Patient-Directed Access for Competition to Bend the Cost Curve
By ADRIAN GROPPER, MD Many of you have received the email: Microsoft HealthVault is shutting down. By some accounts, Microsoft has spent over $1 Billion on a valiant attempt to create a patient-centered health information system. They were not greedy. They adopted standards that I worked on for about a decade. They generously funded non-profit Patient Privacy Rights to create an innovative privacy policy in a green field situation. They invited trusted patient surrogates like the American Heart Association to participate in the launch. They stuck with it for almost a dozen years. They failed. The broken market and promi...
Source: The Health Care Blog - April 18, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Economics Health Policy Health Technology Adrian Gropper CMS Health Data Interoperability ONC Source Type: blogs

Health in 2 Point 00, Episode 77 | ATA19, Cityblock, & Microsoft HealthVault
Today on Health in 2 Point 00, Jess and I are in New Orleans at the ATA Annual Conference. In this episode, Jess asks me about my takeaways from the conference, Cityblock’s $65 million raise, and Microsoft HealthVault shutting down. In terms of virtual care, it seems that there’s been low adoption of telehealth visits—but things are on the cusp, with lots of companies doing interesting things and with CMS expanding Medicare Advantage coverage of telehealth services. —Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - April 17, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health in 2 Point 00 Health Tech Jessica DaMassa Matthew Holt ATA Cityblock Microsoft Healthvault Source Type: blogs

Announcing the Robert Wood Johnson Foundation Social Determinants of Health and Home & Community Based Care Innovation Challenges
SPONSORED POST By DIANA CHEN The Robert Wood Johnson Foundation (RWJF) has partnered with Catalyst @ Health 2.0 to launch two innovation challenges on Social Determinants of Health (SDoH) and Home & Community Based Care. As a national leader in building a culture of health, RWJF is inspiring and identifying novel digital solutions to tackle health through an unconventional lens. Health starts with where we live. As noted in Healthy People 2020 social determinants of health are, “conditions in the environments in which people are born, live, learn, work, play, worship, and age… [that] affe...
Source: The Health Care Blog - April 17, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Catalyst @ Health 2.0 Health Tech community based care Diana Chen innovation challenge Robert Wood Johnson Foundation Social Determinants of Health Source Type: blogs

ONC & CMS Proposed Rules – Part 4: Information Blocking
By DAVE LEVIN MD The Office of the National Coordinator (ONC) and the Centers for Medicare and Medicaid (CMS) have proposed final rules on interoperability, data blocking and other activities as part of implementing the 21st Century Cures Act. In this series, we will explore ideas behind the rules, why they are necessary and the expected impact. Given that these are complex and controversial topics open to interpretation, we invite readers to respond with their own ideas, corrections and opinions. ____________ When it comes to sharing health data, the intent of the 21st Century Cures Act is clear: patients and cl...
Source: The Health Care Blog - April 16, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Data Health Policy CMS data blocking Information Blocking Interoperability ONC Rules Sansoro Health Source Type: blogs

Why Is the USA Only the 35th Healthiest Country in the World?
By ETIENNE DEFFARGES According the 2019 Bloomberg Healthiest Country Index, the U.S. ranks 35th out of 169 countries. Even though we are the 11th wealthiest country in the world, we are behind pretty much all developed economies in terms of health. In the Americas, not just Canada (16th) but also Cuba (30th), Chile and Costa Rica (tied for 33rd) rank ahead of us in this Bloomberg study. To answer this layered question, we need to look at the top ranked countries in the Bloomberg Index: From first to 12th, they are Spain; Italy; Iceland; Japan; Switzerland; Sweden; Australia; Singapore; Norway; Israel; Luxe...
Source: The Health Care Blog - April 15, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Economics Health disparities Health Policy American healthcare Etienne Deffarges Mediterranean Diet Opioids world health Source Type: blogs

Financial Toxicity is Hurting my Cancer Patients
By LEILA ALI-AKBARIAN MD, MPH As news of Tom Brokaw’s cancer diagnosis spreads, so does his revelation that his cancer treatments cost nearly $10,000 per day. In spite of this devastating diagnosis, Mr. Brokaw is not taking his financial privilege for granted.  He is using his voice to bring attention to the millions of Americans who are unable to afford their cancer treatments. My patient Phil is among them. At a recent appointment, Phil mentioned that his wife has asked for divorce. When I inquired, he revealed a situation so common in oncology, we have a name for it: Financial Toxicity.  This occur...
Source: The Health Care Blog - April 12, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Economics Finance Medical Practice Patients Cancer financial toxicity healthcare costs Leila Ali-Akbarian Oncology Source Type: blogs

Six Health-Focused Fixes for SNAP
By CHRISTINA BADARACCO The $867 billion Farm Bill squeaked through our polarized Congress at the end of last year, though it was nearly derailed by arguments over work requirements for SNAP recipients. That debate was tabled after the USDA crafted a compromise, but it is sure to continue at the state level and in the next round of debates. While Republicans tend to favor work requirements and Democrats tend to oppose them, here’s something both sides can agree on: SNAP should help Americans eat healthy food. The Supplemental Nutrition Assistance Program (SNAP)—formerly known as food stamps—provides ...
Source: The Health Care Blog - April 11, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Politics Christina Badaracco farm bill healthy eating Population Health SNAP Source Type: blogs

The Next Frontier: Clinically Driven, Employer-Customized Care 
Health systems and employers are bypassing insurers to deliver higher-quality, more affordable care By MICHAEL J. ALKIRE Employee health plan premiums are rising along with the total healthcare spending tab, spurring employers to rethink their benefits design strategy. Footing the tab, employers are becoming a more active and forceful driver in managing wellness, seeking healthcare partners that can keep their workforce healthy through affordable, convenient care. Likewise, as health systems assume accountability for the health of their communities, a market has been born that is ripe for new partnerships betw...
Source: The Health Care Blog - April 10, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Economics The Business of Health Care direct-to-employer Employee Health Care Costs Health insurance Michael J. Alkire Source Type: blogs

Patients Win When Payers and Providers Speak the Same Language
By CECI CONNOLLY Discouraging headlines remind us daily of the ugly battles between payers and providers. Fighting for their slice of the $3.5 trillion health care pie, these companies often seem to leave the consumer out of the equation.  But it is not the case across the board. Our latest research documents that when doctors and health plans drop their guards, align incentives and focus on the mutual goal of delivering the best possible care, patients win. For example, when SelectHealth in Utah partnered with obstetricians and refused to pay for medically unnecessary — often  dangerous — ear...
Source: The Health Care Blog - April 9, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Hospitals Patients The Business of Health Care Alliance of Community Health Plans Ceci Connolly Partnership to Improve Patient Care partnerships Source Type: blogs

THCB Spotlights: Lightbeam Health Solutions
By ZOYA KHAN Today, THCB is spotlighting Lightbeam Health Solutions. Lightbeam is an end-to-end population health management solution, which means they build everything from the ground up (i.e. no acquisitions or 3rd party interfaces are used). “Interface to innovation” as Jorge Miranda, CRO of Lightbeam, states, allows Lightbeam to build a health system’s value-based contracts relatively quickly. Their main focus is to generate data insights for ACOs and other provider systems, to engage care teams in the coordination of patient care. This is Lightbeam’s 6th year in the health care field, an...
Source: The Health Care Blog - April 9, 2019 Category: Consumer Health News Authors: Zoya Khan Tags: Health Tech THCB THCB Spotlights ACOs data engagement data insights lightbeam health solutions Matthew Holt zoya khan Source Type: blogs

Death by 1000 Clicks Redux
By MARK BRAUNSTEIN, MD Back in the ‘stone ages’ when I (an MIT grad) was an intern, I was called at 4 AM to see someone else’s gravely ill patient because her IV had infiltrated.  I started a new one and drew some blood work to check on her status.  When the results came back (on paper) I (manually) calculated her anion gap.  This is simple arithmetic but I had been up all night and didn’t do it right. She died.  On morning rounds the attending assured me that there was nothing I could have done anyway but, of course, in other circumstances it could have made a di...
Source: The Health Care Blog - April 8, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Tech Hospitals Physicians Death by 1000 Clicks EHR FHIR Mark Braunstein Source Type: blogs

Changing the Way You Care: The Coming 5G Revolution
SPONSORED POST By VERIZON WIRELESS TEAM You might not know it yet, but there’s a revolution coming to healthcare. While digitization has driven innovation across the healthcare sector, the advent of 5G is set to spark a fourth industrial revolution. 3G and 4G networks enabled large-scale change and rapid modernization. However, 5G delivers what these networks could not: blazing speeds and ultra-low latencies that permit enormous data transfers between devices in near-real time. That means that technologies like artificial intelligence, machine learning and augmented reality will be capable of transfo...
Source: The Health Care Blog - April 8, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Tech 5g Verizon Source Type: blogs

XX Marks the Spot: Why Did Women Tech Experts Rule at DC Health Data Confab?
By MICHAEL L. MILLENSON Three government experts on a health tech conference panel discuss the urgency of releasing actionable data; all are women. A more senior official, another woman, gives a TED-style talk making the same case. And a four-person, private-sector panel debates privacy and ethics; three of the four are female. Health Datapalooza, a conference begun with government sponsorship a decade ago, proclaims its goal as “data liberación” – freeing health data from deep within federal agencies and giving it to patients and entrepreneurs. But in 2019, women’s “liberaci&oacu...
Source: The Health Care Blog - April 5, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Data Health Tech Datapalooza Michael L. Millenson Women in Health IT Source Type: blogs

Surveyor Health demystifies clinical pharmacy
By MATTHEW HOLT In some interesting news this week, Inland Empire Health plan (IEHP), a major Medicaid health insurer in southern California with about 1.2 million members, and its contractor Preveon Health announced that they were “extending a pilot” with Surveyor Health, for their MedRiskMaps product. This is interesting for a bunch of reasons. First it’s a good example of how technology is now being applied to help with the almost absurd complexity of modern medicine–complexity that technology has both added to and may yet cure. Secondly, Surveyor Health has been building its technology for...
Source: The Health Care Blog - April 4, 2019 Category: Consumer Health News Authors: matthew holt Tags: Health Tech Matthew Holt Start-Ups AI Inland Empire Health Plan medication Surveyor Health Source Type: blogs

Innovators Worth Watching: Hennepin Health ACO
By REBECCA FOGG As U.S. providers continue their slow but steady march away from fee-for-service reimbursement and toward value-based payments, they’re increasingly seeking means of addressing patients’ health-related social needs. That’s because social determinants of health—life circumstances including socioeconomic status, housing, education, and employment—are estimated to have at least twice the impact on risk of premature death than health care. So addressing them is an important part of value-based strategies aiming to improve health while reducing health care costs. Hennepin Heal...
Source: The Health Care Blog - April 4, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Hospitals Medical Practice Patients ACOs disruptive innovation Rebecca Fogg Social Determinants of Health Source Type: blogs

ONC & CMS Proposed Rules – Part 3: Data Requirements
By DAVE LEVIN, MD The Office of the National Coordinator (ONC) and the Centers for Medicare and Medicaid (CMS) have proposed final rules on interoperability, data blocking and other activities as part of implementing the 21st Century Cures Act. In this series, we will explore the ideas behind the rules, why they are necessary and the expected impact. Given that these are complex and controversial topics open to interpretation, we invite readers to respond with their own ideas, corrections and opinions. In part three of this series, we look at how the new USCDI draft helps foster innovation.   ____________ The...
Source: The Health Care Blog - April 3, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Data Health Policy Health Technology CMS Dave Levin Health Data Interoperability ONC Rules Sansoro Health USCDI Source Type: blogs

Health in 2 Point 00, Episode 76 | Facebook releasing an EMR? Jim Cramer Going to Epic? #AprilFools
Facebook is releasing an EMR? Jim Cramer is going to work at Epic? April Fools! On today’s actual Health in 2 Point 00 Episode 76, Jess asks me about the follow up from Health Datapalooza, which ended with the government saying they will be changing the world and that everyone should join them in their initiative to innovate digital health. AHRQ & CMMI ran digital health challenges, and CMMI will be doing an AI challenge for $1 million for startups in the space. Speaking of the government, Seema Verma was in the news for her PR spending and as I said “Evil Twin Seema” and “Good Seema” are ...
Source: The Health Care Blog - April 2, 2019 Category: Consumer Health News Authors: Zoya Khan Tags: Health in 2 Point 00 Health Tech Jessica DaMassa Matthew Holt Start-Ups AHRQ Clover Health cmmi EMR Epic Facebook Health Datapalooza jim cramer mount sinai Seema Verma Source Type: blogs

Addressing Heresy in Healthcare
SPONSORED POST By ANN MOND JOHNSON I’ve worked in enough start ups to know that creating something from nothing can be hard. It is especially tough when you must create a market and explain to people that what you’re doing isn’t nearly as heretical as it may sound. When my friends and I started Subimo in 2000, people wondered why they’d use our product to learn about hospital performance when (in their words) all they really needed was to have their doctor to tell them which hospital they should use. What people eventually realized was that there is variation in outcomes by hospitals and e...
Source: The Health Care Blog - April 2, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Tech Ann Mond Johnson ATA direct to consumer Telehealth Source Type: blogs

SCOOP: Facebook enters EMR business
by MATTHEW HOLT Big news out of Mountain View, California today as Facebook COO Sheryl Sandberg announced that the social networking giant was going to formally enter the EMR business. Sandberg explained that Facebook already has all Americans and most of the world’s population on its system and that adding a little bit of information about their health would be trivial given that it’s easy with AR to abstract that information from their profiles, not to mention that everyone’s phone is already sending data back to Facebook. In particular, Sandberg highlighted the fact that Facebook has already capt...
Source: The Health Care Blog - April 1, 2019 Category: Consumer Health News Authors: matthew holt Tags: Uncategorized Source Type: blogs

Investment State-of-Play in Big Pharma: Bayer ’s Eugene Borukhovich Weighs In
By JESSICA DaMASSA, WTF HEALTH Bayer’s G4A team launched their 2019 program today, so here’s a little help for anyone curious about the state of pharma startup investment and what it takes to land a deal there these days. I had the chance to pick the brain of Bayer’s Global Head of Digital Health, Eugene Borukhovich, during JP Morgan Healthcare Week and pulled out these three gloriously thought-provoking soundbites from our conversation to give you some insight as to the mindset over at big Bayer. “Digital therapeutics are shining light on the convoluted, complex mess of digital health&rd...
Source: The Health Care Blog - April 1, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Tech Health Technology Jessica DaMassa Pharmaceuticals Start-Ups Bayer WTF Health Source Type: blogs

Economics Lessons from the Subcontinent: India ’s Coronary Stent Policy
This article originally appeared here on The Accad & Koka Report. Stent image courtesy Jack McLure via Wikimedia Commons (Source: The Health Care Blog)
Source: The Health Care Blog - April 1, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Anish Koka coronary stent prices health economics India Source Type: blogs

For American Indians, Health is a Human and Legal Right
Sam Aptekar Phuoc Le By PHUOC LE, MD and SAM APTEKAR Most will be surprised to learn that American Indians and Alaska Natives represent the only populations in the United States with a legal birthright to health care.[1] Even though Article 25 of the UN’s Universal Declaration of Human Rights declares, “everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including…medical care and necessary social services,” U.S. federal policy only guarantees this human right to enrolled tribal members. The source of this jurid...
Source: The Health Care Blog - March 29, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health disparities Health Policy American Indians Phuoc Le Sam Aptekar Source Type: blogs

Health in 2 Point 00, Episode 75 | Rounds & IPOs, Health Datapalooza, & the Facebook Controversy
Today on Health in 2 Point 00, Jess and I are at 10th annual Health Datapalooza in Washington D.C.! Jess talks to me about Xealth’s $11 million round to develop out its company, and Change Healthcare is applying for a $100 million IPO. The big takeaways from Health Datapalooza are that many people and companies have integrated data into their systems, but they haven’t been able to gain many actionable insights from it. Also, if you haven’t heard of the complaint Andrea Downing, Fred Trotter, and David Harlow wrote to the FTC concerning the privacy and data that can be downloaded from Facebook’s grou...
Source: The Health Care Blog - March 28, 2019 Category: Consumer Health News Authors: Zoya Khan Tags: Health in 2 Point 00 Jessica DaMassa Matthew Holt Start-Ups Tech andrea downing Change Healthcare David Harlow Facebook Fred Trotter FTC Health Datapalooza xealth Source Type: blogs

All for One, One For All
By MIKE MAGEE MD Within the ever-widening array of Democratic contenders for the Presidency, the “Medicare-for-all” debate continues to simmer. It was only six weeks ago that Kamala Harris’s vocal support drew fire from not one, but two billionaire political rivals. Michael Bloomberg, looking for support in New Hampshire declared, “I think we could never afford that. We are talking about trillions of dollars… [that] would bankrupt us for a long time.” Fellow billionaire candidate Howard Schultz added, “That’s not correct. That’s not American.” Rem...
Source: The Health Care Blog - March 28, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Medicare Code Blue Medicare For All Mike Magee universal healthcare Source Type: blogs

Radiology in India
By SAURABH JHA, MD What are the challenges of bringing advanced imaging services to India? What motivates an entrepreneur to start build an MRI service? How does the entrepreneur go about building the service? In this episode, I discuss radiology in India with Dr. Harsh Mahajan, Dr. Vidur Mahajan and Dr. Vasantha Venugopal. Dr. Harsh Mahajan is the founder of Mahajan Imaging, a leading radiology practice in New Delhi, and now a pioneer in radiology research in India. Listen to our conversation on Radiology Firing Line Podcast here. Saurabh Jha is an associate editor of THCB and host of Radiology Firing Line Podca...
Source: The Health Care Blog - March 27, 2019 Category: Consumer Health News Authors: Matthew Holt Tags: Medical Practice Radiology Firing Line Podcasts RogueRad The Business of Health Care @roguerad Entrepreneurs India Mahajan Imaging Saurabh Jha Source Type: blogs

Teladoc, CVS, Utilization Rates, & Apple in ‘ THE YEAR of Telehealth ’
By JESSICA DA MASSA, WTF Health According to Toby Cosgrove, 2019 is “THE YEAR of telehealth.” The former CEO of Cleveland Clinic, who is currently an executive advisor to Google Cloud’s healthcare and life sciences team, proclaimed it as such to CNBC, saying that this year is “THE YEAR” telehealth becomes ubiquitous. That’s a pretty bold statement – particularly as utilization rates for virtual visits continue to fall short of expectations – so we double-checked this prognostication with Teladoc’s CEO, Jason Gorevic. Does he think 2019 is going to be telehe...
Source: The Health Care Blog - March 27, 2019 Category: Consumer Health News Authors: Zoya Khan Tags: Health Technology Jessica DaMassa WTF Health App google cloud healthcare Teledoc Telehealth toby cosgrove Source Type: blogs

Last Couple of Months in Oncology with Dr. Bishal Gyawali: March 2019
By BISHAL GYAWALI MD, PhD Hey, I’m back! Well, you might not have noticed that my blogs were missing for the last three months but anyways, its good to be back. I was having a little time off blogs and social media as I was transitioning in my career but now I am back. Sometimes, it is very difficult to manage time for things that you must do versus things you enjoy doing, especially when these two don’t intersect. For me, these last few months the things I had to do were all bureaucratic while I couldn’t find the time for things I enjoy doing like writing these blogs. But now that we are back,...
Source: The Health Care Blog - March 26, 2019 Category: Consumer Health News Authors: Matthew Holt Tags: Medical Practice Physicians Bishal Gyawali Cancer drugs Clinical Trials Oncology Prostate Cancer RCTs Source Type: blogs

You Lose a Child, You Lose Your Job
By LEO LOPEZ III, MD I’m a physician, born in McAllen, Texas. In June 2018, I returned home to demand that immigrant children who had been torn from their families as a result of the Trump Administration’s zero-tolerance policy, be safely and immediately reunited. I demonstrated at a federal detention center in McAllen at the Free the Children Protest. I marched alongside other concerned citizens, and we confronted a bus carrying the children. With my palms pressed against the bus, I demanded that the government free them. I could not have imagined that just a few months later, I’d demand ...
Source: The Health Care Blog - March 25, 2019 Category: Consumer Health News Authors: Matthew Holt Tags: Health Policy Politics Health and Human Services HHS Immigration Kristjen Nielsen Leo Lopez Trump administration Source Type: blogs

Health in 2 Point 00, Episode 74 | European Money, Postpartum Care, & Social Determinants of Health
Today on Health in 2 Point 00, Jess and I are standing on a roof answering health tech questions from the Digital Health Commercialization Panel event in San Francisco. In this episode, Jess asks me about all the money that is being raised or spent in the health tech worlds of Europe and the US. DoctoLib, a company that is like ZocDoc in the US, raised a 150 million Euro which is probably the largest raise for a European company involved in health tech. Meanwhile, in the US, Teledoc also stretches its way into Europe, buying MédecinDirect, which is a telehealth company in France. We also see health tech companies in...
Source: The Health Care Blog - March 22, 2019 Category: Consumer Health News Authors: Zoya Khan Tags: Uncategorized Source Type: blogs

Beyond Vaccination: New Measures Needed to Protect Hospitals and the Public Against the Flu
By MARC M. BEUTTLER, MD Every year at this time, you hear warnings that flu season has arrived. New data from the CDC indicates the season is far from over. So, you are urged by health authorities to get a flu shot. What you may not realize is how the flu can affect the hospitals you and your loved ones rely on for care.   In January, the large urban hospital where I am an intern faced the worst flu outbreak it has ever seen. Nearly 100 staff members tested positive for the flu. Residents assigned to back-up coverage were called to work daily to supplement the dwindling ranks of the sick. Every hospital vis...
Source: The Health Care Blog - March 22, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Hospitals Medical Practice Marc Beuttler Vaccination Source Type: blogs

Insights from a Verily Venture Investor on Health Data & Dollars
By JESSICA DaMASSA, WTF Health Google’s Verily has a $1Billion dollar investment fund and a nearly limitless talent pool of data scientists and engineers at the ready. So, how are they planning to invest in a better future for health? Luba Greenwood, Strategic Business Development & Corporate Ventures for Verily told me how the tech giant is thinking about the big data opportunity in healthcare – and, more importantly, what they see as their role in helping scale it in unprecedented ways. So, where should other health tech investors place their bets, then? Luba’s previous successes investin...
Source: The Health Care Blog - March 21, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Tech Jessica DaMassa WTF Health Google Source Type: blogs

Medical Education
By SAURABH JHA, MD What is the best way to educate medical students? In this episode of Radiology Firing Line Podcast, I sit down with Richard B. Gunderman, MD and C. Matthew Hawkins, MD to discuss medical education. Listen to our conversation on Radiology Firing Line Podcast here. Saurabh Jha is an associate editor of THCB and host of Radiology Firing Line Podcast of the Journal of American College of Radiology, sponsored by Healthcare Administrative Partner. (Source: The Health Care Blog)
Source: The Health Care Blog - March 21, 2019 Category: Consumer Health News Authors: Matthew Holt Tags: Medical Practice Physicians Radiology Firing Line Podcasts RogueRad @roguerad Medical Education Saurabh Jha Source Type: blogs

USMLE Step 1: Leveling the Playing Field – or Perpetuating Disadvantage?
By BRYAN CARMODY Let me show you some data. I’m going to show you the Match rate and mean Step 1 score for three groups of residency applicants. These are real data, compiled from the National Resident Matching Program’s (NRMP) Charting Outcomes in the Match reports. Ready? U.S. Allopathic Seniors: 92% match rate; Step 1 232.3U.S. Osteopathic Seniors: 83% match rate; Step 1 225.8International Medical Graduates, or IMGs (both U.S. and non-U.S. citizen: 53% match rate; Step 1 223.6 Now. What do you conclude when you look at these numbers? __ In the...
Source: The Health Care Blog - March 20, 2019 Category: Consumer Health News Authors: Matthew Holt Tags: Medical Practice Physicians Bryan Carmody international medical graduates Match Medical Education Medical residency Step 1 USMLE Source Type: blogs

When Health Care Organizations Are Fundamentally Dishonest
By BRIAN KLEPPER A class action legal ruling this month, on a case originally filed in 2014, found that UnitedHealthCare’s (UHC) mental health subsidiary, United Behavioral Health (UBH), established internal policies that discriminated against patients with behavioral health or substance abuse conditions. While an appeal is expected, patients with legitimate claims were systematically denied coverage, and employer/union purchasers who had paid for coverage for their employees and their family members received diminished or no value for their investments. Central to the plaintiff’s argument was the fact th...
Source: The Health Care Blog - March 19, 2019 Category: Consumer Health News Authors: Matthew Holt Tags: Health Policy Value-Based Care Brian Klepper United Behavioral Health UnitedHealthcare US Healthcare system Source Type: blogs

Welcome to the New & Improved THCB!
Welcome back–and thank you for bearing with us while we figured out all the technical stuff transitioning the old THCB site to the new one! Hopefully this all looks familiar, but while the content is the same, under the hood everything is actually brand new. We’ve made some simplifications, particularly having the “big 4” categories listed at the top of the page: Health Tech, Health Policy, Medical Practice & Health Care Business. The left margin has Videos (THCB Spotlight, WTF Health and Health in 2 Point 00), and our latest tweets from @THCBstaff below them. The right margin has room for our s...
Source: The Health Care Blog - March 18, 2019 Category: Consumer Health News Authors: Zoya Khan Tags: THCB Source Type: blogs

Build-Your-Own ‘Squad’ – YourCoach Redefines Health Coaching
By JESSICA DaMASSA, WTF HEALTH Health coaches are playing an ever-more important role in healthcare, but there’s no one single authority when it comes to finding one — or vetting them for that matter — until now. Marina Borukhovich, CEO of startup YourCoach, talks about how she hopes to disrupt health coaching after she learned the value of having a ‘squad’ of experts help her through her breast cancer journey. In fact, ‘Squads’ are the value-add that YourCoach is hoping will set them apart. The app’s signature feature is that it lets you build-your-own team of exp...
Source: The Health Care Blog - March 18, 2019 Category: Consumer Health News Authors: Matthew Holt Tags: Health Tech Jessica DaMassa Start-Ups WTF Health digital health health coaches HealthTech YourCoach Source Type: blogs

The Cruelty of Managed Medicare
By HANS DUVEFELT MD Jeanette Brown had lost twenty pounds, and she was worried. “I’m not trying,” she told me at her regular diabetes visit as I pored over her lab results. What I saw sent a chill down my spine: A normal weight, diet controlled diabetic for many years, her glycosylated hemoglobin had jumped from 6.9 to 9.3 in three months while losing that much weight. That is exactly what happened to my mother some years ago, before she was diagnosed with the pancreatic cancer that took her life in less than two years. Jeanette had a normal physical exam and all her bloodwork except for t...
Source: The Health Care Blog - March 18, 2019 Category: Consumer Health News Authors: Matthew Holt Tags: Health Policy Medicare Hans Duvefelt Managed Care Source Type: blogs

New THCB site coming MONDAY! (It ’ ll be down this weekend)
I’m thrilled to tell you that after a lot of work by Zoya Khan, Dan Kogan and his tech whizzes, there’ll be a new THCB site up on Monday. Hopefully you’ll notice the changes and think it’s an improvement! But while we do the switch (to a new server, template, host, et al) the site will be down this weekend starting Friday night PT.  So go outside and enjoy some fresh air and we’ll be back Monday morning!  Thanks!  — Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - March 15, 2019 Category: Consumer Health News Authors: matthew holt Tags: THCB Source Type: blogs

ONC & CMS Proposed Rules | Part 2: Interoperability
By DAVE LEVIN MD  The Office of the National Coordinator (ONC) and the Centers for Medicare and Medicaid (CMS) have proposed final rules on interoperability, data blocking and other activities as part of implementing the 21st Century Cures Act. In this series, we will explore the ideas behind the rules, why they are necessary and the expected impact. Given that these are complex and controversial topics open to interpretation, we invite readers to respond with their own ideas, corrections and opinions. You can find Part 1 of the series here.  ____________ In 2016, Congress enacted the 21st Century Cures Act with ...
Source: The Health Care Blog - March 15, 2019 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Health Technology data blocking Dave Levin Interoperability ONC Rules Sansoro Health Source Type: blogs

New THCB site coming MONDAY! (It ’ ll be down this weekend)
I’m thrilled to tell you that after a lot of work by Zoya Khan, Dan Kogan and his tech whizzes, there’ll be a new THCB site up on Monday. Hopefully you’ll notice the changes and think it’s an improvement! But while we do the switch (to a new server, template, host, et al) the site will be down this weekend starting Friday night PT.  So go outside and enjoy some fresh air and we’ll be back Monday morning!  Thanks!  — Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - March 15, 2019 Category: Consumer Health News Authors: matthew holt Tags: THCB Source Type: blogs

Health Care Must Open More Doors to Mental Health Patients
By ARPAN WAGHRAY, MD and BENJAMIN F. MILLER, PsyD Benjamin F. Miller Arpan Waghray If someone we love has a physical ailment, we can list a variety of places for them to seek care: a clinician’s office, a pharmacy, an urgent care clinic, a school health clinic, an emergency department — the list goes on. And, in every case, we would feel confident the clinicians in those places would know how to handle the case — or at least know where to send the patient if they need more intensive or specialized care. But, sadly, the same isn’t true for a loved one with a mental health or substance misuse need, ev...
Source: The Health Care Blog - March 14, 2019 Category: Consumer Health News Authors: matthew holt Tags: Patients ARPAN WAGHRAY BENJAMIN F. MILLER Mental Health substance use disorders Source Type: blogs

Healthcare Must Open More Doors to Mental Health Patients
By ARPAN WAGHRAY, MD and BENJAMIN F. MILLER, PsyD Benjamin F. Miller Arpan Waghray If someone we love has a physical ailment, we can list a variety of places for them to seek care: a clinician’s office, a pharmacy, an urgent care clinic, a school health clinic, an emergency department — the list goes on. And, in every case, we would feel confident the clinicians in those places would know how to handle the case — or at least know where to send the patient if they need more intensive or specialized care. But, sadly, the same isn’t true for a loved one with a mental health or substance misuse need, ev...
Source: The Health Care Blog - March 14, 2019 Category: Consumer Health News Authors: matthew holt Tags: Patients ARPAN WAGHRAY BENJAMIN F. MILLER Mental Health substance use disorders Source Type: blogs

Health in 2 Point 00, Episode 73 | Mergers, Medicaid, & Money
Today on Health in 2 Point 00, Jess and I power through a whopping six questions. In this episode, Jess asks me about the merger between Cambia Health Solutions and Blue Cross NC, Alex Azar getting grilled by Rep. Joe Kennedy on Medicaid work requirements, Omada Health adding connected blood pressure and glucose monitors, 23andMe’s new Type 2 Diabetes predisposition test, and raises by Akili Interactive and MAP Health Management. —Matthew Holt  (Source: The Health Care Blog)
Source: The Health Care Blog - March 13, 2019 Category: Consumer Health News Authors: matthew holt Tags: Health in 2 Point 00 Health Technology Jessica DaMassa Matthew Holt Medicaid 23andMe Aetna Akili Alex Azar Blue Cross Blue Shield Cambia Health Omada Health Source Type: blogs

Come Together.Health, Right Now …Over Me
By JESSICA DaMASSA, WTF HEALTH At HIMSS19, the year-old ‘Digital Health Collaborative’ announced its relaunch as ‘Together.Health.’ More than just a feel-good name, the new moniker is indicative of how the organization is literally trying to help the health innovation world ‘get its #%&! together.’ “We’re building a hub-and-spoke model,” says Stephen Konya of the US Office of the National Coordinator for Health IT (ONC). He and Nick Dougherty of MassChallenge Health Tech are founding co-chairs for Together.Health and the pair have managed to build a roster of more t...
Source: The Health Care Blog - March 13, 2019 Category: Consumer Health News Authors: matthew holt Tags: Jessica DaMassa Tech WTF Health Stephen Konya Together.Health Source Type: blogs

Health Care Price Tags Won ’t Find You the Best Doctor
This article originally appeared on STAT here.  (Source: The Health Care Blog)
Source: The Health Care Blog - March 12, 2019 Category: Consumer Health News Authors: matthew holt Tags: Health Technology Hospitals Physicians health care pricing Michael Millenson Quality of care transparent pricing Source Type: blogs

Health Care Price Tags Won ’t Find You the Best Doctor
This article originally appeared on STAT here.  (Source: The Health Care Blog)
Source: The Health Care Blog - March 12, 2019 Category: Consumer Health News Authors: matthew holt Tags: Health Technology Hospitals Physicians health care pricing Michael Millenson Quality of care transparent pricing Source Type: blogs