The Opportunity in Disruption, Part 2: The Shape of Today ’s System
By JOE FLOWER
The system is unstable. We are already seeing the precursor waves of massive and multiple disturbances to come. Disruption at key leverage points, new entrants, shifting public awareness and serious political competition cast omens and signs of a highly changed future.
So what’s the frequency? What are the smart bets for a strategic chief financial officer at a payer or provider facing such a bumpy ride? They are radically different from today’s dominant consensus strategies. In this five-part series, Joe Flower lays out the argument, the nature of the instability, and the best-bet strategie...
Source: The Health Care Blog - September 16, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Health Technology Health care Disruption Health care system health reform Joe Flower payment system Source Type: blogs
NHS Pension Scheme: increased flexibility
Department of Health and Social Care -The Department of Health and Social Care is consulting on a new set of proposals to offer senior clinicians more control over their pensions growth, so they can continue to provide the services that patients need. Senior NHS clinicians are concerned that pension tax charges are making them retire early or change their working habits. The new proposals include: a ‘flexible accrual’ option where members can choose an accrual level in ten per cent increments; and the option to ‘fine tune’ pension growth towards the end of the scheme year, when total earnings are clearer.Department...
Source: Health Management Specialist Library - September 10, 2019 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Consultations Workforce and employment Source Type: blogs
Pension tax guidance for employers
NHS Employers - In August 2019, the government announced that it will act to introduce pension changes to enable senior clinicians to take on additional clinical activities without incurring unexpected pension tax bills. This guidance has been prepared to help employers to support staff who are likely to be affected by these pension tax issues.GuidanceMore detail (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - September 2, 2019 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Workforce and employment Source Type: blogs
Everything Works Until It Doesn ’t: How to Flow with Change
You're reading Everything Works Until It Doesn’t: How to Flow with Change, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles.
There comes a time in everyone's lives when things that you once used to rely on don't become as effective anymore.
You sort of outgrow the training wheels.
The job you started out fresh and new doesn't challenge you anymore.
The friends you had in college don't vibe with you any longer.
The books you read don't give you any more new knowledge.
You and your girlfriend have grown apart and y...
Source: PickTheBrain | Motivation and Self Improvement - August 21, 2019 Category: Consumer Health News Authors: Sim Campbell Tags: featured relationships self improvement anxiety fear how to be successful productivity tips self improvement tips Source Type: blogs
Corporate Happy Talk and The Duty of Shareholder Loyalty
Yesterday the Business Roundtable released a “Statement on the Purpose of a Corporation” signed by 180 CEOs of major companies. It proclaims “a fundamental commitment to all of our stakeholders,” including customers, employees, suppliers, communities, and, finally, shareholders. It is being widely interpreted as a victory for anti-business campaigners and “corporate social responsibility” advocates, and perhaps also as a repudiation of the shareholder-primacy norm memorably defended (though in no way originated) by free-market economist Milton Friedman.In reality, as I told Kevin Dugan of the New York Post...
Source: Cato-at-liberty - August 20, 2019 Category: American Health Authors: Walter Olson Source Type: blogs
The Rebellion of the Buyers
By JOE FLOWER
Did you catch that headline a few weeks back?
An official of a health system in North Carolina sent an email to
the entire board of the North Carolina State Health Plan calling them a bunch
of “sorry SOBs” who would “burn in hell” after they
“bankrupt every hospital in the state.”
Wow. He sounds rather upset. He sounds angry and afraid. He
sounds surprised, gobsmacked, face-palming.
Bless his heart. I get it, I really do. Well, I get the fear and
pain. Here’s what I don’t get: the surprise, the tone of, “This came out
of nowhere! Why didnR...
Source: The Health Care Blog - August 15, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Economics Health Policy buyers health economics health reform Joe Flower Payers Source Type: blogs
Fight Aging! Newsletter, August 12th 2019
We examined 9293 individuals from the Copenhagen General Population Study using nuclear magnetic resonance spectroscopy measurements of total cholesterol, free- and esterified cholesterol, triglycerides, phospholipids, and particle concentration. Fourteen subclasses of decreasing size and their lipid constituents were analysed: six subclasses were very low-density lipoprotein (VLDL), one intermediate-density lipoprotein (IDL), three low-density lipoprotein (LDL), and four subclasses were high-density lipoprotein (HDL). Remnant lipoproteins were VLDL and IDL combined.
Mean nonfasting cholesterol concentration was 72...
Source: Fight Aging! - August 11, 2019 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
Pension tax rules - impact on NHS consultants and GPs
House of Commons Library -This briefing note focuses on the current debate about the impact of pension tax rules on some senior NHS staff.Research briefingHouse of Commons Library - publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - August 8, 2019 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Workforce and employment Source Type: blogs
An Interview with Reason at Undoing Aging 2019
Much of the proceedings at Undoing Aging in Berlin earlier this year were recorded, but of course it takes a few months for everything to process through the queue. I briefly escaped from the conference for an ad hoc, unstructured discussion with Adam Ford of Science, Technology, and the Future, who, like the Life Extension Advocacy Foundation folk, was interviewing as many people as he could during the event. It wound up a monologue on topics that were at the top of my mind at the time, particularly the present state of funding and the transformation of our community from a primary focus on advocacy and academic research ...
Source: Fight Aging! - August 5, 2019 Category: Research Authors: Reason Tags: Healthy Life Extension Community Source Type: blogs
Overpayments of Carer ’s Allowance
Work and Pensions Committee - The Work and Pensions Committee has found that carers are being disproportionately heavily penalised for years of Department for Work and Pensions (DWP) administrative errors or their own honest mistakes, in a confusing and outdated system where the IT cannot even adapt a basic information letter within a year. The report calls on the DWP to completely reassess its approach and consider writing off debts due to its own protracted administrative failures.ReportMore detail (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - August 4, 2019 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Source Type: blogs
Options for members of the NHS Pension Scheme affected by the annual allowance
NHS Employers - This short guide is designed to help raise awareness of the options available to members of the NHS Pension Scheme affected by the annual allowance. The annual allowance is the amount of pension savings an individual can make in one year without paying tax.GuideMore detail (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - August 4, 2019 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Workforce and employment Source Type: blogs
Private Pay Growth Tops Federal in 2018
This study examines federal compensation issues in detail, and the underlying BEA data are in section 6 tableshere. (Source: Cato-at-liberty)
Source: Cato-at-liberty - August 2, 2019 Category: American Health Authors: Chris Edwards Source Type: blogs
Health is everyone ’s business: proposals to reduce ill health-related job loss
Department of Health and Social Care (DHSC) -This consultation from the DHSC and and the Department for Work and Pensions seeks views on different ways in which government and employers can take action to reduce ill health-related job loss. Disabled people and people with long-term health conditions are at greater risk of falling out of work. The proposals aim to support and encourage early action by employers for their employees with long-term health conditions, and improve access to quality, cost-effective occupational health. This consultation closes on 7 October 2019.Consultation documentMore detail (Source: Health Man...
Source: Health Management Specialist Library - July 14, 2019 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Local authorities, public health and health inequalities Source Type: blogs
Research into the impact of pensions tax in the NHS
NHS Employers - NHS Employers commissioned First Actuarial to investigate the growing evidence suggesting that the changes in recent years to the annual and lifetime allowances are influencing the behaviour of NHS staff. The purpose of the research was to find out: how widespread pensions tax charges are in the NHS; the size of pensions tax charges faced by affected employees; and any impact of these charges on the working behaviour of employees – and how this impacts the objectives of the NHS and on the NHS Pension Scheme.ReportMore detail (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - June 23, 2019 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Workforce and employment Source Type: blogs
Postal Service in Crisis
Mail volumes are falling and the U.S. Postal Service is losing billions of dollars a year while accumulating large liabilities.The USPS has partly offset declining mail revenues with growth in package revenues. But the company ’s finances look pretty bleak overall.The table below illustrates the USPS ’s predicament with data from 2009 and 2018 fromhere,here, andhere.The data in the table reflects that:Mail demand is falling and package demand is rising. The problem is that mail is more profitable and accounts for most of USPS revenues.USPS management has cut costs where it can, such as by reducing the worker count. But...
Source: Cato-at-liberty - June 7, 2019 Category: American Health Authors: Chris Edwards Source Type: blogs
