Beauty Health for Life

Since the Disease Management Care Blog not only wants to be informative but also helpful to its readers, it has developed a seven point generic physician employment inquiry response and recruitment letter.  It is available below. 

The DMCB is confident that those smaller physician-owned private practices that remain independent will find this form letter very helpful in the coming years.  The DMCB releases this to the public domain and its colleagues are welcome to copy, paste, distribute, share, alter, modify or adapt all or some of the document as it becomes necessary.

Dear [insert name of physician here]:

Thank you for your recent [select: tweet, email, Facebook posting or VM] inquiry about leaving your current salaried position and joining our practice.  Thanks to widespread patient dissatisfaction with the institutions that were spawned by "health orm," our small business has experienced tremendous growth. We are constantly on the lookout for new talent that complements our projected demand.  Maybe you can join our team!

As you are undoubtedly aware, many of our colleagues nationwide have been lured into full time employed positions involving large complicated corporate practice arrangements, many of which were set up to be ACOs. Savings havent materialized and many of these organizations have responded by demanding more patient "throughput" from their employed physicians and imposing cutbacks in vital support services.

In contrast to those organizations, our practice offers you:

1) a completely transparent compensation arrangement that equitably divides our net revenue income among the owner-physicians.   No more having to deal with an unwieldy administration that allocates salary amounts based on some opaque budget of anticipated revenues and upside savings minus overhead and capital allocations that you have no say in.

2) a team-based environment that not only relies on your expertise but knows whos boss.  Unlike those other complicated practice settings with layers of middle management, our office personnel report directly to you, period.

3) a patient population that is not only grateful for our high "same day" service standards and efficient and compassionate practice style, but who also recognize that unnecessarily calling at the end of the business day or repeatedly while were on night call is reason to be assisted in finding another physician.  We have caully cultivated a very loyal following of patients who genuinely partner with us.

4) a highly trained and motivated administrative support and care management staff that not only uses state-of-the-art approaches to deal with private managed care commercial insurers, but uses a "3A" approach of Anticipating, Automating and Appealing any service that requires prior authorization from you.  Youll only get involved in these matters when its necessary.

5) a stable practice environment. Speaking of managed care insurers, they comprise the bulk of our business. While they are far from perfect, Medicare and Medicaid they are not.  They dont threaten us with arbitrary fee schedule cuts, audits, and payment delays.  We firmly believe patients and taxpayers should get what they pay for.  Its not our fault if they havent paid for our level of clinical and consumer excellence. 

6) an EHR system is not only low cost and user-friendly, its modular and cloud-based.  Our vendor has agreed to performance guarantees, there are no one-sided "hold-harmless" clauses and its seamlessly compatible with any hand held device of your choice any time and any where.

7) a unique market niche that sits in that "sweet spot" between a local employer community that likes us, insurers that respect us, specialist physicians work with us and a multispecialty ACO close by that welcomes our errals.

Once again, thank you for contacting us.  Please send your CV to [insert P.O Box address here] where we will store it in strictest confidence along with dozens of your colleaques CVs.  We promise you that when we get to it in the coming months, we will contact you. 

Best regards,

This is the Husband-Elect.


(With Han Solo’s head.)

Over the next week, every single meal he consumes will come from our kitchen. If all goes well, it will cost under $25, total.

He is six-feet-tall, 205 pounds, and in his mid-30s. According to WebMD and a few other sites, he requires around 2600 calories each day. According to the USDA, it’s a little over 3000. I’m going to shoot for somewhere in the middle.

I’m doing this for two reasons:

1. I’m used to feeding myself, and it ain’t no thang. But being a stunning, brilliant, muscular dude, Husband-Elect’s needs are very different. Once we have a better idea of what he requires in a given week, it’ll help us eat for the rest of our lives.
2. Writing this blog, I tend to go on all like, “Why don’t people just EAT HEALTHIER? It’s so much CHEAPER and EASIER than they think and blah blah blah presumptivecakes.” With this experiment, I’m (hopefully) putting my money where my keypad is.

As part of the experiment, I’ll post at the end of every day. Husband-Elect will chime in occasionally, as he is erudite and good at words and stuff. Beyond our comments, these entries will include:

• The content of each meal (breakfast, lunch, dinner, snacks).
• The cost of each meal.
• The time it took to prepare each meal. (And maybe for the dishes? I haven’t decided yet.)
• The nutritional aspects of each meal. This will definitely include calories, fat, and fiber, which is what we usually list after recipes at CHG. Other than that, I’m not sure.
• Miscellaneous shopping and prep notes.

Next Wednesday, we’ll do a final tally of cost, time, and nutrition, as well as recipes, a shopping list, and a breakdown of what we learned. It’s gonna be a good time.

Of course, like everyone, we have benefits and drawbacks related to our income, location, space, transportation, etc. The biggest ones are as follows:

ADVANTAGES

• He’s not a picky eater, except for bottled raspberry dressing. Boy, he hates that.
• He was a vegetarian for six years in his early-to-mid twenties, and has no problems with beans, produce, or weird soy products. (We’re still going to incorporate meat, though.)
• We’re both water and occasional coffee drinkers, meaning I don’t have to buy soda or juice.
• There are two decent supermarkets within a half-mile of my place, and they’re both running pretty sweet sales this week. ($1.49 for 5 lbs potatoes, $0.66 for pasta, etc.)
• I’m using my pantry, which is well stocked with herbs, spices, vinegars, and oils.

DISADVANTAGES

• We share a small Brooklyn apartment with another couple and their barky little dog. Storage and prep space are extremely minimal.
• Husband-Elect likes beer. I have no idea how to include this, and it made him tear up a little.
• I walk to my grocery stores, so I only buy what I can carry. That makes bulk purchases fairly difficult, unless Im feeling cavalier about my vertebrae.
• It’s February, which means most fresh produce is out of the picture. I’ll be leaning pretty heavily on frozen veggies.
• We do not have a dishwasher. Tragic.
• In the midst of all this, I hafta come up with two new recipes for CHG and Serious Eats. Yoinks.

So far, I can tell you this: it’s Day 1, and I’m already in trouble. I figure we have about $3.55 per day to work with, and I’m going to end up around $4, with nowhere near as many calories as he needs. But more on that later this evening.

Readers, any tips? Have you ever tried anything like this? I’ve done my shopping, but need all the help I can get.

~~~

If you like this article, you might also dig:

• 1 Chicken, 17 Healthy Meals, $26 Bucks, No Mayo
• The Eat Your Veggies Experiment, Part 2: Results
• Eating on $25 a Week: the Experiment

As a nutritionally minded blogger, I normally advocate fresh, whole, prepared-from-scratch meals in modest proportions.

But, dude. The Super Bowl’s coming.

With the possible exception of Thanksgiving, no other event requires Americans to consume their body weight in onion dip. Nor can I think of another quasi-holiday where quesadillas are designated as health food. Sure, your party of choice might have a token crudite platter buried behind the wings, but essentially, Super Bowl Sunday is to diets what Lawrence Taylor was to Joe Theismann’s leg. (Caution: this video might kill you.)

Yet, us weight-conscious folks need options come February 3rd. And that’s where Lightened Seven-Layer Taco Dip comes in. I got the original dish straight off AllRecipes last year, but subbed in reduced-fat and fat-free ingredients, which saved 30 calories and 4 grams of fat per serving. Fortunately, there were so many loud, proudly competing flavors nobody could tell the difference. I’m making it again this year. And while the initial expenditure might look daunting (see Calculations below), just know three things:

1) With 56 servings, this is a hulking behemoth of food. It is the Mount Kilimanjaro of taco dips. If it was people, it’d be William “The Refrigerator” Perry bear-hugging John Goodman. Last year, my friends N and I barely put a dent in it, and they once downed a Ben & Jerry’s Vermonster by themselves.

2) There are ways (WAYS!) to save a little extra dough. This year, I’m going to buy ingredients on sale, make my own taco seasoning (total cost: about a quarter) and shred a block of Kraft Cheddar with my grater. Depending on how much I buy the block for, it will probably run $0.50 to $1.00 less than a bag. Good times.

3) I live in Brooklyn. Even when bargain priced, everything is more expensive here. Except maybe Chinese food.

If you’re interested in keeping it extra-healthy, the dip can be paired with self-baked tortilla chips or possibly celery. (Which, eat quickly, because people will inevitably bogart the veggies for their hot wings.)

On a final note, the rest of this week is being dedicated to Sunday’s game. Tune in tomorrow for some pigskin-appropriate links, and then again on Wednesday for a monster list of cheap, healthy Super Bowl fare. After that, it’s Thursday’s Football Favorites of the Week. Friday is anyone’s guess, but there are seven lonely leftover jalapenos sitting in my fridge. Suggestions are most definitely welcome.

Lightened Seven Layer Taco Dip
56 servings (seriously)
Adapted from All Recipes.

1-oz. package taco seasoning mix (or make your own )
16-oz. can fat-free ried beans
8-oz. package fat-free cream cheese, softened
16-oz. container fat-free sour cream
16-oz. jar salsa
1 large tomato, chopped
1 green bell pepper, chopped
1 bunch chopped green onions
1 small head iceberg lettuce, shredded
6-oz. can sliced black olives, drained
2 cups reduced-fat shredded Cheddar cheese (or shred your own 8-oz bar)

1) In a medium bowl, mix taco seasoning thoroughly with ried beans. Transfer it to a large platter or bowl, spreading it out on the bottom

2) In a separate medium bowl, mix sour cream and cream cheese. Pour it over ried beans and spread.

3) Pour salsa over sour cream/cream cheese mixture. Spread out. Then, layer with: tomato, bell pepper, onions and lettuce. Finish with cheese and sprinkle olives over everything.

Approximate Calories, Fat, and Price per Serving
36 calories, 1 g fat, $0.25

Calculations
1 (1 ounce) package taco seasoning mix: 45 calories, 0 g fat, $0.25
1 (16 ounce) can fat-free ried beans: 385 calories, 0 g fat, $0.89
1 (8 ounce) package fat-free cream cheese, softened: 218 calories, 3.1 g fat, $2.69
1 (16 ounce) container fat-free sour cream: 336 calories, 0 g fat, $1.20
1 (16 ounce) jar salsa: 123 calories, 0.7 g fat, $1.50
1 large tomato: 22 calories, 0.2 g fat, $1.00
1 green bell pepper: 24 calories, 0.2 g fat, $0.50
1 bunch chopped green onions: 32 calories, 0.2 g fat, $0.79
1 small head iceberg lettuce: 45 calories, 0.5 g fat, $0.99
1 (6 ounce) can sliced black olives: 80 calories, 6 g fat, $1.49
2 cups reduced-fat shredded Cheddar cheese: 720 calories, 48 g fat, $2.50
TOTAL: 2030 calories, 58.8 g fat, $13.80
PER SERVING (TOTAL/56): 36 calories, 1 g fat, $0.25