Showing posts with label well. Show all posts
Showing posts with label well. Show all posts
Seven Reasons Why Small Physician Owned Practices Will Continue to Do Well Despite Accountable Care Organizations ACOs
Sunday, February 23, 2014
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,
Ways To Be Your Healthiest Ever Smart ways to stay well eat right get fit
Monday, January 27, 2014
Smile Savers
Brushing, flossing, and eating right keep your teeth strong — and promote overall health
Make it tea for your teeth: Fruit drinks, sodas, and citrus juices (like orange) have sugar and acids that wear away tooth enamel. The better dental choice — as safe as just plain water — is tea without milk, lemon, or sugar.
Listen to your hygienist: In a two-week study of identical twins — one brushed and flossed, the other simply brushed — flossers developed significantly less plaque-causing bacteria than their brush-only siblings.
Spoon up some culture: In a new study, people who consumed at least 1/4 cup of yogurt or a lactic acid drink every day were less than half as likely to have serious gum disease. The magic ingredient? Probiotics, researchers believe.
Get plenty of fruits and veggies: The higher your consumption of folic acid from food (produce is a great source), the lower your risk of bleeding gums, research shows.
2 Twofers
With these, you burn calories and curb hunger
Cardio before meals: An aerobic workout cuts your hunger by lowering levels of ghrelin, an appetite-stimulating hormone. Count on about two hours benefit, including workout time. Weight training helps, too, but not as much. Not exercising at all leaves you hungriest.
A short walk: In a "gotta have chocolate" mood? Hit the sidewalk for 15 minutes. The walk will cut calories and — a study of chocolate lovers showed — curb your cravings as well.
Medicine Chest Must-Haves
These two can be lifesaving while youre waiting for the ambulance to arrive:
Aspirin (325 mg, not baby) to chew on in case you, a family member, or a guest has a heart attack
Liquid Benadryl in case of a life-threatening allergic reaction
4 Sleep Helpers
In 1896, GH advised insomniacs, "Upon retiring ... take a bowl of hot broth, like oatmeal gruel or clam soup." Our contemporary advice:
1. Chill, baby, chill. A cool bedroom lowers core body temperature, which initiates sleepiness. How cool? The ideal temp varies from person to person (and from husband to wife!), but try 65 degrees to start.
2. Hire a specialist — online. Cognitive behavioral therapy helps even longtime insomniacs sleep better. Try the online course developed by a Harvard researcher at cbtforinsomnia.com($25); also on CD.
3. Turn off appliances. Artificial light (from lamps, TVs, maybe even a glowing clock) can keep you up. But if its still not dark enough, try a sleep mask. The favorite in GHRI testing: Buckys 40 Blinks Mask ($13).
4. Practice tai chi. When researchers compared this Eastern meditative martial art with standard health education programs, tai chi won — heads down — in improving both sleep quality and duration.
Coffee Perks
Its fortunate our national java habit (the average coffee drinker downs three cups a day) turns out to be good for us. Coffee is rich in antioxidants, and (surprise) caffeine can also be a health booster. The brew has been linked to:
Lower risk of type 2 diabetes
Better memory and other cognitive functions
Reduced chances of non-melanoma skin cancer
Wider-awake days
But theres a trick to getting the most from your caffeine: Drink two ounces every hour or so through the morning and at lunchtime — then stop in early afternoon. Gulping a grande at breakfast may be followed by a crash later in the day
Move It!
Get one sweat every day; not a mere glow or perspiration, but a genuine, downright, old-fashioned ... sweat. (March 1916)
If youre sick of the gym, try a fun alternative that burns more calories than walking (246 calories per hour for a moderate pace). Ballet or swimming laps burns 422 calories; biking or playing Ping-Pong, 281.
Take a break. You may burn more fat when you divide a 60-minute workout into two 30-minute sessions with a 20-minute rest in between — and the boost may even continue post-exercise.
Get your hands dirty. Gardening gives you as much of a workout as walking or golf, a recent study reported. Plus: The weight-bearing motions involved in digging and pulling weeds can strengthen bones and muscle.
Add the #1 Veggie to Your Diet
Its kale — based on its contribution to daily nutrient recommendations, including beta-carotene, lutein, vitamins C and K, and folate, plus potassium, magnesium, and iron.
Spinach and collard greens are also stars.
Little Changes, Big Weight Loss
Cook pasta al dente. When you boil spaghetti for five minutes, its glycemic index is 38; after 20 minutes, it shoots up to 61. The higher the glycemic index, the sooner youll be hungry again.
Munch around the clock. A healthy snack mid-morning and mid-afternoon will keep you from overdoing itat lunch and dinner, for a net reduction in calories.
Keep a food diary. Recording meals and snacks ups your chances of weight-loss success. In fact, among a group of almost 1,700 dieters, diarists doubled their weight loss compared with non-writing folks.
Eat s...l...o...w...l...y. In one study, women who took half an hour to eat a pasta lunch consumed almost 70 fewer calories than those who scarfed it down in nine minutes.
Stop the music! People spend longer at the dining table when theres background music — any tempo or volume.
Watch out for sneak eating. "I just want a taste" (of pie, ice cream, pizza...) can add about 25 calories per mouthful.
Sip Gingerly
Beyond quelling nausea, ginger also eases menstrual cramps. To brew your own relief, peel 1 inch of fresh ginger root, cut into fine rounds, and put in a saucepan. Cover with 2–3 cups of water and simmer for 15 minutes. Strain, pour into a pretty cup, and sweeten with honey.
If Only It Were That Simple... an excellent and never-failing cure for nervous headache is the simple act of walking backward. (July 1896)
Better Bones
1. Do An Upward Dog: Yoga postures can ward off — and help correct — the dreaded dowagers hump that can occur with age. In a six-month study, even people who already had serious curves in their upper backs improved with yoga classes three times a week.
2. Follow a Big (Low-) Fat Greek Diet: Women who eat Mediterranean-style — consuming plenty of fish and olive oil, and limiting red meat — have the greatest bone density, researchers recently found.
3. Eat Like Popeye: Spinach, along with other fruits and veggies, promotes the best acid-base balance in your body for keeping bones strong.
Dont Bar Chocolate
If youre worried about weight gain, indulging may be a solution. A study found that women who put their favorite snacks on the no-no list actually ate 40 grams more of them when given the chance than those who didnt set such strict limits. (In the case of dark chocolate, that would be 180 extra calories.) The payoffs associated with as little as half an ounce a day: Lower blood pressure
Less-stiff arterial walls
Lower bad LDL cholesterol
Inhibited formation of blood clots
Reduced stress hormones
readmore
Brushing, flossing, and eating right keep your teeth strong — and promote overall health
Make it tea for your teeth: Fruit drinks, sodas, and citrus juices (like orange) have sugar and acids that wear away tooth enamel. The better dental choice — as safe as just plain water — is tea without milk, lemon, or sugar.
Listen to your hygienist: In a two-week study of identical twins — one brushed and flossed, the other simply brushed — flossers developed significantly less plaque-causing bacteria than their brush-only siblings.
Spoon up some culture: In a new study, people who consumed at least 1/4 cup of yogurt or a lactic acid drink every day were less than half as likely to have serious gum disease. The magic ingredient? Probiotics, researchers believe.
Get plenty of fruits and veggies: The higher your consumption of folic acid from food (produce is a great source), the lower your risk of bleeding gums, research shows.
2 Twofers
With these, you burn calories and curb hunger
Cardio before meals: An aerobic workout cuts your hunger by lowering levels of ghrelin, an appetite-stimulating hormone. Count on about two hours benefit, including workout time. Weight training helps, too, but not as much. Not exercising at all leaves you hungriest.
A short walk: In a "gotta have chocolate" mood? Hit the sidewalk for 15 minutes. The walk will cut calories and — a study of chocolate lovers showed — curb your cravings as well.
Medicine Chest Must-Haves
These two can be lifesaving while youre waiting for the ambulance to arrive:
Aspirin (325 mg, not baby) to chew on in case you, a family member, or a guest has a heart attack
Liquid Benadryl in case of a life-threatening allergic reaction
4 Sleep Helpers
In 1896, GH advised insomniacs, "Upon retiring ... take a bowl of hot broth, like oatmeal gruel or clam soup." Our contemporary advice:
1. Chill, baby, chill. A cool bedroom lowers core body temperature, which initiates sleepiness. How cool? The ideal temp varies from person to person (and from husband to wife!), but try 65 degrees to start.
2. Hire a specialist — online. Cognitive behavioral therapy helps even longtime insomniacs sleep better. Try the online course developed by a Harvard researcher at cbtforinsomnia.com($25); also on CD.
3. Turn off appliances. Artificial light (from lamps, TVs, maybe even a glowing clock) can keep you up. But if its still not dark enough, try a sleep mask. The favorite in GHRI testing: Buckys 40 Blinks Mask ($13).
4. Practice tai chi. When researchers compared this Eastern meditative martial art with standard health education programs, tai chi won — heads down — in improving both sleep quality and duration.
Coffee Perks
Its fortunate our national java habit (the average coffee drinker downs three cups a day) turns out to be good for us. Coffee is rich in antioxidants, and (surprise) caffeine can also be a health booster. The brew has been linked to:
Lower risk of type 2 diabetes
Better memory and other cognitive functions
Reduced chances of non-melanoma skin cancer
Wider-awake days
But theres a trick to getting the most from your caffeine: Drink two ounces every hour or so through the morning and at lunchtime — then stop in early afternoon. Gulping a grande at breakfast may be followed by a crash later in the day
Move It!
Get one sweat every day; not a mere glow or perspiration, but a genuine, downright, old-fashioned ... sweat. (March 1916)
If youre sick of the gym, try a fun alternative that burns more calories than walking (246 calories per hour for a moderate pace). Ballet or swimming laps burns 422 calories; biking or playing Ping-Pong, 281.
Take a break. You may burn more fat when you divide a 60-minute workout into two 30-minute sessions with a 20-minute rest in between — and the boost may even continue post-exercise.
Get your hands dirty. Gardening gives you as much of a workout as walking or golf, a recent study reported. Plus: The weight-bearing motions involved in digging and pulling weeds can strengthen bones and muscle.
Add the #1 Veggie to Your Diet
Its kale — based on its contribution to daily nutrient recommendations, including beta-carotene, lutein, vitamins C and K, and folate, plus potassium, magnesium, and iron.
Spinach and collard greens are also stars.
Little Changes, Big Weight Loss
Cook pasta al dente. When you boil spaghetti for five minutes, its glycemic index is 38; after 20 minutes, it shoots up to 61. The higher the glycemic index, the sooner youll be hungry again.
Munch around the clock. A healthy snack mid-morning and mid-afternoon will keep you from overdoing itat lunch and dinner, for a net reduction in calories.
Keep a food diary. Recording meals and snacks ups your chances of weight-loss success. In fact, among a group of almost 1,700 dieters, diarists doubled their weight loss compared with non-writing folks.
Eat s...l...o...w...l...y. In one study, women who took half an hour to eat a pasta lunch consumed almost 70 fewer calories than those who scarfed it down in nine minutes.
Stop the music! People spend longer at the dining table when theres background music — any tempo or volume.
Watch out for sneak eating. "I just want a taste" (of pie, ice cream, pizza...) can add about 25 calories per mouthful.
Sip Gingerly
Beyond quelling nausea, ginger also eases menstrual cramps. To brew your own relief, peel 1 inch of fresh ginger root, cut into fine rounds, and put in a saucepan. Cover with 2–3 cups of water and simmer for 15 minutes. Strain, pour into a pretty cup, and sweeten with honey.
If Only It Were That Simple... an excellent and never-failing cure for nervous headache is the simple act of walking backward. (July 1896)
Better Bones
1. Do An Upward Dog: Yoga postures can ward off — and help correct — the dreaded dowagers hump that can occur with age. In a six-month study, even people who already had serious curves in their upper backs improved with yoga classes three times a week.
2. Follow a Big (Low-) Fat Greek Diet: Women who eat Mediterranean-style — consuming plenty of fish and olive oil, and limiting red meat — have the greatest bone density, researchers recently found.
3. Eat Like Popeye: Spinach, along with other fruits and veggies, promotes the best acid-base balance in your body for keeping bones strong.
Dont Bar Chocolate
If youre worried about weight gain, indulging may be a solution. A study found that women who put their favorite snacks on the no-no list actually ate 40 grams more of them when given the chance than those who didnt set such strict limits. (In the case of dark chocolate, that would be 180 extra calories.) The payoffs associated with as little as half an ounce a day: Lower blood pressure
Less-stiff arterial walls
Lower bad LDL cholesterol
Inhibited formation of blood clots
Reduced stress hormones
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