Noreta Family Medicine

SEPTEMBER 4, 2024

(Nowadays, instead of directly charging a patient before they leave the office, most primary care offices file a health insurance claim and the patient may not receive a bill, and the office may not be paid for months or years!). Medical care cost a fraction of what it does now. Who went to medical school again?

Primary Care 52

Primary Care Family Medicine DO Insurance 52

Noreta Family Medicine

FEBRUARY 12, 2025

Since we are not signed up with any health insurance companies (We charge patients a monthly fee), we don’t have any pressure from insurance companies or healthcare systems to see an unreasonable number of patients per day. A third barrier is that insurance companies often do not pay for nutrition counseling.

Healthcare 52

Healthcare Primary Care Family Medicine DO 52

The Motivated MD

OCTOBER 3, 2024

Many who follow this blog know that I reside in South Carolina. Wiped-out grocery stores, medications unfilled, spoiled food, hours-long lines for gasoline, and impatient citizens pulling firearms on each other, escalating tensions in an already tumultuous time. However, this is a personal finance blog, and for me, it goes beyond that.

Insurance 52

Insurance Finance Community Medical Advice 52

Altitude Family & Internal Medicine

APRIL 30, 2025

Altitude Family & Internal Medicine (303) 730-2167 Independent Doctors, Better Care: What the Big Systems Dont Want You to Know In todays healthcare system, patients often find themselves navigating a maze of corporate-owned practicesincluding hospital systems, insurance-affiliated clinics, and private equity-backed offices.

Internal Medicine 130

Internal Medicine Insurance Family Families 130

Barton Associates

MAY 29, 2025

The United States doesn’t have enough doctors and the problem is only growing—according to the Association of American Medical Colleges (AAMC) , the country is facing an estimated shortage of between 13,500 and 86,000 primary and specialty care physicians by 2036. Check out our job board and apply today to get started!

Private Practice 52

Private Practice Healthcare Internal Medicine Family Medicine 52

ABIM

MAY 18, 2025

Diagnostic delays, racial and ethnic health disparities, insurance barriers, and restricted access to appropriate treatments compound the emotional and physical burden of living with IBD. Without a full understanding of the disease context, he recommended surgery that, in hindsight, was not the medically appropriate next step.

Diagnose 40

Diagnose Healthcare Diagnosis Physicals 40

ABIM

APRIL 24, 2025

Visit the ABIM Blog for reports of prior meetings. Chrostowski, DNP, APR-N, ANP-C , asked whether ABIM will offer continuing medical education (CME) credits through the LKA. Thousands of activities are eligible for both MOC and CME via a collaboration with the Accreditation Council for Continuing Medical Education at cmepassport.org.

Board-Certified 40

Board-Certified Board-Certified Physicians Community Government 40

Vascular Physician

JUNE 27, 2021

blog h2 { margin-top: 1.25rem; } Varicose veins are quite common and often lead to pain, embarrassment and possibly further health issues. Varicose veins are oftentimes covered by insurance whereas spider veins typically are not since they tend to be cosmetic only. Varicose veins are often painful and unsightly.

Primary Care Physician 52

Primary Care Physician Insurance Transportation Patients 52

FDA Law Blog

DECEMBER 4, 2023

Pharmacists’ Corresponding Responsibility A controlled substance prescription, to be valid, must be issued for “a legitimate medical purpose by an individual practitioner acting in the usual course of [their] professional practice.” Zarzamora Press Release. The government asserted additional allegations that are outside our scope.

Treatment Plan 139

Treatment Plan ER Government Patient-Centered 139

The Motivated MD

DECEMBER 18, 2024

I am using our weekly blog posts to create a future book that hopefully will apply to medical trainees and early career physicians looking to build generational wealth, get out of debt, and take control of their financial lives. This new car you are financing comes with a monthly payment and subsequently increased insurance costs.

Finance 52

Finance Insurance IT Individual 52

FDA Law Blog

OCTOBER 9, 2023

We previously blogged about this lawsuit last year. The ACA sets an annual cap on the amount that insurers can require insured individuals to pay out of pocket for their medical expenses. The insurer still accepts the manufacturer payment, but also collects the full deductible from the patient.

Insurance 40

Insurance Manufacturing Patient-Centered Individual 40

FDA Law Blog

JUNE 27, 2024

Alternating Between Cash and Insurance According to the government’s expert, patients paying for prescriptions with insurance and for others with cash is a red flag for those paid with cash. paid for some medications with insurance while paying for other controlled medications in cash, and Patient M.W. By Larry K.

Insurance 52

Insurance Patients Utilities Chronic Condition 52

Physician's Practice

JUNE 27, 2025

Reynolds Blog Article The small details, like restroom cleanliness, shape patient perceptions and impact healthcare experiences in practices. I refer to this thought transference as the Bathroom Experience (BE), a powerful metaphor for how seemingly minor details can dramatically impact patients’ perceptions of a medical practice.

Management 52

Management Private Practice Patients Medical 52

FDA Law Blog

MAY 19, 2025

For a controlled substance prescription to be effective, that is valid, it must be issued for a legitimate medical purpose by an individual practitioner acting in the usual course of their professional practice. Complaint, 82. 81, 86, 251. Patients traveling long distances to the prescriber and/or to the pharmacy.

Individual 64

Individual Patients Provider Medical 64

Physician's Practice

JUNE 20, 2025

Reynolds Blog Article Innovative medical practices thrive by embracing change, prioritizing patient care and learning from setbacks to enhance success and satisfaction. This blog will discuss what early adopters do to implement innovative and exciting practices.

Management 52

Management Patient-Centered Appointment Patients 52

FDA Law Blog

AUGUST 12, 2021

Even before this approval and Update, health insurers heard this message loud and clear and have taken to paying patients to switch to biosimilar versions of medications to encourage widespread use in an effort to address costs.

Provider 98

Provider Clinic IT Patients 98

FDA Law Blog

JANUARY 6, 2022

220 and was described on HP&M’s blog here. Clinical treatment facility” is defined as “a medical setting, other than a hospital, that provides detoxification, risk reduction, outpatient treatment and care, residential treatment, or rehabilitation for substance use, pursuant to licensure or certification under State law.”

Lab Testing 52

Lab Testing Referral Individual Patient-Centered 52

FDA Law Blog

AUGUST 7, 2023

By Véronique Li, Senior Medical Device Regulation Expert — The Center for Devices and Radiological Health (CDRH) offers learning opportunities for new and experienced CDRH staff through the Experiential Learning Program (ELP). One noticeable difference from years past is the option for virtual site visits.

Patient-Centered 40

Patient-Centered Insurance Manufacturing Provider 40

FDA Law Blog

MAY 31, 2021

CMS views accumulator programs as a way for PBMs and insurers to siphon off the benefit of manufacturer assistance so that it does not reach the patients for whom it is intended. This forces patients ultimately to pay the amounts subsidized by a manufacturer in order to meet their deductibles or maximums.

Manufacturing 52

Manufacturing Insurance Patients IT 52

FDA Law Blog

JANUARY 6, 2022

220 and was described on HP&M’s blog here. Clinical treatment facility” is defined as “a medical setting, other than a hospital, that provides detoxification, risk reduction, outpatient treatment and care, residential treatment, or rehabilitation for substance use, pursuant to licensure or certification under State law.”

Lab Testing 40

Lab Testing Referral Individual Patient-Centered 40

PEMBlog

OCTOBER 2, 2024

In rare, severe cases where GERD is refractory to medical management, surgical interventions like fundoplication may be considered, especially in kids with neurologic impairments or life threatening aspiration. pylori, medication overuse, particularly NSAIDs or other stressors. All right, let us shift gears to gastritis.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

Mesa Family Physician

JUNE 11, 2025

In this blog, we’ll break down what preventive care involves, explore its relationship with short-term health insurance, and explain why it’s a critical part of staying healthy at any stage of life. Preventive care includes medical services and healthy habits designed to stop diseases before they start. What Is Preventive Care?

Illness 100

Illness Preventative Care Preventive Care Insurance 100

ABIM

JUNE 4, 2025

Visit the ABIM Blog for reports of prior meetings. See the discussion on the Special Consideration IMG (International Medical Graduates) Pilot Pathway below.) Dr. Johnson updated the Specialty Board on the pilot proposal, which is currently under review by the American Board of Medical Specialties. Endocrine Society Robert W.

Diabetes 52

Diabetes Board-Certified Telehealth Government 52

ABIM

JUNE 24, 2025

Visit the ABIM Blog for reports of prior meetings. The group discussed policy shifts and potential implications for graduate medical education and health equity. A representative from the American Society of Hematology (ASH) joined for a portion of the meeting*. The following is a summary of the spring meeting.

Board-Certified 40

Board-Certified Board-Certified Physicians Government Community 40

FDA Law Blog

MARCH 17, 2022

We blogged on the final 2016 guideline here on March 17, 2016). As explained more fully below, CDC concedes that states, insurers, pharmacies and pharmacy benefit managers have implemented laws, regulations and policies that have misapplied the 2016 guideline. 7,838 (Feb. 10, 2022); Dowell, Deborah, MD., Recommendation 11.

Patient-Centered 75

Patient-Centered Clinical Practice Patients Management 75

New South Family Medicine and MedSpa

NOVEMBER 24, 2022

The practice doesn't depend on the insurance company to say whether they will pay for a certain procedure or a particular test, and how much. With the direct primary care model, your insurance is used for what it is intended to cover: catastrophic health events, hospitalizations, specialist care, imaging, and surgery.

Family Medicine 40

Family Medicine DO Family Families 40

FDA Law Blog

NOVEMBER 29, 2022

We blogged on the 2016 guideline here in March 2016, and the proposed guideline here on March 18th). Payers, health systems, and state medical boards should not use the guideline to set rigid standards or performance incentives related to opioid dosage or opioid therapy duration. 2022 Guideline at 15. (We 2022 Guideline at 3.

Patients 52

Patients Patient-Centered ER Individual 52

GeriPal

APRIL 14, 2022

So I have thought about this for months, maybe years since your 2016, cycle blog, but we have picked Under Pressure by David Bowie and Queen. This delineation of you can use the same medication for one indication without training. Eric: And why Under Pressure. Zachary: It’s it using buprenorphine is much easier.

Illness 102

Illness Patient-Centered IT Patients 102

FDA Law Blog

OCTOBER 28, 2021

The imposition of insurance-related hurdles beyond FDA approval, such as time-consuming prior authorizations or costly co-payments, can impede access to critical health care, such as contraceptives. In some instances, however, this is only the first hurdle to make innovative products available to patients. 300gg-13(a)(4).

Insurance 40

Insurance Utilities Individual Provider 40

FDA Law Blog

FEBRUARY 9, 2022

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.” Cocktail Medications. Gulf Med Pharmacy at 72,695. at 72,729-30. Payment in Cash.

IT 40

IT Insurance Government Patients 40

GeriPal

JANUARY 18, 2024

Lastly, we discuss Katie’s paper on substance use disorder in an aging population and how one can incorporate the 5 Ms (ie, matters most, medications, mind, mobility, and multicomplexity) into a framework for age-friendly care for older adults with substance use disorder. So, I don’t think we should have these silos.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

APRIL 18, 2024

I remember walking through San Francisco Airport with Bob, we just happened to be there at similar times, and saying, “Eric and I are thinking about starting a blog.” Then, it was like, well, it does as well as, and now, better than humans passing the medical boards, passing the law boards, doing great on the SAT, all that stuff.

IT 139

IT Electronics Patients Healthcare 139

FDA Law Blog

OCTOBER 29, 2023

Since that blog post, an important step forward was the decoupling of the coverage requirement from the FDA Birth Control Guide in the guidance provided by the Department to plans and issuers.

Individual 45

Individual Insurance Healthcare Provider 45

FDA Law Blog

SEPTEMBER 8, 2022

As it stands, the rule allows insurers and pharmacy benefit managers (PBMs) to broadly use copay accumulator programs, which have long been criticized by patient advocacy groups as padding insurers’ pockets while leaving patients high and dry. 156.130(h) to explicitly allow insurers to broadly use copay accumulator programs.

Insurance 83

Insurance Patients Manufacturing Patient-Centered 83

Pamela Wible MD

JUNE 19, 2025

Published 2/5/19, updated 6/19/25) Rowdiest audience ever (at a medical conference at least). It’s now so common that more than half of all doctors report symptoms, with medical students , residents , and even senior clinicians feeling pushed to the brink. Among medical trainees suicide is the number one cause of death today.

Clinic 246

Clinic Nurse Practitioner IT Medical 246