Part II | MedPAC ’s Proposed “Reforms” Should Be Tested Before They’re Implemented: CMS’s Hospital Readmissions Reduction Program Is Exhibit A
Conclusions reached by Gupta et al. and MedPAC In November of 2017 Ankur Gupta and 10 other experts in cardiovascular medicine published an article in JAMA Cardiology entitled, “Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure.” The authors were affiliated with well-known universities, and three of them were also editors of JAMA Cardiology [4]. Their research was financed by grants from the NIH and Get With the Guidelines-Heart Failure (GWTG-HF), a “voluntary quality improvement program” sponsored by the Amer...
Source: The Health Care Blog - December 7, 2018 Category: Consumer Health News Authors: matthew holt Tags: Medicare Politics CMS Congress hospital readmissions HRRP Kip Sullivan MedPAC P4P Pay for Performance Source Type: blogs

MedPAC ’s Proposed “Reforms” Should Be Tested Before They’re Implemented: CMS’s Hospital Readmissions Reduction Program Is Exhibit A | Part II
Conclusions reached by Gupta et al. and MedPAC In November of 2017 Ankur Gupta and 10 other experts in cardiovascular medicine published an article in JAMA Cardiology entitled, “Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure.” The authors were affiliated with well-known universities, and three of them were also editors of JAMA Cardiology [4]. Their research was financed by grants from the NIH and Get With the Guidelines-Heart Failure (GWTG-HF), a “voluntary quality improvement program” sponsored by the Amer...
Source: The Health Care Blog - December 7, 2018 Category: Consumer Health News Authors: matthew holt Tags: Medicare Politics CMS Congress hospital readmissions HRRP Kip Sullivan MedPAC P4P Pay for Performance Source Type: blogs

Health in 2 Point 00, Episode 61
On Episode 61 of Health in 2 Point 00, Jess and I are still in Tokyo—but this time we’re reporting from a famous whiskey bar. In this episode, Jess asks me about the most important takeaways from Health 2.0 Asia-Japan and the growing health tech market there. We also have two special guest stars today: Yuuri Ueda, the director of Health 2.0 Asia-Japan, tells us how loosening government regulations are opening up opportunities for more and more startups to break into telemedicine, and Fred Trotter explains how Japanese startups can learn from the U.S. in terms of data security and privacy. All this in (exactly) ...
Source: The Health Care Blog - December 7, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health 2.0 Health in 2 point 00 Jessica DaMassa Matthew Holt Data Security Fred Trotter Health 2.0 Asia-Japan Telemedicine Source Type: blogs

MedPAC ’s Proposed “Reforms” Should Be Tested Before They’re Implemented: CMS’s Hospital Readmissions Reduction Program Is Exhibit A
This report card is grossly inaccurate even though it relies on medical records data as well as claims data.) By the late 1990s, conventional wisdom among health policy “thought leaders” had elevated readmission rates to the same status as mortality rates – it was a legitimate quality measure that could be safely administered to thousands of hospitals and millions of patients. However, the conventional wisdom remained unproven by the early 2000s, and remains unproven to this day. “[T]he link between early readmission and quality of care is still uncertain,” is how five experts put it in a 2004...
Source: The Health Care Blog - December 6, 2018 Category: Consumer Health News Authors: matthew holt Tags: Medicare Politics ACA Affordable Care Act CHIP CMS Congress hospital readmissions Kip Sullivan MACRA MedPAC P4P Pay for Performance Source Type: blogs

Iowa Race Questions Logic of Significance of Health Policy Debate
By AMY LONG and JOE MOLLOY  According to the Democrats, their success across the country in the midterm elections has largely been due to the party running on healthcare. Indeed, surveys such as the one conducted by Health Research Incorporated indicated that health was the number one concern for voters during the midterms. In the three states where Medicaid expansion was on the ballot, voters were in favor of it. We’ve been wondering about that, so we took a look at how Iowa voted. It’s one thing for voters to support healthcare on its own. It’s another for an issue to outweigh all others. Did h...
Source: The Health Care Blog - December 5, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Politics Iowa Midterm Elections Toothpic Trump Source Type: blogs

Health in 2 Point 00, Episode 60
Today on Health in 2 Point 00, Jess and I report from a hedgehog cafe in Tokyo. In this episode, Jess asks me about Bright Health’s $200 million raise and the significance of Amazon’s new EMR product. We also talk about Health 2.0 Asia-Japan, which is happening right now (December 4-5) in Tokyo, showing us the health care market outside of the U.S. Look forward to hearing from some great speakers at the conference, including John Bass from Hashed Health on blockchain, Fred Trotter on security, David Ewing Duncan on the new wellness and personalized medicine, and Adam Pellegrini from Fitbit. And, of co...
Source: The Health Care Blog - December 4, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health in 2 point 00 Jessica DaMassa Matthew Holt Amazon Blockchain Bright Health Health 2.0 Personalized Medicine Wellness Source Type: blogs

Integrating in Health Care: 6 Tools for Working Across Boundaries
By REBECCA FOGG  Today’s health care providers face the formidable challenge of delivering better, more affordable and more convenient care in the face of spiraling care costs and an epidemic of chronic disease. But the most innovative among them are making encouraging progress by “integrating”—which in this context means working across traditional boundaries between patients and clinicians, health care specialties, care sites and sectors. The impulse to do so is shrewd, according to our innovation research in sectors from computer manufacturing to education. We’ve found that when a produ...
Source: The Health Care Blog - December 4, 2018 Category: Consumer Health News Authors: matthew holt Tags: Hospitals Physicians collaboration health innovation Health Tech Integration Iora Health Kaiser Permanente Oak Street Health partnerships Rebecca Fogg Source Type: blogs

The Reality of Bush I on Health Care and Its Lessons for Today
By MICHAEL L. MILLENSON  Former President George H.W. Bush may have been every inch the caring individual portrayed in the eulogies of those who knew him, but when it came to health care reform, two words characterized his attitude: Don’t care. However, compared to Congressional Republicans, Bush was a profile in conservative courage – a lesson with unfortunate parallels to now. I covered health policy as a reporter for the Chicago Tribune during the Bush years. One strong memory, confirmed by checking original sources, was the presidential debate on Sept. 25, 1988 between Bush and his Democratic challenge...
Source: The Health Care Blog - December 3, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Politics George HW Bush Michael Millenson Source Type: blogs

Many Ways of Skinning a Statistical Cat
By SAURABH JHA MD  In this episode of Firing Line, Saurabh Jha (aka @RogueRad), has a conversation with Professor Brian Nosek, a metaresearcher and co-founder of Center for Open Science. They discuss the implications of this study, which showed that there was a range of analytical methods when interrogating the database to answer a specific hypothesis: are soccer referees more likely to give red cards to dark skinned players? What is the significance of the variation? Does the variation in analysis explain the replication crisis? Listen to our conversation at Radiology Firing Line Podcast. (Source: The Health Care Blog)
Source: The Health Care Blog - November 30, 2018 Category: Consumer Health News Authors: matthew holt Tags: Data Radiology Firing Line Podcasts data analysis Saurabh Jha Source Type: blogs

Consumers are Dishing On Healthcare Experiences —Be Part of the Conversation
By KARYN MULLINS  Consumers aren’t taking their healthcare providers’ words for it anymore. They’re taking charge and leading a digital revolution where individuals have the power to make their own educated decisions about care. According to the Healthcare Consumer Insight & Digital Engagement report by Binary Fountain, a leading online reputation management platform, 51 percent of people who have a physician share their personal healthcare experiences via online ratings, review sites and social media. Once shared, this information is immediately available to the entire world with just the c...
Source: The Health Care Blog - November 29, 2018 Category: Consumer Health News Authors: matthew holt Tags: Patients The Business of Health Care health consumers Karyn Mullins medical sales patient experiences Source Type: blogs

EMRs, APIs, App stores & all that: More data
Conclusion At Health 2.0 we’ve been trying to shine a light on this topic for some time, and the good folks at SMART on FHIR (the Mandel/Mandl twins, Zak Kohane et al) and the Argonaut/FHIR/CARIN crowd (Graeme Grieve, Aneesh Chopra & a cast of hundreds), have all been banging the drum as well as laying down great work for several years. And yet it’s health tech, so slow incremental progress is probably what we should expect. The state of play is that the big vendors are all now awake to the issue, but there’s lots to sort out before access to data and integration into APIs becomes as automatic as we s...
Source: The Health Care Blog - November 28, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health 2.0 Matthew Holt Allscripts API athenahealth Cerner EMR Epic health technology Source Type: blogs

Saying No to the Drug Crisis
By BRIAN KLEPPER In a recent essay, VIVIO Health’s CEO Pramod John guides us through four sensible drug policy changes and supporting rationales that could make drug pricing much fairer. Reading through it, one is struck by the magnitude of the drug manufacturing industry’s influence over policy, profoundly benefiting that sector at the deep expense of American purchasers. As Mr. John points out, the U.S. has the world’s only unregulated market for drug pricing. We have created a safe harbor provision that allows and protects unnecessary intermediaries like pharmacy benefit managers. We have created mecha...
Source: The Health Care Blog - November 27, 2018 Category: Consumer Health News Authors: matthew holt Tags: Pharmaceuticals Politics Brian Klepper drug prices Pfizer Source Type: blogs

Health Care-Related Public-Private Partnerships Will Likely Become the Norm in 2019
The objective was to test the possibility of having a private partner assume responsibility for supervision of the $203 million, 300,000-square-foot outpatient facility and the $318 million, 169-bed inpatient facility. The deadline for submitting proposals is Dec. 3. Earlier this year, Penn State Health announced plans to build a new health care facility in Cumberland County, which is the fastest-growing county in Pennsylvania. The project is planned as a 300,000-square-foot, three-story building with construction to begin in early 2019. This facility will have a 108-bed acute care hospital. Collaborative joint ventures ar...
Source: The Health Care Blog - November 26, 2018 Category: Consumer Health News Authors: matthew holt Tags: Hospitals The Business of Health Care health care partnerships health innovation health spending Mary Scott Nabers P3 public-private partnerships U.S. health spending Source Type: blogs

Young People Need To Turn Out For Their Health
By MERCEDES CARNETHON  Last week, we saw historic turnout at the polls for midterm elections with over 114 million ballots cast.  One noteworthy observation regarding voter turnout is record rates of participation by younger voters aged between 18 to 29 years old.  Around 31 percent of people aged 18 to 29 voted in the midterms this year, an increase from 21 percent in 2014, according to a day-after exit poll by Tufts University. Surely their political engagement counters the criticism that millennials are disengaged and disconnected with society and demonstrates that millennials are fully engaged when issue...
Source: The Health Care Blog - November 23, 2018 Category: Consumer Health News Authors: matthew holt Tags: Politics Research clinical studies Diabetes heart disease Mercedes Carnethon Obesity voter turnout young adults Source Type: blogs

Health in 2 Point 00 Episode 59
Today on Health in 2 Point 00, Jess interviews me all the way from London. In this episode, she asks me about Google, who hired Geisinger CEO David Feinberg to lead its health care initiatives, Driver, a startup which ran out of money just weeks after their launch, and HealthifyMe, which has recently raised $6 million. Jess also tells me about her recent trip to Berlin for Frontiers Health. Apparently, there’s a lot that the U.S. can learn from European startups, which have mastered regulatory and really understand how to plug what they’ve got right into pharma. Next, we’re headed to Tokyo...
Source: The Health Care Blog - November 21, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health in 2 point 00 Jessica DaMassa Matthew Holt digital therapeutics Driver Geisinger Google Health Tech pharmaceuticals regulatory Startups Source Type: blogs

How to Become an Empowered Patient | ePatient Dave de Bronkart
By JESSICA DaMASSA, WTF Health “When doctors today say patients should stay off the Internet, I know they’re wrong.” — ePatient Dave de Bronkart Dave de Bronkart (aka ePatient Dave) credits online communities of other patients – and access to clinical research he found on his stage 4 cancer diagnosis – to saving his life more than a decade ago. Fast forward, and this patient advocate has taken his mantra, “Let Patients Help,” to the TedTalk stage and beyond. As health care continues to shift its focus from ‘patients’ to ‘consumers,’ how can we all...
Source: The Health Care Blog - November 21, 2018 Category: Consumer Health News Authors: matthew holt Tags: Jessica DaMassa Patients WTF Health Dave de Brokart ePatient Dave ePatients patient advocate patient data Source Type: blogs

The Burning Question: Who Will Foot the Bill for America ’s Increasing Burn-Care Costs?
By CELIA BELT  Each year in the United States, half a million Americans will be treated for burns so severe as to require hospitalization. The “survivors”—including more than three hundred children each day and a drastically increasing number of U.S. military members since the turn of the millennium—can be expected to undergo arduous, agonizing surgeries and painful rehabilitation lasting for years. The emotional and physical trauma of these fellow citizens is not a pretty picture, nor is it an inexpensive one. According to estimates, patients with severe burns with no complications c...
Source: The Health Care Blog - November 20, 2018 Category: Consumer Health News Authors: matthew holt Tags: Patients burn victims burns Celia Belt hospital bills non-profits Source Type: blogs

The MSSP Is No Silver Bullet for Healthcare Cost Control
But ACOs could pave the way for more significant cost-cutting based on competition. By KEN TERRY The Medicare Shared Savings Program (MSSP), it was revealed recently, achieved a net savings of $314 million in 2017. Although laudable, this victory represents a rounding error on what Medicare spent in 2017 and is far less than the growth in Medicare spending for that year. It also follows two years of net losses for the MSSP, so it’s clearly way too soon for anyone to claim that the program is a success. The same is true of accountable care organizations (ACOs). About a third of the 472 ACOs in the MSSP received a tota...
Source: The Health Care Blog - November 19, 2018 Category: Consumer Health News Authors: matthew holt Tags: Economics Health Policy Medicare Accountable Care Organizations Hospitals Ken Terry Medicare Shared Savings Program Physicians Source Type: blogs

AI Doesn ’ t Ask Why — But Physicians And Drug Developers Want To Know
We describe phenomena using science, which gives us a sense of understanding and structure – yet we often lack actual understanding about what we’re observing, or why our treatments work. We have scientific explanations that may appear solid at first glance, but are flimsy upon closer inspection. More commonly, I imagine, we rely on scientific explanations as heuristics to enable us to get through our days, as a scaffold upon which to organize our information. I suspect AI is viscerally uncomfortable, and challenging to apply to clinical care or drug discovery (see part 2), because of the psychological importan...
Source: The Health Care Blog - November 16, 2018 Category: Consumer Health News Authors: matthew holt Tags: Artificial Intelligence Pharmaceuticals Physicians AI David Shaywitz Health Tech Source Type: blogs

Mrs. Verma Goes to Washington
By ANISH KOKA MD  Seema Verma, the Trump appointee who runs Medicare, has had an active week. The problem facing much-beloved Medicare is one that faces every other government-funded healthcare extravaganza: it’s always projected to be running out of money. Medicare makes up 15% of the total federal budget. That’s almost $600 billion dollars out of a total federal outlay of $4 Trillion dollars. The only problem here is that revenues are around $3.6 trillion. We are spending money we don’t have, and thus there there is constant pressure to reduce federal outlays. This is a feat that appears to be legi...
Source: The Health Care Blog - November 15, 2018 Category: Consumer Health News Authors: anish_koka Tags: Health Policy Hospitals Medicare Physicians Anish Koka Government Health care spending Source Type: blogs

Health in 2 Point 00 Episode 58
Today on Episode 58 of Health in 2 Point 00, Jess and I have more to share from Exponential Medicine, but this time we’re at the Health Innovation Lab checking out all of the startups. In this episode, Jess and I talk to Meghan Conroy from CaptureProof about decoupling medical care from time and location, Care Angel‘s Wolf Shlagman about the world’s first AI and voice powered virtual nursing assistant, and highlight Humm’s brain band which improves working memory, concentration, and visual attention. We leave you with some parting words from Godfrey Nazareth: “Let’s set the world on...
Source: The Health Care Blog - November 14, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health in 2 point 00 Jessica DaMassa Matthew Holt AI Captureproof Care Angel Exponential Medicine health innovation Humm Nursing Startups Voice XMed Source Type: blogs

Health Plan Innovation Gets a ‘ New Look ’ | AHIP ’ s CEO Matt Eyles
By JESSICA DaMASSA, WTF Health “I don’t know that what they’re doing is going to be as transformative as maybe the potential of it is – and it’s going to take time. I don’t know that they’re going to ‘all-of-a-sudden’ leap frog over all the things that health plans have been doing for decades. I think they’re going to learn that this is really complicated stuff…”  Health plan innovation got a makeover this year. What used to look like value-based care models and telehealth visits has transformed. Health plan innovation is sexier – with big-...
Source: The Health Care Blog - November 14, 2018 Category: Consumer Health News Authors: matthew holt Tags: Aetna-CVS Jessica DaMassa WTF Health AHIP CVS-Aetna Health insurance health plan health plan innovation Matt Eyles Source Type: blogs

A Conversation About the Dangers of Overhydration with Professor Timothy Noakes
By SAURABH JHA MD Professor Timothy Noakes, a South African exercise scientist and emeritus professor at the University of Cape Town who has run over 70 ultramarathons, speaks to me about the dangers of overhydration in endurance sports. Listen to our conversation at Radiology Firing Line Podcast. Saurabh Jha is a contributing editor to 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 - November 13, 2018 Category: Consumer Health News Authors: matthew holt Tags: Patients Physicians Uncategorized exercise hydration marathons overhydration Radiology Firing Line running Saurabh Jha spots Water water intoxication Source Type: blogs

The Internet of Medical Things Gold Rush (And My Grandfather ’ s Wooden Leg)
By MICHAEL MILLENSON  The most intriguing aspect of the recent Connected Health Conference was the eclectic mix of corporations claiming cutting-edge expertise in the Internet of Medical Things (IoMT). HP, a legend in computer hardware, was touting a service that scoops data from Web-enabled home devices such as bathroom scales up into the cloud and then manages the information on behalf of your doctor. This presumably fulfills their corporate vow to “engineer experiences that amaze.” Verizon, not content with deploying its cable TV clout to “deliver the promise of the digita...
Source: The Health Care Blog - November 12, 2018 Category: Consumer Health News Authors: matthew holt Tags: Tech AT&T Deloitte Google Hanger Health Tech HP internet of medical things Michael Millenson prosthetic Verizon Source Type: blogs

Looking back at the RWJF Challenges
SPONSORED POST By JOHN EL-MARAGHY Catalyst is proud to stay at the top of innovation, commercialization, and impact — and that includes updating our means of communication. You all know and read about the amazing challenges the Robert Wood Johnson Foundation posed to address issues in substance misuse and artificial intelligence, so now hear about it in the words of healthcare gurus Matthew Holt and Indu Subaiya as they interview our six champions! RWJF Opioid Challenge: Grand Prize Sober Grid is a social network designed to support, assist, and educate those suffering from all kinds of addiction. The Sober...
Source: The Health Care Blog - November 9, 2018 Category: Consumer Health News Authors: John El-Maraghy Tags: Artificial Intelligence Catalyst @ Health 2.0 challenges Health 2.0 Fall Conference Source Type: blogs

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Source: The Health Care Blog - November 9, 2018 Category: Consumer Health News Authors: matthew holt Tags: Uncategorized Source Type: blogs

Last Month in Oncology with Dr. Bishal Gyawali
By BISHAL GYAWALI MD Me-too deja vu I read the report of a phase 3 RCT of a “new” breast cancer drug but I had the feeling that I had already read this before. Later I realized that this was indeed a new trial of a new drug, but that I had read a very similar report of a very similar drug with very similar results and conclusions. This new drug is a PARP inhibitor called talazoparib and the deja vu was related to another PARP inhibitor drug called olaparib tested in the same patient population of advanced breast cancer patients with a BRCA mutation. The control arms were the same: physician ...
Source: The Health Care Blog - November 8, 2018 Category: Consumer Health News Authors: matthew holt Tags: Drug Discovery Pharmaceuticals Bishal Gyawali Cancer immunotherapy Oncology Source Type: blogs

Health in 2 Point 00 Episode 57
On Episode 57 of Health in 2 Point 00, Jess and I report from Exponential Medicine. In this episode, Jess and I talk about digital surgery and how Shafi Ahmed and Stefano Bini are transforming surgical training. She also asks me about my favorite session, one by Anita Ravi on health care for those who have been sex trafficked. Other highlights include ePatient Dave’s talk about access to data for patients and letting patients help, and Leerom Segal’s overview of why voice matters- Matthew Holt (Source: The Health Care Blog)
Source: The Health Care Blog - November 7, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health in 2 point 00 Jessica DaMassa Matthew Holt AI digital surgery Exponential Medicine XMed Source Type: blogs

The IPCC Confirms Life As We Know It Will Soon Cease to Exist
By DAVID INTROCASO PhD THCB readers may recall last year in early June when the Trump administration announced it would withdraw from the 2015 Paris climate accord, and earlier this January when the World Economic Forum met to discuss its global risk report. The report included the chapter, “Our Planet on the Brink,” which I discussed (here and here) with respect to the health care industry’s indifference to global warming. (See also my related 3 Quarks Daily essay.) Now comes the United Nation’s Intergovernmental Panel on Climate and Change’s (IPCC’s ) latest report. Once again, overwhe...
Source: The Health Care Blog - November 6, 2018 Category: Consumer Health News Authors: matthew holt Tags: Politics Uncategorized Climate Change David Introcaso Global Warming IPCC Source Type: blogs

2018 Midterms: The Year of the Female Physician
By NIRAN AL-AGBA MD  While women make up more than half of the U.S. population, an imbalance remains between who we are as a nation and who represents us in Congress. The gender disparity is no different for physicians: more than one third of doctors in the U.S. are women, yet 100 percent of physicians in Congress are men. To date, there have only been two female physicians elected to Congress. However, in the coming midterm election, there are six races with a chance at making history. It’s these battles which could make 2018 “The Year of the Female Physician.” I remember being a first-time voter in...
Source: The Health Care Blog - November 5, 2018 Category: Consumer Health News Authors: matthew holt Tags: Physicians Politics Midterm Elections Niran Al-Agba Women Source Type: blogs

The Case for Open Innovation in Health | Sara Holoubek of Luminary Labs
By JESSICA DaMASSA, WTF Health “Most large healthcare companies will have numerous teams – innovation teams, maybe a venture fund, business units – all doing different things,” says Sara Holoubek, CEO of Luminary Labs, a consultancy known in healthcare for its expertise staging open innovation challenges. “How much more powerful would it be if everyone agreed on a common investment thesis? ‘We know our business model is changing and, therefore, where is our big bet?’” The ‘big bet’ is not always easy for stakeholders in healthcare companies to agree on. Hence, Sar...
Source: The Health Care Blog - November 5, 2018 Category: Consumer Health News Authors: matthew holt Tags: Jessica DaMassa WTF Health health innovation Luminary Labs Open innovation Sara Holoubek Source Type: blogs

Exponential Medicine
By MATTHEW HOLT After only maybe 5 years when I’ve been away running a conflicting conference in some other part of the world I finally get to go to Exponential Medicine the next 4 days. I met Daniel Kraft way back before he was famous, and his conference grew from being a week long academic session in an airline hangar in Mountain View to being a mega 4 day bash at the Hotel Del Coronado in San Diego (partly aided by TEDMED abandoning the venue and heading off in its own strange direction post billionaire buyout–well done Mark Hodash despite the lawsuit and yes I am jealous!). Anyway, it’s going to be l...
Source: The Health Care Blog - November 4, 2018 Category: Consumer Health News Authors: matthew holt Tags: Matthew Holt Daniel Kraft Exponential Medicine XMed Source Type: blogs

Health in 2 Point 00 Episode 56
On Episode 56 of Health in 2 Point 00, Jess and I report from Livongo’s new office in San Francisco. In this episode, Jess asks me about Carrot Health’s $25 million raise for their digital smoking cessation program and 98point6’s $50 million raise for their on-demand primary care app. We also have our special guest star Dr. Jennifer Schneider here to tell us about how Livongo is working to Silence Noisy Healthcare with Applied Health Signals- Matthew Holt   (Source: The Health Care Blog)
Source: The Health Care Blog - November 2, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health in 2 point 00 Jessica DaMassa Matthew Holt 98point6 carrot health health care startups Livongo Silence Noisy Healthcare Application Source Type: blogs

We Know We Have to Address the Social Determinants of Health. Now What?
By REBECCA FOGG In the run-up up to this month’s mid-term elections, health care appears to be just one of many burning political issues that will be influencing Americans’ votes. But delve into nearly any issue—the economy, the environment, immigration, civil rights, gun control—and you’ll find circumstances and events influencing human health, often resulting in profound physical, emotional and financial distress. Evidence suggests that separating immigrant children from their families could cause lasting emotional trauma. Gun violence and adverse weather events destroy lives and property, a...
Source: The Health Care Blog - November 1, 2018 Category: Consumer Health News Authors: matthew holt Tags: The Business of Health Care Value-Based Care fee for service model social determinants Source Type: blogs

Life-Saving Data That Is Nowhere To Be Found: Hospitals ’ C-section Rates
By DANI BRADLEY, MS, MPH  The United States is the only developed nation in the world with a steadily increasing maternal mortality rate — and C-sections are to blame. Nearly 32% of babies are born via C-section in the United States, a rate of double or almost triple what the World Health Organization recommends. While C-sections are an incredibly important life-saving intervention when vaginal delivery is too dangerous, they are not devoid of risks for mom or for baby. Hospitals and doctors alike are aware, as it’s been widely reported that unnecessary C-sections are dangerous — and hospitals and do...
Source: The Health Care Blog - October 31, 2018 Category: Consumer Health News Authors: matthew holt Tags: Data Hospitals Patients maternal health Pregnancy Tech Source Type: blogs

Facts, Conclusions, and More Questions on the Road to Solving Disparities
By SCOTT COOK, PhD We tested whether new payment mechanisms could be harnessed in health care delivery reform to reduce health and health care disparities. Here’s what we found. First, there were facts that couldn’t be ignored: #1: Children in rural Oregon on Medicaid suffered more health-related dental challenges compared to children with private insurance, including the pain, systemic health problems and disruptions to education that come with them. Advantage Dental, the state’s largest provider of Medicaid services, was determined to do something about it. #2: New mothers on Medicaid in a New York City...
Source: The Health Care Blog - October 30, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health disparities Medicaid Uncategorized health care delivery reform health care disparities Health care payment reform Source Type: blogs

Silencing Noisy Health Care?
By MATTHEW HOLT As you’ve probably heard (enough!) from me and Indu Subaiya over recent months on video, at Health 2.0 or here on THCB, we are finally arriving at the point where health care tech is “flipping the stack” — where we realize that we can’t practice the old way, and instead need to move the care of the chronically ill to an always on, always monitoring, always measuring, always messaging tech platform. But we need to figure out a way to both create that platform and the services for the people who need help–without overwhelming them. Too often we are putting too much technolo...
Source: The Health Care Blog - October 30, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health 2.0 Matthew Holt Tech Livongo Tech platforms Source Type: blogs

All Health Policy Is Local: The Case of the Individual Mandate Penalty in New York
By CHRISTINE EIBNER, SARAH NOWAK, PREETHI RAO Sarah Nowak Preethi Rao Christine Eibner Although signed into law in 2010, the Affordable Care Act has been in constant flux, with key aspects changing due to time-dependent provisions, Supreme Court decisions and shifts in U.S. policy. The effects of changes to the ACA on health insurance enrollment and premiums often depend on state regulatory decisions and other state-specific factors. The elimination of the individual mandate penalty is a prime example of this when applied to New York state, which has unusual rules in its individual insurance market. In 2019, consumers will...
Source: The Health Care Blog - October 29, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Politics ACA New York Health Care Source Type: blogs

Hospitals Can and Should Support Employees Who Are Victims of Domestic Violence: Here ’s How
By PATRICK HORINE Every October we recognize Domestic Violence Awareness Month, an important opportunity to discuss this widespread social and public health problem and to take stock of what we can do better to protect victims of domestic abuse. Unfortunately, the data shows us that health care is often a dangerous profession that is also rife with domestic abuse. Earlier this month a new poll of ER physicians revealed nearly half report having been physically assaulted at work (largely by patients and/or visitors in the ER). However, other data shows us that individuals in the health ca...
Source: The Health Care Blog - October 26, 2018 Category: Consumer Health News Authors: matthew holt Tags: Domestic Violence Patients Physicians domestic violence awareness Hospitals workforce; Source Type: blogs

The Futility of Patient Matching
By ADRIAN GROPPER, MD The original sin of health records interoperability was the loss of consent in HIPAA. In 2000, when HIPAA (Health Insurance Portability and Accountability Act) first became law, the Internet was hardly a thing in healthcare. The Nationwide Health Information Network (NHIN) was not a thing until 2004. 2009 brought us the HITECH Act and Meaningful Use and 2016 brought the 21st Century Cures Act with “information blocking” as clear evidence of bipartisan frustration. Cures,  in 2018, begat TEFCA, the draft Trusted Exchange Framework and Common Agreement. The next update to the draft TEF...
Source: The Health Care Blog - October 25, 2018 Category: Consumer Health News Authors: matthew holt Tags: Patients Physicians Politics HIE Interoperability ONC TEFCA Source Type: blogs

The November 6 Midterm Elections and Their Impact on Obamacare:Q & A
By ETIENNE DEFFARGES 1) What is the likelihood the ACA will be repealed? This straightforward question has a very simple answer: It depends on the results of the upcoming November 6 U.S. congressional elections. If the Republicans retain control of both the House and the Senate, the probability that the ACA will be repealed is very high: The Republicans would be emboldened by such a victory and would most probably attempt in 2019 to repeal the health care law—again. It is worth remembering that in July of last year, the repeal of the ACA (a version of which had passed the House in May) was defeated in the Senate by ...
Source: The Health Care Blog - October 24, 2018 Category: Consumer Health News Authors: matthew holt Tags: Obamacare Patients Politics health care Midterm Elections Source Type: blogs

Health in 2 Point 00 Episode 55
We missed our chance to do a Happy Hour Health in 2 Point 00 at Connected Health in Boston (but let’s be honest, those are usually not the most cogent pieces of information in health and technology). Join Jess as she gets my take on the conference starting with #S4PM’s event, where I met some incredible people, including Patty Brennan and Doug Lindsey, who spoke about their experiences with health care. Danny Sands and e-Patient Dave even had quite a performance there, singing about e-Patient blues. Susannah Fox, Don Berwick, Don Norman where also in attendance, presenting their new initiative, LAUNCH. I  ...
Source: The Health Care Blog - October 23, 2018 Category: Consumer Health News Authors: matthew holt Tags: FemTech Health in 2 point 00 Jessica DaMassa Matthew Holt Medicaid Medicare devoted health Don Berwick don norman guild serendipity SMACK.health Society for Participatory Medicine SPM Susannah Fox Source Type: blogs

A conversation about Health Policy with Elizabeth Rosenthal
By SAURABH JHA, MD The acclaimed author of “An American Sickness: How Healthcare Became Big Business and How You Can Take It Back” physician, and now Editor-in-Chief of Kaiser Health News, Dr. Elizabeth Rosenthal speaks to me about health policy and how it has changed over time. Listen to our conversation at Radiology Firing Line Podcast. About the author: Saurabh Jha is a contributing editor to 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 - October 22, 2018 Category: Consumer Health News Authors: matthew holt Tags: Uncategorized Source Type: blogs

THCB Spotlights: Livio AI
Today we are featuring another #TechCrunchDisrupt2018 THCB Spotlight. Matthew Holt interviews LivioAI, which is an AI hearing aid created by Starkey Technologies. Worldwide, there are 700 Million people with hearing loss but only 10% wear a device to help them. That number is appalling especially because there are a number of co-morbid illnesses linked with hearing loss, like cognitive and physical decline. That is where LivioAI comes in to play. LivioAI is completely controlled by your iPhone, tracks all types of movements (it is always counting your steps so the steps you miss when you put down are also accounted for), c...
Source: The Health Care Blog - October 19, 2018 Category: Consumer Health News Authors: matthew holt Tags: Uncategorized Source Type: blogs

Hoarding Patient Data is a Lousy Business Strategy: 7 Reasons Why
Conclusion The bases of competition in healthcare are shifting – away from competing based on misguided attempts to lock-in patients and providers – and toward competing based on providing care that’s high quality, low cost, and a superior patient experience. Sometimes conventional wisdom goes stale…or was never wise in the first place. Vince Kuraitis, JD/MBA (@VinceKuraitis) is an independent healthcare consultant with over 30 years’ experience across 150+ healthcare organizations.  Leslie Kelly Hall (@lesliekellyhall) is a nationally recognized leader in patient engagement advocating f...
Source: The Health Care Blog - October 17, 2018 Category: Consumer Health News Authors: matthew holt Tags: Data Patients Tech health information exchange HealthIT HIE HIPAA hoarding Information Blocking interop Interoperability patient engagement patient loyalty primary care referral leakage strategy value-based care Source Type: blogs

Live — #spm2018
Here’s the live stream of today’s Society for Participatory Medicine’s conference in Boston: (Source: The Health Care Blog)
Source: The Health Care Blog - October 17, 2018 Category: Consumer Health News Authors: matthew holt Tags: Uncategorized Source Type: blogs

Make Hackathons Fair Again
By FRED TROTTER On Oct 19, I will begin to MC the health equity hackathon in Austin TX, which will focus on addressing healthcare disparity issues. Specifically, we will be using healthcare data to try and make an impact on those problems. Our planning team has spent months thinking about how to run a hackathon fairly, especially after the release of a report that harshly criticized how hackathons are typically run. A Wired article written earlier this year trumpets a study called “Hackathons As Co-optation Ritual: Socializing Workers and Institutionalizing Innovation in the ‘New’ Economy,” which cr...
Source: The Health Care Blog - October 17, 2018 Category: Consumer Health News Authors: matthew holt Tags: Hack-a-thon Tech hackathon health equity Healthcare Source Type: blogs

Ensuring that the 21st Century Cures Act Health IT Provisions Promotes Interoperability and Data Exchange
By KENNETH D. MANDL, MD; DAN GOTTLIEB; JOSH C. MANDEL, MD Josh Mandel Kenneth Mandl Dan Gottlieb The opportunity has never been greater to, at long last, develop a flourishing health information economy based on apps which have full access to health system data–for both patients and populations–and liquid data that travels to where it is needed for care, management and population and public health. A provision in the 21st Century Cures Act could transform how patients and providers use health information technology. The 2016 law requires that certified health information technology products have an application ...
Source: The Health Care Blog - October 16, 2018 Category: Consumer Health News Authors: matthew holt Tags: Medicaid Medicare Patients Politics Tech Business model health information exchange HealthIT HIE HIPAA hoarding Information Blocking interop Interoperability patient engagement patient loyalty primary care referral leakag Source Type: blogs

Ensuring that the 21st Century Cures Act Health IT Provisions Promote Interoperability and Data Exchange
By KENNETH D. MANDL, MD The opportunity has never been greater to, at long last, develop a flourishing health information economy based on apps which have full access to health system data–for both patients and populations–and liquid data that travels to where it is needed for care, management and population and public health. A provision in the 21st Century Cures Act could transform how patients and providers use health information technology. The 2016 law requires that certified health information technology products have an application programming interface (API) that allows health information to be accessed...
Source: The Health Care Blog - October 16, 2018 Category: Consumer Health News Authors: matthew holt Tags: Medicaid Medicare Patients Politics Tech Business model health information exchange HealthIT HIE HIPAA hoarding Information Blocking interop Interoperability patient engagement patient loyalty primary care referral leakag Source Type: blogs

Health in 2 Point 00 Episode 54
On Today’s episode of healthin2point00, Jess asks me about the CVS & Aetna’s merger, CSweetner & HIMSS new partnership in women’s health care, HLTH’s new pledge with Parity.org, Noona Healthcare getting acquired by Varian Health Systems. And as Jess point out, all health tech deals somehow involve me! Jess also did an interview with AHIP, you can watch her here: If you are in Boston, join us at Society of Participatory Medicine’s conference at #CHC2018- Matthew Holt Subscribe to Health in 2 Point 00: https://www.youtube.com/channel/UC25dVIoktnmSlhrjP4HZqqQ Matthew Holt&r...
Source: The Health Care Blog - October 15, 2018 Category: Consumer Health News Authors: matthew holt Tags: Uncategorized Source Type: blogs