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Texas Medicine

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https://www.readbyqxmd.com/read/28783844/thinking-big
#1
Sean Price
Most public health measures languished in the 85th Texas Legislature, but those for mental health care stood out as a giant exception. Lawmakers passed more than a dozen bills aimed at improving mental health care. And at a time when most state budgets were slashed, funding for mental health care rose - by a lot.
August 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28783843/public-health-39-s-lean-year
#2
Sean Price
Medicine's agenda advanced on many fronts in the 2017 Texas Legislature, but it made only modest gains in public health. The most significant came in a package of reforms and budget increases for mental health care. Other victories included the passage of House Bill 62, a statewide ban on texting while driving, and House Bill 3576, which provides resources to the Texas Department of State Health Services to track, study, and prevent the spread of Zika. Medicine kept several bad public health bills bottled up in committee...
August 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28783842/building-better-policies
#3
Joey Berlin
Balances left on medical bills and unwarranted changes to medication: Those are just two of the ways in which health insurers can and do make life difficult for patients and physicians throughout Texas. Two bills that TMA backed in the 85th Texas legislative session - and that earned Gov. Greg Abbott's signature - won't eradicate those problems in Texas. But they should create some relief from the headaches that those two issues have caused throughout the years.
August 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28783841/clearer-and-simpler
#4
Joey Berlin
Over the past several years, static has clouded the screen displaying telemedicine's proper role in health care as musings, arguments, and litigation created a need for real clarity. Now that TMA and other stakeholders put their collective heads together, the picture should clear up significantly. On May 27, Gov. Greg Abbott signed Senate Bill 1107, which allows telemedicine practitioners in Texas to know their requirements when they serve patients via telephone or other audiovisual means.
August 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28783840/cranial-asymmetry-versus-microcephaly-implications-for-practice-during-the-zika-virus-epidemic
#5
Sophia Tsakiri, Nikolaos Zacharias, Jose Garcia, Lynnette Mazur
Congenital microcephaly can be the result of genetic, teratogenic, mechanical, infectious, and other factors affecting the fetal brain. Transient craniofacial asymmetries and cranial molding can mimic congenital microcephaly caused by brain abnormalities or neurotropic infectious pathogens, including Zika. We present two neonates who were born with head circumference at or below the 3rd percentile for gestational age, and had improving head measurements at discharge from the nursery and resolution of the microcephaly by the second month of life...
August 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28708195/build-your-own-payment-model
#6
Joey Berlin
Physicians participating in MACRA have a unique opportunity to create and submit their own alternative payment models to the government and take command of their own future payments. At least one Texas physician is taking a crack at developing his own model.
July 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28708194/getting-into-urgent-care
#7
Sean Price
Many primary care physicians opt to open "urgent care" facilities or add urgent care services to their practices. Although there are advantages - such as billing and appointment scheduling flexibility - there are headaches as well.
July 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28708193/drawing-the-line
#8
Joey Berlin
Politicians have long touted giving consumers the ability to buy health insurance across state lines as part of health care reform. Several states have passed laws of their own allowing interstate sales, but health plan action on those has been minimal. What is the potential impact in Texas if interstate health plan sales were to become more of a reality?
July 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28708192/can-texas-39-physicians-be-as-diverse-as-texas
#9
Sean Price
The United States and Texas have a chronic shortage of doctors, but the shortage of minority physicians is even more acute. To address this, and the health disparities that come with it, Texas medical schools are working to increase minority enrollment, but challenges remain.
July 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28539006/dell-39-s-different-direction
#10
Sean Price
The unique curriculum at The University of Texas at Austin Dell Medical School practically does away with traditional lectures and focuses instead on solving problems and working together with other health care professionals.
May 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28539005/temporary-remedy
#11
Sean Price
The nationwide shortage of doctors shapes the health care landscape in many ways, mostly through staffing headaches and gaps in care. But the shortage has been a blessing for at least one group of health care practitioners - locum tenens physicians. More and more, locum tenens doctors are taking the places of permanent physicians.
May 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28539004/building-better-medicaid-care
#12
Joey Berlin
The trend away from fee-for-service and toward value-based payment models in the Texas Medicaid program shows some early promise.
May 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28539003/unwelcome-diversions
#13
Joey Berlin
Encouraging technological progress the state has made on prescription monitoring is at the center of TMA's recommendations to the legislature to address doctor-shopping and opioid diversion.
May 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28402580/change-around-the-block
#14
Joey Berlin
Proponents of a block grant or per-capita cap trumpet them as vehicles for the federal government to give the states a capped amount of funding for Medicaid that legislatures would effectively distribute how they see fit. Questions abound as to what capped Medicaid funding would look like, and what effect it would have on the current Medicaid-eligible population, covered services, and physician payments.
April 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28402579/glitch-in-the-switch
#15
Joey Berlin
Migrating patient records from one electronic health record system to another can be a nightmare. A La Porte pediatrician's experience provides a cautionary tale for all physicians.
April 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28402578/relation-of-mental-health-to-alcohol-and-substance-use-among-texas-college-students
#16
Alan B Shafer, Jessica A Koenig, Emilie A Becker
We examined the effect of mental health problems and difficulties on alcohol, tobacco, and other drug (ATOD) use among college students by using the 2013 Texas College Survey of Substance Use (n=11,216), which includes the K6 screening scale for severe mental illness (SMI). Students' K6 scores were used to classify them into 3 groups: those likely to have SMI (9% with scores ≥ 13), those with some mental health problems (36%), and those without mental health issues (55% with scores ≤ 4). Questions regarding ATOD use were analyzed using these 3 groups...
April 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28402577/a-second-shot-at-hpv
#17
Sean Price
HPV vaccination rates remain stubbornly low, and some studies show physician hesitancy about promoting the vaccine is the single biggest problem. TMA's HPV Work Group plans to coordinate with like-minded state and national organizations and agencies to come up with an action plan to improve HPV vaccination rates.
April 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28402576/finding-the-right-balance
#18
Sean Price
Since the 1980s, concerns about resident fatigue have caused lawmakers and medical policymakers to pull back on resident duty hours. In 2003 and again in 2011, the Accreditation Council for Graduate Medical Education (ACGME) shortened resident hours. In March, ACGME modified those hours again. The latest rule change has reignited a long-running debate among physicians.
April 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28323320/seeing-stars
#19
Joey Berlin
Understanding how health care rating websites operate can help physicians shape their online presence and attract patients to their practices.
March 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28323319/under-investigation
#20
Joey Berlin
Revisions to the National Practitioner Data Bank's NPDB Guidebook concern health law attorneys who are warning physicians to protect themselves if they plan to step away from their practices.
March 1, 2017: Texas Medicine
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