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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Why Is My Employer Health Risk Assessment Now Mandatory?

I recently received an inquiry on the topic of Employer Health Risk Assessments.  The person told me in the past, the company offered the assessments during annual insurance open enrollment.  This year, the flier stated, “if you complete both the Biometric Screening and My Blue Print, you pay less than those who do NOT participate.…

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HIPAA Drama: How Access Can Be Hindered

One of my tasks with all new clients is to get a HIPAA  and personal representative form filled out.  These forms when signed by the client, authorize me to speak with  medical teams, hospitals, administrators, billing offices and insurance companies.  It is the key to my work as an advocate.  There should be no problem…

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Why It Is Important to Read Your Medical Records.

Here it is in a nutshell.  Take the time to read a copy of your medical record because some of the information may be incorrect.  Impossible to imagine because the record is supposed to be your information, your test results and doctor’s notes.  However, mistakes are made from incorrect diagnosis to having another patient’s lab…

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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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