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PT and the Greater Good

The Popular Press Should Keep us Well Employed
by Dean Metz
A few months back I blogged about how Gretchen Reynolds, the New York Times fitness writer, was doing a job that might be better done by a physical therapist . I've been reading her column fairly regularly and the responses from other readers are often Read More...
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Only So Much Water in the Pool
by Dean Metz
A report from the Commonwealth Fund was just highlighted in the press. It's a remarkable comparison of healthcare costs between developed nations. It shouldn't be surprising that the United States spent more on health care per capita than any other developed Read More...
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Maintenance Therapy
by Dean Metz
A very important ruling came out February in the Jimmo vs. Sebelius argument . It clarified that improvement of function is not a requirement for Medicare reimbursement. Rather it's the need for skilled services that determines whether a claim is reimbursable. Read More...
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Congratulations?
by Dean Metz
A friend of mine posted on Facebook today, "I've maxed out my health insurance deductible, in-network bills are on them now." What an interesting state of affairs when we're tempted to congratulate someone for being unwell enough to warrant full payment Read More...
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More Harm Than Good?
by Dean Metz
An interesting article came out in the British popular press last week that states some chronic low-back pain can be cured by antibiotics. The writing is fairly clear that only certain cases would benefit from this approach and it includes links to the Read More...
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‘Does it Do What It Says on the Tin?'
by Dean Metz
I learned this expression while working in England. It was a way of getting to the core of something, often a product, to determine the original intent and whether it was accomplished. I wonder that about continuing education requirements. Florida has Read More...
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Continuing Education Continues
by Dean Metz
So I'm back in the US about six months now and I've got a massive amount of continuing education to do. Before anyone starts wagging fingers about "serves you right" or anything else that sounds like your mother scolding, I had to do lots of CPD (continuous Read More...
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Is It Any Wonder?
by Dean Metz
Public health is a challenging field. It's an area focused on prevention so therefore not reimbursable by most third-party payers. It's primarily spearheaded by government bodies; therefore it is often not trusted or presented as too "nanny state" and Read More...
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Being an English Versus American Health Consumer
by Dean Metz
Last week I got to experience being a consumer in the US health system again. What fun!... not. I have a relative who was an emergent inpatient in a hospital in the southern part of the country. I traveled down to assist my relative at home and be present Read More...
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Dancing Faster and Faster
by Dean Metz
New York state has made remarkable changes to the way it's administering Medicaid. The Medicaid Redesign Team has enacted changes that will completely alter the current practices and expectations of both providers and patients. As of May 1, all long-term Read More...
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The Road Paved with Good Intentions
by Dean Metz
Last week my ADVANCE colleague, Janey Goude, wrote a piece about the Medicare plan to charge penalties to hospitals with excessive readmission rates. I had to reluctantly agree with her assessment... the plan isn't working the way it should. This is one Read More...
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Showing Our Age
by Dean Metz
I read this article on NPR (National Public Radio) about how people of a certain age, which includes me, are less fit than their counterparts of two decades ago. How can this be? With all the advances in knowledge and availability of information, how Read More...
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Personal Accountability
by Dean Metz
In response to my blog from last week, one Facebook reader suggested that laws such as Mayor Bloomberg's ban on super-sized drinks started a slide down a slippery slope into a nanny state. Simultaneously fellow ADVANCE blogger, Toni Patt, DPT, reflected Read More...
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The Obesity Fight
by Dean Metz
By now, many people have heard about New York City Mayor Michael Bloomberg's attempt to combat obesity by limiting the size of soft drinks containing sugar. There has been both an aggressive ad campaign and a new ban on beverages over 16 ounces. He has Read More...
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Goodbye Fee for Service!
by Dean Metz
For most of my professional life, except when I worked in the NHS in England, either I was paid on a fee-for-service basis or the employer I worked for was reimbursed that way. Essentially, "make a visit, get paid" was the way it worked. That's a very Read More...
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About this Blog


    Dean Metz
    Occupation: Staff Development Specialist
    Setting: New York, NY – Newcastle Upon Tyne, Great Britain
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