A Primary Care Vision

Healthcare is changing again.  There is a movement away from fee for service to global payments for care.  This means that the insurance companies give a provider or practice, a set fee annually to cover an individual.  It is the responsibility of the provider to manage medically and keep costs down.  If a practice goes…

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My Doctor and The Insurance Company Are Now A Team

The other day I got an email from my primary care  provider stating, Harvard Pilgrim , my insurance company,  stating I was to change a medication I gad been taking for fours years to another one in the same class.  I assume the reason was the different drug was now generic. On the surface, this…

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Living Long Doesn’t Mean Living Well

I recently read one of the best articles on aging and healthcare in our soceity by Micheal Wolff in The New Yorker.  The name of the article is “A Life Worth Ending”.  http://nymag.com/news/features/parent-health-care-2012-5/ .  It is the story of caring for an aging parent and how the dying process was drawn out without any input from family.…

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Why Nurse Practitioners Matter To Healthcare

I honestly don’t understand why the American Medical Association(AMA) is so opposed to the role of nurse practitioners (NPs) as independent primary care providers.  It is certainly not based in the research.  I believe it is  foolish and reckless. I have tried to argue the merits and the research supporting NPs positive outcomes and cost…

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Invoking The Healthcare Proxy

Two questions I get asked regularly is, who can invoke the healthcare proxy and when should it occur?  I get these questions most frequently from adult children of elderly parents.  The question is asked because they have noticed a parent is having cognitive changes or increased confusion about medications or safety issues in the home.…

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Who Controls Your Healthcare,The Insurer, the Doctor Or You?

I wonder who has the most control in my health care decisions.  Is it me or the doctor or my health insurer?  I have to consider who gets to say NO the most. Here is how I see the flow.   I go to the doctor for a variety of reasons from annuals to sick visits. …

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My Heart Breaks: Too Many With Cancer

I turned on my computer and there was an email from an a past client.  As I read the email, my heart began to break.  She had breast cancer that had metastasized to the bone.  She was wondering if I could help her.  She didn’t have very good insurance as I remembered.  She had been…

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What Is An E-Patient?

This post is written by Erica Moss, who is the community manager for the Masters in Nursing online program at Georgetown University, offering one of the nation’s leading nurse practitioner programs. Outside of work, she’s a dog lover who enjoys photography and meeting new people. The Internet is changing almost every aspect of our lives.…

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