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Health in 2 point 00, Episode 18
Jessica DaMassa asks me all about health & technology, in just 2 minutes, featuring venture rounds for Kyruus, Parsley Health, Livongo buying RetroFit, the RWJF AI challenge from Catalyst @ Health 2.0 and a ridiculously long explanation of where the @boltyboy twitter name came from…–Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - April 20, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Health in 2 point 00 Jessica DaMassa Matthew Holt AI Catalyst @ Health 2.0 Kyruus Livongo Parsely Health RetroFit RWJF Source Type: blogs

WTF Health | Kyruus co-founder, Julie Yoo
By JESSICA DAMASSA WTF Health – ‘What’s the Future’ Health? is a new interview series about the future of health and how we love to hate WTF is wrong with it right now. Can’t get enough? Check out more interviews at www.wtf.health.  They just raised another $10M and you should find out why…. I met up with Kyruus co-founder and chief product officer Julie Yoo at #HIMSS18 to hear about the #AI magic behind their ‘intelligent routing engine.’ Apparently, it does such an incredible job driving business into health systems by better matching patients to docs that some more f...
Source: The Health Care Blog - April 19, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Jessica DaMassa WTF Health #HIMSS18 AI AI startups Julie Yoo Kyruus Source Type: blogs

Patient-Reported Outcome Measures: Progress Across the Pond
By TIM WILLIAMS & DAVID INTROCASO This past October CMS Administrator Seema Verma announced the agency’s “Meaningful Measures” initiative.[1] Ms. Verma launched the initiative because, she admitted, the agency’s current quality measurement programming, widely criticized for years by MedPAC and others, ran the risk of outweighing the benefits. Under “Meaningful Measures,” CMS will, Ms. Verma stated, put “patients first” by aligning a smaller number of outcome-based quality measures meaningful to patients across Medicare’s programs. Since “the primary focus of a...
Source: The Health Care Blog - April 19, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Announcing the RWJF AI & The Healthcare Consumer Challenge!
By JOHN EL-MARAGHY When it comes to navigating healthcare and making decisions about your health, and the health of loved ones, there is no yellow brick road. Even the National Committee for Quality Assurance (NCQA), a leading national healthcare nonprofit, could only analyze 1,000 of over 1,400 private healthcare policy options with myriads more in the public arena. Navigating a health care plan, or not, is just the beginning of your healthcare journey. Let’s say you find a health plan you like, and you get sick. You have to locate the right doctor that works for you, struggle through complicated referrals, tabulate...
Source: The Health Care Blog - April 18, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Catalyst @ Health 2.0 Source Type: blogs

WTF Health | Uber Health ’s Head of Strategy, Lauren Steingold
By JESSICA DAMASSA WTF Health – ‘What’s the Future’ Health? is a new interview series about the future of health and how we love to hate WTF is wrong with it right now. Can’t get enough? Check out more interviews at www.wtf.health.  One of the new faces – and mega tech companies – to be at #HIMSS18, I caught up with Uber Health’s head of strategy Lauren Steingold just after the launch of their HIPAA compliant ride share service for patients. Lauren talks about the year-long approach Uber took to get into #healthtech, what they’re looking to do next, and her first i...
Source: The Health Care Blog - April 17, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Jessica DaMassa WTF Health #HIMSS18 Lauren Steingold Uber uber Health Source Type: blogs

Twitter-Based Medicine: How Social Media is Changing the Public ’s View of Medicine
By BENJAMIN WERTZER, MD Doctors can be two-faced. This isn’t necessarily a negative attribute. Doctors have distinct personas for our patients and our colleagues. With patients, doctors strive for a compassionate but authoritative role. However, with each other, doctors often reveal a different demeanor: thoughtful and collaborative, but also opinionated and even sometimes petty. These conflicts are often the result of our struggle with evidence-based medicine. The modern practice of evidence-based medicine is more than the scientific studies we read in journals. Medicine doesn’t just change in rational, data-d...
Source: The Health Care Blog - April 17, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Why go to Health Datapalooza? Ask Bruce Greenstein, CTO of HHS
By JESSICA DAMASSA Health Datapalooza is coming up quick at the end of April, so I sat down with Bruce Greenstein, CTO of HHS about why all of THCB’s health tech friends should attend. Plus, we get into what’s happening with the open data movement and how Bruce’s past-life at Microsoft is going to shape how he and HHS work with those consumer tech companies that are pushing harder and harder into healthcare. (Source: The Health Care Blog)
Source: The Health Care Blog - April 16, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Jessica DaMassa WTF Health Big Data Bruce Greenstein Health Datapalooza HHS Matthew Holt Microsoft open data Source Type: blogs

Curb Your Enthusiasm
KIP SULLIVAN Lawton Burns and Mark Pauly, economists at the Wharton School, just published an article that should be required reading for all policy makers and health services researchers. The article,  entitled “Transformation of the health care industry: Curb your enthusiasm,” appears in the latest edition of the Milbank Quarterly. Burns and Pauly undertook an enormous task and executed it well. They first sought to explain the assumptions underlying Managed Care (MC) 2.0 – the proposals promoted by the managed care movement in the wake of the HMO backlash of the late 1990s. Then they evaluat...
Source: The Health Care Blog - April 16, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Health in 2 point 00, Episode 17
Today Jessica DaMassa asks me about the microbiome, the Dev4Health conference & whether there are more female CEOs than there used to be. All in 2 minutes, plus a bit more with me defending myself from Bruce Greenstein’s wisecracks–Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - April 16, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Health in 2 point 00 Jessica DaMassa Matthew Holt Dev4Health Female CEOs Microbiome Source Type: blogs

Vineti raises $33m, Amy DuRoss interview
By MATTHEW HOLT Any DuRoss is one of the more charming and remarkable characters in the health tech world. She lead the campaign for Proposition 71 in 2004 which funded and established the California Institute for Regenerative Medicine. Later on she was a key player at early genetics company Navigenics, and more recently after time at GE Ventures she founded Vineti, which today raised $33.4m in Series B funding. Vineti is a new kind of pharma supply chain company helping deliver gene therapy, but what does that mean? I asked Amy and she told me! (Source: The Health Care Blog)
Source: The Health Care Blog - April 16, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Health 2.0 The Business of Health Care Amy DuRoss Personalized Medicine Pharms supply chain Vineti Source Type: blogs

Science, Liability, Public Policy and the CTE “ Epidemic ”
By NYU SPORTS & SOCIETY Should young athletes be allowed to play tackle football? Are concussions and chronic traumatic encephalopathy (CTE) a public health problem or merely one associated with professional sports? Join experts in science, media, policy and administration at New York University, Wednesday April 18th, as they discuss whether our current understanding of head injuries and their pathology require immediate public action. Register Here Scientific Panel Does the science support recent legislative efforts to ban youth tackle football for athletes under age 12? Experts will present the current understanding...
Source: The Health Care Blog - April 15, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

The Art of Medicine: Taking a Military History
This article was prepared by the authors above in his/her personal capacity. The opinions expressed in this article are the author’s own and do not reflect the view of the Department of Veterans Affairs, VA Connecticut Healthcare System or the United States government. Title: The Forgotten Question: Taking a Military History Authors: Meredith Bertrand, NP1 Eugenia Betz, MD1,2 Alice Grant, NP1 Leila Haghighat, MD1,2 Janet Ku, NP1 Sumit R. Kumar, MD1,2 Mona Lalehzari, MD1,2 Benjamin Y. Lu, MD1,2 J. Nicholas Pumilia, MD1,2 Jonathan Stock, MD1,2 Anna Reisman, MD1,2,3 1.     VA Centers of Excellence in...
Source: The Health Care Blog - April 15, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

The Tapeworms are Coming for Direct Primary Care
By NIRAN AL-AGBA, MD When Amazon, Berkshire Hathaway, and JP Morgan (AmBerGan) announced their healthcare partnership, Berkshire CEO Warren Buffett declared “the ballooning costs of healthcare act as a hungry tapeworm on the American economy.”  He is right. Our broken system is infested with tapeworms. Tapeworms are parasites; they exploit their hosts, drain resources, and suck the life out of their prey. Unfortunately, Buffet failed to call attention to the tapeworms specifically –they are insurers, hospital conglomerates, pharmaceutical companies, and pharmacy benefit managers. As healthcare costs...
Source: The Health Care Blog - April 13, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

The Tapeworms are Hungry for Direct Primary Care
By NIRAN AL-AGBA, MD When Amazon, Berkshire Hathaway, and JP Morgan (AmBerGan) announced their healthcare partnership, Berkshire CEO Warren Buffett declared “the ballooning costs of healthcare act as a hungry tapeworm on the American economy.”  He is right. Our broken system is infested with tapeworms. Tapeworms are parasites; they exploit their hosts, drain resources, and suck the life out of their prey. Unfortunately, Buffet failed to call attention to the tapeworms specifically –they are insurers, hospital conglomerates, pharmaceutical companies, and pharmacy benefit managers. As healthcare costs ...
Source: The Health Care Blog - April 13, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Health in 2 point 00, Episode 16
Jessica DaMassa asks me about money in (Livongo) money out (Theranos), and how much is enough money for challenges (AMA & Google); all in this episode of #healthin2point 00–now on its own Youtube channel. Look for the weird 30 second extreme psoriasis I get in this video!–Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - April 13, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Uncategorized Source Type: blogs

WTF Health | Blockchain God Ted Tanner of PokitDok
By JESSICA DAMASSA THCB is thrilled to help launch a new interview series from Jessica DaMassa. It’s called WTF Health – ‘What’s the Future’ Health. Jessica is bringing you all some honest conversations about the future of health and how we love to hate WTF is wrong with it right now. Check out her first set of interviews from #HIMSS18 at www.wtf.health or stay tuned as she trots them out here. I’m leading off with one of my favorites, Ted Tanner, Blockchain GOD and CTO of PokitDok. Here’s why you should watch Ted talk blockchain: Best Part: On what blockchain does NOT do&hel...
Source: The Health Care Blog - April 12, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Jessica DaMassa WTF Health #HIMSS18 Blockchain DokChain HIMSS 2011 PokitDok Ted Tanner Source Type: blogs

Beyond The Hype Within AI and Machine Learning
SPONSORED POST By HEALTH 2.0         Artificial Intelligence and Machine Learning are very buzzy and in the storm of tweets and scandals it’s easy to use the terms interchangeably, as if they are synonyms. They’re not synonyms, but here’s a rule of thumb: All Machine Learning is AI, but not all AI is Machine Learning. Examples of Machine Learning in everyday life abound, and for all the attention aimed at the behemoth Facebook, and their epic fail of data protection and privacy, the benefits of Machine Learning generally outweigh the bad. Here we explore the opportunity within H...
Source: The Health Care Blog - April 12, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Featured Health 2.0 Source Type: blogs

Another Myth that Refuses to Die: As Medicare Goes, So Goes the Nation
By PAUL KECKLEY Medicare is a big deal in U.S. healthcare: no doubt. It’s the $683 billion federal program that provides insurance coverage to 59 million Americans, up 3 million from 2015. It covers 16% of the population and accounts for 20% of total health spending today. By 2020, it will cover 64 million and 81 million by 2030. Its beneficiaries are a complex population: One in six is disabled, two of three have at least 2 chronic ailments, half have an income less than two-times the federal poverty level ($26,200 in 2016), one in four has less than $15,000 in savings or retirement accounts, and the average enrolle...
Source: The Health Care Blog - April 11, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Health in 2 point 00, Episode 15
Jessica DaMassa asks me every question about health & technology she can fit into 2 minutes. Topics include Facebook looking for hospital data, the EU starting a VC fund, JP Morgan CEO Jamie Dimon blowing up the hype about ABC & the ACA under more assault. Jessica called this a “painful episode” but I thought it was rather good! BTW THCB will be featuring Jessica’s new video series WTF Health very soon so get prepped!–Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - April 11, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Health in 2 point 00 Jessica DaMassa Matthew Holt Uncategorized @Hin2point00 ABC ACA EU venture Facebook Jamie Dimon Source Type: blogs

Aetion raises $36m, Carolyn Magill interview
BY MATTHEW HOLT It’s not every day that an analytics firm focusing on improving the efficacy and value of drugs has a big raise in the health tech world–especially one I don’t know much about. This morning Aetion raised $36m to add onto $11m they raised last year. Their new round is led by famed venture firm NEA and includes Amgen Ventures. I spoke to CEO and part-time extreme skier Carolyn Magill to find out what Aetion does and why big pharma and major payers need their help in the brave new world of value-based care. (Source: The Health Care Blog)
Source: The Health Care Blog - April 11, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Matthew Holt The Business of Health Care Value-Based Care Aetion Amgen ventures Carolyn Magill Source Type: blogs

From EHR to Paper to EHR .. to Paper??
By HANS DUVEFELT, MD I can’t help myself from telling patients how things really work in health care. But I feel they have a right to know. When I see new patients their jaw usually drops when I sit down with them next to the computer with a stack of papers held together with a rubber band or a gigantic clamp and with yellow sticky notes protruding here and there with words like LAB, ER and X-RAY. Patients always assume that medical records transfer seamlessly between practices. They don’t, even between clinics that use the same EMR vendor. The stack of papers gets scanned in, as images or PDFs, but they don&rs...
Source: The Health Care Blog - April 10, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Fix the EHR!
By ROBERT WACHTER and JEFF GOLDSMITH After a blizzard of hype surrounding the electronic health record (EHR), health professionals are now in full backlash mode against this complex new tool. They are rightly seen as a major cause of professional burnout among physicians and nurses: Clinicians are spending almost half their professional time typing, clicking, and checking boxes on electronic records. They can and must be made into useful, easy-to-use tools that liberate, rather than oppress, clinicians. Performing several tasks, badly. The EHR is a lot more than merely an electronic version of the patient&rs...
Source: The Health Care Blog - April 7, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Making Electronic Health Records Great Again
By ROBERT WACHTER and JEFF GOLDSMITH After a blizzard of hype surrounding the electronic health record (EHR), health professionals are now in full backlash mode against this complex new tool. They are rightly seen as a major cause of professional burnout among physicians and nurses: Clinicians are spending almost half their professional time typing, clicking, and checking boxes on electronic records. They can and must be made into useful, easy-to-use tools that liberate, rather than oppress, clinicians. Performing several tasks, badly. The EHR is a lot more than merely an electronic version of the patient&rs...
Source: The Health Care Blog - April 7, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

We Should Use Both Medicare Advantage for All and Medicaid As A Package to Cover Everyone And We Should Do It Now
BY GEORGE HALVORSON A growing number of people want to set aside all of our current health care financing approaches as a country and set up Medicare For All as a Canadian like single payer system to cover every American and pay for our care. When we spend three trillion dollars a year on health care and still have thirty million people without insurance, the possibility of covering everyone using the most direct and simple approach has some obvious appeal. That Medicare for All approach being proposed to Congress today would be funded with a half dozen taxes that would include making income tax more progressive and inheri...
Source: The Health Care Blog - April 6, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized George Halvorson Medicaid Medicare Advantage for All Source Type: blogs

M édecins sans Hôpitaux (Doctors without Hospitals)
This study and others seem to show that “small is beautiful” with independent physician led ACOs apparently out performing ACOs on average. (https://catalyst.nejm.org/do-independent-physician-led-acos-have-a-future/ ) Physician Outsourcers such as Team Health, MedNax, AMN are for profit health service companies. They are not traditional healthcare providers and yet they organize tens of thousands of physicians. Team Health has 20,000 affiliated physicians and provides physicians for hospitals and health systems in several specialties especially emergency medicine, anesthesiology and hospital medicine. MedNax is...
Source: The Health Care Blog - April 5, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Health in 2 point 00, Episode 15
Jessica DaMassa asks me about digital health funding, Walmart and PillPack, Blockchain and my sweater — not in that order, but all in less than 2 minutes. Bonus–Farzad Mostashari’s bow tie makes a twitter appearance! — Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - April 5, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Health in 2 point 00 Matthew Holt Blockchain Humana Jessica DaMassa Pill Pack Rock Health Startup Health United Walmart Source Type: blogs

Splitting hairs with hypertension
By SAURABH JHA, MD   Intrigued by many things in my first few days in the U.S., what perplexed me the most was that there seemed to be a DaVita Dialysis wherever I went; in malls, in the mainstreet of West Philadelphia, near high rises and near lower rises. I felt that I was being ominously followed by nephrologists. How on earth could providers of renal replacement therapy have a similar spatial distribution as McDonalds? After reading Friedrich Hayek’s essay, Use of Knowledge in Society, I realized why. In stead of building a multiplex for dialysis, which has shops selling pulmonary edema-inducing fried chicke...
Source: The Health Care Blog - April 4, 2018 Category: Consumer Health News Authors: at RogueRad Tags: OP-ED Patients Value-Based Care Source Type: blogs

The Greatest Decision Trump Has Ever Made
By NIRAN AL AGBA, MD Dr. David Shulkin once gave me this advice, “stop whining and complaining and lead with solutions.” To the many frustrated physicians in this country, this critique is a fair one. I took his words to heart. Let me start by saying my husband served 20 years in the United States Army and is a proud Veteran. I think our veterans deserve better than Dr. David Shulkin. His ousting as VA Secretary by President Trump this past week is akin to “leading with solutions” from my perspective. Dr. Shulkin appears to have engaged in considerable double-speak throughout his 13-month tenure in ...
Source: The Health Care Blog - April 3, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Niran Al-Agba Shulkin VA Source Type: blogs

The Greatest Decision Trump Has Made
By NIRAN AL AGBA, MD Dr. David Shulkin once gave me this advice, “stop whining and complaining and lead with solutions.” To the many frustrated physicians in this country, this critique is a fair one. I took his words to heart. Let me start by saying my husband served 20 years in the United States Army and is a proud Veteran. I think our veterans deserve better than Dr. David Shulkin. His ousting as VA Secretary by President Trump this past week is akin to “leading with solutions” from my perspective. Dr. Shulkin appears to have engaged in considerable double-speak throughout his 13-month tenure in ...
Source: The Health Care Blog - April 3, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Niran Al-Agba Shulkin VA Source Type: blogs

Can Amazon, Chase, and Berkshire Help Medical Malpractice Victims?
By MINDY NUNEZ DUFFOURC A New Era of Amazon Healthcare Should Take a Cue From Germany to Provide Support for Medical Malpractice Victims Amazon, JP Morgan Chase, and Berkshire Hathaway recently announced plans to form a joint non-profit enterprise aimed at providing affordable, high-quality, transparent healthcare to hundreds of thousands of their U.S. employees. Although a healthcare venture departs from their prior expertise, the companies’ combined wealth, resources, and history of market innovation provide hope that this new alliance can reshape the delivery and cost of healthcare in the U.S. As Amazon and compan...
Source: The Health Care Blog - April 3, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Health in 2 point 00, Episode 14
For Episode 14, Jessica DaMassa asks me all the questions she can about health & technology in 2 minutes. On the docket today, Walmart & Humana, MyFitnessPal’s huge data breach, and Apple in health tech (again!)–Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - April 3, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Health in 2 point 00 Matthew Holt Apple Grindr Humana Jessica DaMassa MyFitnessPal Walmart Source Type: blogs

THCB Exclusive – Trump appoints Holt to run VA
By THCB STAFF Today Donald Trump pulled a big surprise. He changed the much criticized appointment for his new VA head from over-effusive physician Rear Adm. Ronny Jackson to well known lefty health blogger Matthew Holt. When asked why he wanted Holt to run the VA Trump said, “Look, I’m pretty smart and I’ve appointed now only the best people like John Bolton and Mike Pompeo to run our foreign policy. If I appoint someone else I like, how can I fire him quickly? That Holt guy seems to hate me, and he’s never stayed in one of my hotels, so he’s perfect for the VA–I hear that the accommoda...
Source: The Health Care Blog - April 1, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Matthew Holt THCB April Fools Trump VA Source Type: blogs

MyFitnessPal and the State of Data Privacy in America
By JASON CHUNG This week MyFitnessPal announced that it had suffered a massive security breach which exposed or compromised 150 million MyFitnessPal accounts. Data that is affected included usernames, email addresses and hashed passwords. Luckily for those affected, the company claims that the affected data did not include government-issued identifiers or payment card data. In some good news for MyFitnessPal users, the stolen passwords were encrypted. However, Under Armour continues to be vague about which percentage of the stolen data was protected by bcrypt, a secure algorithm employing key stretching, and what used SHA-...
Source: The Health Care Blog - March 31, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

HHS Conscience Rule Would Grant Providers Sweeping Rights to Deny Care
By DAVID INTROCASO In late January the Trump administration proposed a Department of Health and Human Services’ (DHHS) regulation that would legally protect any health care worker who refuses to provide care directly or indirectly to any individual by claiming a religious, moral or conscientious objection. While the federal government has for decades protected freedoms of conscience and religious exercise, the proposed would vastly expand these protections. No longer would these protections be applied to a very limited number of medical procedures. Think: abortion. Now, for example, a pediatrician could to provide ca...
Source: The Health Care Blog - March 30, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

How the VA Colon Cancer Screening Program Fails African-American Males
By BAILEY FITZGERALD, MD “It’s a terrible way to die” The oncology fellow told me bluntly as we walked to the room. “There is nothing okay about this.” Knocking on the open door, we entered his room. The blinds were raised to reveal a stunning view of the area surrounding the VA hospital, and light poured in. Our patient reclined in bed, his eyes closed although he was not asleep. He opened his eyes at the sound of our entrance, and the eyes seemed to bulge, too large for his shrunken face with wasted muscles. A plastic tube, taped to the bridge of his nose, entered his nostril and disappea...
Source: The Health Care Blog - March 29, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Health in 2 point 00, Episode 13
Jessica DaMassa asks Matthew Holt all the questions she can about health & technology in 2 minutes. Today’s firing of VA Secretary Shulkin dominated the conversation, but there was time for a quick word on Oscar Health and what its recent huge funding round meant–Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - March 29, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Health in 2 point 00 Matthew Holt Jessica DaMassa Oscar Health Shulkin VA Source Type: blogs

The Myth That Refuses to Die: All Health Care is Local
By PAUL KECKLEY In 1980, industry healthcare planners imagined a system where the centerpiece was a hospital in every community and a complement of physicians. Demand forecasting was fairly straightforward: based on the population’s growth and age, the need was 4 beds per thousand and 140 docs per 100,000, give or take a few. In 1996, the Dartmouth Center for the Evaluative Clinical Sciences published the Dartmouth Atlas on Health Care quantifying variability in the intensity of services provided Medicare enrollees in each U.S. zip code. They defined 306 hospital referral regions (HRRs) that remain today as the basis...
Source: The Health Care Blog - March 28, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Paul Keckley Source Type: blogs

What Parents of Athletes Should Know About Injuries and Abuse
By EMILY ANDERSON I’m not a parent. But I was once a gymnast. Now I teach at a medical school. As far as my own injuries, I consider myself lucky; I can walk through airport security without setting off any metal detectors. But I certainly have had my fair share of visits to the emergency department, the orthopedist, the chiropractor, and the physical therapist – as an adult and as a child, at times without a parent present. We heard so many powerful statements from young women at Larry Nassar’s sentencing hearings. As I read and listened to these women confront their abuser, I was empowered by statement...
Source: The Health Care Blog - March 28, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Making Progress Toward Healthier Pharma Markets
By MICHAEL J. ALKIRE Pharmaceuticals play a major role in today’s population health era – they can prevent and cure disease, improve or maintain wellness and slow progression of existing conditions. Yet, their promise can also be a curse if high prices limit patient access and bankrupt the healthcare providers and insurers bearing significant financial risk for patient care. The proactive new leadership at the FDA is promoting competitive markets by combatting the abuse of well-intentioned programs and market share monopolies. Commissioner Scott Gottlieb has ramped up the FDA’s efforts to prevent drug man...
Source: The Health Care Blog - March 27, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Health Savings Accounts: Are Lawmakers Being Target-ed or Amazon-ed?
By NIRAN AL AGBA, MD Health Savings Accounts (HSAs) allow individuals to use pre-tax dollars to pay for high deductibles and other uncovered medical expenses. Currently, individuals are ineligible for tax-advantaged HSA contributions if they have “other” coverage in addition to a High Deductible Health Plan (HDHP.) Expanding HSAs to fund out-of-pocket expenses for routine healthcare places control directly in the hands of patients, a move that could bring down health expenditures. Large corporations are wrestling for control to direct where patients spend their hard-earned money. A group of lawmakers recently i...
Source: The Health Care Blog - March 26, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Health in 2 point 00 — Episode 12
Jessica DaMassa asks me about the AMA & digital snake oil, Israel investing in Digital Health, and the budget impact on CSRs & Obamacare in today’s edition of Health in 2 point 00 — Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - March 26, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Health in 2 point 00 Matthew Holt #jessicadamassa CSRs digital health Israel Obamacare Source Type: blogs

Making Employee Wellbeing the Top Leadership Priority
By JIM PURCELL It starts with the CEO. Studies confirm that the single most important determinant of successful workplace wellbeing programs is the active, passionate, and persistent involvement of the CEO. The CEO is taken very seriously.  When the CEO wants something, people notice.  When the CEO is passionate about something, it gets elevated to extreme importance.  The sort of paradigm and cultural change needed to create a culture of employee wellbeing simply cannot occur without the full, passionate, focused, and persistent involvement of the CEO.  I was a CEO, and one has to have been one to unde...
Source: The Health Care Blog - March 26, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Jim Purcell Source Type: blogs

Artificial Intelligence and Deep Learning For the Extremely Confused
By STEPHEN BORSTELMANN, MD Artificial Intelligence is at peak buzzword: it elicits either the euphoria of a technological paradise with anthropomorphic robots to tidy up after us, or fears of hostile machines breaking the human spirit in a world without hope. Both are fiction. The Artificial Intelligences of our reality are those of Machine Learning and Deep Learning. Let’s make it simple: both are AI – but not the AI of fiction. Instead, these are limited intelligences capable of only the task they are created for: “weak” or “narrow” AI. Machine Learning is essentially applied Statisti...
Source: The Health Care Blog - March 23, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

The Future of Value-Based Care Relies Upon Providers: Taking the Reins on Alternative Payment Models
By CHUCK SAUNDERS and NEAL SHORE, MD 2017 was a pivotal year for the growth of value-based care. For many practices, this meant completing their first performance year as part of the Merit-Based Incentive Payment System (MIPS). A much smaller percentage of practices was able to participate in approved advanced Alternative Payment Models (APMs). While practices await feedback on their 2017 performance, early lessons have already become evident. Clearly, as practices are assigned greater responsibility and accountability for patient populations, it becomes increasingly important that they effectively navigate the reimburseme...
Source: The Health Care Blog - March 23, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

A GIS-based Transport Network for Emergency Referral in Bangladesh
By FARASHA BASHIR Access to basic healthcare services is a cardinal human right, enshrined in the World Health Organization’s Constitution, which envisions the “highest attainable standard of health as a fundamental right of every human being”. Comprehensive, quality healthcare services are critical not only for treatment, but also prevention and management of illnesses which culminates in reducing unnecessary death and injuries and increasing overall life expectancy. Globally, millions of people face challenges accessing adequate healthcare services, with those living in rural settings the most affected...
Source: The Health Care Blog - March 22, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Bad Medicine: Medicaid Managed Drug Plan Rollback
By DEVON HERRICK Many states have been looking for alternatives to reimbursing Medicaid providers piecemeal on a fee-for-service (FFS) basis. Increasingly they have been moving beneficiaries into Medicaid managed care plans. Today 39 states contract with managed care organizations to care for at least some Medicaid beneficiaries. States have been slower to integrate drug benefits with managed care, however. The Medicaid Drug Rebate Program requires drug manufacturers to rebate a portion of the drug costs to states and the federal government. Prior to the Affordable Care Act states did not qualify for drug maker rebates unl...
Source: The Health Care Blog - March 22, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Health in 2 point 00, Episode 11
Today’s episode (we’re going 2 a week for a while here!) in which Jessica DaMassa asks me about Salesforce & Mulesoft, the VA & its API, implication of Cambridge Analytica & Facebook’s scandal, & the Trump Administration’s response in the opiate crisis, all in 2 minutes Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - March 22, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Health in 2 point 00 Matthew Holt Source Type: blogs

The Barbershop Study: How an Unorthodox Study on Black Men ’ s Health Brought Down the House and Where It Went Wrong
By ANISH KOKA, MD The study that changed everything was published last week.  An alien visiting the national cardiology meeting in Orlando may have thought that the trial of note was the one that featured the culmination of one hundred years of lipid research to develop an inhibitor of the enzyme PCSK9 (Proprotein convertase subtilisin/kexin type 9) that lowers lipids and reduces the risk of future heart attacks. The Martian would be wrong. The trial that has cardiologists across the land choking back tears is a hypertension study done in black barbershops.  The idea is fairly simple.  Black men have th...
Source: The Health Care Blog - March 21, 2018 Category: Consumer Health News Authors: anish_koka Tags: Uncategorized Source Type: blogs

The Barbershop Study: How an Unorthodox Study on Black Men ’ s Health Brought Down the House
By ANISH KOKA, MD The study that changed everything was published last week.  An alien visiting the national cardiology meeting in Orlando may have thought that the trial of note was the one that featured the culmination of one hundred years of lipid research to develop an inhibitor of the enzyme PCSK9 (Proprotein convertase subtilisin/kexin type 9) that lowers lipids and reduces the risk of future heart attacks. The Martian would be wrong. The trial that has cardiologists across the land choking back tears is a hypertension study done in black barbershops.  The idea is fairly simple.  Black men have th...
Source: The Health Care Blog - March 21, 2018 Category: Consumer Health News Authors: anish_koka Tags: Uncategorized Source Type: blogs

ACA Market Stabilization Push Is On But Success Is Uncertain
By STEVEN FINDLAY A critical test in Congress comes this week in year 2 of the ACA wars. Will lawmakers do the right thing? It’s up in the air—again. Congress has until this Friday at midnight to pass a budget bill to fund the government through Sept. 30.   That bill is widely considered to be the last “must-pass” legislation before the mid-term elections. As such, it’s probably the last chance lawmakers will have to enact measures aimed at stabilizing the ACA marketplaces for 2019.   Health plans start pulling their bids together in May and June and the deadline for final ...
Source: The Health Care Blog - March 21, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs