CA Court Rejects Group ’s Motion to Vacate Its Ruling Voiding Medical Aid-in-Dying Law Court to Hold Hearing on June 29 to Consider Separate Vacate Motion by Attorney General
A Riverside Superior Court rejected a motion filed by Compassion & Choices on behalf of a physician and two terminally ill adults urging the judge to “vacate” (i.e., cancel) his judgment last week invalidating the End of Life Option Act. However, the court judge, Daniel A. Ottolia, scheduled a hearing on June 29 to consider a separate motion by California Attorney General Xavier Becerra to vacate the judgment. Similar to laws in six other states and Washington, D.C., the California law gives mentally capable, terminally ill adults with six months or less to live the option to request prescription medica...
Source: blog.bioethics.net - May 31, 2018 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

A Public-Private Partnership to Fix Health Care
By BILL ROSENBERG The Administration proposal that would enable small employers to band together to purchase health insurance by forming Association Health Plans has several good features. Large companies do pay about 15% less, apples-to-apples, for health insurance than small businesses because they negotiate lower administrative fees, get larger discounts on health care prices and avoid premium taxes and risk charges by self-insuring. Allowing small business to replicate what boils down to volume discounts also appeals politically to many as a market-based alternative to government intervention. Reliance on Association H...
Source: The Health Care Blog - May 11, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: OP-ED Trump's Health Bill Rosenberg Medicare public-private partnerships Source Type: blogs

CMS Announces Medicare Data Roll-Out
Conclusion During her remarks on the subject, Administrator Verma tried to differentiate this new path in relation to previous efforts CMS has taken to move towards a value-based system. She noted, “…what is different now is that we know we can’t achieve value-based care until we put the patient at the center of our healthcare system. And that requires that we empower patients with the data they need to become a consumer of healthcare and make informed decisions. Ultimately, the cornerstone of a patient centered system is data, quality data, cost data, a patient’s own data.”    ...
Source: Policy and Medicine - May 9, 2018 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Is this a medical miracle or a medical error in documentation?
I was a foreign medical graduate who in addition to some clinical practice, had begun a career first in managed care as a utilization management coordinator and then as a clinical researcher after finishing medical school and then pursuing a public health degree. A few years ago, life took some unexpected turns, and I found myself in a rather new field of health care known as clinical documentation improvement (CDI). I did not understand why a physician’s note or what they documented was not always enough. I mean, they saw and treated the patient, isn’t their clinical judgment and competency sufficient? Well as it turn...
Source: Kevin, M.D. - Medical Weblog - May 8, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/rabia-jalal" rel="tag" > Rabia Jalal, MD < /a > Tags: Physician Health IT Pulmonology Source Type: blogs

Health Wonk Review Archives: 2006-2018
August 23, 2018 - Julie Ferguson at Workers Comp Insider July 12, 2018 - Peggy Salvatore at Health System Ed June 14, 2018 - Hank Stern at InsureBlog May 17, 2018 - Jason Shafrin Healthcare Economist April 19, 2018 - Louise Norris - Colorado Health Insurance Insider March 15, 2018 - David Williams - Health Business Blog February 15, 2018 - Steve Anderson - HealthInsurance.org blog January 18, 2018 - Joe Paduda, Managed Care Matters December 14, 2017 - Julie Ferguson - Workers Comp Insider November 30, 2017 - Andrew Sprung - xpostfactoid. November 9, 2017 - Jason Shafrin at Healthcare Economist October 26, 2017...
Source: Health Wonk Review - May 1, 2018 Category: Health Management Source Type: blogs

Health Wonk Review - upcoming hosts
2018 Schedule May 17 - Jason Shafrin, Healthcare Economist June 14 - Hank Stern - InsureBlog July 12 - Peggy Salvatore - Health System Ed Blog August 16 - TBA September 20 - TBA October 18 - Joe Paduda, Managed Care Matters November 15 - TBA December 13 - Julie Ferguson, Workers Comp Insider (Source: Health Wonk Review)
Source: Health Wonk Review - April 19, 2018 Category: Health Management Source Type: blogs

The Tyranny of Automation, with Mitchell Goldburgh, NTT Data Services at HIMSS 2018 — Harlow on Healthcare
We've Moved! Update your Reader Now. This feed has moved to: http://feeds.healthblawg.com/healthblawg Update your reader now with this changed subscription address to get your latest updates from us. http://feeds.healthblawg.com/healthblawg (Source: HealthBlawg :: David Harlow's Health Care Law Blog)
Source: HealthBlawg :: David Harlow's Health Care Law Blog - April 17, 2018 Category: Medical Law Authors: David Harlow David Harlow Tags: Artificial Intelligence Big Data Diagnostic Imaging Digital Health EHR Harlow on Healthcare Health care policy Health Law Healthcare Innovation HIT Interview Machine Learning Managed Care Mobile health Pay for performance Phy Source Type: blogs

So Digital Health Really Makes A Difference - Or Does It? Details Matter Interpreting Evidence!
This really encouraging article appeared last week.EHR-Integrated Tools Help Improve Chronic Kidney Disease CareTreatment involving EHR-integrated tools and patient engagement strategies are effective in improving areas of chronic kidney disease care. By Kate MonicaApril 05, 2018 - A quality improvement program combining EHR-integrated tools and patient engagement strategies can significantly improve quality of care for patients with chronic kidney disease, according to new research published in the American Journal of Managed Care (AJMC).Over a one-year period, Sequist et al. observed 153 primary care physicians trea...
Source: Australian Health Information Technology - April 17, 2018 Category: Information Technology Authors: Dr David G More MB PhD 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 evaluated the probability t...
Source: The Health Care Blog - April 16, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized 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 a physi...
Source: The Health Care Blog - April 5, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized 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 for...
Source: The Health Care Blog - March 28, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Paul Keckley Source Type: blogs

Bad Nudges - Kentucky Medicaid
In their highly influential book describing behavioral economics,Nudge, Richard H. Thaler and Cass R. Sustein devote 2 pages to the notion of “bad nudges.” They describe a “nudge” as any aspect of the choice architecture that alters people’s behavior in a predictable way without forbidding any options or significantly changing their economic incentives. The classic example of a nudge is the decision of an employer to “opt-in” or “opt-out” employees from a 401(k) plan while allowing the employee to reverse that choice; the empirical evidence strongly suggests that opting employees into such plans dramatica...
Source: Cato-at-liberty - March 27, 2018 Category: American Health Authors: Aaron Yelowitz Source Type: blogs