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The momentum to treat in America is unmatched around the globe Print E-mail
Written by FHI's Week in Review   
Monday, 16 April 2018 18:44

Samuel Harrington, MD, in a KevinMD post dated April 14, 2018, illustrates via an anecdote how the U.S. health system tends to over-treat with expensive and sometimes deadly outcomes.

Read more in the current issue of Week in Review>>
New Florida Law Makes it Easier for Doctors to Offer Direct Primary Care Agreements Print E-mail
Written by Vitale Health Law   
Thursday, 05 April 2018 00:00

Late last month, Florida Gov. Rick Scott signed a bill (HB 37) allowing physicians, chiropractors and group practices to sign direct primary care agreements (DPC) with patients without having to worry about violating insurance laws.

Such agreements are becoming increasingly popular. According to a survey from the American Academy of Family Physicians, nearly 3 percent of family physicians operated under DPC in 2017.

The legislation does not specify how much can be charged, or what services can be provided. It simply amends Florida's insurance code to make it clear that direct primary care agreements do not violate insurance regulations. It does, however, require direct primary care contracts to be in writing and to describe the scope of services to be covered.

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Time for a Paradigm Shift in the Classification of Muscle Injuries Print E-mail
Written by FHInews   
Tuesday, 27 March 2018 08:48

Current grading systems for muscle injuries may not provide clinicians with enough information to guide athletes on when they can return to their respective sports with minimal risk of re-injury. That’s the finding of an article co-authored by Thomas M. Best, MD, PhD, Research Director at the University of Miami Sports Medicine Institute, and published in the Journal of Sports and Health Science in 2017.

The purpose of this study was to discuss the fact that current grading systems for muscle injuries provide clinicians with little information on which to guide the athlete regarding projected time loss and return to sport. The authors found that each of the new classification and grading systems have strengths, but there remains little unanimity on a system that is both comprehensive and evidence-based.

“Muscle injuries remain one of the most common injuries in sports,” said Best, who is also a professor of orthopaedics at the University of Miami Miller School of Medicine. “Yet despite this, there is little consensus on how to either effectively describe or determine the prognosis of a specific injury.”

Injury classification helps to describe an injury while a grade indicates the severity of an injury. Most athletes and coaches are concerned with the severity of an injury as it relates to the length of time it may take to return to full sports participation. The use of radiology can quickly correlate clinical findings with imaging characteristics that help establish early categorical radiological grading systems.

While most sports medicine physicians rely on MRI to guide athletes when projecting time loss from a sport, this study argues that a new classification system of muscle injuries need to be developed in order to better inform athletes of their prognosis, as well as help physicians accurately diagnose, manage, and prognosticate.

“While the ability to predict return to play is an expectation placed upon practitioners working with athletes, there is still incomplete evidence upon which to base decisions,” said Best. Dr. Best is part of an international consortium leading this effort.

Last Updated on Tuesday, 27 March 2018 09:03
What Does Florida's New Opioid Legislation Mean for Your Practice? Print E-mail
Written by Vitale Health Law   
Tuesday, 20 March 2018 18:09

Responding to the spike in opioid-related overdoses and fatalities, the Florida Legislature has passed a bill (HB 21) that institutes limits on the prescribing of opioids, as well as increases funding for treatment. The new legislation mandates that most initial prescriptions would have a limit of three days for Schedule II painkillers such as Oxycontin and Fentanyl. However, physicians would be permitted to prescribe up to seven days for acute pain exceptions. Under the exception, the prescriber must "adequately document in the patient's medical records the acute medical condition and lack of alternative treatment options that justify deviation from the 3 day supply limit." There are no medication limits for trauma cases, chronic pain, cancer and palliative care. Physicians will be required to take a two-hour, board approved continuing medical education course on prescribing controlled substances. They, or staff members, also would be required to check with a statewide database before prescribing or dispensing these drugs.

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What are the drivers of the Cigna-Expres Scripts merger? Print E-mail
Written by FHI's Week in Review   
Monday, 12 March 2018 17:39

Cigna's CEO cited altruistic motivations for the acquisition of Exprss Scripts. Industry insiders believe there is more than philanthropy in the latest healthcare merger announced Friday. Read more in the latest edition of Week in Review>>

Last Updated on Monday, 12 March 2018 17:48
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