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

The Health Policy Exchange

MDPCP is a multi-payer "advanced primary care" program modeled after previous patient-centered medical home projects such as the Center for Medicare and Medicaid Innovation's (CMMI) Comprehensive Primary Care initiative. According to MedChi , the average practice received $176,000 in care management fees in 2019.

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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

Active surveillance is a management strategy that is intended to limit overtreatment of localized prostate cancer by monitoring patients with periodic PSA measurements and prostate biopsies to delay or avoid curative therapy (radical prostatectomy or radiation therapy) and its adverse effects. and 6.1%, respectively). in 2000 to 59.8%

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In asymptomatic severe aortic stenosis, is earlier intervention better?

Common Sense Family Doctor

A JAMA review article quotes a 2020 American College of Cardiology/American Heart Association guideline as recommending surgical aortic valve replacement (SAVR) for patients younger than 65 years, TAVI for patients 80 years or older, and either procedure in patients 65 to 79 years, depending on operative risk and comorbidities.

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

Common Sense Family Doctor

In 1998, a Letter to the Editor in American Family Physician expressed concerns about the relatively new practice of pharmaceutical advertising directly to patients. The ad states that patients may pay as little as $5 per dose, 4 times per year.… Who could blame a patient for believing the drug doesn’t cost much.

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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.