Private Pay Health Care

Private Pay is the basis upon which the healthcare financing system began. Patients paid physicians a fee-for-service. In its purest sense, the Private Pay model includes only the physician and patient in the exchange of compensation for medical care provided. Over the years as healthcare financing arrangements have changed, entities paying a fee-for-service includes all payers-public and private. Recently, the healthcare industry has referred to physician practices that do not accept health insurance as cash-only practices or Private Pay offices. Private Pay vastly reduces the traditional overhead expenses by not having to bill and abide by contractual requirements of third party payers. Further, collection rates may be higher with fewer bad debt expenses. Physicians in a pure Private Pay practice may want to continue to see patients with private insurance who are willing to pay cash and submit their own claims. Before charging privately insured patients on a cash basis, the physician should determine that there are no contractual or legal restrictions on doing so. This will necessitate a review of existing contracts and state insurance regulations. Certain states protect enrollee’s in particular private insurance plans from being billed for any sums beyond what the insurance company pays, except for co-pays and deductibles. Opponents of a completely Private Pay practice model would argue that it violates the professional principle of ensuring equal access for all. Individuals with insurance may not be able to afford seeing a physician who does not participate with their health plan due to the added financial responsibilities. Thus, the Private Pay practice is limiting its level of patients’ access to care based on one’s financial means. There are already millions of Americans who cannot afford private health insurance and have Medicaid coverage. Others self-insure due to their financial resources being such that they can pay out-of-pocket for their medical expenses. Physicians who wish to move to a pure Private Pay practice and still take Medicare patients must privately contract with such patients. If still accepting Medicare, it is advisable to follow the Medicare fee schedule as to avoid causing any red flags to be raised. The rules related to treating Medicaid patients on a Private Pay basis will vary from state to state. It is advisable to contact the state Medicaid agency for their terms on charging patients directly.

Internal Medicine

Doctors of internal medicine focus on adult medicine and have had special study and training focusing on the prevention and treatment of adult diseases. At least three of their seven or more years of medical school and postgraduate training are to learning how to prevent, diagnose, and treat diseases that affect adults. Internists are sometimes known as the doctor's doctor, because they act as consultants to other physicians to help solve puzzling diagnostic problems. Internists can choose to focus their practice on general internal medicine, or may take additional training to sub-specialize in one of 13 areas of internal medicine. Cardiologists, for example, are doctors of internal medicine who sub-specialize in diseases of the heart. The training an internist receives to sub-specialize in a particular medical area is both broad and deep. Subspecialty training usually requires an additional one to three years beyond the standard three-year general internal medicine residency. Internal medicine is the medical specialty dealing with the prevention, diagnosis, and treatment of adult diseases. Doctors of internal medicine, also known as internists, are sometimes the doctor's doctor, because other physicians consult them to help solve puzzling diagnostic problems. They are especially skilled in the management of patients who have undifferentiated or multi-system disease processes. An internist cares for hospitalized and ambulatory patients and may play a major role in teaching or research. Internal medicine is also a type of veterinary specialty. The term internal medicine comes from the German term "Innere Medizin," popularized in Germany in the late 19th century to describe physicians who combined the science of the laboratory with the care of patients. Many early-20th-century American doctors studied medicine in Germany and brought this medical field to the United States. Specialists in internal medicine are internists in the United States. In modern practice, most internists are subspecialists; that is, in general, they limit their medical practice to problems of one organ system or to one particular area of medical knowledge. For example, gastroenterologists and nephrologists specialize in diseases of the gut and the kidneys, respectively.

Skin Tag

A skin tag is a common, benign condition that consists of a bit of skin which projects from the surrounding skin and may appear attached to the skin. Skin tags can vary quite a bit in appearance. They may be smooth or irregular, flesh colored or more deeply pigmented, and either simply be raised above the surrounding skin or have a stalk so that the skin tag hangs from the skin. Americans spend billions of dollars each year on skin care products that promise to erase wrinkles, lighten age spots and eliminate itching, flaking or redness. Yet, the simplest and cheapest way to keep skin healthy and young looking is to stay out of the sun. Sunlight is a major cause of the skin changes we think of as aging--changes such as wrinkles, dryness and age spots. The skin does change as it ages. For example, with age, people sweat less, leading to increased skin dryness. As the skin ages, it becomes thinner and loses fat, so it looks less plump and smooth. Underlying structures--veins and bones in particular--become more prominent. Skin can take longer to heal when injured.

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Y chromosome

The Y chromosome is the sex-determining chromosome in most mammals, including humans. In mammals, it contains the gene SRY, which triggers testis development, thus determining sex. The human Y chromosome is composed of about 60 million base pairs. Most mammals have one pair of sex chromosomes in each cell (though the platypus has five pairs). Males have one Y chromosome and one X chromosome, while females have two X chromosomes. In mammals, the Y chromosome contains the gene that triggers embryonic development as a male. This gene is SRY. Normal sperm production needs other genes, in addition to SRY, on the Y chromosome.