Top 10 “Best Of” APHA Posts: 2017 in Review

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As 2017 comes to a close, I thought it might be interesting to take a look at the blog posts you, my readers, considered to be most worth your reading time. Using post analytics, I’m able to see how many of you have read each of the 44 posts from 2017. Then, accommodating for the fact that some posts have been online for 11+ months, while others were just posted recently, it’s easy to tell which ones captured your imagination (or google’s search interest) to make the assessment.

So here are the top 10 posts (well – OK – I did have trouble counting again), in chronological order, the oldest to the newest:

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They’re Not Us. We’re Not Them. The Difference Is Defined by Consequences.

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Those of us who stay on top of patient advocacy-related news got a jolt from this headline, “Patient Advocacy Groups Rake In Donations From Pharma.” Just the jolt itself suggests that a few clarifications need to be made about our work as independent, private patient advocates.

This is a topic I have written about several times in the past, but because it has big ripple effects, and because some of the people you connect with may be confused, you’ll need to clarify for them, so it bears repeating.

It’s about allegiance. And it’s classified in the same sphere of conversations and objections as these:

But the hospital has a patient advocate and I can talk to her for free. So why should I pay you?

I got a flyer in the mail from my insurance company and they offered a patient advocate to help me for free! So why should I pay you?

Anyone who has begun marketing a private advocacy practice has heard these sorts of objections. Like all roadblocks found in the healthcare system, I’m going to suggest you walk through the right answers with them, because it applies in all cases.

This is the way to overcome their objections.

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Part IV: The Dirty Dozen Skills, Abilities, and Attributes of Successful Health and Patient Advocates and Care Managers

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And, finally, the fourth and last in our series of skills, abilities and attributes that all successful advocates and care managers must.

We’re wrapping up with 3 additional concepts that are important to the success all private advocacy and care management practices.  Yes – I know the total will be 16 (and we promised only a dirty dozen!) – see Part I about my inability to count 🙂 )

Which of these describe you and your abilities?  Which of them do not?  Where do you go from here?

Do your own assessment! 

 

14.  Never forget  your Allegiance. Allegiance is the foundation of a private, independent advocate’s or care manager’s work; that is – because the patient or caregiver (or someone else whose sole allegiance is to the patient) hires you, your entire focus is on what’s best for him or her.

That is the one major distinction between private, independent professionals and those who work for an organization that profits from the healthcare system. Hospital advocates, insurance advocates – their allegiance is to the companies and systems they work for. While their hearts may be in the right place, and patients may THINK they are being helped, these system-paid advocates are too often, even frustrating to them, unable to offer the best help.

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Nevertheless, We Persist

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This isn’t intended to be a political statement, even if it has its roots in the political nastiness and vitriol taking place in the United States Congress.

That said, perhaps it IS political. Except in this case, I’m referring to the politics of the healthcare system.

You would have to be living under a rock to have missed what will become (at least) 2017’s battle cry for finding some balance and fairness in our world. As Elizabeth Warren spoke on the floor of the House of Representatives, she quoted Coretta Scott King to explain why she felt the Cabinet nominee for Attorney General was not qualified to hold the office. She was interrupted by Mitch McConnell who cited a rule he felt she had broken. She was forced to stop, and to leave the floor of the House.

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Like Putting Ponze in Charge of My Retirement Savings – a Rant

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I live and work in Florida now. For the first time in my adult life, I live in a state where there’s a real possibility that my vote in the upcoming presidential election will make a difference. As a result, when I sit down to watch TV in the evening, I see a constant barrage of the most objectionable commercials. This candidate bashing that candidate. “Facts” that aren’t facts. Claims that have been disproved over and over again. Detestable.

You may be surprised to know that THOSE commercials aren’t the ones that upset me the most!  In fact, I no longer even hear or see them. I sort of gloss-over, or just get up and do something else.

<Beginning of Rant>

I’ve noticed, however, that during the past week, a new sort of horror has crept into TV commercial-dom.  That is – health insurance plan commercials, heralding the arrival of open enrollment, and featuring all new ways to dupe the public!  THOSE commercials are the ones that upset me even more.

Why?  Because they feature smiling faces, they make claims that they have “thousands of doctors” in their network (they all do, or they wouldn’t be in business), or that people with their insurance can get free preventive care (we all can – it was mandated by passage of the ACA/Obamacare), or that their plans are low-cost (no they aren’t – none of those plans are low-cost), etc.

But the part that really fries me – and the impetus for today’s rant – is one insurer’s claim that their customers can enjoy free consultations with the insurer’s “care managers“… As if that is some benefit to them!

Seriously?

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