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Subodh K. Agrawal, MD FACC

Subodh K. Agrawal, MD FACC


Dr. Agrawal, has 32 years of experience in Internal Medicine, Sleep Medicine, Cardiovascular Disease, Cardiology, and Interventional Cardiology.He completed his Internal Medicine Residency from Emory University in Atlanta, Georgia and Interventional Cardiology Fellowship from the University of Alabama. He is published in numerous peer reviewed journals and is a frequent speaker at events.

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Dear All Physicians,

Congratulation, you’re a part of the physicians directed solution of CMS to save Medicare!

The following will occur in coming weeks:

  1. Your patients will receive a letter from CMS indicating that their physician is a part of the Accountable Care Organization (ACO).

Patients may call your office, inquiring about the letter.  Please inform your patient that:

ü  Doctors ACO is a group of doctors, who work together to provide you with better, more coordinated care. Physicians in an ACO communicate with you & with each other to ensure that you get the care you need when you’re sick, and the support you need to stay healthy and well

ü  An ACO isn’t an HMO, managed care or insurance company. Unlike HMOs, managed care, or some insurance plans, an ACO can’t tell you which health care providers to see and can’t change your Medicare benefits

ü  Your right to choose any hospital or doctor that accepts Medicare, at any time, will not change even if that doctor or hospital not part of an ACO

ü  The providers participating in the ACO will become partners with you in making care decisions.  You don't have to have the same medical tests done over and over because your results are shared among your health care team

ü  The privacy and security of your medical information is protected by Federal law.  The group of doctors, hospitals, and other health care providers working together in the ACO will be able to read your medical records, along with other office staff authorized to help coordinate your care

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Doctors ACO wants to clear the confusion about the Annual Medicare Visits. The Annual Wellness Visits (AWV) takes place with one’s primary care provider, and has NO deductibles, NO Coinsurance, and NO Copayments. An AWV includes:

  •          Establish patient's medical and family history.
  •          List of patient's current medical providers.
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ANNUAL WELLNESS VISITS

Beginning in January of 2011, Medicare began covering totally free Annual Wellness Visits. The goal of this hour long visit is to develop a plan to fight preventable diseases such as heart disease, cancer and depression. Doctors ACO (an Accountable Care Organization) has found that only 7% of Medicare patients are taking advantage of this exam. The reason for this low utilization is that many physicians are not equipped to administer this detailed visit within Medicare regulations. (http://www.medicare.gov/coverage/preventive-visit-and-yearly-wellness-exams.html) Doctors ACO believes this testing is an important element in promoting the healthiest lifestyle for seniors and has trained physicians who can provide this free visit within Medicare regulations. Doctors ACO invites you to call today to make this important preventive appointment for you or your loved ones. (706) 208-9700

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Medicine is a noble profession and one chooses this profession as he/ she is drawn to a life of service to others. Declining reimbursement by both public and private insurance companies is forcing physicians to become more of a business person and less of a physician. The sacred places where patients were once truly cared for are now turning into “profit centers.” Patients are being seen as consumers only and their best interest is not always safeguarded. Our patients need guidance; they need help and we strongly believe that physicians are the best advocates for them. According to a recent report by the Institute of Medicine (IOM), as much as $750 Billion out of 2.3 trillion dollars were spent on unnecessary healthcare. “Physicians Circle for Patients (PCP)” can help reduce this waste. As we educate people to make smart choices, we will save some of the $105 billion currently being wasted on unnecessary services. By physicians sharing patient medical records with other physicians and building a system to make sharing easy, we will be able to save some of the $210 billion wasted on unnecessary/duplicate services. Virginia Mason Medical Center currently has a ‘Lean Technique’ management methodology for eliminating waste, improving quality and safety and reducing cost. By learning and sharing information about this system with other medical facilities, we can effectively reduce the $130 billion being wasted on inefficiently delivered services.

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The Doughnut Hole is No Sweet Deal
 
The ‘Doughnut Hole’ is a term that describes when a Medicare patient falls into the ‘Coverage Gap’ of their prescription insurance plan. During this period, a patient will have little to no prescription insurance coverage
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