Marzo 2018
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No Respect For 'regular Doctors'

She Was Stunned To Learn That Her Problems Were Caused By Heart Disease.

 With tens of millions of Americans becoming insured for the first time, we need primary care doctors now more than ever. Acknowledging this need, the Affordable Care Act is testing innovative new payment mechanisms to encourage and reward effective primary care, the most notable of which is the formation of Accountable Care Organizations. Traditionally, primary care doctors have been paid on a "fee for service" basis, meaning that physicians are reimbursed predetermined amounts for the particular service they provided. This payment mechanism gave primary care doctors an incentive to provide a long list of services, whether necessary or not, just to scrape by. In the new model, spearheaded by Medicare, doctors are encouraged to form Accountable Care Organizations where doctors will be rewarded not just for services provided, but also for value added to the patient. Appreciating that quality primary care has the power to prevent expensive hospitalizations and trips to the emergency room, physicians participating in an ACO can receive a portion of the money that insurance companies save as a result of their services. This new model, if successful, has the potential to both reemphasize our health system around primary care and curb the rising cost of health care.

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Heart disease didn't stop her

 At 6 foot 5, Cox was wearing 5XL T-shirts and size 50 jeans. He couldn't stop eating. His mornings began with two breakfast sandwiches and two jelly doughnuts. At night, Cox ate candy and stole the snacks his kids, then 2, 3 and 5 years old, were supposed to take to school the next day. The junk food binges put a strain on his body, the family's food budget and his relationships.

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Coach drops 132 pounds

 She didn't know what to expect; for years doctors had shrugged off her symptoms. She was stunned to learn that her problems were caused by heart disease. The new mother had a left ventricular non-compaction cardiomyopathy , a congenital disorder that affects a small percentage of people. With LVNC, muscle fibers in the lower left chamber of the heart do not turn into solid muscle as they should during normal development. Instead the fibers remain and interfere with the heart's function. Kern's cardiologist suspected that she also had Catecholaminergic Polymorphic Ventricular Tachycardia , an abnormal heart rhythm disorder that could potentially cause sudden cardiac arrest. The diagnosis sent her into a spiral of depression. "I thought I was going to die," she says.

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