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ACOs Won't Work According to Clayton Christensen in the WSJ
Clayton Christensen and colleagues published a recent op-ed piece in the Wall Street Journal explaining why ACOs won't work (see: The Coming Failure of 'Accountable Care'). I have expressed similar sentiments about these organizations in the past. The concept was invented by the federal government and not by physicians and hospital executives who are responsible for creating and managing them (see: Hospital Executives Search for the Formula for an Accountable Care Organization; ; How to Define and Reduce Unnecessary Services). Most of these incumbents are not that interested in decreasing the ...
Source: Lab Soft News - March 12, 2013 Category: Pathologists Authors: Bruce Friedman Tags: Healthcare Business Healthcare Delivery Healthcare Information Technology Hospital Executive Management Hospitals and Healthcare Delivery Source Type: blogs

Disruptor Profile: Gale Wilson-Steele
Widely regarded as a pioneer in e-health technology solutions, Gale Wilson-Steele, founded MEDSEEK, Inc. in 1996. The company started with the purchase of a book called, “How to Turn Your Mac Into a Web Server”, and with the evolution of the Internet and many outstanding additions to the team, MEDSEEK, Inc. now serves over 1,000 hospitals with online solutions that empower patients, physicians, employees and consumers to securely exchange knowledge, interact with health care organizations and access medical records online.  While her Stanford degree is in biology and she has promoted technology after teaching Computer...
Source: Disruptive Women in Health Care - April 16, 2013 Category: Health Medicine and Bioethics Commentators Authors: dw at disruptivewomen.net Tags: HIT/Health Gaming Innovation health IT Medseek Source Type: blogs

5th Amendment Insurance?
Okay, this one tickles me:"Looking for someone who knows they will NOT buy health insurance next year. Pls get in touch"The intrepid soul who tweeted (twitted?) this odd request is Dan Gorenstein, a reporter for Marketplace.org (which "presents news on business, economics, and money"). The request seems odd, because a quick search turned up no similar requests from him for, say, folks who planned to cheat on their taxes next year, or rob a bank, or drive under the influence. Perhaps those are more "spur of the moment" decisions than deciding in advance not to buy insurance?In the event, one wonders if Mr G plans to shield ...
Source: InsureBlog - April 22, 2013 Category: Medical Lawyers and Insurers Source Type: blogs

An Explanation about How ACOs May Save Money
I have never quite understood how accountable care organizations (ACOs) are supposed to reduce the cost of healthcare although many hospitals have been creating them, often with the help of consultants (see: Hospital Executives Search for the Formula for an Accountable Care Organization). I recently came across a clear explanation about how ACOs are designed to work (see: ACOs Won't Work According to Clayton Christensen in the WSJ). Below is an excerpt from the article (see: A Health Provider Finds Success in Keeping Hospital Beds Empty): [T]he Affordable Care Act, President Obama’s health care law, has helped ...
Source: Lab Soft News - April 25, 2013 Category: Pathologists Authors: Bruce Friedman Tags: Healthcare Business Healthcare Delivery Hospital Executive Management Hospitals and Healthcare Delivery Medical Consumerism Medical Research Source Type: blogs

The new HIPAA regulations: Do you know the rules?
Even stronger controls have just been set out for HIPAA. They come in the final regulations for the Omnibus Health Insurance Portability and Accountability Act, or the HIPAA rule. The new rules became effective March 26. However, medical offices and business associates have until September 23 to comply. Mostly, the changes affect patient requests and approvals, breach reporting, and business associates. Along with that, the penalties for noncompliance have gone up. And accompanying the penalty increases is a promise from the government to search out violators with a vengeance. Continue reading ... Your patients are rating...
Source: Kevin, M.D. - Medical Weblog - April 27, 2013 Category: Family Physicians Tags: Policy Primary care Source Type: blogs

Health Insurance Redlining?
Something about Bob's post this morning (regarding the "new and improved" ObamaTax applications) has been bugging me.To wit:"HHS  today released new applications for individuals and adults looking to get health insurance ... also ask for contact information and race-ethnicity."Back in the day (actually, before my time), insurance applications routinely asked for one's race, and it played a part in the underwriting process. By the time I entered "the biz" (in the early '80's) the practice was long-since abandoned.But it was unclear to me whether this was by law or custom, and I did some searching to find out. I couldn'...
Source: InsureBlog - May 1, 2013 Category: Medical Lawyers and Insurers Source Type: blogs

Specialized pain care in Germany.
DISCUSSION: Further development should strive to increase the provision of pain and palliative care. There is a great need for pain care research in order to concrete the needs. PMID: 23503786 [PubMed - in process]
Source: Schmerz - April 1, 2013 Category: Anesthesiology Authors: Dietl M, Korczak D Tags: Schmerz Source Type: research

Insurers limit doctors, hospitals in state-run exchange plans
Exclusive arrangements and tight networks become more common as insurers and government officials search for ways to hold down medical costs.California's health insurance rates for a new state-run marketplace came in lower than expected this week, but one downside for many consumers will be far fewer doctors and hospitals to choose from.
Source: L.A. Times - Health - May 25, 2013 Category: Consumer Health News Source Type: news

Just how important are online hospital reviews?
Thinking of taking a trip? Booking has become very easy with the emergence of online rating sites. Price comparisons, photos, customer experience and reviews are immediately available to your fingertips on sites such as TripAdvisor and Travelocity. Need to schedule surgery? Want to find the best pediatrician? Keep hunting … Word of mouth and recommendations are still dominant in healthcare decision making. But Hospital and physician ratings are an evolving touch-point on a patient journey and one that connects consumer experience and quality of care to appointment generation. As Americans spend more of their own mone...
Source: Nicola Ziady - June 17, 2013 Category: Medical Marketing and PR Authors: Nicola Ziady Tags: Feature Posts Healthcare Marketing Source Type: blogs

Obamacare Desperation
Less than 6 months away from full implementation of Obamacare and desperation is setting in. In an attempt to continue selling the unpopular overhaul of the best health care system in the world, Head Cheerleader Sebelius continues the search for celebrity endorsements. Having been rebuffed by pro sports she moves on to entertainers. President Obama is enrolling stars in a campaign to promote the new health insurance exchanges. Obama stopped by a private White House meeting Monday with a group of celebrities that included singer Jennifer Hudson and actors Amy Poehler, Michael Cera and Kal Penn. Life Health Pro But ...
Source: InsureBlog - July 26, 2013 Category: Medical Lawyers and Insurers Source Type: blogs

Affordable Care Act Updates
The final countdown to Open Enrollment in the Health Insurance Marketplace has begun! The list of organizations already in place to provide assistance to individuals with the enrollment process continues to grow, and includes Navigators, Certified Application Counselors, Assisters, and Champions for Coverage. On September 26, OCLC WebJunction announced some updates aimed to help library staff connect patrons to available resources and community experts that can provide assistance. The Centers for Medicare and Medicaid Services (CMS) has soft launched LocalHelp.healthcare.gov, where individuals or organizations can enter th...
Source: Network News - September 27, 2013 Category: Databases & Libraries Authors: Cheryl Rowan Tags: Consumer Health General (all entries) Source Type: news

Search Tools Wanting on Many Exchanges
Many who get through the log-in process on the new health insurance exchanges then have trouble determining whether the offered policies will provide the coverage they need.    
Source: NYT Health - October 17, 2013 Category: Consumer Health News Authors: By ABBY GOODNOUGH Tags: States (US) Washington (DC) Doctors Kentucky Patient Protection and Affordable Care Act (2010) Health Insurance and Managed Care Computers and the Internet Source Type: news

How marketing works on the web
You have to hand it to the world's spam engines.  This comment came in within hours of my posts about the problems with the health insurance exchange site! (I've taken out the links.)CMS web design allows businesses to organize and maintain their website content fast and effortlessly. Besides, one can have an unlimited number of pages and a full site-search engine.Website Design Company Bangalore | Bangalore Web Development Company
Source: Running a hospital - October 22, 2013 Category: Health Managers Source Type: blogs

Non-invasive prenatal testing for fetal sex determination: is ultrasound still relevant?
We present the feasibility of the two methods and their impact on clinical practice. We applied a sensitive search of multiple bibliographic databases including Pubmed (MEDLINE), EMBASE, the Cochrane Library and Web of science between 1998 and 2013.Sixteen reports of the determination of fetal sex in maternal blood and 13 reports of the determination by ultrasound met our inclusion criteria. We found a sensitivity and specificity of nearly 100% from 8 weeks of gestation for cffDNA and from 13 weeks of gestation for ultrasound respectively.Based on this review, we conclude that fetal sex can be determined with a high level ...
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - September 18, 2013 Category: OBGYN Authors: Claire Colmant, Michèle Morin-Surroca, Florent Fuchs, Hervé Fernandez, Marie-Victoire Senat Tags: Reviews Source Type: research

But Don't Worry, Your Health Information is Secure: the Enforcers are Themselves Incompetent and Broke
Another in my "But Don't Worry, Your Health Information is Secure" series (see http://hcrenewal.blogspot.com/search/label/medical%20record%20privacy) ... a promise blindly made by the healthcare information technology hyper-enthusiasts.The Office of the Inspector General for HHS just issued a report finding that the Office of Civil Rights (OCR), which is charged with enforcing the HIPAA/HITECH law, had itself failed to adequately protect the security of the health information it handled. Specifically OIG found that OCR “focused on system operability to the detriment of system and data security.”From “The Office for C...
Source: Health Care Renewal - December 9, 2013 Category: Health Medicine and Bioethics Commentators Tags: computer security HHS HIPAA medical record confidentiality medical record privacy OCR Source Type: blogs