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As Kids Grow Older, Egalitarianism Honed
A study in Nature shows that egalitarianism begins to appear in most kids between ages 3 and 8. Scientists who studied 229 Swiss children found that at age 3, 9 percent were willing to share candy with another person. But by age 8, that number rose to 45 percent.


Medication Error Death Rate Up 500 Percent
Painkillers, sleeping pills and anti-anxiety drugs are being prescribed to out-patients in high doses, without the oversight of a doctor. A new study found that in the last 20 years there has been a 500 percent increase in the death rate from medication errors made at home.


Breast Exam Rebuttal: 'An Exam Saved Me'
Last week we reported on a study that showed that self breast exams don't help prevent death from breast cancer in women. The interview generated quite a response from listeners. Several women wrote in to say that they had found cancerous lumps in their own breasts and wouldn't be alive today if not for breast self exams.


A Partisan Divide On Health Care Reform
While both John McCain and Barack Obama agree that the American health care system needs reform, the candidates differ markedly in their vision of the remedy. Political scientist Jonathan Oberlander offers an in-depth comparison of the candidates' proposals.


Web Sites Compare How Hospitals Measure Up
A new Web site called "Hospital Compare" evaluates hospital death rates around the country and shows how individual hospitals stack up against the national average. Guests discuss the reliability of the data on the site and describe the measures hospitals are taking to improve performance.


Doctors Fear Effects Of Illegal Immigrant's Arrest
The recent arrest of a popular woman who happens to be an illegal immigrant has some North Carolina doctors concerned. The woman's immigration status apparently was turned over to authorities after she received medical care. Doctors worry that illegal immigrants will be afraid to seek care, which might lead to public health problems.


Moo North: Cows Sense Earth's Magnetism
A team of researchers sorting through satellite images of cows in 300 pastures makes a surprising discovery: Cows tend to face either magnetic north or south when grazing or resting.



Medical Billing Articles (updated Frequently)

Concierge Medicine
By: Carolyn O'Keefe
The field of concierge medicine, also known as retainer medicine and boutique practice, is coming up on its tenth anniversary. Begun in 1996 in Seattle, the creation of MD2 kicked off the provision of the type of high-touch medical service that had previously only been enjoyed by athletes, dignitaries and entertainers. The hallmarks of concierge medicine since then have been limited numbers of patients per doctor combined with house visits, longer appointments and the type of care that had been banished from the field of medicine by drastic cost control measures. Many doctors who have chosen the route of concierge medicine have done so for the quality of their lives as well as that of their patients. By limiting the number of patients they serve through the concierge medicine structure, they are able to provide the time and attention they always expected they would when they chose medicine as their profession. Today, most states have a variety of forms of this type of practice, from single doctor offices to groups of doctors who have banded together to provide concierge medicine style services to their patients. Any doctor who moves to a concierge medicine structure for his business however, has to go through some difficult procedures and has to be mindful of significant legislation bounding the provision of medical services. Since concierge medicine is predicated on serving a smaller client base, a doctor must first notify all his or her patients of plans to pare down and move to an annual fee-based service. Not all patients can afford or believe in this type of medical service. Next, the doctor must be very careful that they are not "double billing" for those services judged to be covered by Medicare. This can include care for optimum health or health assessment procedures. Some concierge practices have received unwelcome attention from Congress, as their annual fees were seen as illegal overcharges to the patient.

What is the difference between healthcare advocacy firms like PinnacleCare and concierge medical practices? It's important to understand that patient healthcare advocacy firms differ from concierge medicine practices in a number of ways. First and foremost, concierge medical practices practice medicine. They are primary-care practices that provide care to a limited number of patients for an annual fee. Referrals, when needed, typically are limited to the doctors' personal referral network. Also, concierge medicine services, by necessity, tend to be confined to a specific geographical location.

Patient advocacy and healthcare advocacy firms such as PinnacleCare International not provide medical care but do provide healthcare management. PinnacleCare is staffed by former health-care administrators, nurses, social workers, etc., who manage all aspects of the health affairs of its Member families. This includes researching medical centers, doctors and treatment options; arranging for timely access to top physicians; handling all details related to appointment scheduling; organizing the Members' medical records and history; providing global resources on a 24/7 basis; and, in general, advocating what's best for each and every Member. Some of PinnacleCare's Members are clients of concierge medicine practices. Here, the doctor works in conjunction with PinnacleCare to make sure their mutual clients receive the very best care possible.



About the author:

To learn more about PinnacleCare services, its PinnacleCare Advocates and read more Member testimonials, please visit; www.PinnacleCare.com

Keywords: Medical Claim medical service, concierge medical practices, medical, concierge, provision of medical, Medical Claim, high-touch medical service, medicine, medical practices, concierge medical


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