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June 18.2025
2 Minutes Read

Why Digital Dementia Screenings Are Crucial for Concierge Medical Practices

Older man using a tablet for digital dementia screenings.

Understanding the Impact of Digital Dementia Screenings

Recent studies reveal that digital cognitive assessments (DCAs) could be pivotal in detecting early signs of cognitive impairment among seniors, particularly within primary care settings. An innovative study published in the Annals of Family Medicine demonstrates that nearly half of the older adults screened showed signs of borderline or impaired cognition. However, this promising tool faces formidable adoption challenges within clinical workflows.

The Statistically Significant Findings

Implemented across diverse primary care clinics, the study investigated 17,894 patient encounters, where only 10% of eligible individuals opted for screenings, with just 1,808 completing the test. Alarmingly, over 55% of eligible encounters did not pursue testing due, in part, to physician discretion. Among those tested, findings were notable: 44.3% were cognitively unimpaired, while 50% exhibited signs of cognitive concerns.

Challenges in Implementation

Despite significant screening results, actions toward treatment were lackluster. Only 2.1% of patients diagnosed with impairment received a formal diagnosis of Alzheimer's Disease and Related Dementias (ADRD) within 90 days, spotlighting a profound gap in follow-up care post-screening. This trend exemplifies the barriers that DCAs face in becoming integrated within everyday practice. Worker engagement and adjusting clinic systems for smoother workflows are essential for the future of DCAs.

Role of the Brain Health Navigator

Introducing a role like a Brain Health Navigator has shown promise in improving follow-up care for patients with positive screenings. This innovative approach aids patients in navigating the “next steps,” ensuring they receive necessary referrals and interventions post-screening, which can significantly influence both patient outcomes and overall practice performance.

Opportunities for Concierge Medical Practices

For concierge medical practice owners, understanding and implementing DCAs can create a competitive advantage and enhance patient care significantly. Integrating digital cognitive assessments not only positions the practice as a leader in innovative healthcare solutions but also aligns with growing demands for proactive health management among aging populations.

Future Predictions and Trends

As we move forward, we anticipate a shift towards systemic changes that will enhance the adoption of DCAs. This includes reforming reimbursement policies, enriching clinician training, and developing comprehensive support mechanisms. Practices that embrace these advancements early may well benefit from increased patient loyalty and improved health outcomes.

Final Thoughts

Dementia screening represents a critical frontier in proactive patient care. As healthcare continues to evolve, staying abreast of technological advancements in cognitive health will bode well for the longevity and reputation of concierge practices. By investing in training and resources, practices can not only enhance patient experiences but also secure their standing as leading local healthcare providers.

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06.19.2025

Healthcare Consequences Loom as Senate Finalizes Big Beautiful Bill

Update Senate Deliberations: A Crossroad for Healthcare Funding The Senate's debate over the proposed "One Big Beautiful Bill Act" has raised palpable concern amongst healthcare advocates. As lawmakers sift through a trove of amendments, the implications on healthcare funding reverberate across the nation. Primary among the concerns is the potential for substantial Medicaid cuts, likely impacting many vulnerable populations, particularly in rural areas. The legislation aims to safeguard the 2017 tax cuts while seeking reform in Medicaid spending. Critics argue, however, that these measures favor corporate interests at the expense of public health, threatening the stability of healthcare services that many depend on. The Stakes: What Medicaid Cuts Mean for Hospitals Medicaid is a critical lifeline for millions of Americans, especially in regions with fewer healthcare resources. The proposed amendments that call for cuts could lead to serious healthcare access issues, further straining already fragile rural hospitals. This could precipitate an increase in uncompensated care, leading to financial instability for facilities that operate on thin margins. As a concierge practice owner, it's vital to understand how these cuts could influence not only patient access but also the financial landscape of your practice. Financial Insights: The Broader Economic Impact While the act proposes to prevent a $2.6 trillion tax hike on lower and middle-income households, the underlying economic strategy seems controversial. Supporting claims from the Senate Finance Committee highlight how these tax cuts could empower families and businesses to economically recover from the pandemic. In the long run, however, a strain on Medicaid funding might lead to exacerbated healthcare costs and lower quality care. For concierge practice owners, these dynamics can affect patient retention and growth strategies. The Opposing Voices: Why Critics Are Raising Alarms Various healthcare organizations have expressed fear that the flame of corporate welfare might burn brighter than that of patient care under this bill. As Senate Finance Committee Chair Sen. Mike Crapo champions both middle-class tax relief and corporate benefits, experts worry that incentives for domestic investment could overshadow essential healthcare funding. This perceived imbalance may lead to a crisis in physician workforce levels as well. For medical practices, this signifies the potential for physician shortages down the line, affecting patient care and practice viability. Long-Term Predictions: Shaping the Future of Concierge Medicine As a concierge medicine professional, it's imperative to stay informed and proactive about how legislation like the Big Beautiful Bill can impact your practice. Expanding Health Savings Accounts (HSAs) and Health Reimbursement Arrangements may provide some flexibility for patients, but the effectiveness of these measures remains to be seen in the context of potential Medicaid reductions. Future trends may also lean towards a fragmented healthcare landscape where wealthy corporations still maneuver freely while underprivileged communities struggle. Crafting a business model that adapts to these regulatory changes will be invaluable. Pinpointing your niche market and solidifying your patient base can help better insulate your practice against these legislative shifts. Actionable Insights: Steps to Navigate Regulatory Changes As the landscape continues to evolve, here are a few tips you might consider for securing your practice's position in this competitive environment: Stay Informed: Regularly analyze the implications of ongoing legislative changes on your practice. Engage Patients: Foster open communication with your patients regarding how healthcare policies could affect their treatment and costs. Adapt Financial Strategies: Explore new financial models that can compensate for potential cuts in reimbursements from government programs. Conclusion: Navigating Uncertain Waters The Senate's deliberations over the One Big Beautiful Bill Act present notable challenges and opportunities for concierge medical practices. Understanding the intersection of healthcare policy and patient access will be paramount for securing your practice's future. Being proactive, adaptable, and informed will empower you to continue providing exceptional care through uncertain times. Join the conversation, reach out to peers, and stay engaged with the evolving regulatory landscape—your practice's success depends on it.

06.18.2025

Why Virtual Consultations Are Reshaping Concierge Medicine Practices

Learn the essential benefits of virtual consultations and how they enhance patient satisfaction, save costs, and promote sustainability in healthcare.

06.18.2025

How Will Cannabis Rescheduling Impact Your Concierge Practice in 2025?

Update Understanding the Shift in Cannabis Classification: What’s at Stake?The potential for cannabis reclassification raises significant questions for the medical community, particularly amongst those in concierge medicine. The Biden administration’s proposal to change marijuana from a Schedule I to Schedule III drug—thus acknowledging some potential medical uses—brings hope for advocates but also highlights an ongoing discord in scientific validation. The crux of the issue rests on a fundamental lack of strong, conclusive evidence supporting marijuana's medical benefits, which continues to provoke debate.The Implications for Concierge PracticesConcierge medical practice owners must navigate this evolving landscape with caution. As regulatory frameworks shift, patient expectations may increase for cannabis-related treatments, especially for conditions touted as potentially benefiting from cannabis, such as anxiety and PTSD. Practitioners must be judicious, ensuring they offer evidence-based treatments while remaining compliant with ever-evolving regulations.A Call for Rigorous ResearchDespite voiced support for cannabis rescheduling, the appeal for comprehensive research cannot be overstated. Scholars, including Bertha K. Madras, PhD, and Paul J. Larkin, JD, argue that the absence of high-quality clinical trials continues to hinder the validation of cannabis as a bona fide medicinal product. For concierge practices, this should be a call to collaborate in research and elevate patient care through informed decision-making rather than mere compliance with public sentiment.Future Predictions: Navigating a Variable LandscapeAs the political landscape continues to evolve, so too might perceptions and legal frameworks surrounding cannabis. The Trump administration’s potential stance on cannabis will be pivotal, especially as it aims to address opioid crises while regulating potentially harmful substances. This creates a unique juxtaposition that concierge medical practices must consider as they forge their business strategies amidst regulatory uncertainty.Opportunities for Concierge Practices in Regulatory ChangeWith the prospect of reclassification, there’s a unique opportunity for concierge practices to position themselves as leaders in innovative treatment options, provided they advocate for and participate in advancing stringent cannabis research. This proactive approach not only positions practices well with evolving patient expectations but also fosters a reputation for holistic, evidence-based care.Advising Patients in a Changing EnvironmentThe emotional connection to cannabis is profound for many patients, influenced by personal experiences and societal shifts. Concierge practices are uniquely situated to guide conversations on cannabis safely and responsibly. Educating patients about the potential benefits and risks can fortify trust and enhance the patient-provider relationship.

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R","city":"Sheridan","state":"WY","zip":"82801","email":"info@banidadigital.com","tos":"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","privacy":"PHA+PHN0cm9uZz5QUklWQUNZPC9zdHJvbmc+PC9wPgoKPHA+PHN0cm9uZz5UaGUgaW5mb3JtYXRpb24gcHJvdmlkZWQgZHVyaW5nIHRoaXMgcmVnaXN0cmF0aW9uIGlzIGtlcHQgcHJpdmF0ZSBhbmQgY29uZmlkZW50aWFsLCBhbmQgd2lsbCBuZXZlciBiZSBkaXN0cmlidXRlZCwgY29waWVkLCBzb2xkLCB0cmFkZWQgb3IgcG9zdGVkIGluIGFueSB3YXksIHNoYXBlIG9yIGZvcm0uIFRoaXMgaXMgb3VyIGd1YXJhbnRlZS48L3N0cm9uZz48L3A+Cgo8cD48c3Ryb25nPklOREVNTklUWTwvc3Ryb25nPjwvcD4KCjxwPjxlbT5Zb3UgYWdyZWUgdG8gaW5kZW1uaWZ5IGFuZCBob2xkIHVzLCBhbmQgaXRzIHN1YnNpZGlhcmllcywgYWZmaWxpYXRlcywgb2ZmaWNlcnMsIGFnZW50cywgY28tYnJhbmRlcnMgb3Igb3RoZXIgcGFydG5lcnMsIGFuZCBlbXBsb3llZXMsIGhhcm1sZXNzIGZyb20gYW55IGNsYWltIG9yIGRlbWFuZCwgaW5jbHVkaW5nIHJlYXNvbmFibGUgYXR0b3JuZXlzJiMzOTsgZmVlcywgbWFkZSBieSBhbnkgdGhpcmQgcGFydHkgZHVlIHRvIG9yIGFyaXNpbmcgb3V0IG9mIENvbnRlbnQgeW91IHJlY2VpdmU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