Silver Lining in the Proposed Changes to Physician Payments for 2024?
Last month, CMS announced several proposed changes to the physician fee schedule for 2024. As ever, some are Good and some are Bad.
Last month, CMS announced several proposed changes to the physician fee schedule for 2024. As ever, some are Good and some are Bad.
Ruth Marcus, Associate Editor of The Washington Post, recently wrote an incredibly honest opinion piece about GLP-1 agonists for weight loss.
Ayers, et al., recently published a provocative article likely to trigger reflexive efforts to use chatbots to answer patient queries. I’ll discuss such usage in a moment. First, it is important to show that the methods of Ayers, et al., were poorly done and biased. I will use an analogy from audio to illustrate my point.
Sustainable Health Systems is proud to announce that our president, Geoffrey E. Moore, MD FACSM, has been named to the Council of Directors for the global voice for lifestyle as medicine, the True Health Initiative (THI). This is a growing coalition of more than 360 world experts representing 35 countries. It is an unprecedented assembly that includes physicians, university Deans, former Surgeon Generals, Olympic athletes, chefs, environmental professionals and a diverse group of nutritionists.
One day while I was rounding in the hospital, a physician described her patient as having “the dwindles”. That wasn’t a medical term I’d encountered, nor have I heard others use it since, but I adopted the notion. In pediatrics, failure to thrive describes children who are not developing adequately. In adults, we don't compare growth and functioning from one visit to the next, failure to thrive is often missed until the patient has become frail.
As senior editor, I'm proud to announce that the American College of Sports Medicine has published the fourth edition of ACSM’s Exercise Management for Persons With Chronic Diseases and Disabilities. Informally known to my fellow editors and contributors as CDD4, this edition is a substantial revision that forges the role of exercise in tomorrow’s health care systems.
The Dark Matter of Population Health
Empathy (noun) — the ability to understand and share the feelings of another; derived from the Greek pathos, or feeling.
Recently, the Department of Health and Human Services (HHS) issued the 2015-2020 Dietary Guidelines, almost a year after the Advisory Committee submitted its recommendations. These Guidelines are a big step forward, although not as big as many food advocates had hoped for.
The New England Journal of Medicine recently ran a Pro -vs- Con op-ed debate on the merits of well-patient visits in primary care. Like other such discussions, wellness visits were conflated with physical exams, the operative words are wellness and physical exam, not annual. Wellness visits and physicals are 2 completely different things, different processes, different goals, and thus it is unreasonable (if not a completely misguided use of the research literature) to address them as one entity.
Annual Wellness Visits