Stories

Making Profound Changes from an Office Visit

Posted by on Jul 28, 2014 in Blog, Stories | 2 comments

Making Profound Changes from an Office Visit

By Adam Philip Stern, MD Mr. D was my patient in the partial hospital program for the chronically and persistently mentally ill, and he was barely maintaining the level of functioning necessary to remain outside of the inpatient unit. A middle aged man with long-term psychotic and depressive symptoms, Mr. D’s care was made even more complicated by an extensive history of alcohol dependence and intravenous drug use that had left him with a severely damaged liver. A combination of hepatitis C viral infection and long-term daily alcohol use had left his body without the tools most of us...

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Managing My Costs of Care

Posted by on Jul 21, 2014 in Blog, Stories | 0 comments

Managing My Costs of Care

By Jay Warner Before losing my health insurance in 2009, it never occurred to me to be concerned about a little thing like a blood test.  Since 1986 I’d been having three vials of blood drawn each year during my physical.  My doctor would authorize it, the nurse would draw the blood in the office and send it to the lab for processing.  A few days later she would call me with the results and I would refill my prescriptions accordingly.  But then a series of events changed everything.  I lost my job and with one month left to go on COBRA,  my former employer suddenly changed health...

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Access Our Medicine

Posted by on Jul 14, 2014 in Blog, News, Stories | 0 comments

Access Our Medicine

By Graham Dover, PhD I was fortunate in my training. I was introduced to the costs of care in a unique and powerful way when I joined the National Health Service in the UK, the largest single-payer health care system in the world, at a time of profound change. Our task was to implement a revolution in primary care – to devolve health care budgets to GPs so that they could directly manage their prescribing and elective care. As part of the program, these doctors received key information such as prescribing patterns in their group and referral rates. Variances sparked lively debates...

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How far do you go for Patient-Centered Care?

Posted by on Jul 7, 2014 in Blog, Stories | 2 comments

How far do you go for Patient-Centered Care?

By Stephen Dahmer, MD We are a new practice in downtown Brooklyn part of a new company trying to revolutionize primary care. “We” because of the team approach we offer, providing high-quality, patient-centered care that introduces patients to a squad of health stewards extending traditional medical care far beyond me as the doctor.  Each member of the team is as valuable as the other.  But, these are all topics for separate essays. Today we want to tell you about a specific, small revolution and how it relates to cost, but far more importantly how it related to value for our...

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How many doctors does it take to read a hospital bill?

Posted by on Jun 30, 2014 in Blog, Stories | 5 comments

How many doctors does it take to read a hospital bill?

By Sylvia Romm, MD MPH Traveling to another country can be daunting. So when a friend of mine hosted a Russian college-aged student named Anna for a year so she could take English classes, I agreed to help out if she ever needed to navigate the American medical system. Anna had insurance provided through her program, and she was in good health, so I wasn’t too worried that we would encounter much beyond the ordinary. Several months into her stay in Boston, she met a young man and the two started dating. A few months after that, she asked to speak with me in private. “My boyfriend told me...

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