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Helpful information on the world of beauty and aesthetics supplies.
The Issue of Buyer's Remorse
Medical professionals, in particular Plastic Surgeons, know that there is often Buyer's Remorse from patients, especially after an operation has taken place. The patient, in post-operative discomfort, often wonders why he or she has agreed to subject himself or herself to so much pain and expense, feelings that occupy a patient's mind while recovery is occurring. In your role as a Plastic Surgeon, you know that the vast majority of the surgeries you perrform are elective and not necessary. They are done for cosmetic reasons and have little or nothing to do with a patient's health and well-being. People who submit to elective surgery often have doubts about the wisdom of their decisions. You can help dispel those doubts by acting as a kind of resident psychologist, the wise physician who reminds the patient just why he or she agreed to the surgery. Tell such people that their decisions were wise and sensible and then point out the many benefits that can now be enjoyed after the surg [Read more]
The Problem of Unrealistic Patient Expectations.
Frequently, as you almost certainly know, patients have unrealistic expectations about cosmetic surgery and the results they can get to enjoy from your skilled hands. While most patients that visit your office are probably realistic, it is the percentage of your patients that expects miracles who can make life difficult for you. It's a problem you have certainly encountered from time to time and, it may be one in which you have found it difficult to please the woman or man that accepted -- and paid for -- your services. In truth, there is no easy way to deal with unreasonable expectations. Perhaps the best thing you can do when a potential client consults with you is to be as honest and forthright as possible. If you take that approach, you stand a better chance of modifying expectations you can never meet and that may help your new patient become more realistic. For you and for your potential patient, it is really all about "dreams versus reality." And if you can get a soon- [Read more]
Will ACA be a boon for concierge care?
Mark Niedfeldt, MD, a family physician who practices concierge medicine in a Milwaukee suburb, is fairly certain he'll gain new patients when the Affordable Care Act's main coverage provisions go into effect in 2014. Clients who recently joined the practice tell him, “I figure I should get in now because you'll be full, and I wanted to make sure I had a concierge doctor,” said Dr. Niedfeldt, who runs a traditional retainer practice for individuals as well as a corporate option that offers eligible employees concierge-level primary care. He also sees sports medicine consults. Many of the new patients are business owners themselves, “so they know what's coming,” he said. Dr. Niedfeldt said the new patients are simply doing the math. An estimated 30 million additional patients will enter the insurance system starting in 2014, and based on the fact that many primary care doctors are nearing retirement age, consumers know there are going to be fewer physicians to treat them, h [Read more]
ACA Medicaid expansion leaves out 3.5 million immigrants
Even if they're legal residents in a state that expands Medicaid, many poor immigrants still are not eligible for coverage. The Affordable Care Act provision calling for states to expand their program eligibility up to an effective rate of 138% of poverty has been seen as an important coverage tool for low-income populations next year. But a Robert Wood Johnson Foundation report released March 18 estimates that about 3.5 million legal immigrants or those in the country illegally, who make up about 17% of all low-income, non-elderly uninsured adults, won't be able to get coverage under this provision. Immigrants who are in the country illegally are excluded from expanded coverage automatically. Those who recently became legal residents are not going to be eligible right away, as they are barred from Medicaid coverage for the first five years after they become permanent U.S. residents. Most Americans assume the ACA covers everyone, “but what this report shows is that there are st [Read more]
Residents doubt work-hour limits benefit patient safety
Two new studies say limits placed on resident work hours in 2011 may need to be tweaked to foster the safer learning and patient care environments these rules set to create. Limits on resident work hours — particularly a 2011 rule that allows first-year interns to work only 16 consecutive hours instead of the previous 30 hours — resulted in more self-reported medical errors, according to a University of Michigan Medical School study published online March 25 in JAMA Internal Medicine, formerly Archives of Internal Medicine. The limits also resulted in a perception that the quality of care deteriorated and documentation that more patient handoffs occurred, something shown to increase errors, said a study by the Johns Hopkins University School of Medicine that also was published online March 25 in JAMA Internal Medicine. The studies found that the extra sleep residents got as a result of working fewer hours did not seem to be significant, depression rates were not significan [Read more]
Volume, not quality, still determines most doctor pay
The vast majority of payments to U.S. physicians continues to be based only on the volume of services the doctors provide rather than the quality of those services, according to a nonprofit employer coalition that released its first annual national payment reform scorecard. The national scorecard by the Catalyst for Payment Reform, a coalition of large corporations and other health care purchasers, offers a preliminary snapshot of how the concept of value-oriented payments is progressing in the U.S. In conducting a voluntary survey of 57 health plans that represented about 67% of the commercial group market, or 104 million covered lives, the report found that only 6% of all outpatient primary care and specialist payments, and 11% of all inpatient hospital payments, were based on value. Most of the health care dollars paid to health care professionals “remain in traditional fee for service, paying providers for every test and procedure they perform regardless of necessity or out [Read more]
Quality effort yields big drop in death rate at hospitals
Working together to share best practices, analyze data and implement care improvements, 333 hospitals participating in a quality collaborative have cut their risk-adjusted mortality rate by 36% since 2007, said a report issued in March by the project's organizers. The Quality, Efficiency, Safety, Transparency initiative — dubbed QUEST for short — was launched in 2007 with 157 hospitals by Premier Inc., a Charlotte, N.C.-based purchasing and quality improvement alliance of more than 2,800 U.S. hospitals. Premier officials said the hospitals have averted nearly 92,000 deaths since 2007 by dramatically cutting mortality related to sepsis, respiratory conditions, cardiac conditions and shock. The estimates were made by comparing expected mortality rates based on prior-year results with actual deaths adjusted for patients' illness severity. Many other hospitals have lowered their death rates in recent years, but a comparison found that QUEST hospitals outperformed other facilit [Read more]
AMA pushes for better insurance exchange networks
Standards ensuring that consumers have access to sufficient networks of health care professionals on federally operated health insurance exchanges need to be tightened, the American Medical Association wrote in a March 15 letter to the Obama administration. In his correspondence to acting Centers for Medicare & Medicaid Services Administrator Marilyn Tavenner, AMA Executive Vice President and CEO James L. Madara, MD, specified what information qualified health plans on these marketplaces should be providing. Insurance regulators and consumers need to be able to make informed decisions on whether a plan’s network has an adequate supply of primary care and specialty physicians, he stated. Dr. Madara was responding to guidance CMS issued March 1 to insurance companies that will be offering qualified health plans in federally facilitated or partnership health insurance exchanges. These are the companies CMS will be working with, as both the federal and partnership models involve a [Read more]
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