Discover a patient-focused philosophy that puts
your needs first

Access provides more than just healthcare. It enriches the lives of its members by providing services like
Outreach Center, Auroveda Garden and Enrichment Center. Access is a multi-service medical practice consisting of over 170 healthcare providers and over 915 employees at more than 150 locations throughout Florida. Our Doctors combined speak over 18 different languages.

Indispensability of Compassion in Empathy plus Kindness in the Workplace By : Maria Scunziano-Singh, M.D.

We all need to help make our workplace one in which we feel a sense of fulfillment, belonging, and real connection. Not only is this for the sake of each of us in our roles of service, but for those who we serve every day.

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US Health Care: Tweaks and Fixes By : Pariksith Singh, MD

“A crisis should never be allowed to go to waste,” said Winston Churchill. Is it time to fix health care in the US? From recent estimates, 18% of our GDP is spent on health care and yet we do not rank in the top ten countries in terms of medical outcomes. There is much waste, administrative costs are uncontrolled and cost of care, including drugs, surgery, and investigations are unconscionably high.

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The COVID Opportunity By : Pariksith Singh, MD

What did we learn from this piece of COVID? The biggest economy in the world, the most powerful country is brought to its knees by a virus. Found unprepared and wanting, its hospitals overcrowded, morgues spilling over and doctors and nurses strapping for protective personal equipment (PPE) as if this were a third world country.

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Parenting Mom and Dad

A recent article in the Economic Times has pointed out how our elderly population fears the social distancing advocated recently to contain the spread of Coronavirus. Their biggest fear is isolation and lack of communication. But, to my mind, even more, important to them is the loss of connection with their loved ones and the inability to be productive or to contribute to society.

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Comedy and Health: The Many Health Benefits of Laughter By: Amanda Dolan

We have all heard the saying: “Laughter is the best medicine.” But have you ever wondered if it is actually true? Well, it turns out that it is more than just a catchy phrase.

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The Difference between IPA and MSO? : By Pariksith Singh, MD

What is the main point of dissimilarity between an IPA (Independent Providers’ Association) and an MSO (Management Service Organization)? There seems to be a lot of confusion and the two terms are often used interchangeably.

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Care Management with Case and Disease Management Through Population Health Analysis. How Population was Impacted? By Pariksith Singh, MD

Defining Population Medicine and Health Analytics is akin to the proverbial story of the elephant described by the four wise but blind men. One ‘saw’ it as a huge pillar while he felt one of its legs.

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Trends in Healthcare: An Estimate and a Summary

Healthcare in the United States has slowly but surely been moving in a new direction over the last decade in a subtle but unmistakable manner. On the surface, this does not seem to be a radical shift. The US continues to suffer from a political impasse and an economic plateau.

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Utilization Management: How to Reduce Costs without Denying Care? : By Pariksith Singh, MD

Utilization management (UM), care management, control of spiraling costs, care coordination: these are all the words we hear regularly these days with the advent of accountable care and increased enrollment in managed care plans across the country. But how to manage patient care and optimize costs without withholding care? That is the challenge.

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SMART Office : By Pariksith Singh, MD

We hear about smart cars and smartphones, smart cities, and smart manufacturing plants a lot these days. Greater use of technology is expected to alleviate many of the problems faced by these entities and create some solutions. Can a smart office exist in a similar vein?

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Smart Defense in the Legal Era of Whistleblowers By : Carlos Arias, MD, MPH, CPC

Where will a whistleblower act next? Is my company at risk? These are questions that are asked by executives, lawmakers, and compliance officers the world over, every day. There are over 40 federal whistleblower-friendly laws on the books that rest on three pillars: job protection, anonymity, and bounties.

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How Do Organizations in Healthcare Measure the Value Proposition? : By Carlos Arias MD, MPH, CPC

How do organizations measure the value proposition? Both the numerator (Quality) and denominator (Cost) must be measured to demonstrate value. We achieve Quality through Effectiveness, Patient-Centered Care, Safety, Efficiency, Equitability, and Compliance.

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Risk Adjustment: A Compliant, Efficient and Medicine-Based Approach : By Carlos Arias, MD, MPH, CPC

As premiums continue to be reduced, Health Plans, IPAs, MSOs, and medical groups must have plans in place that ensure an accurate RAF score. To obtain these, healthcare organizations must not only recapture the enrollee’s prevalent conditions but compliantly report clinical conditions as they appear.

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The First Impression: Waiting Rooms and Reception Areas : By Carlos Arias, MD, MPH, CPC

The introduction to a medical practice begins in the waiting and reception area. A patient’s perception of the practice starts there, and it’s an impression that will be perceived as who we are. We should use every action and opportunity available in this location to promote the practice.

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Pre-billing: A Safety Net : By Carlos Arias, MD, CPC

Imagine driving on a narrow road between two mountains. Suddenly, rocks begin tumbling down around you from both sides. That is, I believe, the feeling many providers and healthcare companies get when a final decision from a federal or civil court gets published on the Office of Inspector General (OIG) website, knowing that more than 75% of compliance issues in healthcare are related to coding and billing practices.

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RAPS vs EDPS: Explaining the Differences and Implications

Currently, the calculation for setting capitation rates used for Medicare Advantage is based on cost (claims) data collected from fee-for-service providers. That is about to change. CMS will soon be setting the rates on the fee-for-service equivalent pricing using “encounter data” submitted by Medicare Advantage Plans. While CMS has been collecting Medicare Advantage encounters for the past 2 years, as of this time, no official date has been announced to begin calibrating rates using Medicare Advantage data.

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The Disappearing Art of Heart : By Pariksith Singh, MD

It is perhaps a symptom of our society today that respect for the doctor is falling. Google is available widely for any medical search. Pharmaceutical companies are marketing directly to the consumer. Pharmacists and non-physician practitioners can easily dispense treatments and write prescriptions. And, in India, there is even a movement to allow alternative medical practitioners to write prescriptions and treat patients as regular doctors would.

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The Pareto Singh Principle : By Pariksith Singh, MD

Two principles have always intrigued me: The Pareto Principle and the Homeopathic System of Treatment; how they come together in splendid confusion. Pareto is brilliant in many ways. Anyone trying time management, which is always a challenge, trying multiple careers or trying to scale must be mindful of it.

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