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Marketing Bad Health Care Decisions as a New Form of Stealth Health Policy Advocacy
A remarkable set of video advertisements appeared a few weeks ago that seem designed to frighten people into making bad health care decisions.The "Bad Uncle Sam" Advertisements As described by Businessweek,In the first ad, dubbed 'The Exam,' a young woman who has signed up for Obamacare arrives at a medical facility and changes out of her clothes and into a flimsy hospital gown. Following the instructions of a doctor, she reclines on a hospital bed and spreads her legs into a pair of stirrups. The doctor leaves the room. Then, suddenly a mascot wearing a plastic Uncle Sam mask and sporting an unwavering grin—Creepy Uncle...
Source: Health Care Renewal - October 7, 2013 Category: Health Medicine and Bioethics Commentators Tags: health care reform stealth health policy advocacy health insurance disinformation Source Type: blogs

Big Door Keep Revolving - Our Latest Roundup About the Blurred Lines Between the Health Care Industry and the Government Bodies that are Supposed to Regulate and Make Policy Affecting It
The revolving door continues to turn connecting US government bodies that make health policy or regulate health care and the health care industry.  Sometimes these transitions are obvious, sometimes they are obscure.  The press sometimes makes the revolving door the subject, but more often it is just an aside.The latest roundup of transitions through the door includes, in chronological order of media attention...Former White House Press Secretary to Consultancy Serving Health Care Corporations As reported by the Washington Post in April, 2014, Robert Gibbs was White House Press Secretary until he departed for the...
Source: Health Care Renewal - May 22, 2014 Category: Health Management Tags: FDA health care reform revolving doors US Congress White House Source Type: blogs

It Has Come to This? - Donald Trump's "Truly Absurd," "Word Salad," "Gibberish" Health Care Policy
Health Care Renewal is officially non-partisan.  We do not endorse candidates for office, or political parties.  That does not prevent us from commenting on policy issues, and on pronouncements and actions by politicians and government officials when they relate to the issues that interest us.So, we have criticized excessive coziness among politicians and government officials on one hand, and big health care organizations and their leaders on the other.  We have noted conflicts of interest affecting politicians, particularly the revolving door, and other shadings towards corporatism.  We have noted how ...
Source: Health Care Renewal - February 27, 2016 Category: Health Management Tags: health care reform health policy politics ppaca Source Type: blogs

Race-Based Medicine Can Blind Doctors from Social Injustice
By PHUOC LE MD Fifteen years ago, as a medical student, I learned a terrifying lesson about blindly using race-based medicine. I was taking care of Mr. Smith, a thin man in his late 60s, who entered the hospital with severe back pain and a fever. As the student on the hospital team, I spent over an hour interviewing him, asking relevant questions about his medical and social history, the medications he took, and the details of his symptoms. I learned Mr. Smith was a veteran who ran into tough times that left him chronically homeless, uninsured, and suffering from hypertension and diabetes. I performed a complete physica...
Source: The Health Care Blog - April 26, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health disparities Medical Practice health inequities Phuoc Le race-based medicine Source Type: blogs

The Affordable Care Act, COVID-19, and Health Care Insurance for Children
Despite numerous legal and political challenges over the past decade, the Patient Protection and Affordable Care Act (ACA; Library  of Congress, 2010) has been integrated into the health system of the United States and has played an important role in improving child health in this country by increasing access to health care for millions of children. The ACA has also provided a health care lifeline to children and families dur ing the coronavirus disease 2019 (COVID-19) pandemic. This policy brief reviews the legal status of the ACA, explores the impact of COVID-19 on children's access to health insurance, discusses recen...
Source: Journal of Pediatric Health Care - July 23, 2021 Category: Pediatrics Authors: Eileen K. Fry-Bowers Tags: Health Policy Source Type: research

Financial Burden of Pediatric Anterior Cruciate Ligament Reconstruction
Conclusion: Although a small proportion of patients generated medical debt after ACLR (greater for those privately vs. publicly insured), the majority reported treatment-related financial burden primarily driven by PT costs. Level of Evidence: Level III.
Source: Journal of Pediatric Orthopaedics - September 13, 2022 Category: Orthopaedics Tags: Sports Medicine Source Type: research

The impact of bundle care on medical expenses reduction in critically-ill patients with blood stream infection
CONCLUSIONS: The results showed that after introducing bundle care in the medical ICU, more severe critically-ill patients with BSI have significant reduction in average medical expenses during hospitalization.
Source: European Respiratory Journal - December 23, 2014 Category: Respiratory Medicine Authors: Chang, H.-T., Chen, W.-L., Jen, H.-Y., Liu, T.-W., Lim, C.-K. Tags: 2.1 Acute Critical Care Source Type: research

How is the Affordable Care Act doing?
By Michael Hochman, MD, MPH and Pieter Cohen, MD (follow us at @slowmedupdates or on the web.) As the Affordable Care Act (ACA) enters its third active year, we’re taking a look at an interesting summary of its benefits and barriers to health care so far that was recently published in The New England Journal of Medicine. In this paper, Dr. Benjamin Sommers, assistant professor of health policy and economics at the Harvard T.H. Chan School of Public Health, explains that the number of uninsured individuals in the United States has fallen from roughly 50 million in 2010 to between 30 and 34 million as of 2015. This co...
Source: New Harvard Health Information - January 21, 2016 Category: Consumer Health News Authors: Updates in Slow Medicine Tags: Health care affordable care act Source Type: news

A Costly Lesson in Cost-Conscious Care
By: Andrea N. Leep, MD, MHPE Andrea N. Leep is an assistant professor of neurology at the Mayo Clinic. She works as a consultant in the Education Division of the Neurology Department at Mayo Clinic and is Associate Director of the Mayo Clinic Program in Professionalism and Values, Rochester, Minnesota. In the rural community where I grew up, most folks didn’t have much in the way of health insurance. The saying was you had to be “pert near dead” in order to justify the expense of seeing a doctor. I felt privileged to have health insurance when I started medical school—but it only took one unexpectedly enormous bil...
Source: Academic Medicine Blog - May 24, 2016 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective cost-conscious care doctor-patient relationship health care costs Source Type: blogs

Geographic access to interventional cardiology services in one rural state
Conclusion Delayed geographic IC access was associated with disparity but not with increased age-adjusted coronary mortality.
Source: Heart and Lung: The Journal of Acute and Critical Care - August 4, 2016 Category: Respiratory Medicine Source Type: research

How Reimbursement Is Changing For Palliative Care - MACRA
by Stacie Sinclair(Register for the free webinar here)There is no disputing that recent events mean a huge shift in the direction of health care in the coming years. Although we ’re learning more each day about what programs will stay and what will go, there remains tremendous uncertainty that only time will clarify. Yet in this period of transition, there is at least one major program that the nation’s best health policy minds agree is here to stay: MACRA’s QPP!WHAT DO THOSE CRAZY ACRONYMS MEAN?TheMedicare Access and Children ’s Health Insurance Program (CHIP) Reauthorization Act of 2015 (MACRA) is a bipartisan la...
Source: Pallimed: A Hospice and Palliative Medicine Blog - November 19, 2016 Category: Palliative Care Tags: AAHPM CAPC CMS HPNA macra medicare mips nhpco palliative care profession sinclair Source Type: blogs

Potential impact of Affordable Care Act–related insurance expansion on trauma care reimbursement
CONCLUSION: Health insurance coverage expansion for uninsured trauma patients has the potential to increase national reimbursement for inpatient trauma care by over one billion dollars and nearly double the proportion of hospitals with a positive margin for trauma care. These data suggest that insurance coverage expansion has the potential to improve trauma centers' financial viability and their ability to provide care for their communities. Level of Evidence: Economic analysis, level II.
Source: The Journal of Trauma: Injury, Infection, and Critical Care - April 22, 2017 Category: Orthopaedics Tags: AAST 2016 Plenary Paper Source Type: research

Senate Passes CHRONIC Care Act
On September 26, the Senate passed the CHRONIC Care Act is also known as the “Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care Act.” The law passed with bipartisan support. “This legislation will improve disease management, lower Medicare costs and streamline care coordination services — all without adding to the deficit,” Senate Finance Committee Chairman Orrin Hatch (R-Utah) said in a statement. Bill Specifics There are several highlights from the bill. First, it extends the Independence at Home Model of Care. Specifically, it would extend the demonstration’s expiration date by t...
Source: Policy and Medicine - September 29, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Postdischarge long-term cardiovascular outcomes of intensive care unit survivors who developed dialysis-requiring acute kidney injury after cardiac surgery
ConclusionsAKI-D following cardiac surgery was associated with worse long-term postdischarge mortality and elevated risks of dialysis dependency and MACE development. The outcomes were consistent even in the patients who recovered from the dialysis.
Source: Journal of Critical Care - November 25, 2018 Category: Gastroenterology Source Type: research

Improving the Affordable Care Act Markets (Part 1)
By JONATHAN HALVORSON, PhD With each passing year, the Affordable Care Act becomes further entrenched in the American health care system. There are dreams on both the far left and far right to repeal and replace it with something they see as better, but the reality is that the ACA is a remarkable achievement which will likely outlast the political lifetimes of those opposing it. Future improvements are more likely to tweak the ACA than to start over from scratch. A critical part of making the ACA work is for it to support healthy, competitive and fair health insurance markets, since it relies on them to provide healt...
Source: The Health Care Blog - October 22, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Obamacare Affordable Care Act health reform Jonathan Halvorson Risk adjustment Source Type: blogs