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The Bard

1703 or 1704???




The long march

Who/What? Is Andrew?

The Raid

Old Deerfield Road

Now available in Print and Kindle on Amazon.com




St. Clair Flats

Tecumseh

Father Gabriel Richard

Woodward's plan for new Detroit

Seal of Detroit

Sacagawea's Child

Toussaint Charbonneau

Route of Lewis and Clark


Statue of Antoine Cadillac, Detroit

Lewis and Clark Journal

Book Five

Picnics

Hamtramck takes control of Detroit for America

Anthony Wayne



Battle of Saratoga

Brown's Tavern on Harsens Island

Chief Pontiac

The St. Clair Flats, Lake St. Clair

Voyageurs route west

Old Detroit seen from across the Detroit River

Niagara Falls

Detroit Public Library home of Burton Collection

Old Detroit seen from across the Detroit River



The Maroon Bells

The walk to Longshot









The stack from hell


Sleeping Ariadne




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The most expensive route




THE HOOK





HEALTHCARE FINANCE FOR DUMMIES




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COMING SOON!

Old Citadel of Quebec

General Braddock

Forks of the Ohio River

Michigan Habitant Heritage

Vérendrye monument

Pierre Roy

Pontiac



Book Three: Peace and War

Detroit today

LaSalle's Boat: The Griffin

Replica of old Fort Michillimackinac today. Mackinac Bridge came later.

Antoine Cadillac

Charlesbourg, Quebec St. Charles de Bromee Cemetery Today

Book Five: The City in the Wilderness

Relations of the Jesuits

Jesuits in Quebec

Henri

The Allards Book Two: The Hunter

Opiates can ruin lives

Coming Next The Pain Doc

An old home near the Cass Corridor that gave me the inspiration for the Tower Light Mission.

Detroit Public Library, Main Branch

Department of Justice

Hilberry Theater on Wayne State University campus

A treasure on the Cass Corridor

From the Cass Corridor

The Corridor

Book Seven: The Witch

Book Eight: The Chief

Francois* Allard

Quebec City

Detroit Public Library, Main Branch

Driving force of New France - The beaver

Winter in Quebec

Madeleine de Roybon with the Filles de Roi

Les Filles de Roi

Artanne sur Indre: Church and Abbey

Artannes sur Indre

Filles de Roi in 1667

Here is an idealized painting of Les Filles du Roi arriving in Quebec.

Cliffs of Etretat, last view of France as Francois sails to the New World.

Charnel house and old plague cemetery, Rouen, Normandie, France.

Researching in Blacqueville

Tags

Bad Doctors

June 1, 2014

Tags: Healthcare finance, home care, problems, doctors

Like Dr. Ryan, Dr. Kerry Berger is total fiction. He is an amalgam of bad characteristics I have seen in my career. Happily, very few doctors are like Kerry.

Sexy sales representatives

May 25, 2014

Tags: Healthcare finance, home care, problems, sales representatives

In THE LABYRINTH, Janique Halstrom is just such a luscious woman. She is also intelligent and a natural salesperson. She is also very well paid. Fortunately for society, Janique has scruples and these are eventually the undoing of Ariadne Health.

Sales representatives

May 21, 2014

Tags: Healthcare finance, home care, problems, sales representatives

Many medical industries: pharmaceutical, surgical implants, home healthcare, etc. send representatives to physician offices to tell doctors about their products and why the patients need them. They are generally great salespeople, frequently bring lunches or other goodies and seem to be heavily populated by young, attractive and sexy ladies.

Physicians

May 18, 2014

Tags: Healthcare finance, home care, problems

In THE LABYRINTH, Doctors Faragov and Calilov are probably competent and would like to be ethical physicians. But they have problems: their English skills are not good, they have no advanced (residency) training, and their visas and licenses are provisional. They are at Ariadne’s mercy if they want to stay in the U.S.

Bad Physicians

May 14, 2014

Tags: Healthcare finance, home care, problems, doctors

In America there are many physicians who have difficulty finding work. Perhaps they have had a license suspended. Maybe they are not fluent in English. Perhaps they have a drug problem, maybe they are just lazy. The industry can hire these folks as long as they have some sort of license and they can authorize treatment and devises for people in the nursing homes or even patients they have never seen. Medicare is a grand bureaucracy but sometimes not very careful.

Just sign it and get it off your desk

May 11, 2014

Tags: Healthcare finance, home care, problems, forms

Now the industry got smarter. They realized there were physicians who signed these forms readily without any scrutiny. These were the doctors they wanted. Soon they realized you could send documents to certain practitioners who would unknowingly sign for things they never ordered and even for patients they had never seen. Believe me, it happens!

The evil form

May 8, 2014

Tags: Healthcare finance, home care, problems, forms

Now the home healthcare industry had a new problem: getting physicians to do these forms. So they made them easier by filling them out before sending them to the doctor to sign. Now the doctor had the choice of reading this wordy document (often several pages of small print) or just signing the “damn thing” and sending it back.

The ever growing form

May 4, 2014

Tags: Healthcare finance, home care, problems, forms

How can this be?! In order for Medicare to pay for a service like home healthcare, it must be ordered by a physician and its indication (why it needed and what is the evidence) must be specifically documented. Once upon a time, the physician wrote a simple prescription, but as time went by, Medicare decided it was more prudent to get more specific and detailed. Now the simple prescription became various forms longer and more complicated with each passing year.

Home Healthcare Stories

April 30, 2014

Tags: Healthcare finance, home care, problems

Do any of you have a story about an experience with home health care? Things that were provided that did not seem necessary or that seemed overly expensive, etc.? If you do, tell me about them, and we’ll try to address them—could be fun.

Solutions

April 6, 2014

Tags: Healthcare finance, solutions

Solutions: We must get healthcare out of employment as does almost every other first-world nation. It was once a good idea but is no longer. Removing the healthcare burden from employers will allow them to make appropriate manpower decisions without fear of bankruptcy, improving business and employment. A single payer system would be ideal, but I’m afraid it can’t be the government which has shown us it is incapable of almost anything. I would suggest at the most two or three private entities with strict oversight to minimize the layers of useless bureaucracy with which we now suffer. Hold on, there is more to come.

Too complicated

March 24, 2014

Tags: Healthcare finance, insurance

In summary, the healthcare system has become cumbersome to the point of being dysfunctional. Our proposed new system, which I originally endorsed, will clearly not solve things. As it is now it is also overly complicated with too many moving parts. There is clearly no perfect solution, but we can do better. More next time.

The pot grows bigger

March 14, 2014

Tags: Healthcare finance, insurance, Medicare, Medicaid

When Medicare and Medicaid arrived, the pot became much larger, and possibilities to increase income improved. Read my three books THE CORRIDOR, THE PAIN DOC, AND THE LABYRINTH for great examples. At the same time, the insurers and now the government began to fight back with deductibles, co-pays, and piles of bureaucracy and paper work. When I first entered practice the three-man group had all the billing done by one part time employee armed with a pencil and a pad of bills. Now such a practice might have four or more full time people with computers to do the same work. This type of inefficiency has invaded every corner of medicine.

"Gaming" the system

March 11, 2014

Tags: Healthcare finance, gaming the system

Insurance companies were very clever, but in general physicians are a very intelligent group. They would not be where they are today if this was not so. New ideas to “game” the system arrived, creative billing, always doing the most expensive procedure, streamlining systems to see more patients. I do not claim this included all physicians, but it’s very easy to rationalize using the newer, more costly, but not necessarily superior diagnostics or treatments.

Reimbursement drops

March 8, 2014

Tags: Healthcare finance, insurance

It did not take long for employers and insurers to take notice rising fees, after all, they were the payers. Insurance companies began to ask doctors and hospitals to “participate in their plan.” In return they would send patients their way and, at first, even pay the participating provider more. Once the “hook” was set, the fees began to drop, and if unhappy providers “dropped out” they would not be paid at all.

Price Escalation

March 4, 2014

Tags: Healthcare finance

Unfortunately over the ensuing years two predictable things occurred. With more secure payment, technology soared and with it price. Secondly, people came to expect the best and wanted the newest and most expensive care and drugs even when their physician told them they were more costly and not any better—or even inferior. In addition, patients and providers wanted coverage for office visits, drugs and other things. Of course, doctors, hospitals, drug companies, etc. had no qualms about raising price. Since the patient wasn’t paying, he didn’t care.

Hospitalization Insurance

February 23, 2014

Tags: Healthcare finance, insurance

In the mid-20th century, technology blossomed along with cost. With the post WWII industry came the idea of “hospitalization insurance” to cover the increasing cost of hospital care. Organized labor soon saw this as a worthwhile benefit and soon many hourly workers had this wonderful security. In the early days, employers were also happy as they could satisfy the workers with relatively little cost.
Now it’s your turn. Let me know how your rate your current “healthcare insurance”.

HEALTHCARE FINANCE FOR DUMMIES

February 19, 2014

Tags: Healthcare finance

Everyone remembers their grandfather (or great-grandfather) lamenting how the birth of his first child in the hospital cost $30. Doctors were dedicated, hospitals had community support, there was little expensive technology, and patients reached into their pocket for the money. THE CONSUMER WAS THE PAYER!

Selected Works

French-Canadian-Detroit history
Here it comes: Philomene’s Doll Six years after the American Civil War ended, six-year-old Philomene sees her mother die horribly in childbirth. Soon she is sent from her home near Detroit to Belle-River, Canada, where, following a series of moves to various families and convents, she ultimately finds a stable home near the place of her birth and marries a young man. Together they build a successful farm and begin a family. We follow her through Prohibition, the Great Depression, and two World Wars, raising a large and varied family through the best and the worst of times. All along, she is comforted and stimulated by a simple rag doll that was the single great gift of her childhood. Based on a true story, it’s a tale of the highest and lowest points of a long life. You will not want to miss it! If you enjoyed 1634-Return to the New World, The Beaver Wars, Fearful Passage North, The Allard Series, or other novels by Dr. Kreis, you will love this one.
Historical Fiction Novel
Gravely wounded at the end of 1634-Return to the New World, Françoise Langlois must fight for her life while the fledgling French colony of Québec must fight for its as the Indian nations enlarge their wars with each other along their new European neighbors. Follow Françoise along with her French-Canadian compatriots as they struggle against all odds to retain and grow their place in the New World.
Historical fiction novel.
An enigmatic young woman emerges from a life of bad circumstances and worse luck, finding herself with a small group of French families traveling to the New world where they will prosper as the early prominent families of Canada.
Historical fiction
1704, the Puritan Massachusetts frontier: The small village of newly wed Elizabeth Price is raided by Indians. She is taken along with 100 of her neighbors and marched through the brutal snows of winter to Montreal where she must begin a new life.
Fiction, Medical intrigue
Convinced they are receiving the finest of care, seniors are being trapped in an inescapable maze while Medicare is being bilked for billions.
Greed and lust breed outrageous healthcare fraud in the rich suburbs of The Motor City.
Thriller
Fast-paced thriller of outrageous healthcare fraud set in Detroit's inner city.
HISTORICAL FICTION
A young man leaves his home in France for the unknown wilderness of Quebec.
Historical Fiction
Jean-Baptiste Allard follows Antoine Cadillac to the frontiers of New France.
The Allard family battles in vain to save Quebec from the British.
Young Jacques Allard leaves Quebec forever to follow the wilderness ultimately making his family home in the outpost of Detroit.
Jacques Allard and his son follow Lewis and Clark to the sea, returning to find Detroit in ashes.
Young widow, Therese Allard, finds romance and adventure while helping to build Detroit's famous Underground Railroad.
Detroit's young men march off to join the Civil War, returning to began the Industrial Revolution
Detroit during Prohibition, the Great Depression and two World Wars becomes the Motor City.

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