fertile environment for this age-old contagion to come roaring back in the U.S., this is it. over the past 30 years.

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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.)