The Payment Reform Landscape: Public-Private Alignment Is Critical
In the past few years, a growing number of state health agencies have formed partnerships with large, private employers and/or commercial health plans to realign efforts and resources and change how we pay for health care. The ultimate goal of these partnerships is to shift from volume-based health care payment models to value-based models to improve the quality and cost of care.
Public-private alignment is important for a number of reasons. Alignment allows both state and commercial payers to send clear messages to providers about the expectations they have in moving to a more value-based health care payment and delivery ...
Source: Health Affairs Blog - June 12, 2015 Category: Health Management Authors: Suzanne Delbanco Tags: Featured Payment Policy Arkansas employers public-private partnership South Carolina State Innovation Model Tennessee Walmart Source Type: blogs
4 Month-Old Infant From Tennessee Passed Away After Given 7 Vaccines
Parents in Memphis, Tennessee, are mourning the loss of their baby girl Ja’Liyah Cortize Turner, after she passed away in her sleep, less than four days after receiving seven vaccines. Her mother Quavia felt pressured into getting her daughter further vaccinated, even though she didn’t want to, because her daughter had a bad reaction from the round of vaccines given to her earlier.
Ja’Liyah’s autopsy report did not mention the vaccines even though she still had the knots on her legs at the injection sites. Her cause of death was ruled “Unknown, Undetermined.” The autopsy stated Ja’Liyah had no significant...
Source: vactruth.com - June 3, 2015 Category: Allergy & Immunology Authors: Augustina Ursino Tags: Augustina Ursino Human Top Stories dtap Hepatitis B vaccine Infant Mortality Pneumococcal PCV Polio Vaccine Rotavirus Vaccine Sudden Infant Death Syndrome (SIDS) truth about vaccines Vaccine Death Source Type: blogs
MKSAP: 53-year-old woman with swelling of the face, hands, and feet
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 53-year-old woman is evaluated for a 3-month history of swelling of the face, hands, and feet. She has untreated hepatitis C virus infection. She takes lithium for bipolar disorder. She has no additional symptoms.
On physical examination, temperature is normal, blood pressure is 134/93 mm Hg, pulse rate is 71/min, and respiration rate is 18/min. Bilateral periorbital edema and swelling of the hands and legs are noted. The remainder of the examination is unremarkable.
Laboratory studies:
Complete blood count...
Source: Kevin, M.D. - Medical Weblog - May 30, 2015 Category: Journals (General) Authors: Kevin Tags: Conditions Nephrology Source Type: blogs
Prenatal care should start before pregnancy
Dr. Alisa Hideg via @spokesmanreview
Anyone thinking about pregnancy, should also be thinking about prenatal care. This care is important for the mother’s health and the health of the child. Whenever possible, it should begin prior to pregnancy.
A visit with your health care provider prior to pregnancy to review your immunizations, start a prenatal vitamin with folic acid (which can prevent certain birth defects if begun prior to pregnancy) and otherwise “check in” is always a good idea. Once you are pregnant, regular prenatal care visits during pregnancy are just as important to your baby’s ...
Source: Cord Blood News - May 15, 2015 Category: Perinatology & Neonatology Authors: joyce at mazelabs.com Tags: babies blood disorder brain development Cord Blood medical research parents pregnancy affordable cord blood banking cerebral palsy cord blood banking fees cord blood treatment for Leukemia cord clamping due dates healthy pregnanc Source Type: blogs
Michigan Baby Dies, Pathologists Confirm Vaccines Responsible
Conclusion
It is very clear that vaccine-related deaths and injuries are being intentionally hidden. Parents of vaccine-injured children are doing their own investigations and coming forward more, seeking the truth denied to them by health officials.
Inform your friends, family and neighbors that this is going on, that children are dying from the vaccines. Be brave. Help preserve your fundamental right to choose what gets injected into you or your child’s body. Making good medical decisions can only be done when you are informed.
Our hearts go out to Danny and his family and all of the other precious children who have su...
Source: vactruth.com - May 14, 2015 Category: Allergy & Immunology Authors: Augustina Ursino Tags: Augustina Ursino Human Top Stories cytokine storm DTaP vaccine Elijah Daniel French L.J. Dragovic M.D. MMR vaccine Vaccine Adverse Event Reporting System (VAERS) Vaccine Death Source Type: blogs
Six Month-Old Baby Dies Just Five Days After Receiving 13 Vaccines
Conclusion
Deciding on whether to vaccinate your baby is never easy. In this case, Alisa decided to hold back on having her baby vaccinated until he was older. She was then emotionally blackmailed and forced into having her baby over-vaccinated with a massive cocktail of vaccines, by whom many would call an overzealous doctor.
She was not offered any information on the vaccinations being given to her baby, she was not given any paperwork and she was not offered any advice on any possible adverse reactions.
Alisa trusted her doctor to do the right thing and was let down in the worse possible way and believes that the doctor...
Source: vactruth.com - April 23, 2015 Category: Allergy & Immunology Authors: Christina England Tags: Christina England Human Top Stories Dr. Paul Offit Dr. Tomljenovic truth about vaccines Vaccine Death Source Type: blogs
Dealing with doubts in medical school
For me, hepatitis B booster shots feel pretty much as pleasant as being sucker punched in the arm. You can imagine that it didn’t inspire much elation when I scrolled through my calendar to see, spelled out in big red letters, a reminder for “Hep B #3.”
Now, as I reflect, this reminder feels like a victory of sorts.
When you are told during medical school orientation that you must be reimmunized for hepatitis B, you are sent to undergo a three-dose course: zero months, one month, six months. I remember making those appointments while standing next to a shaded window, looking out into the brutish heat of an August in...
Source: Kevin, M.D. - Medical Weblog - April 22, 2015 Category: Journals (General) Authors: Jennifer Tsai Tags: Education Medical school Source Type: blogs
Nickson Would be Celebrating Life if it Weren’t for Vaccines
Conclusion
Parents need to be able to choose what goes into their child’s body, especially when their babies are not born full-term or have any underlying health problems at birth. When a product such as a vaccine is injected into a child, known to be associated with severe risks, including death, there should be a standard protocol in place for these families to get needed support when the risks outweigh the benefits. No one can predict how a vaccine will negatively affect a person.
Lindsey and other families going through this, suffering the loss of a child likely caused by the vaccine(s) given to them, when no other p...
Source: vactruth.com - April 9, 2015 Category: Allergy & Immunology Authors: Augustina Ursino Tags: Augustina Ursino Human Top Stories National Vaccine Injury Compensation Program (NVICP) Sudden Infant Death Syndrome (SIDS) vaccine court Vaccine Death VAERS Source Type: blogs
The sense of superiority by those who are pro-vaccine
Thanks to the measles outbreak, the news is full of stories on vaccines and anti-vaxxers. The blogosphere and Twitterverse and all the other social media dimensions are buzzing with invective against ignorant unvaccinated savages and their backward science denial. For the record, I’m a pro-vaccine physician. My children have been and are vaccinated, despite being unsocialized homeschoolers.
I’ve had my own share of needles; Physicians are mandated to have hepatitis B, influenza, and all the other standards. As a former Air Force officer, I also enjoyed the singular delights of typhoid and yellow fever immunization (alt...
Source: Kevin, M.D. - Medical Weblog - March 19, 2015 Category: Journals (General) Authors: Edwin Leap, MD Tags: Physician Pediatrics Source Type: blogs
California Infant Dies after 8 Vaccines, Family Gets Him Back from Hospital Cremated
Conclusion
As long as vaccine manufacturers avoid doing causation studies, as long as this data doesn’t exist, health officials and published vaccine-promoting, peer-reviewed literature can state there is no proof vaccines cause SIDS or other vaccine injuries.
How can a medical examiner be sure of which vaccine caused a person’s health to decline when multiple vaccines are given at a time? Overstimulating the immune system via vaccination can lead to a fatal outcome. Since it is proven difficult to narrow down which vaccine contributed to a child’s death after vaccination, giving numerous or combination vaccines shou...
Source: vactruth.com - February 26, 2015 Category: Allergy & Immunology Authors: Augustina Ursino Tags: Augustina Ursino Human Top Stories adverse reactions Crystal Downing death dtap hep b HiB Matthew Gage Downing-Powers Pneumococcal PCV rotavirus Sudden Infant Death Syndrome (SIDS) Source Type: blogs
TBT: Looking beyond the money: Crucial steps to getting vaccines to children
Over the past 5 years we have had some great, insightful and inspiring posts, many of whose content is still relevant today. For this reason we are implementing TBT on the blog. Every Thursday we will run blogs from the past. Enjoy!
The following post originally ran on May 8, 2012.
Without money, many nations can’t afford to tackle health care issues and introduce the life-saving vaccines that are critical to child survival in the developing world. But even after a vaccine is introduced and money has been spent, some children never see even the first dose. With so much investment and effort, you wonder — how can t...
Source: Disruptive Women in Health Care - February 19, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: TBT Source Type: blogs
Bemoaning the Anti-Vaxers; Welcome to my World
Surprise! (NOT) There’s a new measles epidemic centered on California’s Disneyland, primarily because of non-vaccinated children. What is not so much surprising as it is interesting (and gratifying) is the way the mass media has by and large come down against the antivaccine movement responsible for the carnage.
More amusing is listening to long-time med bloggers sound off:
I do not have personal experience with the anti-vaxxers. My colleagues in other states tell me that many of these fools are well-educated. Obviously they are anti-science. I believe that many such vaccine deniers believe that diet and supple...
Source: Musings of a Dinosaur - January 26, 2015 Category: Primary Care Authors: notdeaddinosaur Tags: Medical Source Type: blogs
Satellites – the viral kind
Satellites are subviral agents that differ from viroids because they depend on the presence of a helper virus for their propagation. Satellite viruses are particles that contain nucleic acid genomes encoding a structural protein that encapsidates the satellite genome. Satellite RNAs do not encode capsid protein, but are packaged by a protein encoded in the helper virus genome. Satellite genomes may be single-stranded RNA or DNA or circular RNA, and are replicated by enzymes provided by the helper virus. The origin of satellites remains obscure, but they are not derived from the helper virus.
Satellite viruses may infec...
Source: virology blog - January 22, 2015 Category: Virology Authors: Vincent Racaniello Tags: Basic virology Information helper virus hepatitis b virus hepatitis delta satellite virus mavirus mimivirus plant satellite RNA sputnik viral Source Type: blogs
Reconsidering Pauly And Coauthors’ ‘Economic Framework For Preventive Care Advice’
In the November issue of Health Affairs, Mark Pauly and coauthors criticize the lack of cost-effectiveness considerations in the Affordable Care Act (ACA), which mandates that health plans include preventive care free at the point of use. The bodies critiqued, the Advisory Committee on Immunization Practices (ACIP) and the U.S. Preventive Services Task Force, convene health experts to develop recommendations for immunizations and other preventive services.
According to the authors, the task entrusted to these bodies by the ACA, of offering sound advice on preventive care without considering its cost-effectiveness, is “im...
Source: Health Affairs Blog - January 12, 2015 Category: Health Management Authors: Claudia Chaufan and Greg Harris Tags: All Categories Health Care Costs Policy Prevention Public Health Research Spending Source Type: blogs
This is Why You Should Not Blindly Follow Your Doctor’s Advice to Vaccinate
Conclusion
Most of us have been trained to believe that vaccines are safe and prevent disease. It is very confusing to first realize that this may not be true.
Tremendous pressures exist from physicians, hospitals, family and the public school systems to vaccinate ourselves and our children. Physicians are taught to recommend vaccinations as a first-line defense against disease, while they are not taught the serious health damages created by vaccines.
Physicians often blindly follow the recommendations of their professional organizations to vaccinate, without doing any independent research. Those few physicians and nurses ...
Source: vactruth.com - January 2, 2015 Category: Allergy & Immunology Authors: Michelle Goldstein Tags: Logical Michelle Goldstein Top Stories American Academy of Pediatricians (AAP) American Medical Association (AMA) Hepatitis B vaccine Vaccine Exemption Source Type: blogs
