Coco Buon Cuore
@auntiecoco74
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Healthcare is Complicated. Opinions đź’Ż% my own
USA
Joined January 2017
"Analysis of Medicare Advantage insurers’ coding practices consistently finds that chart reviews, which are not used in traditional Medicare, are the largest contributor to higher payments, resulting in an estimated $24 billion in additional Medicare Advantage payments in 2023."
kff.org
Using Medicare Advantage encounter data, this analysis finds that 62% of Medicare Advantage enrollees have at least one chart review record and that diagnoses added from chart reviews increase...
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Like watching children play-acting.
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“More than half of outpatient diagnostic errors have been attributed to poor history taking and mistakes in the physical examination. An overreliance on technology, due in part to declining clinical skills, leads to overinvestigation and rising costs. The drift away from direct
Ways to reinvigorate the physical exam in medicine Step 1. Do the exam. No "WNL"—we never looked https://t.co/2zpB6Xjtqt
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One sudden ECG, one crash on the highway, one unexpected phone call — and everything changes. As a cardiologist and leader, I see daily how fragile plans, careers, and identities really are. Patients arrive with lives paused; families’ priorities rearrange in an instant. Those
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John Oliver: In most states, once you've enrolled in a Medicare Advantage plan, Medigap insurers are allowed to reject you based on them... once a patient enters the Medicare Advantage system, they typically can't afford to leave.
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You want your cortisol high in the morning & you want it low before sleep. So much so that “chronic-stress- induced” burnout should really be called “wrongly-timed-cortisol” induced burnout. You fix all this viewing morning sunlight & exercising in the first 1-2hrs of the day.
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Today seems like a great day to remind you... If you sucked at golf yesterday, today offers your next shot full of opportunity! If you messed up at life, today brings your next shot full of hope! If things are going well, there is a next shot in front of you for you to keep
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Brains are very susceptible. Steer yours properly. View the sunrise, thank God for another day living and then go get meaningful things done. Trolls and drama are there to test your focus. Happy Friday!
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I am physically exhausted… not from caring for patients — that still fuels me every single day — but from fighting a system that seems built to crush doctors who actually want to heal. Endless bureaucracy. Red tape so thick it strangles common sense. People with no clinical
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The unsung MVP of the Europe Ryder Cup team: Edoardo Molinari. Listen to this. It is worth your minute. And it’s VERY embarrassing for the USA team. Contrast this to what Scottie said: That he and Henley decided to change their playing order based on their first round. It
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Our world doesn’t collapse all at once. It shrinks, quietly, and often without us noticing. It may start with avoiding the steeper streets in the neighborhood. Then it’s skipping a family trip somewhere hilly, or hesitating to book a vacation that might be “too much walking.”
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I've wondered if @CardinalDolan was just a naive unskilled do-gooder who did more bad than good, or if he was a snake oil salesman After he today called Charlie Kirk (who called for the execution of President Biden a "modern day St Paul") I know Dolan is a danger to this country
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Seeing someone win an Emmy for his role as a character that is my exact job and giving us a shot out is pretty badass.
Noah Wyle thanking all medical workers during his Emmys speech for Lead Actor in The Pitt...king "And mostly, to anybody who's going on shift tonight or coming off shift tonight, thank you for being in that job. This is for you."
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Charlie Kirk was assassinated today. we are all weaker because of it. A tragedy. I am thinking of his family.
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Nobody knows what tomorrow has in store for us. Live your life the right way. Treat people with kindness. Do awesome things. And most importantly, let those most precious to you know what they mean to you. gm
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if you need a few life gems or motivation, please watch Miss Irene. her main character energy makes her a 10/10.
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Florida's Surgeon general is a physician who deserves to lose his license. Pulling mandatory vaccines for children and allowing parents of children sick with Measles to decide whether they should go to school is medical malpractice and a dereliction of his oath. He is insane.
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The point of vaccine mandates is herd immunity and protection of the people who actually cannot get vaccines. It seems tragic that the health officials in Florida cannot understand this.
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