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A Comprehensive Approach to the Opioid Crisis in Caldwell County, North Carolina [Social determinants and vulnerable populations]

Annals of Family Medicine

County governments are struggling to manage the opioid crisis. Caldwell County is getting $800,000 per year from the Purdue Drug Settlement for the next 15 years but our county manager states it will take ten times that much money to address this crisis appropriately. County budgets are strained as a result.

Community 130
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Can the Practice of Primary Care Medicine ever be Practical Again?

A Country Doctor Writes

This means we have the resources to reach out to the populations we manage and offer them immunizations, screening tests and advice without dragging them into the office one by one to do this for them (and bill their insurance for our efforts). I think we need to stop pretending that today’s primary care is patient centered.

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I Could Do Much Better but the System Doesnt Allow Me [Geriatrics]

Annals of Family Medicine

Nursing home residents and their families prioritised personalised care that meets their diverse physical, emotional, social, and cognitive needs, while preserving dignity and functional abilities. However, staff face constraints due to low staffing levels, composition, and skills, as well as the demands of regulatory compliance.

Finance 130
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Tapping the potential applications of mHealth

The Health Policy Exchange

Smartphone apps now include a variety of self-management tools for weight loss, physical activity, and chronic diseases such as hypertension and diabetes. Should state and local governments provide direct grants or tax relief to promising startups? electrocardiogram) and would pose safety risks to patients if they malfunctioned.

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From Numbers to Names: How Concierge Care is Redefining the Doctor-Patient Experience

Concierge Choice Physicians

Wayne Lipton, CCP Managing Partner ​America’s trust in medical professionals is dwindling, according to Gallup’s annual professions rating , dropping from a high of 67% in 2021 to just 53% in 2024. Physicians, particularly primary or family care doctors, value the doctor-patient relationship too.

Patients 130
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The Massachusetts Avenue of health reform

The Health Policy Exchange

In contrast to the personality-driven path that Lyndon Johnson took to navigate legislative obstacles to Medicare and Medicaid, former management consultant Mitt Romney charted a decidedly different course to expanding health insurance when he became governor of Massachusetts in 2003. It was one thing to ask drivers to buy car insurance.

Insurance 130
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Governor’s 2025-26 May Revision Proposes Major Cuts to Healthcare and Undermines Medi-Cal Expansion Commitments

California Academy of Family Physicians (CAFP)

Key Health Care Budget Proposals: Proposed Medi-Cal Cuts and Enrollment Changes Medi-Cal, California’s Medicaid program, is typically funded through a partnership between the state and the federal government. Medi-Cal Minimum Medical Loss Ratio – Increases the minimum medical loss ratio for managed care plans, commencing January 1, 2026.