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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). But, we are disincentivized and downright punished if we do just that.

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

The Health Policy Exchange

With 476 participating primary care practices, MDPCP provides prospective, non-visit based payments known as "care management fees" and operational support from a program management office and Care Transformation Organizations (CTO). According to MedChi , the average practice received $176,000 in care management fees in 2019.

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What's new in osteoporosis screening and fracture prevention?

Common Sense Family Doctor

In the two years since publication of the latest American Family Physician review article on osteoporosis , new guidelines and research studies have enhanced management of this common condition. Preventive Services Task Force (USPSTF) updated its recommendations on screening for osteoporosis. In early 2025, the U.S.

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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

Concerns about overdiagnosis of clinically insignificant prostate cancer through prostate specific antigen (PSA) screening motivated the 2018 American Academy of Family Physicians’ (AAFP) recommendation against routine screening for prostate cancer. Explaining the AAFP’s position, Drs.

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The Role of Internal Medicine in Preventive Health Care

Mesa Family Physician

While many patients are familiar with terms like “family doctor” or “primary care,” the field of internal medicine often raises questions: What exactly does an internist do? Physicians who practice internal medicine are called internists or internal medicine doctors. Many wonder: What does an internal medicine doctor do?

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Fecal immunochemical testing for colorectal cancer is effective and cost-effective

Common Sense Family Doctor

is one of only a few countries in the world that relies on colonoscopy as a primary method of screening for colorectal cancer (rather than reserving it for the evaluation of people who test positive on stool-based screenings).

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The Witness

StorytellERdoc

The case manager. His wife saw the stillness of his heart on our black-and-white screen. Forty or so minutes had passed since the patient arrived and, as I had explained to the wife in the family room, time was not our friend. The family doctor was called. My resident physician. The patient's wife. And the patient.

ER 100