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A true story of payer negotiations

Physician's Practice

Physicians, whether in small practices or employed by hospitals, face a daunting challenge when trying to get a payer to approve a medication, procedure or imaging study. The standard of care was hospital admission and surgical ablation of the obstruction to urine flow. The cost of the hospital procedure was $25,000 to $35,000.

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Lead, follow or get out of the way

Physician's Practice

Yes, you can judge a book by its cover, and make no mistake, patients judge your practice within only four seconds of walking through the front door. As Michael LeBoeuf, PhD, says in his book The Greatest Management Principle in the World (Putnam, 1985), "You get what you reward." What is it that they see?

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Nudges for Prognosis and Comfort Care in the ICU: Kate Courtright, Scott Halpern, & Jaspal Singh

GeriPal

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. Many were community hospitals.

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Comics and Humor in Palliative Care: A Podcast with Nathan Gray

GeriPal

Times , The BMJ , and Annals of Internal Medicine. . So for those listening to the podcast, this is a clown looking very sad and what looks like a hospital administrator. And the hospital administrator says, “No, the hospital definitely values your contributions to the interdisciplinary team.

IT 145
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Dignity at the End of Life: A Podcast with Harvey Chochinov

GeriPal

So take a listen and if you are interested in learning more, check out these wonderful links: Harvey’s latest book is called, Dignity in Care: The Human Side of Medicine Intensive Caring: Reminding Patients They Matter Michael J. And who’s a latest book is Dignity and Care: The Human Side of Medicine.

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Guiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty

GeriPal

Malaz: One day I was in internal medicine residency and I had to take care of a patient who was admitted from a nursing home with dementia. The way we were treating him with dementia in the hospital, the way we talked about him, that he’s not there. There’s a book called The 36-hour day for dementia caregivers.