Emergency Room physicians have joined the dozens of medical specialty groups that have led the charge to identify unneeded medical tests and procedures as part of the Choosing Wisely® Campaign. Here are tips for patients to ask if one of these procedures is ordered for you.
- Paul Kasuba, M.D., Chief Medical Officer, Tufts Health Plan discusses Primary Care Providers’ role in gated and guided health plan models.
By Dr. Paul Mendis, Chief Medical Officer of Neighborhood Health Plan
Helpful tips for patients when they visit their doctor and are getting screening tests.
Unnecessary and often harmful tests and procedures.
Saying “no” to your doctor may not be easy. After all, he or she has a medical degree and you don’t. However, sometimes it’s important for your own health to question whether certain tests are necessary.
The Skilled Nursing Facility (SNF) benefit covers an important type of care, often referred to as transitional care. This article by Robert Sorrenti, M.D., of the UniCare State Indemnity Plan, provides an overview of this benefit.
Flu season is underway and the Centers for Disease Control recommends that most people get a flu vaccination. Members can receive a flu vaccination with no copay or deductible when it is administered at a doctor’s office or a limited service retail clinic.
If you visit a doctor at a hospital-based office, be aware that hospitals sometimes charge a facility charge in addition to the physician, x-ray and laboratory charges. These charges can range from $25 to hundreds of dollars per visit.
- by Anton Dodek, M.D., Tufts Health Plan
- Even under the best of circumstances, a hospital stay for an illness and/or surgery can be exhausting and stressful. Preparing for the transition from hospital to home is an important step in your treatment plan. Your need for care does not necessarily end when you leave the hospital.
- Patients who are actively involved in their medical care tend to have better outcomes. If you have been diagnosed with a particular disease, you may want to do research about your condition to find out about your disease, treatment options, and side effects. Armed with this knowledge, you can have more productive discussions with your health care team, and make the most of your doctor visits.
- Some hospital and physician group practices are billing GIC members for office visit copays that the member already paid at the provider's office. The GIC has become aware of these occurrences through members, staff experience, and confirmation from our plans. Here is what you can do to protect yourself:
- Following your Plan's rules and procedures will help to keep your out-of-pocket costs down.
- Whether you are seeing a new doctor, or haven't seen your doctor in a while, the following tips will help to ensure a productive visit. Preparation and communication are key factors in enhancing health outcomes.
- Your health is paramount and you should shop for healthcare more diligently than other services. A good health provider also asks questions, gets to know you, and provides value for the state's and your money.
- Choosing a doctor is one of the most important decisions you can make. You want to find a doctor with whom you feel comfortable, and who you think can give you the best medical care and advice. Here are some steps to take when choosing a doctor:
- Maintaining emotional and intellectual fitness is critical for healthy aging.
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