The Cost of Public Reporting
ANISH KOKA MD In an age where big data is king and doctors are urged to treat populations, the journey of one man still has much to tell us. This is a tale of a man named Joe. Joseph Carrigan was a bear of a man – though his wife would say he was more teddy than bear.  He loved guitar playing,  and camp horror movies.  Those who knew him well said he had a kind heart, a quick wit and loved cats. I knew none of these things when I met Joe in the Emergency Department on a Sunday afternoon.  I had been called because of an abnormal electrocardiogram – the ER team was worried he could be having a heart attack. ...
Source: The Health Care Blog - September 18, 2017 Category: Consumer Health News Authors: anish_koka Tags: Uncategorized Source Type: blogs

The High Cost of Public Reporting
ANISH KOKA MD In an age where big data is king and doctors are urged to treat populations, the journey of one man still has much to tell us. This is a tale of a man named Joe. Joseph Carrigan was a bear of a man – though his wife would say he was more teddy than bear.  He loved guitar playing,  and camp horror movies.  Those who knew him well said he had a kind heart, a quick wit and loved cats. I knew none of these things when I met Joe in the Emergency Department on a Sunday afternoon.  I had been called because of an abnormal electrocardiogram – the ER team was worried he could be having a heart attack. ...
Source: The Health Care Blog - September 18, 2017 Category: Consumer Health News Authors: anish_koka Tags: Uncategorized Cardiac surgery High-risk Quality Reporting Source Type: blogs

Caution Warranted As VA Incorporates ICER Value Assessments Into Formulary Management Process
The Department of Veterans Affairs (VA) Pharmacy Benefits Management Services and the Institute for Clinical and Economic Review (ICER) recently announced a collaboration in which the VA will use the ICER’s drug assessments as part of its formulary development and price negotiations. This type of relationship might be normal outside of the United States (for example, in the United Kingdom, Germany, and Australia), where input from governmental health technology assessment organizations is used in determining health care coverage decisions. However, in the United States—with our multipayer health care system coverin...
Source: Health Affairs Blog - September 18, 2017 Category: Health Management Authors: Robert Dubois Tags: Costs and Spending Drugs and Medical Innovation Insurance and Coverage Payment Policy Population Health Department of Veterans Affairs drug pricing Institute for Clinical and Economic Review pharmaceuticals quality of care Veterans' He Source Type: blogs

New Ryan White HIV/AIDS Program National Curriculum: HIV/HCV Co-infection
An estimated 20-25% of people living with HIV in the U.S. are co-infected with Hepatitis C. “People who are co-infected with HIV and HCV are a priority population for HCV prevention, diagnosis, and treatment because liver-related death is common among this population,” observed Corinna Dan, R.N., M.P.H., Viral Hepatitis Policy Advisor in the HHS Office of HIV/AIDS and Infectious Disease Policy. “HIV/HCV C-Infection” is a new, free, online curriculum offers healthcare providers and health profession educators training on HIV/Hepatitis C (HCV) co-infection, including prevention, screening, diagnosis, and trea...
Source: BHIC - September 12, 2017 Category: Databases & Libraries Authors: Carolyn Martin Tags: HIV/AIDS Public Health higher education Source Type: blogs

How Did I Get So Lucky?
Somehow I got the ' lucky ' card in the health department. Somewhere in my genes I ended up with the crapshoot of everything. I do know I have my mother ' s bad back and Rheumatoid Arthritis but I also got my father ' s hair (which is still not completely gray at 89). But the rest of it, I have no idea.So I always look for hints of how I could have gotten these lovely ailments. Then find an article that asks 'Can Trauma Cause Fibromyalgia?' But I am not so sure I understand how it would help me. They list:" The traumatic experiences that are usually correlated with fibromyalgia are the following:Certain types of virus...
Source: Caroline's Breast Cancer Blog - August 29, 2017 Category: Cancer & Oncology Tags: aggravation ailments frustration Source Type: blogs

Specialty Brand Sales Excel Today, But What About Tomorrow?
@QuintilesIMS teamed up with #PharmaForce to provide a framework for product launch assessment. The following is an excerpt. Download the entire reporthere.The chart below shows the total amount of revenue associated with launch brands in the year that they launch. " From 2000-2006, " notes QuintilesIMS, " we see that somewhere between $3 billion and $5 billion were spent on launch brands in the first 12 months in which they were launched. These are your traditional, big primary care type of products. "Further quoting from the report:" The launch figures dropped down in 2007-2010, and this is where you see launch brands ge...
Source: Pharma Marketing Blog - August 25, 2017 Category: Pharmaceuticals Tags: Launch specialty drugs Source Type: blogs

A Stealth Marketer Goes Through the Revolving Door to ... the President's Council of Economic Advisors?!
Stealthy, deceptive systematicmarketing,lobbying, andpolicy advocacy campaigns on behalf of big health care organizations, often pharmaceutical, biotechnology and medical device companies, have long been a subject of Health Care Renewal.  A relatively recently revealedexample was the stealth marketing campaign used by GlaxoSmithKline to sell its antidepressant Paxil.  This campaign includedmanipulating andsuppressing clinical research,bribing physicians to prescribe the drug, use ofkey opinion leaders as disguised marketers, and manipulation ofcontinuing medical education.  Other notable examples included Jo...
Source: Health Care Renewal - August 24, 2017 Category: Health Management Tags: conflicts of interest deception Donald Trump revolving doors stealth health policy advocacy stealth lobbying stealth marketing Source Type: blogs

Ask D'Mine: Things Best NOT Shared (Hepatitis C and Diabetes)
Got questions about life with diabetes? So do we! That's why we offer our weekly diabetes advice column, Ask D'Mine, hosted by veteran type 1 and diabetes author Wil Dubois.This week, Wil is taking on the tough topic of Hepatitis C and diabetes.... (Source: Diabetes Mine)
Source: Diabetes Mine - August 12, 2017 Category: Endocrinology Authors: Wil Dubois Source Type: blogs

TWiV 452: Kiss that frog
Lynda Coughlan joins the weekly virtual bus companions for a discussion of a host defense peptide from frogs that destroys influenza virus, and mouse models for acute and chronic hepacivirus infection. Click arrow to play Download TWiV 452 (68 MB .mp3, 113 min) Subscribe (free): iTunes, RSS, email Become a patron of TWiV! Show notes at microbe.tv/twiv (Source: virology blog)
Source: virology blog - July 30, 2017 Category: Virology Authors: Vincent Racaniello Tags: This Week in Virology amphibian antibody CD4 CD8 checkpoint blockade defensins frog hemagglutinin hepacivirus hepatitis hepatitis C virus host defense peptide influenza virus magainin mouse Norway rat hepacivirus PD-1 v Source Type: blogs

Orphan Diseases Or Population Health? Policy Choices Drive Venture Capital Investments
The US exhibits a remarkable pipeline of biopharmaceutical innovation, with 170 new drugs and biologics launched into the market between 2011 and 2015 and another 22 drugs approved in 2016. A striking feature of the pharmaceutical pipeline is the large percentage launched for the treatment of small “orphan” indications, defined by the Food and Drug Administration (FDA) as including fewer than, often many fewer than, 200,000 patients in the United States. Almost half (74) of the products approved by the FDA between 2011 and 2015 were for orphan indications, twice the number (36) approved during the same period by the Eu...
Source: Health Affairs Blog - July 21, 2017 Category: Health Management Authors: Dayton Misfeldt and James C. Robinson Tags: Costs and Spending Drugs and Medical Innovation Orphan Drug Act orphan drugs venture capitalism Source Type: blogs

Eliminating The Medicaid Expansion May Cause More Damage Than Congress Realizes
The American Health Care Act (AHCA) and the Senate’s ill-fated Better Care Reconciliation Act (BCRA) attempted to deliver on two promises: 1) protecting patients with preexisting conditions, and 2) eliminating the Medicaid expansion. Though repeal efforts seem to have stalled for the time being, future GOP attempts to replace the ACA will undoubtedly involve the delicate task of appeasing conservative party members while maintaining provisions of the ACA that remain immensely popular with voters. While others have already discussed the failings of the proposed legislation with respect to the Medicaid expansion and preexi...
Source: Health Affairs Blog - July 20, 2017 Category: Health Management Authors: Justin Puckett and Jalpa Doshi Tags: Featured Following the ACA Medicaid and CHIP HIV/AIDS medicaid expansion states Source Type: blogs

What it ’s like to be a doctor in the heroin capitol of the U.S.
I am a practicing hospitalist physician in Dayton, Ohio. Dayton has emerged in the last year as the city with the highest per capita death rate from opioid overdoses. When we measure the number of deaths here we talk about how many there are per day, not per week or month. We have been inundated with heroin and other products laced with fentanyl or carfentanil. Every other drug, including marijuana, is laced with an opiate in this city. Dealers stand on street corners and throw baggies of heroin into passing cars who have the windows open — free of charge — to get new customers hooked. A routine dose of Narcan ...
Source: Kevin, M.D. - Medical Weblog - July 19, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/jenny-hartsock" rel="tag" > Jenny Hartsock, MD < /a > Tags: Physician Medications Source Type: blogs

Largest Fraud Takedown Announced by AG Sessions
On Thursday, July 13, 2017, United States Attorney General Jeff Sessions and Department of Health and Human Services (HHS) Secretary Tom Price, M.D., announced the largest ever health care fraud enforcement action by the Medicare Fraud Strike Force. The action charged 412 defendants across forty-one federal districts for their alleged participation in health care fraud schemes involving $1.3 billion in false billings. The 412 defendants include 115 doctors, nurses, and other licensed professionals. Of the 412 defendants, over 120 of them were charged for their roles in prescribing and distributing opioids and other danger...
Source: Policy and Medicine - July 19, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Hemopurifier Filters Ebola, Hep C, Metastatic Melanoma: Interview with James A. Joyce, CEO of Aethlon Medical
Filtering infectious pathogens and cancer cells directly from whole blood has been an almost fantastic proposition, but the Hemopurifier from Aethlon Medical does just that. We’ve been covering it for over 10 years on Medgadget as it proves itself in clinical trials and new applications for it are discovered. It has already been studied as a treatment option for hepatitis C, metastatic melanoma, and the Ebola virus. Recently at the 2017 BIO International Convention in San Diego, virus capture data was presented from a study of the Hemopurifier involving health-compromised patients infected with a virus. We wer...
Source: Medgadget - July 18, 2017 Category: Medical Devices Authors: Editors Tags: Exclusive Medicine Oncology Source Type: blogs