Stories

Managing Care Through Guidelines

Posted by on Dec 15, 2014 in Blog, Stories | 0 comments

Managing Care Through Guidelines

By Peter Nesbitt In 1991, The Managed Care Alliance (TMCA) began providing medical care to thousands of patients in South Eastern Pennsylvania and over the next ten years it grew to a nationwide program. TMCA was an experiment. Could a non-adversarial, cooperative partnership between care providers, patients, and payers assure appropriate care for patients, satisfaction for providers, and reduce losses for insurers or employers? The answer was a resounding yes. It managed to reduce medical costs by 40 to 50 percent as measured by the payers. TMCA rejected the insurance model of healthcare...

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Dizzying Costs

Posted by on Dec 8, 2014 in Blog, Stories | 5 comments

Dizzying Costs

By Kevin Davis It started with a mild case of nausea and got progressively worse. I became dizzy and shaky, but tried to ignore it. There was work to be done that afternoon. We were moving boxes into storage at my in-laws’ house in Michigan, and I needed to be strong. I carried boxes on unsteady feet, catching myself before bumping into walls. By early evening my legs were wobbly, and I felt like I was horribly seasick. The room was spinning and I had to lie down. I vomited. I laid back down. I vomited again, violently. I kept vomiting until there was nothing left. I had severe vertigo and...

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How the Other Half Dies

Posted by on Nov 24, 2014 in Blog, Stories | 1 comment

How the Other Half Dies

By Tukaram Jamale, MD Just at the closure of our OPD (Obstructive Pulmonary Disease) in that hot and humid summer when we were discussing plans for the day’s admissions, Mr Ramesh Vichare was rushed in to the room by his son and wife who barely managed to keep him steady in the wheel chair. He hailed from the interior district of Western India, about 500km from Mumbai. His white pale skin was oozing from scratch marks and each of his limbs were about the thickness of a small tree branch. Prior to this visit, he was diagnosed with end stage kidney disease (ESRD) about a month ago and...

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Primary Care Progress: Essential to Reduce Costs of Care

Posted by on Nov 17, 2014 in Blog, Stories | 4 comments

Primary Care Progress: Essential to Reduce Costs of Care

By  Jonathan Jimenez and Chloe Ciccariello “Have you been able to tell your boss?” Ms. S looked down and laughed sheepishly. She was a sinewy, small woman who laughed frequently–reminding me of my mother. Her lean, muscular arms did not betray her uncontrolled type 2 diabetes diagnosis. Her hemoglobin a1c, a lab test used to tell us how well the disease is managed, had been zig zagging around 13% for years – way too high. This value indicates that she is at risk for all the terrible sequelae of diabetes – nerve problems, heart disease, kidney injury and blindness....

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A Difficult Pill to Swallow

Posted by on Oct 27, 2014 in Blog, Stories | 1 comment

A Difficult Pill to Swallow

By Brandon Kopper I am currently a pharmacy student, and although I have not yet dispensed a medication, I had my first experience concerning the cost of care a few months ago. My ear hurt very badly when I woke up in the morning, and being that I had to go to work later that evening, I decided to go to the local clinic in order to get my ear treated. The physician was able to diagnose the problem, and I was sent home with a prescription. I do not recall the name of the medication that I was prescribed, but I do remember my reaction when I went to pick it up at the drugstore. I was shocked...

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