News

Posted on September 19, 2013

PSYCHIATRY MOVES FROM PSEUDO TO REAL SCIENCE:

Psychiatry is changing and moving into the realm of real science with an emerging understanding of the brain’s complex neural circuitry. In depression, this brain circuitry is dysfunctional.  In essence, the plumbing is broken. Advanced brain imaging is being used to identify the parts of this important neural circuitry. One is Area 25 ( the […] Read More

Posted on September 19, 2013

MAKING PSYCHIATRY ACCESSIBLE IN RURAL CANADA:

Accessing psychiatric services in rural communities is very difficult. There is an unmet and rapidly growing need for these essential services. To solve this problem, Rupert Case Management Inc. (RCM) provides rural  clients with high quality mental health services using out of the box thinking. Here’s A Case Study: A 45 year old mother of […] Read More

Posted on September 2, 2013

EARLY INTERVENTION FOR DISABILITY MANAGEMENT: Nelofar Kureshi, clinical researcher, Rupert Case Management Inc.

Early Intervention for Disability Management  Nelofar Kureshi , clinical researcher and case manager, Rupert Case Management Inc. In a synthesis of disability management studies, Frank et al (1998) determined that medical management in the first 3-4 weeks after the onset of pain should be focused on guideline-based care by primary providers. In the subacute phase […] Read More

Posted on August 24, 2013

WAITING OR NOT WAITING FOR SPINAL SURGERY? A CHOICE FOR SOME.

A National Post (Saturday Aug 24 2013) article “Fed Up with the wait” highlights a Niagara Falls New York neuro-surgeon, Dr Michael Stoffman, who is operating on Canadian patients who are fed up with the wait. According to the article, it is not unheard of for Canadians to wait up to two years just to […] Read More

Posted on August 18, 2013

US HOSPITAL BILLS- A MAZE OF BEWILDERMENT TO OUTSIDERS LIKE ME. Raymond Rupert MD. MBA. www.rupertcasemanagement.com

Here’s a case study that highlights the US hospital pricing problem: ABC Company was enrolled in a PPO or preferred provider organization. The PPO was going to increase health insurance premiums by 75%.  Health insurance premiums were increasing 3X faster than wages. Premiums had doubled since 2002.  This was not sustainable for ABC Company. Instead […] Read More

Posted on August 11, 2013

MEDICAL RIGHTS FOR THOSE WITH MENTAL ILLNESS?

Many patients with mental health problems end up with the wrong diagnosis or are under-treated.  This is according to studies done by The Institute Of Psychiatry at King’s College, London England. Once the mental health problem is recognized by the doctor, a strange phenomenon occurs.  This is known as “diagnostic overshadowing”. The recognition by the […] Read More

Posted on August 11, 2013

FREE MEDICAL SERVICES- COST & CONSEQUENCES:

Having FREE medical services and prescriptions may seem like the ideal solution for many. However, a doctor might order extra tests, procedures or medications just because they are FREE.   According to Dr. Sendhill Mullainathan, professor of economics at Harvard, this is inefficiency at its worst, when the tests, procedures and medications ordered provide little […] Read More

Posted on August 9, 2013

The Role Of Advocacy In The Canadian Benefits Environment- by Kim Siddall at AQ Group Solutions (Benefits Canada)

The role of advocacy in the Canadian benefits environment  Kim Siddall  | July 12, 2013   (Benefits Canada) The American benefits landscape has been the birthplace of a number of concepts and strategies that have migrated to Canada: targeted health population programs, wellness and prevention programs, and worksite health management all began in the U.S. With the […] Read More

Posted on August 5, 2013

A FAILED MARKETPLACE IN HIP REPLACEMENTS: (NY Times Aug 4 2013 page 1)

A hip replacement in the US can cost over $100,000. The same procedure in Belgium is $13,660.  Each hip replacement uses comparable equipment and has equivalent outcomes.   This pricing differential is the result of a “failed marketplace” for healthcare services in the US. The Belgian hip replacement for $13,660 included a Zimmer made hip, […] Read More

Posted on August 5, 2013

UNLEASHING THE COSTS OF PET CARE:

There are 14 million pets in Canada.  Pet owners spend $6.3B to care for their pets. That is $800M more than Canadians spend on child care. Doggie daycare is $500 per month. The rise in spending on vet care from 1997 to 2009 was 90%. To both encourage and meet the needs of pets and […] Read More

Posted on July 19, 2013

WHEN HIGH NET WORTH CLIENTS ARE RATED OR DECLINED:

Underwritings for high and ultra-high net worth individuals can be challenging. Many of these individuals have executive physicals each year. The executive physicals result in a lot of tests and therefore lots of data. That is where the problem begins! When the underwriters get hold of this data, they can misinterpret it to decline or […] Read More

Posted on July 14, 2013

IMPROVED CLINICAL TRIALS REQUIRED TO FIX BIG PHARMA’S PROBLEM:

The pharma industry’s gold standard- the large, multi-center, randomized, controlled clinical trial is failing. About 95% of drugs entering the 4 phase clinical trial process fail. Many of these drugs are effective in small trials but fail in the large multi-center trials. Something is wrong? Maybe the large trials select more of the wrong patients […] Read More

Posted on July 12, 2013

HEALTHCARE IN CANADA IS BALKANIZED NOT HARMONIZED

To be certain, the concept of private healthcare in Canada is controversial. That doesn’t mean that it should not be discussed.  A province by province analysis of the discrepancies of MRI’s provides a good example. Every province in Canada has its own interpretation of what private healthcare means. You can see the differences when ordering […] Read More

Posted on June 1, 2013

THE COST OF A COLONOSCOPY IN THE USA AND IN DIFFERENT COUNTRIES- FROM THE NEW YORK TIMES June 1 2013

The $2.7 Trillion USA Medical Bill- “worth reading”-   Raymond Rupert MD. MBA. A colonoscopy scope at a Veterans Affairs center in Seattle. Matthew Ryan Williams for The New York Times By ELISABETH ROSENTHAL June 1, 2013 MERRICK, N.Y. — Deirdre Yapalater’s recent colonoscopy at a surgical center near her home here on Long Island went smoothly: […] Read More

Posted on May 20, 2013

GUT FLORA- THE GERMS THAT COUNT

Modern medicine used to want to eradicate the tiny bugs that live within us. Now we are beginning to understand how important they are in keeping us healthy. That is the role of the microbiome. (NY TIMES magazine, Michael Pollan,  May 19, 2013). There are 10 bugs for every human cell. More than 99% of […] Read More

Posted on April 14, 2013

RCM MAKES INSURANCE MORE CUSTOMER FRIENDLY:

WATCH.VIDEO- Making Insurance Customer Friendly CASE STUDY A 31 year old female living in Northern Ontario had Hodgkins Lymphoma. Her stem cell transplant had failed. Her chemo drugs no longer worked. A new drug (brentuximab) had recently been approved for use in Canada. Her oncologist wanted to use this highly effective drug. The drug is a […] Read More

Posted on March 24, 2013

FREELANCERS UNION- A BRILLIANT SOCIAL INNOVATION

Sara Horowitz got her first job at a law firm in Manhattan about 20 years ago. She was shocked to discover that she was considered an independent contractor and would not get health benefits.  Unfortunately, that is the plight of many freelance workers. This group is also known as the gig economy. To address this […] Read More

Posted on March 6, 2013

WHY SHOULD WE IMPROVE THE PATIENTS EXPERIENCE?

Some organizations deliver an excellent customer experience. Other organizations are indifferent. There does not seem to be a Customer Experience Officer (CEO) on the job. We will compare customer experiences at two organizations in order to learn how to improve the patient’s experience. A recent flight on Porter Airlines from Toronto to Mt Tremblant was […] Read More

Posted on January 2, 2013

AGEISM- PERVASIVE, UNSPOKEN & DANGEROUS.

Hazel McCallion, the mayor of Mississauga, is 91. On New Year’s day,  she strapped on her skates to dazzle her fans. Sidney Bacon has come to dinner at our house at Easter and Christmas for the last 25 years. He is now 102 years of age. Aside from his hearing issues, he can still keep […] Read More

Posted on December 26, 2012

WHAT WE CAN LEARN FROM ROBOTS.

The use of the Kiva mobile robot in fulfillment centers teaches those in healthcare a lot about complexity. The Kiva robot is used to bring products to packers in a fulfillment center. Usually the packers walk for miles. This is more efficient. The robots bring the shelves and products to the packers. There is an […] Read More

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