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

The Health Policy Exchange

CareFirst Blue Cross Blue Shield joined the program in 2020.) 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. According to MedChi , the average practice received $176,000 in care management fees in 2019.

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An Escape Fire for Healthcare

Noreta Family Medicine

Bill Skelton, founder of the Acupuncture Clinic here in Columbia, SC, gave me the film to watch and said he thought that as a Direct Primary Care physician and owner of Noreta Family Medicine, I would appreciate it. As a family doctor who has worked for a large hospital system in the past, I fully agree with this contention.

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Is there enough time for prevention in primary care?

Common Sense Family Doctor

Since 2020, the starting ages for breast, lung, and colorectal cancer screening were lowered to 40, 50, and 45 years, respectively. There may not be enough time for prevention in primary care, but family physicians need to keep providing it the best we can. ** This post first appeared on the AFP Community Blog.

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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

in 2020, with higher percentages of patients with more favorable pathology or lower PSA levels choosing one of these strategies. in 2020, with higher percentages of patients with more favorable pathology or lower PSA levels choosing one of these strategies. Watchful waiting refers to clinical observation only. and 6.1%, respectively).

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"Sludge audits" identify obstacles to completing colorectal cancer screening

Common Sense Family Doctor

A 2022 article in the Harvard Business Review introduced the term sludge to describe “these types of situations in which the design of a specific process consistently impedes individuals from completing their intended action.”

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MyChart Messages the Wild West of Patient Communication

33 Charts

According to Epic, the number of patient messages spiked 151 percent nationally from the period covering the first 11 weeks of 2020 through the end of the year. You can prove it by asking a bunch of doctors and patients how they’re supposed to use MyChart messages you’ll get a wild range of responses. Crucial that we fix this.

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PSA screening: shared decision making is a flawed approach

Common Sense Family Doctor

In early 2020, I accepted an invitation to participate in a live debate with a nationally prominent academic urologist at the annual scientific meeting of the American Society for Men's Health. You can read my full editorial on PSA screening in the January issue of American Family Physician. Then I wrote a paper about it.