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American Health Scare · 2W ago

Industrial QI Does Not Work in Primary Care

Traditional industrial QI does not work in primary care. A recent publication brilliantly makes this case on both theoretical and practical levels ;-). On a theoretical level, primary care i...
American Health Scare · 3W ago

The AAFP and Payment Reform — They’re Screwing It Up, Again, Part 5 – Population Health Management

In the AAFP’s Advanced Primary Care Alternative Payment Model document, the concept of population health management is a little more muddled, but it keeps rearing its head in different place...
American Health Scare · 4W ago

The AAFP and Payment Reform — They’re Screwing It Up, Again, Part 4 – Care Coordination

First, I’ll quote the statement in the AAFP’s Alternative Payment Model document that deals with care coordination: “[P]rimary care is best positioned to coordinate care across settings and ...
American Health Scare · 1M ago

The AAFP and Payment Reform — They’re Screwing It Up, Again, Part 3 – Stuff I Agree With

Sorry for the delay in posts. My day job and another side project have taken up a lot of my time recently. Onward and upward. From the AAFP Principles to Support Patient-Centered Alternative...
American Health Scare · 2M ago

The AAFP and Payment Reform — They’re Screwing It Up, Again, Part 2 – A Poor Foundation

The AAFP’s recent statement on Advanced Primary Care calls for adopting the “five key functions of the Comprehensive Primary Care Plus Initiative.” This was an experiment under Obamacare whe...
American Health Scare · 2M ago

The AAFP and Payment Reform — They’re Screwing It Up, Again, Part 1- Background and a Brief History

Over my career, the American Academy of Family Physicians, my primary professional society, has made some colossal mistakes in what it has chosen to advocate for. It has learned from its pas...
American Health Scare · 3M ago

The Story of a Cancer Fight Rarely Told

This post is based on a friend of a friend situation. Important details have been changed to protect anonymity, but not the basic realities I want to discuss. A 49-year old man was diagnosed...
American Health Scare · 3M ago

Fitness Bands Don’t Work

This shouldn’t come as a surprise to most readers of American HealthScare, but 2 recent studies found that wearable fitness bands did not improve outcomes. One was a study comparing 4 incent...
American Health Scare · 4M ago

Primary Care Physicians are the Most Cost Conscious

A recent survey of physicians asked several questions about prescribing practices. The primary report was that only primary care physicians cited costs as one of the most important considera...
American Health Scare · 4M ago

More Clarity on the Cost of Obamacare

I have written before about predictions of the actual costs of Obamacare and the probable death spiral of increasing costs and decreasing participants. Several recent reports have brought mo...