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The Intractable Debate over Guns
By SAURABH JHA When Russian forces stormed the school held hostage by Chechen terrorists, over 300 people died. The Beslan school siege wasn’t the worst terrorist attack arithmetically – the fatalities were only a tenth of September 11th. What made the school siege particularly gruesome was that many who died, and died in the most gruesome manner, were children. There’s something particularly distressing about kids being massacred, which can’t be quantified mathematically. You either get that point or you don’t. And the famed Chechen rebel, Shamil Basayev, got it. Issuing a statement after the...
Source: The Health Care Blog - February 21, 2018 Category: Consumer Health News Authors: at RogueRad Tags: OP-ED Uncategorized @roguerad guns Source Type: blogs

A Health Tech ’s Secret Weapon: The People Under The Hood
By DAVID SHAYWITZ, MD The recently-announced acquisition of the oncology data company Flatiron Health by Roche for $2.1B represents a robust validation of the much-discussed but infrequently-realized hypothesis that technology entrepreneurs who can turn health data into actionable insights can capture significant value for this accomplishment. Four questions underlying this deal (a transaction first reported, as usual, by Chrissy Farr) are: (1) What is the Flatiron business model? (2) What makes Flatiron different from other health data companies? (3) Why did Roche pay so much for this asset? (4) What are the le...
Source: The Health Care Blog - February 20, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized David Shaywitz Flatiron Health Human Oncology Source Type: blogs

CMS Quietly Launches an Offensive Against Direct Primary Care
By NIRAN AL-AGBA, MD Our healthcare system is self-destructing, a fact made more obvious every single day.  A few years ago, a number of brave physicians who were fed up with administrative burden, burnout, and obstacles to providing care for patients started a movement –known as Direct Primary Care (DPC.)  This is an innovative practice model where the payment arrangement is directly between a patient and their physician, leaving third parties, such as insurance or government agencies, completely out of the equation.  The rapidly growing number of DPC physicians have organized into a group called the ...
Source: The Health Care Blog - February 19, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized CMS direct primary care Medicare value-based care Source Type: blogs

Health in 2 point 00, Episode 2
Here’s the second episode of Health in 2 point 00, hosted by Jessica DaMassa. She asks me as many questions as I can answer in two minutes. Hope you enjoy it! And if you have questions please email them to us or leave them in the comments–Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - February 19, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Health 2.0 Matthew Holt #HealthPolicyValentines Flatiron Health Health in 2 Point 00 Jessica DaMassa Source Type: blogs

The Healthcare.gov Rescue and the Hawaii False Alarm  . When Good Government Tech Goes Bad.
Discussions about developments and best practices in digital services in government. To join: Email listserv@listserv.gsa.gov with no subject and subscribe digitalservice in the body. In cities across the country, from Tulsa, OK to Miami, FL, Code for America Brigade volunteers get together with government to help improve services. For example, they’re improving services designed to serve people experiencing homelessness (Asheville, NC) and simplifying benefits applications into SMS-based conversations you can have on a flip phone (Anchorage, AK). Go meet them. There are engineers and designers, but also EMTs an...
Source: The Health Care Blog - February 16, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

On Data and Informatics For Value-Based Healthcare
This article seeks to demonstrate that the role of data and informatics in supporting value-based care goes much further than the collection and remote analysis of big datasets – in fact, the true benefit sits much closer to the interaction between clinician and patient. Data collection – costing and outcomes Costing Costing of healthcare for value should be done for the whole patient journey. This is important as it is not possible for value to be created in a service alone – it has to be assessed in terms of the outcomes delivered relative to the investment in all possible interventions for a particul...
Source: The Health Care Blog - February 15, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Data Informatics International United Kingdom value-based care Source Type: blogs

Impact of FHIR + SMART on FHIR
The Future of Data Access in Healthcare   The advent of FHIR and SMART on FHIR has been a huge game changer in recent years. FHIR is radically changing the way we think about integration of innovative applications, making it faster, easier and less disruptive to workflow. It has allowed developers to create medical applications, which can be easily integrated into existing systems. SMART on FHIR is a related utility, which allows web apps to run inside a browser so clinicians can use them without leaving the EMR environment. More than 35 provider organizations have exposed their FHIR APIs. Allscripts has b...
Source: The Health Care Blog - February 15, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Featured Health 2.0 Matthew Holt THCB Source Type: blogs

Impact of FHIR and SMART on FHIR in Healthcare
The Future of Data Access in Healthcare The advent of FHIR and SMART on FHIR has been a huge game changer in recent years. FHIR is radically changing the way we think about integration of innovative applications, making it faster, easier and less disruptive to workflow. It has allowed developers to create medical applications, which can be easily integrated into existing systems. SMART on FHIR is a related utility, which allows web apps to run inside a browser so clinicians can use them without leaving the EMR environment. More than 35 provider organizations have exposed their FHIR APIs. Allscripts has been le...
Source: The Health Care Blog - February 15, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Featured Health 2.0 Matthew Holt THCB Source Type: blogs

2018 Forecast: Another Theranos, Hospital Hiring Slows & Successful HIT Exits
By BOB KOCHER, MD and BRYAN ROBERTS For what is now an annual tradition, we are once again attempting to be healthcare soothsayers. We are proud to share with you our 10 healthcare predictions for 2018. In 2017, amaz-ingly, eight of our predictions came true. For 2018, we are betting on the following: 1. Another Theranos We think at least one healthcare information technology company with an enterprise value of more than $1 billion (not including Outcome Health, which we could not have predicted tanking so spectacularly quickly) will be exposed as not having product results to support their hype. It will also expose e...
Source: The Health Care Blog - February 13, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Bob Kocher Bryan Roberts Venrock Capital Source Type: blogs

Questioning the Link Between Sports-Related Concussions and CTE
This article is submitted on behalf of 26 brain injury experts in neurosurgery, neuropsychology, neurology, neuropathology and public policy at 23 universities and hospitals in the United States and Canada. The additional signatories are: Lili-Naz Hazrati, associate professor of neuropathology at the University of Toronto; clinician-scientist at the Hospital for Sick Children, Toronto. John Leddy, professor of clinical orthopaedics and rehabilitation sciences at the SUNY Buffalo Jacobs School of Medicine and Biomedical Sciences. Barry Willer, professor in the Department of Psychiatry at the SUNY Buffalo Jacobs School of Me...
Source: The Health Care Blog - February 13, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Boston University CTE football Sports-Related Concussions Source Type: blogs

The Doctor Squared Movement: An Alternative to Regulatory Burden
By WES FISHER, MD and PAUL TIERSTEIN, MD The 4th amendment of the U.S. Constitution shields an individual (or business) from unreasonable government intrusion. It is inferred this right extends to ALL people, regardless of profession.  Advanced nurse practitioners are independently practicing medicine in 23 states yet are not subject to onerous Maintenance of Certification (MOC) requirements– physicians are not equally protected under the law.  Physicians must fight, as one group, against the burden of MOC.  We have two choices:  become a Doctor Squared (Dr. ²) or join an alternative certific...
Source: The Health Care Blog - February 12, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Health in 2 point 00, Episode 1
We are going to start some new content on THCB in the next few weeks including a lot more video hosted by Jessica DaMassa. And one weekly show will be her asking me as many questions as I can answer in two minutes. Here’s the first crack at it. Hope you enjoy it!–Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - February 12, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Health 2.0 Matthew Holt Health in 2 Point 00 Jessica DaMassa Source Type: blogs

Artificial Intelligence & How Doctors Think: An Interview with Thomas Jefferson ’ s Stephen Klasko
AJAY KOHLI, MD As I walk into the building, the sheer grandiosity of the room is one to withhold — it’s as if I’m walking into Grand Central station. There’s a small army of people, all busy at their desks, working to carry out the next wave of innovations helping more than a million lives within the Greater Philadelphia region. However, I’m not here to catch a train or enjoy the sights. I’m at the office of the President and CEO of Thomas Jefferson University, Dr. Stephen Klasko, currently at the helm of one of the largest healthcare systems in the U.S. Let me backup a little. The theme...
Source: The Health Care Blog - February 11, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Ajay Kohli Internet of Things Stephen Klasko Thomas Jefferson University Thomas Klasko Watson Source Type: blogs

Why Raising Hospital Prices is a Zero Sum Game
By ROBERT PEARL, MD In the early 1960s, President John F. Kennedy said, “The time to repair the roof is when the sun is shining.” It was a clarion call, a full-throated warning against national complacency in an era of great prosperity. It was during this same period that community hospitals stood as the dominant force in American healthcare. By the mid-20th century, some 6,000 inpatient facilities had spread throughout the country, often serving as the financial glue of their respective communities. With well-paying jobs and boards made up of dignitaries, local hospitals aroused a great chorus of civic pride. ...
Source: The Health Care Blog - February 9, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

The Doctor and the CFO
By SUHAS GONDI, MD When my classmates and I returned to Boston to continue our first year of medical school early last month, we returned to a very different type of course, called “Essentials of the Profession.” In it, we explored health policy, social medicine, ethics, and other topics outside the realm of traditional physiology and disease but just as important to our roles as physicians. In the health policy class, we learned about escalating healthcare costs and how the landscape of American healthcare is changing. While the inclusion of these topics in our curriculum reflects a significant advance in medi...
Source: The Health Care Blog - February 9, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

The Conference Created by Innovators for Innovators
Get set for a new exciting conference experience coming this spring from Health 2.0 and HIMSS, focused on the collaboration between developers and healthcare providers on building emerging digital health technologies: Dev4Health. Join hundreds of developers, innovative leaders, designers, chief technology officers, chief innovation officers, start-ups, and health tech enthusiasts for two days of strategic networking, idea generation, and innovative workshops – plus live demos some of the newest health tech start-ups. Top Reasons to Attend Dev4Health:  In...
Source: The Health Care Blog - February 8, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Featured Health 2.0 Hospitals Matthew Holt Tech THCB THCBist The Vault Trending Source Type: blogs

The Skeptical Oncologist
By BISHAL GYAWALI, MD Why conduct post approval studies at all? Atezolizumab previously received accelerated approval in second-line metastatic or advanced urothelial cancer based on response rates from a single arm trial. The results of post approval confirmatory phase 3 are now published and demonstrate that atezolizumab did not improve survival versus chemotherapy (11.1 v 10.6 months, HR 0.87, p = 0.41). The concept of accelerated approval is to grant early and conditional approval and access to drugs in diseases of unmet need, and that the decision to fully approve or revoke be made based ...
Source: The Health Care Blog - February 7, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Sexism in Healthcare Reporting
By NIRAN AL-AGBA, MD NBC should consider re-branding as the “anti-woman” network.  Our culture needs to change so women feel valued and respected, comfortable and safe in the workplace, and are provided ample opportunities for leadership and growth.  NBC actions show they care little about gender equality in the workplace, prioritizing the comfort of males over that of females.  During a recent interview, former “Today Show” anchor Anne Curry asked a poignant question after “not being surprised by the allegations” against “golden boy” Matt Lauer.  “...
Source: The Health Care Blog - February 6, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Morgan Radford NBC Niran Al-Agba Pediatrics Ronan Farrow Women's Issues Source Type: blogs

Global Risk Report: Davos, Trump and Climate Change
By DAVID INTROCASO During the recent World Economic Forum in Davos, Switzerland, President Trump once again noted his objection to the Paris climate accord.  In an interview with Piers Morgan, Trump again called it a “horrible deal” because, as has been widely reported, climate change or global warming is, per the president, a “hoax” perpetrated by the Chinese.  “There is cooling and there’s a heating – I mean look,” Trump explained to Morgan, “it use to not be climate change.  It used to be global warming.  That wasn’t working too well because...
Source: The Health Care Blog - February 6, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Climate Change Trump Source Type: blogs

Will Amazon Eat the Market?
By PAUL KECKLEY Last Tuesday, a trio of corporate heavy weights announced they were joining forces to fix the U.S. healthcare system. The CEOs of the three—Jeff Bezos of Amazon, Warren Buffet of Berkshire Hathaway, and Jamie Dimon of JP Morgan, vowed to create “an independent company that is free from profit-making incentives and constraints..to provide simplified, high-quality and transparent healthcare at a reasonable cost.” Details about the proposed venture are limited but it nonetheless sent shock waves across the industry. Stocks for industry mainstays like United Health, CVS, Express Scripts, Mylan...
Source: The Health Care Blog - February 5, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

It ’ s (Still) the Prices, Stupid
By SETH HARDY Inefficient markets create price differentials for identical goods. These price differentials frequently occur among markets dominated by oligopolies. Taking advantage of market pricing inefficiencies is known as arbitrage. Commodity traders frequently arbitrage by buying low and selling high. In inefficient markets for perishable goods, such as airline tickets, hotel rooms, or medical imaging, there is no opportunity to re-sell these goods. Thus consumers of these goods, such as health insurance companies, will attempt to buy at the lowest possible price to maximize value. Today we see many apps and websites...
Source: The Health Care Blog - February 5, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Economics Hospital outpatient department (HOPD) Markets Outcomes Seth Hardy Value Source Type: blogs

Medicine Is a Profession That is Rapidly Losing Control of Its Tools.
By ADRIAN GROPPER, MD Artificial Intelligence hype and reality are everywhere. However, the last month or two has seen some thoughtful reflection. HHS / ONC announced “Hype to Reality: How Artificial Intelligence (AI) Can Transform Health and Healthcare” referencing a major JASON report “Artificial Intelligence for Health and Health Care [PDF -817 KB],”. From a legal and ethical perspective, we have a new multinational program: “PMAIL will provide a comparative analysis of the law and ethics of black-box personalized medicine,…”. Another Harvard affiliate writes “Optimizatio...
Source: The Health Care Blog - February 5, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

A Whiff of Market-Based Health Care Change
By BRIAN KLEPPER Tuesday’s announcement about Amazon, Berkshire Hathaway and JPMorgan (A/BH/JPM) was short on details. The three mega-firms will form an independent company that develops solutions, first, for their own companies’ health plans and then, almost certainly, for the larger health care marketplace. But the news reverberated throughout the health care industry as thoroughly as any in recent memory. Health care organizations were shaken. Bloomberg Markets reported that: Pharmacy-benefit manager Express Scripts Holding Co. fell as much as 11 percent, the most intraday since April, at the open of U.S. tr...
Source: The Health Care Blog - February 2, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

What Kmart ’s Settlement Says About Health Care Fraud
This reportedly violated regulations requiring pharmacies to apply their usual and customary charges when billing government payers. The DOJ claims that “[t]he government’s resolution of this matter illustrates the government’s emphasis on combating health care fraud,” It might more accurately have said that the settlement adds to the mountain of evidence showing that the government cannot control even the most obvious forms of health care fraud, a point we make at length in our forthcoming book, Overcharged: Why Americans Pay Too Much For Health Care. For one thing, at the very same time government...
Source: The Health Care Blog - February 1, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Charles Silver David Hyman K-Mart Lisinopril Source Type: blogs

Ambergan = Amazon + Berkshire Hathaway + JPMorgan
By MARGALIT GUR-ARIE Dear primary care doctor, Jeff Bezos is about to devour your lunch. All of it. And then he’ll eat the table, the plates, the napkins and the utensils too, so you’ll never have lunch ever again. Oh yeah, and they’ll also finally disrupt and fix health care once and for all, because enough is enough already. Mr. Bezos, it seems, got together with two of his innovator buddies, Warren Buffet from Berkshire Hathaway and Jamie Dimon from J.P. Morgan, and they are fixing up to serve us some freshly yummy and healthy concoction. Let’s call it Ambergan for now. This is big. This is huge....
Source: The Health Care Blog - January 31, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

What Is a “ Co-Presidency ” ? Would It Work? Biden-Obama 2020
By DANIEL STONE, MD Why would the last certifiably sane occupant of the White House consider a run for the Vice-Presidency, an office that Vice-President John Nance Garner derided as “not worth a pitcher of warm spit” and John Adams scorned as “the most insignificant office that the invention of man contrived or his imagination conceived?” In a word, Trump. The former President told voters in 2016 that his legacy and life’s work would be threatened by a Trump presidency. That would be doubly true of a second Trump term. Federal law poses no obstacle to the Democrats’ dream ticket. The 2...
Source: The Health Care Blog - January 31, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Biden-Obama Co-Presidency Daniel Stone Democrats Source Type: blogs

To Err is Homicide in Britain – the case of Dr. Hadiza Bawa-Garba  
By, SAURABH JHA The good that doctors do is oft interred by a single error. The case of Dr. Hadiza Bawa-Garba, a trainee pediatrician in the NHS, convicted for homicide for the death of a child from sepsis, and hounded by the General Medical Council, is every junior doctor’s primal fear.   An atypical Friday Though far from usual, Friday February 18th, 2011 was not a typically unusual day in a British hospital. Dr. Bawa-Garba had just returned from a thirteen-month maternity break. She was the on-call pediatric registrar – the second in command for the care of sick children at Leicester Royal Infirmary. A...
Source: The Health Care Blog - January 30, 2018 Category: Consumer Health News Authors: at RogueRad Tags: Patients Physicians The Business of Health Care Source Type: blogs

Bigger is Not Always Better: How Consolidation in Health Care Hurts Patients
By TIMOTHY HOFF The recent news that U.S. retail giant CVS Health will purchase insurance giant Aetna, in part to gain millions of new customers for its prescription drug and primary care businesses, is another ominous sign for patients.  Patients should worry about all the continued consolidation in the health care industry, whether it is Walgreens buying Rite-Aid to increase their pharmacy clout; Anthem’s ill-fated attempt to purchase Cigna to become an insurance monopoly; or hospital systems like Partners Healthcare in Boston trying to buy the hospitals and physician networks in and around its service area to...
Source: The Health Care Blog - January 30, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Aetna Consolidation CVS Health value-based care Source Type: blogs

RWJF Opioid Challenge: You Can Help
By CHELSEA POLANIECKI AND CHANLY PHILOGENE Opioid overdoses are the leading cause of death for Americans under 50 years old. In fact, the majority of drug overdose related deaths involve an opioid. According to the National Center for Health Statistics, deaths from prescription opioids—drugs like oxycodone, hydrocodone, and methadone—have more than quadrupled since 1999. The U.S. is currently experiencing an opioid epidemic, as more than 2 million Americans have become dependent on, or abused prescription pain pills and street drugs. Substance misuse is not only affecting the users but also their families...
Source: The Health Care Blog - January 29, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Catalyst @ Health 2.0 Opioid Source Type: blogs

MedPAC ’s Repeal And Replace MIPs Campaign Will Not End Well
By KIP SULLIVAN “[T]his is tough. I don’t know how to proceed…. Lord help the staff who must bring all this together.” That was how Dr. Francis Crosson, chairman of the Medicare Payment Advisory Commission (MedPAC), reacted to the commission’s baffling discussion at its January 11 meeting moments before it voted 14-2 to replace the Merit-based Incentive Payment System (MIPS) with something called the “voluntary value program” (VVP) (pp. 167-169 of the transcript ). MedPAC’s staff must now summarize the January 11 discussion and prepare a report for inclusion in MedPAC’...
Source: The Health Care Blog - January 28, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized CMS MACRA MedPAC MIPS P4P VVP Source Type: blogs

AbStats, VR & the Future of Digital Health : A Conversation with Brennan Spiegel
By JASON CHUNG Just before the holiday break, in my new capacity as the Law and Technology Editor for The Health Care Blog, I had the opportunity to interview Dr. Brennan Spiegel, the Director of Cedars-Sinai Health Services Research, about his new digital health innovations as well as his views on the medtech and data privacy landscapes. Dr. Spiegel leads an interdisciplinary team which investigates how digital health technologies such as wearable sensors, smartphone applications and virtual reality can strengthen trust among patients and doctors, improve outcomes and cut costs. Below is a transcript of selected moments o...
Source: The Health Care Blog - January 26, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Diversifying Digital Health
By SABAH PERVEZ Earlier this week Health 2.0 held a TECHquality meetup focused on diversity in the digital health industry.  We hoped that this event would foster an honest and frank discussion about how we can create diverse workplaces and develop inclusive technology for the people we serve.  After speakers, Jean-Luc Neptune, Co-Founder at Athletik Health and Nyala Khan, VP of People at Baby+Co, shared their thoughts, meetup attendees were encouraged to share their own experiences and comments in relation to the topic at hand.  Following an engaging and insightful discussion, where people of different back...
Source: The Health Care Blog - January 25, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Catalyst @ Health 2.0 Source Type: blogs

Does Donald Trump Have Heart Disease?
By SAURABH JHA According to the WHO definition of health, which is “a state of complete physical, mental, and social well-being, and not merely the absence of disease and infirmity,” several million Americans became unhealthy on Tuesday November 8th, 2016 as Florida folded to Trump. As Hillary’s prospects became bleaker many more millions, particularly those on Twitter, lost their health. The WHO sets a high bar for health. It is easier for a camel to pass through the eye of a needle than for a person on social media to be in “complete mental and social well-being.” Whilst WHO has set a high b...
Source: The Health Care Blog - January 24, 2018 Category: Consumer Health News Authors: at RogueRad Tags: Uncategorized Source Type: blogs

Pharma ’ s (Big) Data Problem
By DAVID SHAYWITZ, MD C.P. Snow, author of “The Two Cultures” Despite (some might say, because of) a raft of new biological methods, pharma R&D has struggled with its EROOM problem, the fact that the cost of successfully developing a new drug, including the cost of failures, has been relentlessly increasing, rather than decreasing, over time (EROOM is Moore spelled backwards, as in Moore’s Law, describing the rapid pace of technology improvement over time). Given the impact of technology in so many other areas, the question many are now asking is whether technology could do its thing in pharma, and ma...
Source: The Health Care Blog - January 24, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized CP Snow Culture Data David Shaywitz Source Type: blogs

Mayo Clinic: Transparency, Deception, and Ice Cream
BY NIRAN AL-AGBA, MD The Mayo Clinic in Minneapolis has held the top spot on the U.S. News and World Report hospital rankings for the past two years. That’s an impressive accomplishment. But one despite the closure of community hospitals that negatively impact rural Minnesota towns. Citing staff shortages, reduced inpatient censuses and ongoing financial challenges, Mayo decided to move all inpatient services from the hospital in Albert Lea, Minnesota, including labor and delivery, to a town more than 20 miles away. In response to pleas for reconsideration, Mayo Clinic Vice President Bobby Ga...
Source: The Health Care Blog - January 23, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

The UPMC-Highmark Brawl Spills Into Philadelphia ’ s Backyard
By TORY WOLFF The UPMC/Highmark rivalry continues to open new fronts in Pennsylvania. Highmark’s response to UPMC is differentiated in two ways: first, Highmark is using a coalition-building strategy and, second, it is controlling its exposure to big in-patient assets; in contrast, UPMC is building an integrated, single-brand system and happily taking over hospitals (and building more) along the way. When UPMC and Highmark make major investments in a region, local systems will be caught in the capex arms and feel the pressure to affiliate. Credibly threatening to respond in kind may defuse the arms race. But unaffili...
Source: The Health Care Blog - January 22, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Highmark UPMC Source Type: blogs

The Dangerous Case of Donald Trump: 27 Psychiatrists and Mental Health Experts Assess a President
BY STEVEN FINDLAY The resurgent debate about President Trump’s mental health prompts me to update a piece I wrote for THCB last June. That piece drew lively comments and debate. It’s also the one-year mark of the Trump presidency. As The New York Times editorial page recently asked, bluntly, on Jan. 11: “Is Mr. Trump Nuts?” Since last summer, that question has gained more traction and spurred more earnest debate. The results from Trump’s medical and “cognitive” exam on Jan 12 are unlikely to quell concern.   (More about those results below.) Nearly every major newspaper ...
Source: The Health Care Blog - January 21, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized APA Bandy X. Lee Steven Findlay The Dangerous Case of Donald Trump Source Type: blogs

NEJM Blasts “Crusade,” Omits that Its Former Editor Launched It
By MICHAEL MILLENSON A blistering attack by the national editor of the New England Journal of Medicine against the “less is more” movement in medicine omitted that the publication’s former editor-in-chief played a foundational role in popularizing the idea of widespread medical waste. The commentary in late December by Dr. Lisa Rosenbaum, “The Less-Is-More Crusade – Are We Overmedicalizing or Oversimplifying?” has attracted intense attention.  Rosenbaum berates a “missionary zeal” to reduce putative overtreatment that she says is putting dangerous pressure on physicians ...
Source: The Health Care Blog - January 19, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Economics Physicians Michael L. Millenson NEJM Source Type: blogs

A Patient Experience-Based View of the TEFCA
In conclusion, let’s give ONC high marks for trying and hope the final version of TEFCA and subsequent enforcement will provide a patient-directed exchange user experience that makes the government-controlled exchange alternative compete for the patient’s trust. Some of these questions might be answered at the next ONC informational webinar on January 19. Comments on the draft TEFCA are open until February 20. Adrian Gropper is CTO at Patient Privacy Rights (Source: The Health Care Blog)
Source: The Health Care Blog - January 19, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Patients Tech Adrian Gropper ONC Source Type: blogs

A Patient ’s Experience View of the TEFCA
In conclusion, let’s give ONC high marks for trying and hope the final version of TEFCA and subsequent enforcement will provide a patient-directed exchange user experience that makes the government-controlled exchange alternative compete for the patient’s trust. Some of these questions might be answered at the next ONC informational webinar on January 19. Comments on the draft TEFCA are open until February 20. Adrian Gropper is CTO at Patient Privacy Rights (Source: The Health Care Blog)
Source: The Health Care Blog - January 19, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Patients Tech Adrian Gropper ONC Source Type: blogs

NEJM Blasts “Crusade,” Omits that Its Former Editor Launched It
By MICHAEL MILLENSON A blistering attack by the national editor of the New England Journal of Medicine against the “less is more” movement in medicine omitted that the publication’s former editor-in-chief played a foundational role in popularizing the idea of widespread medical waste. The commentary in late December by Dr. Lisa Rosenbaum, “The Less-Is-More Crusade – Are We Overmedicalizing or Oversimplifying?” has attracted intense attention.  Rosenbaum berates a “missionary zeal” to reduce putative overtreatment that she says is putting dangerous pressure on physicians ...
Source: The Health Care Blog - January 19, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Economics Physicians Michael L. Millenson NEJM Source Type: blogs

The Kentucky Armageddon
By MARGALIT GUR-ARIE The Commonwealth of Kentucky, best known for its weirdly colored grass, fine bourbon and equestrian pageantry, is about to be destroyed by the Trump administration. Many will suffer and perhaps die because Kentucky obtained a Medicaid waiver to impose additional and often insurmountable hardships on poor people receiving their free health care from the State. Since all I need to know, I learned on Twitter, allow me to share with you some illuminating insights from the Twitterati. The evil Republican Governor of Kentucky, Matt Bevin, is salivating at the prospect off changing Medicaid as we know it, whi...
Source: The Health Care Blog - January 18, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Mark Ganz — What ’ s Your Purpose in Health Care?
Last week at Health 2.0’s Wintertech, held during “health care’s money week” JP Morgan in San Francisco, Cambia CEO Mark Ganz gave a remarkable talk–one you wouldn’t expect from the leader of a big health insurer. He called out pharma for price gouging, he asked what consumers would think about the conversations we are having, but mostly he asked people to think about why they were working in health care. And he did it with a deeply personal set of stories. Everyone there found it very moving and very important, so I wanted to share it with the THCB audience. It’s well worth your t...
Source: The Health Care Blog - January 18, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Health 2.0 Source Type: blogs

The Naming of Things
By JOE FLOWER It’s happening across many parts of the federal government, in many sectors. Officials of the National Park Service have been reprimanded for tweeting about climate change. Scientists at the Centers for Disease Control (CDC) have been warned away from seven specific words in their budget documents, including “fetus,” “evidence-based,” and “transgender.” It is happening in healthcare as well. In previously secret proceedings, revealed here for the first time, representatives of organizations and companies across healthcare are in negotiations with a cross-agency team a...
Source: The Health Care Blog - January 18, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Language Changes Coming For Healthcare: The Proper Naming of Things
By JOE FLOWER It’s happening across many parts of the federal government, in many sectors. Officials of the National Park Service have been reprimanded for tweeting about climate change. Scientists at the Centers for Disease Control (CDC) have been warned away from seven specific words in their budget documents, including “fetus,” “evidence-based,” and “transgender.” A HHS employee delivers a list of “potentially objectionable” and/or “problematic” words to a cabinet meeting in December as part of the administration’s comprehensive new “word stra...
Source: The Health Care Blog - January 18, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Science Fiction Coming to Life
By DAVID SHAYWITZ, MD   Given the size and scope of the annual J.P. Morgan (JPM) Healthcare meeting (I resisted the temptation to say “diversity”), everyone in town – the minority who actually attend the formal presentations, and the many others who show up in San Francisco to meet and network – comes away with a slightly different experience. With this caveat (and with the explicit reminder/disclosure that I now work at a life science venture fund, and as always, I’m speaking only for myself), I left the meeting with two fairly pronounced takeaways. JPM: Two Contrasting Takeaways First, ...
Source: The Health Care Blog - January 13, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

A Surprisingly Logical Argument in Favor of Head Transplantation
By ART CAPLAN & LISA KEARNS Not since Rene Descartes gazed from his garret window in early 17th-century Paris and wondered whether those were men or hats and coats covering “automatic machines” he saw roaming the streets has the issue of personal identity and your cranium been of such import. Descartes feared a world that he alone occupied due to deception by the devil. Today we face a different mind-body challenge in the form of a devil we know: Italian neuroscientist Sergio Canavero. He recently announced that the first human head transplant is imminent. For bioethicists, the moral critiques of this surge...
Source: The Health Care Blog - January 13, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Art Caplan Head Transplantation Lisa Kearns Sergio Canavero Source Type: blogs

New Evidence in JAMA Shows Insurance Gaps Leave Some Cancer Patients Without Treatment
BY BAILEY FITZGERALD “How long do I have?” The man was just diagnosed with lung cancer. “That depends,” his doctor says. “What insurance do you have?” New research suggests that conversations like these may be actually taking place across the country. Todd Pezzi and colleagues analyzed a national database for treatment outcomes for patients with limited stage non-small cell lung cancer, a diagnosis with high rates of response to treatment. The results, reported in JAMA Oncology last week were astounding: patients with Medicare, Medicaid, or no health insurance received different, and oft...
Source: The Health Care Blog - January 12, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Bailey Fitzgerald Cancer JAMA Oncology Standard of Care Source Type: blogs

New Evidence in JAMA Shows Insurance Gaps Leave Some Cancer Patients Without
BY BAILEY FITZGERALD “How long do I have?” The man was just diagnosed with lung cancer. “That depends,” his doctor says. “What insurance do you have?” New research suggests that conversations like these may be actually taking place across the country. Todd Pezzi and colleagues analyzed a national database for treatment outcomes for patients with limited stage non-small cell lung cancer, a diagnosis with high rates of response to treatment. The results, reported in JAMA Oncology last week were astounding: patients with Medicare, Medicaid, or no health insurance received different, and oft...
Source: The Health Care Blog - January 12, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Bailey Fitzgerald Cancer JAMA Oncology Standard of Care Source Type: blogs

The Individual Mandate ’s Dead. What Happens Next?
By STEVEN FINDLAY The demise of the ACA individual mandate, along with Trump’s and Republicans’ efforts to repeal Obamacare in 2017, will trigger in election year 2018 a new phase of the long-running, bitter battle over the fate of ACA, the insurance marketplaces, and the direction of health reform in general. Surprisingly, the Democrats appear to have the upper hand for the moment.   Republican efforts to repeal the ACA in 2017 were deeply unpopular—only about 20 percent of the U.S. population supported them. Independents and moderate Republicans, in Congress and among voters, were notably opp...
Source: The Health Care Blog - January 11, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized ACA Individual mandate Medicare For All Trump Source Type: blogs