Propoenents says ICD-10 will help researchers better identify public-health problems, manage diseases and evaluate outcomes, and over time, will create a much more detailed body of data about patients' health—conveying a wealth of information in a single seven-digit code—and pave the way for changes in reimbursement as the nation moves toward value-based payment plans. "A clinician whose practice is filled with diabetic patients with multiple complications ought to get paid more for keeping them healthy than a clinician treating mostly cheerleaders," says Dr. Rogers. "ICD-10 will give us the precision to do that." As the changeover deadline approaches some fear a replay of the Affordable Care Act rollout debacle in 2013 that choked computer networks, delaying bills and claims for several months. Others recollect the end-of-century anxiety of Y2K, the Year 2000 computer bug that failed to materialize. "We're all hoping for the best and expecting the worst," says Sharon Ahearn. "I have built up what I call my war chest. That's to make sure we have enough working capital to see us through six to eight weeks of slow claims."
The sunscreen is the type that is effective at preventing cancer and premature skin aging: Broad-spectrum, water resistant, and SPF 30. You can buy a product that is labeled as higher than SPF 30, but it's almost always a waste, and potentially harmful. Above SPF 30, the difference is essentially meaningless. SPF 15 filters out about 93 percent of UV-B rays, SPF 30 filters out 97 percent, SPF 50 filters out 98 percent, and SPF 100 might get you to 99. The problem, though, is the psychology of the larger number. "We put on the "more powerful" sunscreens and then suddenly think we're Batman or some other superhero who can stay out in the sun indefinitely." says James Hamblin. "But no sunscreen is meant to facilitate prolonged exposure of bare skin to direct sunlight." Dr. Jose Lutzky, head of the melanoma program out Mount Sinai, says Florida is second behind California in incidence of melanoma but the trend is going in the wrong direction. "Unfortunately, our numbers are growing. That is really something we do not want to be first in."