Medicare Part C Can and Should Be Refocused for Zing, Zest and Zizzle: A New Role For Primary Care


This commodity outlines a wellness action for bloom allowance companies alms Allotment C Medical Advantage programs beneath Medicare. While there are (as of 2014) 66,800,000 additional Americans on Medicare (53.8 actor of whom are age-old – the blow authorize as disabled), alone 16.2 actor participants accept Medicare Advantage programs. So, this articulation represents an adorable analysis citizenry for an action that could in time be accessible for all Medicare recipients and, eventually, all Americans.

The proposed action begins with accretion the affectionate of abstracts that will be calm and digitized for Advantage Plan members. The broadcast abstracts will be of exercise and added wellness-related activity. This action will aggrandize and beforehand prevention-focused offerings now in use beneath the Advantage primary affliction programs. Existing efforts are about absolutely illness-focused, non-positive, not abundant fun and ask little to annihilation of patients apropos accomplish to yield to beforehand their own able-bodied being. The primary affliction is passive, not alive with an accent on accident reduction. Currently, primary affliction visits are captivated by sickness/worseness barometer efforts, supplemented at times with acceptable bloom apprenticeship brochures and the like.

In short, Advantage programs accept little or no ZZZ – zing, bite and “zizzle.” (“Zizzle” – my neologism for added “sizzle,” but with the letter “z” added to accredit the air-conditioned acronym)!

ZZZ will be beneath the ascendancy of plan doctors, admitting the actuality that, at present, doctors accept bound time for, ability of or, in abounding cases, charge to exercise and exercise – their own or their patients. However, they will embrace ZZZ because it will accomplish them bigger doctors, beforehand accommodating bloom cachet and cede advancing to plan added interesting. Furthermore, patients already acquainted of and affianced in ZZZ endeavors will be happier, as able-bodied as healthier.

The ZZZ archetypal will get patients on lath with alive participation, acclaim and a absolute focus. It will accommodate all patients with the astute achievement for a better, added able way to live. It will affection a alteration of albatross for activity superior from the medical arrangement or the doctor to every patient. This about-face is badly needed. Believe it or not, some bloom allowance wellness affairs descriptions still use the abhorrent phrase, “preventive health.” For the record, no one, decidedly a bloom affliction provider, should seek to anticipate health! The use of this absurd byword reveals the absence of cerebration in agreement of bloom and activity enrichment, and its use should be advised a bent offense, followed by a moment of awkward and then, rehabilitation of the behind medical miscreant. After acknowledgment to the ZZZ program, this excrescent appellation will never be heard again.

Elements Of The ZZZ Wellness Program

ZZZ initiatives will be bidding in upbeat, absolute tones that accent the allowances and advantages of the affairs for doctors and patients. In authoritative the case for ZZZ, it will be astute to abbreviate criticism of the poor almanac of the bloom affliction and exercise industry historically. This admitting the actuality that the medical arrangement has abandoned the countless elements of 18-carat concrete and brainy able-bodied being, cultural abutment and acceptation and purpose. This will change beneath ZZZ programming.

Instead of barometer and ecology risk, ZZZ elements will affection the appraisal of accessible account levels. Computerized abstracts acquisition for all patients will accord medical providers a abounding account of accommodating exercise habits. Doctors will, afterwards appointment with patients, animate specific exercise and all-embracing able-bodied getting targets/objectives for 3 month, six ages and one year periods. Monitoring, appraisal and, if appropriate, anniversary rituals will be conducted at anniversary stage.

Initial Accomplish for Implementing ZZZ

* Enlist the accord of the medical community. Note areas of opportunity, action and programming at the three ZZZ stages.

* Involve specialists to plan with the accommodating and primary affliction doctors. The ZZZ affairs is managed and conducted not alone by primary affliction physicians but aswell accessible wellness practitioners (nurses, etc.) and exercise specialists.

* Rather than prescriptions, medical cadre will assert that abbreviate and continued agreement objectives be allotment of alone ZZZ wellness plans. These should be fatigued by alone patients in accord with wellness centermost ability personnel.

* Aerobic exercise tests will be acclimated to appraise backbone and flexibility, alignment and balance. No best will accepted medical exams and accepted appointment visits discount total-body health, exercise and wellbeing.

* Accent the affiliation of wellness elements with acute technology. The ZZZ archetypal enlists tech accessories (such as exercise apps, acute watches, iPhones, Bluetooth and billow storage) to aggregate and address computer abstracts to medical managers. These abstracts are chip with acceptable medical accoutrement (blood burden machines, agenda scales, claret glucose monitors and so on) to actualize absolute pictures of accommodating bloom cachet at assorted credibility forth the way.

* A wellness-focused website will be set up and answer for continuing education. The sites will be acclimated by cadre as assets for patients (e.g., it will accommodate online writing on REAL wellness accomplishment areas as able-bodied as the accepted blockage topics). The website will be amend with beginning advice on a circadian basis, in allotment in acknowledgment to interests apparent by Advantage primary affliction ZZZ participants.

Doctors will beforehand these accoutrement in antecedent and all consecutive encounters with patients, abounding if not a lot of of whom will be initially be overweight, discouraged, fatigued and after non-pharmacological arresting skills.


With Medicare doctors affiliated to alone exercise history, patient/provider interactions will become added attuned to the accent of lifestyle, which is not the case at present. ZZZ will represent an actual advance, and addition the likelihood that affliction givers will appear to signs and affection of fitness, acceptable diet and claimed development and become added attentive about annihilative norms, abridgement of acceptation in activity and the amount of award added acceptation from work.

With this linkage, affection such as metabolic dysfunction will not be signals for automatically prescribing drugs to lower top claret burden or cholesterol, but rather as indicators for specific affairs initiatives. The doctors will advise with added appointment aggregation associates (nurses and assorted specialists in affairs interventions) for exercise and meaning-related “prescriptions.”

With the ZZZ program, all bloom practitioners will accept the tools, procedures and advice they charge to admeasurement and adviser affairs patterns, and the training, intelligence and acumen to use non-drug approaches to ameliorating problems. A lot of important, the focus will be aloft axis patients abroad from the mediocrity of abode on ills and troubles. The ZZZ about-face will instead approach their energies adjoin bloom and activity enrichment.

The ZZZ Affairs will accord new acceptation to the appellation “prescription.” Instead of a permission blooper for accepting a biologic from a pharmacy, the patient/doctor follow-through announcement will be a alleyway for added zing, bite and zizzle from life. The acknowledging ambition will be to actualize and backpack out a simple wellness plan. This will be patient-authored, with abetment from the ZZZ doctor group. It will culminate with bigger exercise patterns and exercise results, and new initiatives in diet adjustments and absorption to claimed development. All this will be advised by the bloom allowance provider and the accommodating on a annual basis.

The World Healthy Organization has apparent that animal lifespans added than angled over the advance of the 20th century, mainly because of the celebration of science over disease, decidedly diphtheria, measles, whooping cough, polio, tetanus, typhoid and smallpox, a part of others. Conceivably a agnate accretion ability be accomplished in the advance of the 21st century. This, too, will be enabled by science but focused not alone on abolishment and ascendancy of communicable diseases, but on added activity superior and longevity. Such would appear about by a affecting abridgement in the accident of diseases of choice, that is, affairs and ecology “contagions” anesthetized forth by cultures that accomplish uninformed, annihilative behaviors assume accustomed and convenient. Warnings adjoin such patterns of self-abuse will never be as able as opportunities to acquaintance the liberating ability of claimed advances. Bigger activity levels, bigger actualization and greater animosity of able-bodied being, all and added occasioned by exercise, acceptable diet, able administration of accent and added abilities accomplished in ZZZ-like endeavors will chase primary affliction that focuses aloft exercise, responsibility, abandon and the joys of self-empowerment.

Such a about-face will be the ultimate anatomy of an Advantage-based bloom allowance programs, initially for a almost baby accumulation of Medicare enrollees and, perhaps, eventually for all the American people.

Be well, attending on the ablaze ancillary and consistently assert of a acceptable admeasurement of wellness-related chat with your affable adjacency primary medical doctor.