Real Psychiatry

  After some deliberation I went into my local Walgreens for an RSV immunization.   I have multiple unpredictable allergies and have had b...

I am on record recently pointing out how top medical journals have evolved to the point that they are posting a continuous stream...

Despite some PR releases to the contrary, pharmacy benefit managers (PBM) continue to harass physicians and waste thei...

Just when I thought that prior authorization could not get any worse, I see a fax with that headline.  I guess the business geniuses who ...

I had the pleasure of dealing with another Pharmacy Benefits Manager (PBM) recently. It all starts with a fax from a pharmacy anyw...

As part of the continuous harassment that is prior authorization, I recently received a form in the mail.  It was a repeat of one that I had...

I can still recall when I was referred to my first web site for a prior authorization of a prescription medication.  My first thought was: &...

Anyone who has read this blog in the past is aware of my opinion of middlemen in health care and how they waste everyone's time and run ...

The need for managed care and the efficiency of the electronic health record are two of the biggest myths in the American health care system...

The answer is - it  depends on how it is applied. In the last two days, I have seen the integrity argument pulled out.  Allen Frances is s...

I noticed some confusion around the GSK article that was recently posted.  I decided to start the New Year examining conflicts of interest ...