A Rosa Parks Moment is Coming in Phase 1 Cancer Trials
By DAVID C. NORRIS, MD David Norris, MD   I want to tell you about the most exciting discovery I’ve made in 2+ years of research on dose individualization methods for phase 1 cancer trials. This discovery has nothing to do with any of the technical problems I’ve confronted and solved along the way. It involves no gigantic equation, no table of simulations results, and no colorful plot. Rather, it’s a discovery about sources of power to innovate in drug development. In general, how would you describe the balance of power between Big Pharma and the individual patient? The question seems lud...
Source: The Health Care Blog - September 14, 2018 Category: Consumer Health News Authors: matthew holt Tags: Drug Discovery Pharmaceuticals Cancer DAVID C. NORRIS Dose Individualization DTAT Patient advocates Pharmaceutical Innovation Precision Medicine Source Type: blogs

UPMC ’ s Rasu Shrestha on Consumer Health in ‘ Big ’ Healthcare
By JESSICA DA MASSA, WTF Health The phrase ‘consumer health’ doesn’t mean what it used to. And, when you really think about it, neither does the word ‘consumer.’ We’ve changed. Wielding the power of our smart phones, wearable devices, and proximity to CVS Minute Clinics – and armed with expectations of near-instant gratification thanks to the Amazons and Ubers of the world – we’re more demanding, exacting and impatient of the health system than ever before. As all of this starts to change demand, supply, and (fingers crossed) our entire industry, it’s tempting to ...
Source: The Health Care Blog - September 13, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Jessica DaMassa WTF Health consumer health Health Systems Rasu Shrestha UPMC Source Type: blogs

Health in 2 Point 00, Episode 49
Jessica DaMassa asks me about what I saw at Techcrunch Distrupt, Clarify Health Solutions’s $57m round, what Wellth will do with its $5m & a whole lot about next weeks Health 2.0 Conference–Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - September 11, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health 2.0 Health in 2 point 00 Jessica DaMassa Matthew Holt Clarify Health Solutions Kegg Mira Novartis TechCrunch Disrupt Testcard Veta Health Wellth Source Type: blogs

Livongo CEO Glen Tullman ’ s Advice for Startups
By JESSICA DA MASSA, WTF Health If you’re a health tech startup, should you be building for your exit? Does that really lead to the greatest possible success for your business…if you know how to get out? Here’s some advice from someone who should know. Glen Tullman is ‘the guy’ who took Allscripts public via a wildly successful IPO in the late-90s. He’s now the CEO of Livongo, a chronic condition management startup that rang in 2018 with a $105M mega-round raised internally among its current pool of investors – at more than two times the company’s previous valuation. When I ...
Source: The Health Care Blog - September 10, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Jessica DaMassa WTF Health Glen Tullman Livongo startup advice Startups Source Type: blogs

Does free medical school decrease social justice?
BY ANISH KOKA MD The hottest medical school in the country right now is the New York University School of Medicine thanks to the gift of a generous benefactor that promises to make medical school free for all current and future medical students.  The news was met by elation from the medical community of physicians that groans frequently about student debt loads routinely north of $200,000 upon matriculation.  Not surprisingly, the technocrat class of public health experts and economists did not share in the jubilation.  The smarter-than-the-rest-of-us empiricists are, after all, trained to think in terms of ...
Source: The Health Care Blog - September 9, 2018 Category: Consumer Health News Authors: anish_koka Tags: Uncategorized @anish_koka Source Type: blogs

A conversation with Dr. Nicole Saphier
I have a wide ranging conversation with Dr. Nicole Saphier for JACR’s Firing Line Podcast. Dr. Saphier is a radiologist specializing in women’s imaging. We discuss screening mammograms and the breast density law. Dr. Saphier, a frequent contributor to multiple major media outlets, tells us what it means for a radiologist to opine on health policy in the national media. About the author: Saurabh Jha is a contributing editor to THCB. He’s the host of JACR’s Firing Line Podcast. He can be reached on Twitter @RogueRad (Source: The Health Care Blog)
Source: The Health Care Blog - September 8, 2018 Category: Consumer Health News Authors: at RogueRad Tags: Radiology Firing Line Podcasts @roguerad Source Type: blogs

Physician Well-Being: Lessons From Positive Psychology
By SANJ KATYAL The absence of burnout does not equal wellness. While the focus on physician burnout as an epidemic is finally gaining more attention, we may be missing a larger issue. Most physicians are not burned out. We are able to function. We get through our days, make it to some of our kids’ activities and even manage to go out to dinner on the weekends. We survive the work week as we look forward to our next vacation. We do this because that is what we have always done. We put our heads down and do our work. We often project ourselves past the next exam or to the next stage of our lives to help us get through...
Source: The Health Care Blog - September 7, 2018 Category: Consumer Health News Authors: matthew holt Tags: Physicians Psychology mindfulness Physicans physician burnout positive psychology Source Type: blogs

Disrupting the Cholesterol Test: Finnish Startup Nightingale Health
By JESSICA DA MASSA, WTF Health Today’s cholesterol test is about to be disrupted. Nightingale Health, a five-year-old startup based out of Finland, has built a better blood test that – among other things – is about to disrupt the cholesterol test of today. Their blood test collects 50 times more biomarker data than the standard test – boasting a 20% better prediction rate for diabetes and cardiovascular disease – and they’re offering it at the same price point as the existing industry standard. Why does this matter? Well, for clinicians, researchers, or those working on new drug develop...
Source: The Health Care Blog - September 6, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Jessica DaMassa WTF Health blood test Finland health tech metabolic data Nightingale Health Startup Source Type: blogs

Health in 2 Point 00, Episode 48
Jessica DaMassa asks me about Cricket Health’s $24m raise for kidney disease services, Rx.Health from Mount Sinai and a whole bunch of big money in little China. All in 2 minutes–Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - September 6, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health in 2 point 00 Jessica DaMassa Matthew Holt Ashish Atreja cricket health good doctor Jianke Pharmacy Ping An Rx.Health WeDoctor Source Type: blogs

Is Universal Health Care Socialism?
By ETIENNE DEFFARGES The November midterms elections are approaching, and one of the major topics is health care. Democrats are campaigning on retaining Obamacare, in many cases advocating that we move towards universal health care. That would be pure socialism, retort Republicans, who would rather repeal the Affordable Care Act as they attempted in 2017, even if this leads to 20 million Americans losing coverage. Is Universal Health Care Socialism? Only if we believe that every other developed market-based economy in the world is socialist since the U.S. is the only one without universal coverage. We spend almost $10,...
Source: The Health Care Blog - September 5, 2018 Category: Consumer Health News Authors: matthew holt Tags: Economics Socialism Universal Health Care UntanglingtheUSA Source Type: blogs

Health in 2 Point 00, Episode 47
Jessica DaMassa asks me about Patrick Soon-Shiong and his Verity hospital chain going bankrupt, whether Peerfit can justify its $8m raise, and who I’m going to see at TechCrunch Disrupt this week–Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - September 5, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health in 2 point 00 Jessica DaMassa Matthew Holt Cy5 Livio.AI Medable Mira Novartis Patrick Soon-Shiong Peerfit Starkey Hearing Technologies TechCrunch Disrupt Verity Veta Health Source Type: blogs

Can CMS ’ Proposed ACO Changes Really Help Medicare Beneficiaries?
By REBECCA FOGG Earlier this month, the Centers for Medicare and Medicaid Services Administrator Seema Verma proposed bold changes to Medicare’s Accountable Care Organizations (ACOs), with the goal of accelerating America’s progress toward a value-based healthcare system—that is, one in which providers are paid for the quality and cost-effectiveness of care delivered, rather than volume delivered. CMS has created a number of ACO programs over the last six years in an effort to improve care quality and reduce care costs across its Fee-for-Service Medicare population. In a Medicare ACO, hospital systems, p...
Source: The Health Care Blog - September 4, 2018 Category: Consumer Health News Authors: matthew holt Tags: Medicare Patients ACOs CMS Source Type: blogs

Is Medical Imaging a Ricardian Derived Demand?
By SAURABH JHA Medical Imaging and the Price of Corn After the Napoleonic wars, the price of corn in England became unaffordable. The landowners were blamed for the high price, which some believed was a result of the unreasonably high rents for farm land. Economist David Ricardo disagreed. According to Ricardo, detractors had the directionality wrong. It was the scarcity of corn (the high demand relative to its supply) that induced demand for the most fertile land. That is, the rent did not increase the price of corn. The demand for corn raised the rent. Rent was a derived demand. Directionality is important. Getting dire...
Source: The Health Care Blog - August 30, 2018 Category: Consumer Health News Authors: at RogueRad Tags: OP-ED Tech CT Angiograms derived demand Imaging Medical Imaging Source Type: blogs

Why Cochrane is Wrong About Hypertension. Very Wrong.
By SWAPNIL HIREMATH, MD Archie Cochrane and the Cochrane Collaboration Archie Cochrane was born in Scotland, educated in London (King’s College, University College and London School of Hygiene and Tropical Medicine) and worked in Cardiff, Wales. His work as a doctor during the Spanish Civil War and World War II, especially in a prisoner of war camp in Salonica, is credited with his push towards generating higher quality evidence. In his description of the clinical trial he conducted, he mentions James Lind as his hero. Ironically, that clinical trial – with weak randomization, open allocation, non-blindin...
Source: The Health Care Blog - August 29, 2018 Category: Consumer Health News Authors: at RogueRad Tags: EBM Cochrane patient population risks Source Type: blogs

Health in 2 Point 00, Episode 46
Jessica DaMassa asks me about single payer polling high, big VC for women’s pelvic floor digital therapeutic Renovia, 23andme cutting off API access to its data, plus guest mentions for Shafi Ahmed and Glen Tullman. All in 2 minutes (more or less!)–Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - August 29, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health in 2 point 00 Jessica DaMassa Matthew Holt 23andMe B.Wom Glen Tullman Livongo Renovia Shafi Ahmed Single payer Vagenie Source Type: blogs

Helath in 2 Point 00, Episode 46
Jessica DaMassa asks me about single payer polling high, big VC for women’s pelvic floor digital therapeutic Renovia, 23andme cutting off API access to its data, plus guest mentions for Shafi Ahmed and Glen Tullman. All in 2 minutes (more or less!)–Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - August 29, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health in 2 point 00 Jessica DaMassa Matthew Holt 23andMe B.Wom Glen Tullman Livongo Renovia Shafi Ahmed Single payer Vagenie Source Type: blogs

Why Cochrane is Wrong About Hypertension. Very Wrong.
By SWAPNIL HIREMATH MD Archie Cochrane and the Cochrane Collaboration Archie Cochrane was born in Scotland, educated in London (King’s College, University College and London School of Hygiene and Tropical Medicine) and worked in Cardiff, Wales. His work as a doctor during the Spanish Civil War and World War II, especially in a prisoner of war camp in Salonica, is credited with his push towards generating higher quality evidence. In his description of the clinical trial he conducted, he mentions James Lind as his hero. Ironically, that clinical trial – with weak randomization, open allocation, non-blinding...
Source: The Health Care Blog - August 28, 2018 Category: Consumer Health News Authors: at RogueRad Tags: EBM Source Type: blogs

Prior Authorizations:  Will They Become Damocles Sword?
By NIRAN AL-AGBA Niran Al-Agba, MD, FAAP In July 2009, the family of Massachusetts teenager Yarushka Rivera went to their local Walgreens to pick up Topomax, an anti-seizure drug that had been keeping her epilepsy in check for years. Rivera had insurance coverage through MassHealth, the state’s Medicaid insurance program for low-income children, and never ran into obstacles obtaining this life-saving medication. But in July of 2009, she turned 19, and when, shortly after her birthday, her family went to pick up the medicine, the pharmacist told them they’d either have to shell out $399.99 to purchase Topomax ou...
Source: The Health Care Blog - August 28, 2018 Category: Consumer Health News Authors: matthew holt Tags: Patients Physicians Insurance companies medical malpractice Medicine Pharmaceuitcals Prior Authorization Source Type: blogs

Comprehensiveness is Killing Primary Care
By HANS DUVEFELT Dr. Hans Duvefelt In most other human activities there are two speeds, fast and slow. Usually, one dominates. Think firefighting versus bridge design. Healthcare spans from one extreme to the other. Think Code Blue versus diabetes care. Primary Care was once a place where you treated things like earaches and unexplained weight loss in appointments of different length with documentation of different complexity. By doing both in the same clinic over the lifespan of patients, an aggregate picture of each patient was created and curated. A patient with an earache used to be in and out in less than five minutes...
Source: The Health Care Blog - August 24, 2018 Category: Consumer Health News Authors: matthew holt Tags: Patients Physicians primary care primary care practices quality mandates Source Type: blogs

A Cross-Party Win: Empowering Consumers Through Digital Health
By LYGEIA RICCIARDI Lygeia Ricciardi These days Americans are more politically divided than ever, disagreeing vehemently about everything from guns to the role of the press. Despite the distrust and inflammatory rhetoric, there are examples of cross-party, trans-Administration collaboration and success. Let’s celebrate them and be motivated by what happens we put differences aside and focus on shared long-term goals. Using digital technology to empower healthcare consumers is one example of a cross-party win, a still-developing success story that has been cultivated for more than a decade by the efforts of public and...
Source: The Health Care Blog - August 23, 2018 Category: Consumer Health News Authors: matthew holt Tags: Politics cross party digital health care Patients Source Type: blogs

The UN ’ s Extreme Poverty Report: Further Evidence US Healthcare Is Divorced From Reality
By DAVID INTROCASO, Ph.D. In May Philip Alston, the United Nation’s Special Rapporteur on Extreme Poverty, and John Norton Pomeroy Professor of Law at New York University Law School released his, “Report of the Special Rapporteur On Extreme Poverty and Human Rights on His Mission to the United States.”  The 20-page report was based, in part, on Alston’s visits this past December to California, Georgia, Puerto Rico, West Virginia and Washington, D.C.  After reading the report and the response to it, one is again forced to question how legitimate is our concern for the health and well being ...
Source: The Health Care Blog - August 22, 2018 Category: Consumer Health News Authors: matthew holt Tags: Patients human rights laws Poverty United Nations Source Type: blogs

Seema Verma Hyperventilates About Tiny Differences Between ACOs Exposed to One-and Two-Sided Risk
By KIP SULLIVAN, JD Kip Sullivan, JD There is no meaningful difference between the performance of Medicare ACOs that accept only upside risk (the chance to make money) and ACOs that accept both up- and downside risk (the risk of losing money). But CMS’s administrator, Seema Verma, thinks otherwise. According to her, one-sided ACOs are raising Medicare’s costs while two-sided ACOs are saving “significant” amounts of money. She is so sure of this that she is altering the rules of the Medicare Shared Savings Program (MSSP). Currently only 18 percent of MSSP ACOs accept two-sided risk. That will change ...
Source: The Health Care Blog - August 21, 2018 Category: Consumer Health News Authors: matthew holt Tags: Medicare ACOs Seema Verma Source Type: blogs

Health in 2 Point 00, Episode 45
In this episode a not-too-happy Jessica DaMassa asks me about who’s on the Inc5000 list (Modernizing Medicine, Health Recovery Solutions, Definitive Healthcare, EngagedIN & uBiome), about Klara’s $11m round, and what I’ll be doing in NYC at the DHMP Matchmaking session on Thursday. Why so grumpy Jessica? Maybe it’s because this episode has the same number as our very grumpy President?–Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - August 21, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health in 2 point 00 Jessica DaMassa Matthew Holt Definitive Healthcare DHMP EngagedIN Health Recovery Solutions Klara Modernizing Medicine uBiome Source Type: blogs

Biomedical Knowledge Must Be Mobilized to Save Lives, Not Privatized in the “Last Mile”
By JOSHUA C. RUBIN JD, MBA, MPH, MPP Joshua C. Rubin Last week, Facebook’s unprecedented stock price collapse triggered by concerns over personal data privacy, as well as same-day commentary regarding GlaxoSmithKline’s investment in 23andMe to gain access to its customers’ genomic data, reignited a national dialogue vis-à-vis our rights to our data, especially our health data. Three years ago, our nation’s first National Coordinator for Health IT foresaw an impending “gold rush” for valuable personal health data. Myriad headlines such as Bloomber...
Source: The Health Care Blog - August 20, 2018 Category: Consumer Health News Authors: matthew holt Tags: Featured Hospitals glaxoklinesmith pharmaceutical Source Type: blogs

Logic, Science, and Rationale of Public Reporting
By SAURABH JHA Public reporting of doctors is fiercely controversial. I’m vehemently opposed to it. So I decided to find out why its proponents favor it. I discuss public reporting with Ben Harder, Chief of Health Analysis at U.S. News and World Report, for JACR Firing Line. We disagreed for most parts, though we agreed that there are bad ways to rate doctors, and better ways, too. Listen to our discussion here. Key points made by Ben Harder: a) Reporting of quality is a decision support tool for patients and their caregivers. It is NOT to penalize or shame doctors but to engage consumers in their healthcare decisi...
Source: The Health Care Blog - August 18, 2018 Category: Consumer Health News Authors: at RogueRad Tags: Radiology Firing Line Podcasts @roguerad Source Type: blogs

Logic, Science and Rationale of Public Reporting
By, SAURABH JHA Public reporting of doctors is fiercely controversial. I’m vehemently opposed to it. So I decided to find out why its proponents favor it. I discuss public reporting with Ben Harder, Chief of Health Analysis at U.S. News and World Report, for JACR Firing Line. We disagreed for most parts, though we agreed that there are bad ways to rate doctors, and better ways, too. Listen to our discussion here. Key points made by Ben Harder: a) Reporting of quality is a decision support tool for patients and their caregivers. It is NOT to penalize or shame doctors but to engage consumers in their healthcare decis...
Source: The Health Care Blog - August 18, 2018 Category: Consumer Health News Authors: at RogueRad Tags: Radiology Firing Line Podcasts @roguerad Source Type: blogs

Health in 2 Point 00, Episode 44
Lotta $$ flowing around health tech services this week. Jessica DaMassa asks me about Alphabet/Google putting $375m into Oscar, Best Buy $800m for GreatCall, no money for med school at NYU & pain for patients in a Netflix movie. All in Health in 2 point 00 minutes!–Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - August 17, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health in 2 point 00 Jessica DaMassa Matthew Holt Alphabet Best Buy GreatCall NY Med School Oscar Health Patient Safety Serena Williams The Bleeding Edge Verily Source Type: blogs

In Search of Intra-Aero-Bili-ty
By MATTHEW HOLT Another one of my favorites, although this one is much more recent than those published so far–dating back to only March 2015. It was the written version of a talk I gave in September 2014 following the birth of my son Aero on August 26, 2014. So if we are discussing birthdays (and re-posting classics as, yes, it’s still THCB’s 15th birthday week!) we might as well have one that is literally about the confluence of a birthday and the state of health IT, health business, care for the underserved and much more! Today is the kick-off of the vendor-fest that is HIMSS. Late last week on TH...
Source: The Health Care Blog - August 16, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health 2.0 Matthew Holt Tech Epic Interoperability Nadine Burke Sutter Source Type: blogs

THCB Editorial on Trump ’ s Assault on the Press
THCB isn’t a traditional newspaper or a traditional press outlet. But we do report on news and policy and we do host opinions from across the political and policy spectrum. Trump’s attacks on the press as “enemies of the people” and purveyors of “fake news” are the exact equivalent of the attacks on the press from totalitarian regimes down the ages. It pains me that we have to use any space or take any of our readers’ time to say this, but a free press is perhaps the most important bastion of democracy and freedom. It’s beyond belief that an American President is saying what ...
Source: The Health Care Blog - August 16, 2018 Category: Consumer Health News Authors: matthew holt Tags: OP-ED Source Type: blogs

Cats & Dogs: Can We Find Unity on Health Care IT Change?
By MATTHEW HOLT Today we have a humming economy and insane politics. In early 2009 we were in economic meltdown and were about one week into the sanest, soberist Administration and even Congress over many recent decades. In February 2009 They passed a stimulus bill that had a huge impact on the health IT market (and still does). At that time there was much debate on THCB about what the future of health IT policy should look like and how the stimulus “Meaningful Use” money should be spent. My January 2009 summary of that whole debate introduced the notion of “Cats and Dogs in health IT”. They&r...
Source: The Health Care Blog - August 15, 2018 Category: Consumer Health News Authors: matthew holt Tags: Matthew Holt 2008 Election EHR Health 2.0 Policy Policy/Politics RHIOs Startups Source Type: blogs

Raj of the NHS – How doctors from India and Pakistan saved the NHS
By ROHIN FRANCIS  India and Pakistan celebrate 71 years of Independence today. The British National Health Service owes them a debt of gratitude. Great Britain’s national dish is famously chicken curry, but South Asia’s impact on this sceptred isle extends far beyond food. It is a testament to how ingrained into the British psyche the stereotypical Indian doctor has become that in 2005 a poll of Brits found the doctor they’d most like to consult is a 30-something South Asian female. In 2010 the BBC even ran a popular TV series simply entitled ‘The Indian Doctor’ following a story played ...
Source: The Health Care Blog - August 15, 2018 Category: Consumer Health News Authors: at RogueRad Tags: NHS Source Type: blogs

Why Hillarycare failed …and what we need to learn from that failure
By MATTHEW HOLT In July 2005 George W Bush had relatively recently won a Presidential election in which the Republican won the popular vote (something that will likely never happen again) & the Republicans controlled all three branches of Government. Those of us liberals at the bottom of a dark trench were wondering if and how we’d get to health reform. So in another reprint to celebrate THCB’s 15th birthday, here was my then take on what went wrong in 1994 and what would happen next–Matthew Holt      There are lots of versions about what killed the 1993-4 health car...
Source: The Health Care Blog - August 14, 2018 Category: Consumer Health News Authors: matthew holt Tags: Matthew Holt HillaryCare Source Type: blogs

Health in 2 Point 00, Episode 43
Jessica DaMassa cracks her whip and in just 2 minutes gets answers out of me about the bidding for #athenahealth, the new clinics at #Amazon, the #FDA approving #NaturalCycles as a contraceptive, and the tech giants getting on stage unprompted at ONC’s Blue Button 2.0 day to tell the world that they are going to fix the interoperability problem. Oh, and a shout out to THCB’s 15th birthday–Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - August 14, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health in 2 point 00 Jessica DaMassa Matthew Holt Amazon athenahealth Blue Button Natural Cycles ONC Source Type: blogs

As I ’ve always suspected, Health Care = Communism + Frappuccinos
By MATTHEW HOLT Happy 15th birthday THCB! Yes, 15 years ago today this little blog opened for business and changed my life (and at least impacted a few others). Later this week we are going to celebrate and tell you a bit more about what the next 15 years (really?) of THCB might look like. But for now, I’m rerunning a few of my favorite pieces from the mid-2000s, the golden age of blogging. Today I present “Health Care = Communism + Frappuccinos”, one of my favorites about the relationship between government and private sector originally published here on Jan7, 2005. And like the Medicare one from last we...
Source: The Health Care Blog - August 12, 2018 Category: Consumer Health News Authors: matthew holt Tags: Matthew Holt OP-ED 15th Birthday Celebration Commumism Frappuchinos Source Type: blogs

The Doctor Who Thwarted the Charge of the General Medical Council- Part 2
By SAURABH JHA Saurabh Jha This is the second part of Dr. Jha’s conversation with Dr. Jonathan Cusack, who was the former supervisor and mentor of Dr. Bawa-Garba, a pediatrician convicted of manslaughter of fetal sepsis in Jack Adcock. Read the first part of this series here.     Dr. Jonathan Cusack versus the General Medical Council I spoke with Dr. Jonathan Cusack, consultant neonatologist at Leicester Royal Infirmary (LRI), and former supervisor and mentor of Dr. Bawa-Garba, the trainee pediatrician convicted of manslaughter for delayed diagnosis of fatal sepsis in Jack Adcock, a six-year-old boy with Do...
Source: The Health Care Blog - August 12, 2018 Category: Consumer Health News Authors: at RogueRad Tags: NHS #BawaGarba @roguerad Source Type: blogs

Dr. Jonathan Cusack versus the General Medical Council
By SAURABH JHA   I spoke with Dr. Jonathan Cusack, consultant neonatologist at Leicester Royal Infirmary (LRI), and former supervisor and mentor of Dr. Bawa-Garba, the trainee pediatrician convicted of manslaughter for delayed diagnosis of fatal sepsis in Jack Adcock, a six-year-old boy with Down’s syndrome. We had drinks at The George, pub opposite the Royal Courts of Justice. In the first part of the interview we discussed the events on Friday February 18th, 2011, the day of Jack presented to LRI. In the second part of the interview we talk about the events after fatal Friday – how the crown pr...
Source: The Health Care Blog - August 12, 2018 Category: Consumer Health News Authors: at RogueRad Tags: NHS #BawaGarba @roguerad Source Type: blogs

Surrogate End Points Ain ’t all that Bad
By CHADI NABHAN MD MBA Life is busy, yet we somehow find time to stay engaged on social media, remain engrossed in the 24/7 news cycle, and continue our futile efforts to resist clickbait. While social media can allow us to mindlessly scroll through feeds, it also provides an avenue to provoke vigorous dialogue, however diverse, controversial, or even rooted in unfettered biases. These exchanges have served as the primordial soup for virtual friend or foe-ships. Tense and argumentative Twitter exchanges are especially entertaining given the challenges in justifying a position in fewer than 280 characters. Thus, tweetorial...
Source: The Health Care Blog - August 9, 2018 Category: Consumer Health News Authors: at RogueRad Tags: EBM Source Type: blogs

The First Post: What ’s Wrong with Medicare?
By MATTHEW HOLT So The Health Care Blog  (which I like to think of as the first proper health care blog whatever Jacob Reider says about his Docnotes which started in 1999!) is 15 yrs old this month.  This is the start of our little anniversary celebration. We are going to be running some of the earlier classic posts. The very first post on “What’s wrong with Medicare” still rings true- Matthew Holt For the first post, don’t expect a big essay despite that subject line. It came up because while I was away from the US for the first part of this year, yet another incarnation of NME or ...
Source: The Health Care Blog - August 8, 2018 Category: Consumer Health News Authors: matthew holt Tags: Uncategorized Source Type: blogs

Health in 2 Point 00, Episode 42
As I’m back from a week’s vacation, Jessica DaMassa is slowly pulling me back into the groove with questions about Walmart dumping Castlight, yet more money for telemedicine with MDLive adding $50m, and get.health sponsoring a few tickets to health2con. All in 2 minutes, with a bit of filler!–Matthew Holt   (Source: The Health Care Blog)
Source: The Health Care Blog - August 6, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health in 2 point 00 Jessica DaMassa Matthew Holt Castlight Health Cigna Get.Health HCSC mdlive Walmart Source Type: blogs

The Following is an Excerpt from the Book “ Let ’s Talk About Death (Over Dinner): An Invitation and Guide to Life ’ s Most Important Conversation ”
By MICHAEL HEBB The train sped along from Seattle to Portland on a spectacular summer morning, following the track along the waterways of the lower Puget Sound. One of my daughters lived in Portland at the time, so I found myself on the train frequently. Like most of us, I don’t seek out conversations with strangers while traveling, which is unfortunate, as I have had transformative moments when I decide to engage and treat fellow passengers as fellow humans. That day the train was crowded, and I didn’t have the option of keeping my distance. I found myself at a table with two women—both physicians and bo...
Source: The Health Care Blog - August 6, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health Care Books Physicians Let’s Talk About Death (Over Dinner) Source Type: blogs

The Doctor Who Thwarted the Charge of the General Medical Council – Part 1
By  SAURABH JHA After Dr. Hadiza Bawa-Garba was convicted for manslaughter for delayed diagnosis of fatal sepsis in Jack Adcock, a six-year-old boy who presented to Leicester Royal Infirmary with diarrhea and vomiting, she was referred to the Medical Practitioners Tribunal (MPT). The General Medical Council (GMC) is the professional regulatory body for physicians. But the MPT determines whether a physician is fit to practice. Though the tribunal is nested within the GMC and therefore within an earshot of its opinions, it is a decision-making body which is theoretically independent of the GMC. The tribunal met in 2017...
Source: The Health Care Blog - August 5, 2018 Category: Consumer Health News Authors: at RogueRad Tags: NHS #BawaGarba @roguerad Source Type: blogs

Can we teach a new dog old tricks? A conversation with Gary Klein
By SAURABH JHA There is a rage against expertise these days. Data is all rage. What is the value of experience and judgment when we have abundant information, guidelines and protocols? Can’t we just have a protocol for every situation? Are doctors overly concerned about making errors? I discuss these issues with Gary Klein, a renowned cognitive scientist and author of Streetlights and Shadows. Listen to our discussion on Radiology Firing Line. About the Author: Saurabh Jha is a radiologist and contributing editor on THCB. He hosts Radiology Firing Line podcasts. He can be reached @RogueRad (Source: The Health Care Blog)
Source: The Health Care Blog - August 5, 2018 Category: Consumer Health News Authors: at RogueRad Tags: Radiology Firing Line Podcasts @roguerad Source Type: blogs

Health Care ’s Third Wave
By DAVID M. CORDANI Change and American health care have become synonymous. “Change” can be exciting and life-altering when it refers to the innovative new therapies and treatments that improve or extend life, many of those originating in the United States. Change, though, can be a tremendous source of anxiety for families concerned with the affordability of care and stability in their health care coverage choices. It is the tension between these two definitions of change that the United States has struggled to solve over the past three decades. As we have all witnessed, the health care marketplace has gone thr...
Source: The Health Care Blog - August 3, 2018 Category: Consumer Health News Authors: matthew holt Tags: Cigna Hospitals manage care medical cost sustainable health care system Source Type: blogs

A Libertarian ’ s Case Against Free Markets in Health Care
By ROMAN ZAMISHKA In the final act of Shakespeare’s Richard III, the eponymous villain king arrives on the battlefield to fight against Richmond, who will soon become Henry VII. During the battle, Richard is dismounted as his horse is killed and in a mad frenzy wades through the battlefield screaming “A horse, a horse! My kingdom for a horse!” Richard shows us how market value can change drastically depending on the circumstances, or your mental state, and even the most absurd exchange rate can become reasonable in a moment of crisis. This presumably arbitrary nature of prices should be the first t...
Source: The Health Care Blog - August 2, 2018 Category: Consumer Health News Authors: at RogueRad Tags: Economics Free Market health economics Libertarian Source Type: blogs

A Libertarian ’ s Case Against Free Markets in Healthcare
By ROMAN ZAMISHKA In the final act of Shakespeare’s Richard III the eponymous villain king arrives on the battlefield to fight against Richmond, who will soon become Henry VII. During the battle Richard is dismounted as his horse is killed and in a mad frenzy wades through the battlefield screaming “A horse, a horse! My kingdom for a horse!” Richard shows us how market value can change drastically depending on the circumstances, or your mental state, and even the most absurd exchange rate can become reasonable in a moment of crisis. This presumably arbitrary nature of prices should be the first thi...
Source: The Health Care Blog - August 2, 2018 Category: Consumer Health News Authors: at RogueRad Tags: Economics Source Type: blogs

Susannah Fox on Teens & Digital Health Study
By JESSICA DAMASSA, WTF Health How are teens and young adults engaging with digital health? Results of a national survey asking just that were released today by Susannah Fox (Former CTO at US Dept of HHS) and her research partner, Victoria Rideout. You can check out the full report of the findings here, but I spoke with Susannah in April, just as she and Victoria were starting to draw some insights from their work. Hearing her talk about the survey at this stage of synthesis is not only unique (most researchers won’t talk until the findings are published) but more so because it adds a layer of understanding to the fi...
Source: The Health Care Blog - July 31, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Jessica DaMassa Uncategorized WTF Health digital health digital health marketplace Survey of Teens and Digital Health Susannah Fox Victoria Rideout Source Type: blogs

Digital Health and the Two-Canoe Problem
By DAN O’NEILL Digital Health and the Two-Canoe Problem As healthcare gradually tilts from volume to value, physicians and hospitals fear the instability of straddling “two canoes.” Value-based contracts demand very different business and practices and clinical habits from those which maximize fee-for-service revenue, but with most income still anchored on volume, providers often cannot afford a wholesale pivot towards cost-conscious care.  That financial pressure shapes investment and procurement budgets, creating a downstream version of the two-canoe problem for digital health products geared towa...
Source: The Health Care Blog - July 31, 2018 Category: Consumer Health News Authors: matthew holt Tags: Patients Physicians digital health managed medicaid Medicare Advantage value based contracts Source Type: blogs

Who Cares About the Doctor-Patient Relationship? A Review of “ Next In Line: Lowered Care Expectations in the Age of Retail- and Value-Based Health ”
By KIP SULLIVAN, JD A mere two decades ago, the headlines were filled with stories about the “HMO backlash.” HMOs (which in the popular media meant most insurance companies) were the subject of cartoons, the butt of jokes by comedians, and the target of numerous critical stories in the media. They were even the bad guys in some movies and novels. Some defenders of the insurance industry claimed the cause of the backlash was the negative publicity and doctors whispering falsehoods about managed care into the ears of their patients. That was nonsense. The industry had itself to blame. The primary cause of the ba...
Source: The Health Care Blog - July 30, 2018 Category: Consumer Health News Authors: matthew holt Tags: Patients Physicians care advocates Next In Line: Lowered Care Expectations in the Age of Retail- and Value-Based Health patient-provider relationship Value-Based Payment Source Type: blogs

Will Computers Really Replace Radiologists?
By SAURABH JHA There is hope, hype and hysteria about artificial intelligence (AI). How will AI change how radiology is practiced?  I discuss this with Stephen Borstelmann, a radiologist in Florida and a scholar in machine learning. Listen to our discussion on the Radiology Firing Line Series, hosted by the Journal of the American College of Radiology and sponsored by Healthcare Administrative Partners. About the author: Saurabh Jha is a radiologist and contributing editor to THCB. He hosts the Radiology Firing Line Podcasts (Source: The Health Care Blog)
Source: The Health Care Blog - July 29, 2018 Category: Consumer Health News Authors: at RogueRad Tags: Artificial Intelligence Radiology Firing Line Podcasts Source Type: blogs

Giving Consumers the Tools and Support They Need to Navigate Our Complex Healthcare System
By CINDI SLATER, MD, FACR As physicians and healthcare leaders, we are already well aware that the majority of patients do not have the information they need to make a medical decision or access to appropriate resources, so we didn’t need to hear more bad news. But that is precisely what new research once again told us this spring when a new study showed that almost half of the time, patients have no idea why they are referred to a GI specialist. While the study probably speaks to many of the communications shortcomings we providers have, across the board our patients often don’t know what care they need, or ho...
Source: The Health Care Blog - July 27, 2018 Category: Consumer Health News Authors: matthew holt Tags: Patients Physicians Health care leaders Health care technology patient-provider relationship Physician's Responsibilities Source Type: blogs