CPM Summer 2018 - 18

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TALES FROM THE
By GASPERE GERACI, MD

Those who know me can skip the first paragraph.
I am a Family Physician, trained at Harrisburg Hospital. I worked for
Harrisburg Hospital's Family Practice residency program as faculty, then
helped the Hospital acquire practices as Medical Director of Primary Care.
My dream was to give practices the resources of a Health System to support
higher quality, efficient care, to more people. The Triple Aim before it was
a thing. Fast forward a few years, and Capital Health System (formerly
Harrisburg Hospital) and I had a difference, and later it then morphed into
Pinnacle Health System.
I moved to the "Dark Side." Having lived with prior auth, insurance issues,
and all that in practice, I thought by working on the inside, I could bring
some sense to the world of insurance. I tested the waters by working part
time for a Medicaid Insurer and learned from the inside what happens in
the real world of managed care.
Multiple jobs and roles later in the healthcare insurance and vendor industry, I'm still working there. Interspersed with these jobs, I've worked ER
and practiced solo family medicine for few years, growing a group, which
disbanded when we could not compete with my former employer for newly
graduated residents.
I say all this to make the point that I have lived the world of practice, and
have returned again and again to the dark side.

18 Summer 2018 Central PA Medicine


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Table of Contents for the Digital Edition of CPM Summer 2018

CPM Summer 2018 - 1
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https://www.nxtbook.com/hoffmann/CPAMed/CPMSummer2021
https://www.nxtbook.com/hoffmann/CPAMed/CPMSpring2021
https://www.nxtbook.com/hoffmann/CPAMed/CPMWinter2021
https://www.nxtbook.com/hoffmann/CPAMed/CPMFall2020
https://www.nxtbook.com/hoffmann/CPAMed/CPMSummer2020
https://www.nxtbook.com/hoffmann/CPAMed/CPMSpring2020
https://www.nxtbook.com/hoffmann/CPAMed/CPMWinter2020
https://www.nxtbook.com/hoffmann/CPAMed/CPMFall19
https://www.nxtbook.com/hoffmann/CPAMed/CPMSummer19
https://www.nxtbook.com/hoffmann/CPAMed/CPMSpring19
https://www.nxtbook.com/hoffmann/CPAMed/CPMWinter19
https://www.nxtbook.com/hoffmann/CPAMed/CPMFall18
https://www.nxtbook.com/hoffmann/CPAMed/Summer2018
https://www.nxtbook.com/hoffmann/CPAMed/CPMSpring18
https://www.nxtbook.com/hoffmann/CPAMed/CPMWinter18
https://www.nxtbook.com/hoffmann/CPAMed/Fall2017
https://www.nxtbook.com/hoffmann/CPAMed/CentralPAMedicine_Summer17
https://www.nxtbook.com/hoffmann/CPAMed/CentralPAMedicine_Spring17
https://www.nxtbook.com/hoffmann/CPAMed/CentralPAMedicine_Feb2017
https://www.nxtbookmedia.com