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Monday, 21 March 2016 15:09

Free Healthcare Market

As healthcare is moving towards rewarding value not volume, follow evidence -based Medicine,measure outcome and coming down to one thing which is providing quality healthcare at low cost.

The dynamic changes in the economy and political landscapes is enforcing new reality in every aspect of life including healthcare. Financial decisions have become more important than clinical decision making. If you believe that more than 60 hospitals have closed  in America since 2010 and another 673 rural hospitals are vulnerable to closure across 42 states!

Proposed solution is direct Care , or Concierge Medicine ( mentioned by Presidential Candidate Dr Ben Carson during the debate answering the healthcare question) and recently. As On March second with the support of doctors ( proud to be one of them) and small businesses, The Florida House passed unanimously Direct Primary Care Bill which will cut down the role of insurers and described as ( important step forward in providing quality affordable healthcare. Direct contracting (between the payer and provider without third party) along with Transparency with regards to pricing for different services offered. This will actually save money through proactive care  with emphasis on Wellness and Disease Prevention to empower patients. Also empowering physicians to become the financial  advisers who deliver the healthcare and control 100% of dollars spent anyway.

Self-funding insurance especially for small, medium sized -Businesses is becoming attractive with direct contracting between physicians and employers which really puts the physicians and patients in control while saving money to employers and patients and improving outcome.

This is the formula for the successful future practice of Medicine. Yes, there is going to be viable options for the struggling middle class American with  ever-rising cost of their healthcare. Basically bring it all back full cycle just like the way it used to be direct doctor-patient relationship. Yes, free healthcare market with transparency  and quality services at are truly affordable will be the major elements of the overall solution to chronic unsustainable healthcare crisis.

Dr Adel Eldin,MD, FACC,FACP

Founder, CEO

www.brooksvillecardiology.com

Affordable Quality Healthcare Program

Founder, CEO

www.floridamedicaltourism.com

Wesley Chapel , Florida

Tel 877-DR ELDIN

LinkedIN

Twitter. Adel Eldin @LCQHealthCare

President ,Society of Physician Entrepreneur, Tampa Bay Chapter

www.sopenet.org

Published in Medical Tourism
Monday, 29 February 2016 12:25

Celebrating the Heart Month!

As I a heart doctor honoring the American Heart Month( February ) I can not help it not to wonder  about the future direction of  healthcare. Almost everybody agrees that Heath-care is about relationships as some will ask, can you automate medicine, and is it going to be successful?

With automation you do not need doctors as they will be replaced with less paid ( Nurse Practitioners) , you do not need  Nurses , as they would be replaced with less pay ( nurse aids), you do not need  pharmacists, as they would be replaced by Pharmacy Technicians and so on ans so forth, you get the idea. This is already happening in so many places and would certainly have inevitable adverse consequences to the entire community.  So many young doctors are switching to non-clinical careers as they are done with Medicine and do not want to have further burnout after finishing long years of training with big burden of student loans which they need to pay off  fast as these loans  usually have very high interest rates in a time we are suffering critical physician shortage.

Automation is also taking place as you see in banking, checking out in shopping centers as so many jobs are lost such as the check out cashier and the person who helps customers bag their groceries and thank them for their business. In case of Healthcare, it is difficult as you need the human interaction , empathy and sympathy with patients as they don not need to see a Robot but rather some one to talk to and listen to them without being rushed out from the exam room.

This special doctor-patient relationship is what makes patients feel comfortable , relaxed thus combating anxiety and would certainly lead to better Health Outcome measured by many parameters ( patients feel better, save lots of out of pocket money spent as a result of less or no ER visits or costly hospitalization and procedures, more personal satisfaction,..etc). Now with internet accessible from mobile phones,  patients compare doctors , prices and customer service instantly. After all, their Health is most valuable commodity. So, there has to be a balance between the automation of Medicine and the essential role of those relationships which will foster the best health outcome.

Talking about the ( Heart Month) , patients are really searching for the compassionate caring doctor who has the Heart , knowledge and skills to help his patients. So many patients complain about the lack of sincere care as I joke with my patients who sometimes talk about other medical and non-medical issues such as their jobs, aspiration, challenges, frustration, sadness, damage to their homes by a sink hole, storm, flood or hurricane, marriage, kids as some ask for my advice. Those patients before leaving the office and start the medications prescribed, they would say ( Doc, I feel better already!)

We owe it to our patients to do our very best to help them, establish direct healthy patient / doctor relationship without the third party control or hassle. It is what people need and want and it is the right thing to do. That is why we made our Motto for our Direct Care Medicine program going on its 6th year as (We bring the Heart back in Medicine). Without the human interaction, passion for helping people, fight disease, save them big ,give them hope to uplift them through tough times which more and more people are going through these days. February is also the time to honor Black History Month by working hard to narrow the disproportionately high  incidence of  Heart disease ,strokes and kidney Failure among African Americans through healthy nutrition , education and fighting poverty.There is so much need out there.

No Robot will be able to replace your caring doctor, but a successful strategy will be combing the most effective affordable technology with the caring element to deliver the best care from the Heart. This is true not just on Valentine Day, or during the Heart Month but valid strategy all year round.

Dr Adel Eldin,MD, FACC,FACP

Founder, CEO

www.brooksvillecardiology.com

Affordable Quality Healthcare Program

Founder, CEO

www.floridamedicaltourism.com

Wesley Chapel , Florida

Tel 877-DR ELDIN

LinkedIN

Twitter. Adel Eldin @LCQHealthCare

President ,Society of Physician Entrepreneur, Tampa Bay Chapter

www.sopenet.org

Published in Medical Tourism
Monday, 29 February 2016 12:23

Support Small Business.

Every business was once small and then grew and became a big business. This is the natural healthy sequence of events . Small business is usually referred to as the engine of the economy as 60-80% of the new jobs come from small business. Small businesses employ 57% of the country's private workforce and pay 44% of the US Payroll. Unfortunately, only 50% of these small businesses survive the first 5 years, increasing the burden on small businesses with minimal or no reserve. For example in 2009 , and average small business went bankrupt every 8 minutes as 70% of small businesses are/were owned and operated by a single person. 

Recent challenges to the small businesses have sharply increased during the current phase of  surge in merges and consolidation.

For example, there are now four major financial institutions( Citibank, Wells Fargo, Chase , Bank of America) out of previous 37 financial institutions only two decades ago . Similarly, big insurance companies are merging , so there are maybe only three or four choices for patients to choose from. The same would apply for retails shops , and local restaurants which are now being replaced by big businesses that invested in technology which makes it easier for people to order online. And since only big businesses can afford these technological advances, people usually flock towards them due to the extra services. Now also a trend towards limiting number in outpatient surgery centers as they compete with hospitals and big medical centers.

 Recent articles have echoed the looming death of small business in America and also found small business optimism is crashing as all businesses need working capitol which may not easy to access with limited options and prohibitive cost.

On the bright side, some realize what is going on and now are trying to give support back to small businesses such as Shop Small on Saturday and others to keep the traditional engine of the economy working to keep overall economy alive and well. Small businesses are going through transformation to adopt to the changing economic climate and challenges through innovation, entrepreneurship, and adopting new technologies and reaching out through social media.

There is always a niche for small business where consumers find satisfaction in quality customer service and personalized care.

We have adopted these concepts to make small business have big impact on people lives through improved health outcome, saving big for individual patients, and small  and medium sized businesses through establishing the (Direct care Medicine) as we can very much share the value of  affordable quality healthcare that does not break the bank. This has been proved over the past few years in our program and being replicated all over the nation.

 This holds true for all independent physicians who have been running their small businesses for a long time but now realize the importance of  unity, cooperation, transparency as they owe it to their customers( patients) . This will be the healthiest response to thrive during changing economic climate.

Dr Adel Eldin,MD, FACC,FACP

Founder, CEO

www.brooksvillecardiology.com

Affordable Quality Healthcare Program

Founder, CEO

www.floridamedicaltourism.com

Wesley Chapel , Florida

Tel 877-DR ELDIN

LinkedIN

Twitter. Adel Eldin @LCQHealthCare

President ,Society of Physician Entrepreneur, Tampa Bay Chapter

www.sopenet.org

Published in Medical Tourism
Sunday, 30 August 2015 12:02

To Bundle or not to Bundle payments

Who decides who gets how much and based on what? Usually the doctors who fix patients and do the real work, now get paid the least. To give and example of how much, if a patient gets a heart attack and comes to the hospital by an ambulance they first go to the Emergency Room then to the Catheterization-Lab and is then evaluated for open-heart surgery. Post operation the patient may need repeated trips to the operating room whether to stop bleeding or to remove blood clots or to end manage cardiac arrhythmia which is very common as up to 50% of cases go through this. Some patients may need device therapy such as pace-makers for very slow heart rhythm which is common in the elderly who have diseased electrical systems as well as clogged arteries (plumbing). So the average stay of a patient with no complications is 5-7 days which could extend with minor complications to 10 days. If there are more complications such as recurrent fluid build-up (congestive heart failure) or fluid in the lungs (pleural effusion) that needs to be drained by using a chest tube for a few extra days so that may push the hospital stay up to three weeks or beyond. 

If God forbids, the patient develops a stroke post operatively or goes into acute renal failure, requiring dialysis or can not even get off the ventilator because of bad lungs or bad heart or a combination of both then you are talking about long-term care as well as a huge bill as a consequence.

Let us say the average bill for the above patient would range between $200,000-250,000 however guess how much the surgeon gets? $1500 if lucky and with bundle payments this amount is likely to decrease for the doctors as most payments go to the hospital. This pushes independent physicians to go out of business or pushes them to be an employed physician with almost zero job security as reported by many colleagues, they could be fired for any cause (reasonable or unreasonable). Even worse, there could be no notice and they could be fired on the spot only adding to their devastation of those great talented physicians who we already are suffering a shortage in. 

My humble suggestion for the future of care delivery to have a fair compensation that should be secured for those in charge of delivering the care,  i.e doctors. And not those who are controlling the flow of money and are getting paid with the top dollars according to recently published CMS (Center of Medicare Service) are the business executives, CEOs, administrators as physicians pay lag behind. Similar scenarios in patients who may have a slip and fall accident, sustain a fracture call EMS, go to the ER, are seen by the orthopedic surgeon, get surgery, get in hospital and post discharge rehab with all their bills being bundled. 

The best model to date that should be considered as a solution is offered by the Surgery Center of Oklahoma.com where a patient/ consumer shops for the best services and the best prices. To given an example

Arthroscopy bilateral knee - $5,300

Femoral-Popliteal bypass graft with vein- $10,700

Inguinal Hernia Repair- $3,060

Pace-maker placement includes device/leads- $11,400

Cataract Surgery (one eye)- $4,000

Hip Replacement surgery- $19,400

Simple fracture requiring open reduction - $4,455

Simple fracture, closed reduction with cast- $1,925

Laser varicose veins therapy upper or lower (one side)- $2,700

Adenoidectomy- $2,695

I remember very well about 14 years ago I was charge 24,000 for a six hour stay for an Adenoidectomy surgery for my daughter and insurance denied payment (citing it was a pre-existing condition!). Which I had to fight and they finally paid to the hospital.  There is a breaking point which is about to happen in the current healthcare system as it is unsustainable and would require adapting these models mentioned for the future practice of medicine. 

Dr Adel Eldin,MD, FACC,FACP

President , Society of Physician Entrepreneur, Tampa Bay Chapter

www.sopenet.org

Founder, CEO

Low Cost Quality Healthcare Program.

www.brooksvillecardiology.com

Founder, CEO

www.floridamedicaltourism.com

LinkedIN

Twitter. Adel Eldin @LCQHealthCare

Toll Free 877-DR-ELDIN

Published in Medical Tourism

With only three months away, specifically on October 1st, there are so many important events taking place that are going to for sure, impact doctors in several ways.

On October 1st, the new coding system (ICD-10) will go into effect with some 140,000 new codes and IT compliance issues to adapt to the new coding system.

Also, there are expected to be almost 100% CMS denial of claims first time around with delayed payments up to three months. As of now, there is only about 20% readiness for that major conversion . ICD-10 was already delayed in implementation from October 1st 2014 to October 1st 2015 and that date is confirmed.

So for certainty, it is coming on October 1st with a majority of providers that are not prepared.

Complicating the already decreased reimbursement to many providers that have forced many small hospitals to shut down ironically in rural areas serving the most vulnerable Americans who need healthcare services the most.

Also on October 1st, current credit card processing for machines have to be changed into a new upgraded version which is more secure due to a new chip being added to new credit cards for added security layer.

Additionally, there are daily automated reminders to be prepared for the cost and the consequences which, if your business is not compliant, this will lead to a phenomenon of (liability shift) which means that the financial institution will shift the liability burden onto the businesses. Rather than being a partnership that is mutually beneficial to the small businesses and financial institutions which is that backbone of the economy.

Coming to us also with the recent supreme court decision to uphold the Affordable Health care Act with expecting more millions of Americans to enroll as the program expands and as recently reported, that the cost of healthcare has exceeded the rates of inflation.

To add to the list of fast-changing events, there is a huge expansion of retail medicine with recent CVS chain-ought Omnicare for 12.7 billion dollars in early June. Then on  June 15th, CVS chain has bought Target Pharmacy business for 1.9 billion dollars adding 1700 pharmacies to its chain.

With increasing rivalry among corporate giants (Wal-Mart) moving aggressively into health care market as well, retail clinic hiring mostly nurse practitioners as providers, not doctors. Similarly, hospitals are doing the same as well insurance companies to cut down on overhead and maximize their bottom line profit. 

All these changes are happening at the same time and unfortunately affecting doctors and their businesses (mostly small) in adverse ways. Also after stating the facts, now we advocate solution being Concierge Medicine or direct-care medicine is the way to go!

As a matter of fact, July has been named the National month of Concierge Medicine. As the final decision will be made by the consumer, who decides where to go for healthcare, and by whom will be cared for, and how much it will cost for the care.

Over the past two decades, we’ve been advocating for patients, and now for fellow physicians who share similar values of transparency, delivering quality healthcare at low costs, doing the right thing for all patients we serve.

I invite all those who are interested in Concierge Medicine to get involved and take charge of their care and career. I welcome any opportunity to collaborate with anyone interested in pursuing the concierge of medicine as the most dignified way to practice medicine.

Feel free to contact me,

Dr Adel Eldin,MD, FACC,FACP

President , Society of Physician Entrepreneur, Tampa Bay Chapter

www.sopenet.org

Founder, CEO

Low Cost Quality Healthcare Program.

www.brooksvillecardiology.com

Founder, CEO

www.floridamedicaltourism.com

LinkedIN

Twitter. Adel Eldin @LCQHealthCare

Toll Free 877-DR-ELDIN

Published in Dr. Adel Eldin

A very significant global event will take place, most likely on June 17, and extend over a month. That is the arrival of the holy month of Ramadan.

During this month, there is spiritual renewal, redemption of all good deeds and endless mercy from our creator — the great prize of which will be the ultimate freedom from hellfire.

From the minute it starts, more than 1.7 billion followers of Islam engage in continuous worship — fasting during the day, praying till midnight and charitable giving.

This month reflects on thanking God Almighty for his endless bounties by sharing with the less fortunate. At sunset every day, the breaking of the fast, called Iftar, takes place across the world. Food is shared, and people gather to thank God for providing it.

As a matter of fact, for the most part, anyone can walk over to a mosque or Islamic center and eat for free. This is the spirit of Ramadan.

Fasting teaches us patience, discipline, self-control and humility, and its gets rid of arrogance and impatience. It does not distinguish between the richest man or woman and the poorest. Everyone is to fast and feel hunger and thirst during the period from sunrise to sunset for a month to feel the pain of others and appreciate the blessings bestowed upon us.

With God Almighty's acceptance of all good deeds — including, but not limited to, praying, charity, helping the needy, feeding the hungry and serving the community — all of our sins are erased, and we become pure again.

There are many health benefits to fasting. It helps control chronic diseases and also helps with weight loss, thus cutting down the risk for cancer and many other diseases. Fasting gives the body its annual maintenance to shed dead cells. In fact, the Department of Health in England has incorporated fasting as one of its wellness strategies.

Additionally, fasting helps get rid of stress, depression and anxiety, and it brings peace, tranquility and happiness. So everyone is encouraged to practice intermittent fasting for health and wellness, and it does not have to be as strict as the Muslim practice.

Ramadan softens the heart to make reconciliations with one's self, family, community and the world, and to be a good servant of the creator, helping fellow man unconditionally. The celebration peaks during the last 10 days, as everyone looks forward the Night of Power on the odd nights, where the angel Gabriel and others descend close to Earth.

Then, you come to realize that this fast-passing month will end soon, and we say goodbye until the next Ramadan comes.

Then the feast of breaking the fast, also known as Eid al-Fitr, comes as a trophy, along with the celebration for doing a good job during Ramadan. It includes buying new cloths, parties, rides for kids and exchanging gifts with family members and friends.

Ramadan is a blessed month for all mankind, with so many physical, mental, and spiritual benefits. It is also a great opportunity to abstain from bad habits such as smoking, overeating, lying, cheating, backbiting and envy, offering a chance to transform yourself to be a better human being.

Everyone can benefit from Ramadan and make this month a special free gift to all humanity across the world.

Dr. Adel Eldin is the owner of Brooksville Cardiology in Wesley Chapel.

The many benefits that come within Ramadan 06/11/15 [Last modified: Thursday, June 11, 2015 10:15am]
Photo reprints | Article reprints

© 2015 Tampa Bay Times

Published in Dr. Adel Eldin

North Carolina Employer Saves $10 Million Through Medical Tourism Healthcare reform may have helped temporarily shut down the U.S. government, but The Employer Healthcare & Benefits Congress continues to find innovation in its reach.

Among some of the most progressive innovation found in employee benefits is domestic and international medical tourism, both topics covered at this year's annual congress. As more employers implement fixed bundled pricing at centers of excellence domestically and abroad, employers see a new way to control costs.

Full article here: http://www.medicaltourismcongress.com/blog/2013/us-companies-consider-medical-tourism/

Published in Medical Tourism

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Published in Medical Tourism

Editorial Reviews

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Low cost Quality Healthcare model, health care crisis, avoid hospitalization , avoid high cost procedures, enjoy a better quality of life and save thousands, stress management, disease prevention, wellness and fitness all key wards for the first video, use pictures fore the heart health and wellness.

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Published in Dr. Adel Eldin

Ramadan, which began last week, comes at a time when the world is in a desperate need for a spiritual uplifting.

Consider this blessed month as a month-long sale for any good deed that will be multiplied hundreds of times to help wipe out all sins of the previous year. Giving up all worldly pleasures, fasting all day and praying all night is the monthly spiritual routine.

To reflect on the spiritual values of Ramadan, which include patience and sincerity, we teach the youth that they cannot fake their fasting as they are watched by God all day. Ramadan teaches us to be humble as there is no difference between rich or poor, young or old. All fasting for the sake of their Lord from sunrise to sunset.

Published in Dr. Adel Eldin
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