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March 23, 2017
              FHIweekly               
Volume VIII |  Issue 12               
Need to know: Chronic care management and remote monitoring companies are not created equal
Accountable Care Options, LLC

The healthcare industry is moving heavily into engaging, monitoring and empowering beneficiaries with tools to improve their health. Companies are jumping on the trend, offering telephonic chronic care management and remote patient monitoring for a fee.

All firms promise to ease the time burden on a practice's staff. Some offer 24/7 support, including a nurse response line or web-based physician consultation. Here are tips on choosing the right provider...

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Lawmakers still prepping medical marijuana measure
The leader of the Florida Senate's Health Policy Committee says a vote on a medical marijuana bill is at least two weeks away. The panel held a workshop on Wednesday as it began to consider five bills to implement Amendment 2, approved by voters last fall. It allows higher-strength marijuana to be used for a wider list of medical ailments.

NBC 6 South Florida
House, Senate Move Forward On 'Direct Primary Care'
The News Service of Florida via Health News Florida

With backing from physician groups and small businesses, a (FL) Senate panel Tuesday approved allowing "direct primary care" agreements between doctors and patients.
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Game Changers
Drip Drip  
 
Jordan Grumet, MD
| In My Humble Opinion

Get out.

It was not so much the words as the overall tone of the interaction. The doctor-patient relationship had been generally affable. There was the usual exchange of pleasantries over the years. Questions about family, children and grandchildren. It was a good relationship. Until Harvey got sick, that is.

Originally there was weight loss and fatigue. The initial physical exam and slew of testing showed nothing but a frail, cachectic, middle aged man. A few cat scans later and he was in the oncologist's office discussing chemotherapy. A regimen was decided on, and therapy began the next day.

Therapy was hard. Nausea. Retching. More weight loss. Far from feeling better or cured, Harvey could feel the clothes slipping from his emaciated body. It was as if life itself was drip dripping away as the chemo bulldozed into his broken veins. And this pissed Harvey off.

He lashed his family. He cursed his friends. He spun into a whirlwind of the most resistant depression. A depression, his therapist would later tell me, whose only salve was anger. While the anger allowed him to carry on, often he left those around him scorched.

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Mortality and morbidity in the 21st century
 
Anne Case and Sir Angus Deaton | Brookings.edu

In "Mortality and morbidity in the 21st Century," Princeton Professors Anne Case and Angus Deaton follow up on their groundbreaking 2015 paper that revealed a shocking increase in midlife mortality among white non-Hispanic Americans, exploring patterns and contributing factors to the troubling trend.

Case and Deaton find that while midlife mortality rates continue to fall among all education classes in most of the rich world, middle-aged non-Hispanic whites in the U.S. with a high school diploma or less have experienced increasing midlife mortality since the late 1990s. This is due to both rises in the number of "deaths of despair"-death by drugs, alcohol and suicide-and to a slowdown in progress against mortality from heart disease and cancer, the two largest killers in middle age.
 

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