The Republican Study Committee ’s ACA Replacement Proposal
The 115th Congress convened on January 3 and as already reported one of their first orders of business was to begin the process of repealing parts of the Affordable Care Act (ACA) through the budget reconciliation process. A big question left unanswered, however, is what would replace the ACA? On January 4, 2017, the House Republican Study Committee, a caucus of conservative Republican House members, introduced the American Health Care Reform Act (AHCRA), their replacement proposal. This is only one of several Republican replacement proposals. It is similar to proposals made by the Study Committee in 2013 and 2015, which h...
Source: Health Affairs Blog - January 5, 2017 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage ACA repeal and replace open enrollment Source Type: blogs

The Republican Study Committee ’s ACA Replacement Proposal (Updated)
January 6 Update: HHS Preexisting Condition Report One of the most popular provisions of the ACA has been its requirement that insurers cover people with preexisting conditions, which is supported by almost 70 percent of Americans.   Even President-elect Trump has expressed support for this requirement.  A particularly challenging problem for ACA replacement plans, therefore, is what form of protection, if any, should be offered to people with preexisting conditions. On January 5, 2017, the HHS Assistant Secretary for Planning and Evaluation released an issue brief analyzing how many Americans actually have ...
Source: Health Affairs Blog - January 5, 2017 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage ACA repeal and replace open enrollment Source Type: blogs

Best practices to fund, develop and commercialize evidence-based mental health innovation
Best practices to fund, develop and commercialize evidence-based innovation from SharpBrains In this session we discuss key lessons learned for scientists and start-ups to successfully bring to market evidence-based innovative solutions. We will present non-dilutive funding opportunities and commercialization resources offered through the US small business research programs, and a scientist and inventor turned serial entrepreneur wrap-ups the day sharing insights from his previous venture–funded by the NIMH and sold to McKesson–and his current strategy and vision. Chair: Dr. Alison Fenney, Executive Director o...
Source: SharpBrains - December 30, 2016 Category: Neuroscience Authors: SharpBrains Tags: Health & Wellness Technology Experiad innovation McKesson Mental-Health National-Institute-of-Mental-Health Neurotechnology-Industry-Organization NIMH Vivalog Technologies Source Type: blogs

New possibilities for research training, small business research
The mighty push for research on Alzheimer’s disease and related dementias continues at NIA. While an earlier blog highlighted the research initiatives we have published, this chapter covers the more recent publication of two training initiatives and four small business-related initiatives. (Source: Inside NIA: A Blog for Researchers)
Source: Inside NIA: A Blog for Researchers - December 21, 2016 Category: Geriatrics Authors: Robin Barr, Director of the Division of Extramural Activities Source Type: blogs

Whether They Like It Or Not, The GOP Must Repair Obamacare
By DAVID KENDALL It’s very possible that the pejorative “Obamacare” could become the even more pejorative “Trumpcare” in a very short period of time. That is because Trump’s and the GOP’s promise to repeal Obamacare — the Affordable Care Act (ACA) — has already hit a snag called reality. Reports are now circulating that the much-promised repeal of the health care law (60 plus House and Senate votes since 2010) won’t take effect until at least 2019, after the mid-term elections. The excuse is that it’ll take that long to figure out an alternative and...
Source: The Health Care Blog - December 16, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Innovations for Healthy Living grant for small business concerns
Funding Opportunity Announcement (FOA) RFA-MD-17-001 from the National Institute on Minority Health and Health Disparities (NIMHD) invites eligible United States small business concerns (SBCs) to submit Small Business Innovation Research (SBIR) grant applications that propose to develop a product, process or service for commercialization with the aim of reducing disparities in healthcare access and health outcomes and in preventing disease and improving health in one or more NIH-defined health disparity population group(s). Appropriate technologies should be effective, affordable, culturally acceptable, and deliverable to ...
Source: BHIC - December 15, 2016 Category: Databases & Libraries Authors: Annette Parde-Maass Tags: Minority Health Concerns Public Health Rural Scholarships and Grants health disparities Source Type: blogs

Obamacare isn ’t a job killer
According to many conservative pundits, Obamacare is a job killer. Five days before Obama signed the law, in fact, speaker John Boehner declared that the president was pushing “his job-killing government takeover of health care that will hurt small businesses.” Years after the law was passed, critics continued trumpeting this theme, Ted Cruz calling Obamacare “the biggest job-killer in this country,” and even claiming that “millions of Americans have lost their jobs” because of the law. Are the critics right? Liberals point to steady national job growth since passage of the law as eviden...
Source: Kevin, M.D. - Medical Weblog - December 13, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/peter-ubel" rel="tag" > Peter Ubel, MD < /a > Tags: Policy Health reform Source Type: blogs

No matter what Trump does to health care, we must accept an imperfect reality
Tom is a forty-three-year-old self-employed painter and father of two. He’s currently in remission from lung cancer, having been first diagnosed five years ago. At the time of his diagnosis, he did not have health insurance. Thankfully, for him, American law had finally made it illegal for health insurance companies to discriminate against individuals with preexisting conditions. Tom had to be offered insurance at community rates. And, this was a good thing for him. His medical expenses exceeded $100,000 annually for his first two years of treatment. No one deserves to go without care for a serious medical condition....
Source: Kevin, M.D. - Medical Weblog - December 12, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/rocky-bilhartz" rel="tag" > Rocky Bilhartz, MD < /a > Tags: Policy Health reform Source Type: blogs

Another Crazy California Law
Imagine that you ’re a small business owner getting ready to go into your busy season, when several protestors come onto your property and begin disrupting your workers. Ordinarily, you would call the police and have the trespassers removed so that you could continue with your operations. But in California, that’ s not an option for some property owners.Cedar Point Nursery —a strawberry farm near the Oregon border—didn’t have to imagine that scenario. In fall 2015, union protesters entered Cedar Point’s property at five o’clock in the morning, moving through trim sheds—where ...
Source: Cato-at-liberty - December 9, 2016 Category: American Health Authors: Ilya Shapiro, Frank Garrison Source Type: blogs

The Power of Determination
What do you think is an important factor for success? While there are others, I believe that an important factor for success is determination. Paul Graham – the founder of a startup incubator in Silicon Valley – wrote this: We learned quickly that the most important predictor of success is determination… While it certainly helps to be smart, it’s not the deciding factor. There are plenty of people as smart as Bill Gates who achieve nothing. In The Dip, Seth Godin wrote that there is a place on the way to success where you suffer setbacks. He called that place “the dip.”  This is th...
Source: Life Optimizer - December 9, 2016 Category: Consumer Health News Authors: Donald Latumahina Tags: Attitude Working Source Type: blogs

Small But Mighty: A Diabetes-Friendly Cocktail Mixer (with Product Giveaway!)
Today we're happy to introduce a small business that solves a crucial problem for many people with diabetes... You know, trying to find mixed drink options that won't raise our blood sugars the way regular cocktails typically do.Enter Be Mixed, a ... (Source: Diabetes Mine)
Source: Diabetes Mine - December 5, 2016 Category: Endocrinology Authors: Mike Hoskins Source Type: blogs

Another Obamacare Failure: It Wasn ’t a Job Killer!
According to many conservative pundits, Obamacare is a job killer. Five days before Obama signed the law, in fact, speaker John Boehner declared that the president was pushing “his job killing government takeover of healthcare that will hurt small businesses.” Years after … Continue reading → The post Another Obamacare Failure: It Wasn’t a Job Killer! appeared first on PeterUbel.com. (Source: blog.bioethics.net)
Source: blog.bioethics.net - November 30, 2016 Category: Medical Ethics Authors: Peter Ubel Tags: Health Care ACA Obamacare partisanship Peter Ubel Political Psychology syndicated Uncategorized Source Type: blogs

Congressional Leaders Question CMS Handling of Medicare Fraud
Leaders of three congressional committees have raised concerns about how the Centers for Medicare and Medicaid Services investigates Medicare fraud. Senator Orrin Hatch (chairman of the Senate Finance Committee), along with Representatives Kevin Brady, Fred Upton, Peter Roskam, Tim Murphy, Pet Tiberi, and Joseph Pitts (leaders on the Energy and Commerce and Ways and Means Committees) sent a letter to CMS Acting Administrator Andy Slavitt, taking issue with the way the agency investigates fraud claims. The letter notes that the lawmakers support CMS’ efforts to implement the FPS, but that CMS may rely too heavily on ...
Source: Policy and Medicine - November 16, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Dear Mr. President-Elect, about that Ryan Plan Thing
By MARGALIT GUR-ARIE The American people, myself proudly included, chose to send you to Washington DC to do their bidding. That’s what happened on November 8th 2016. Everything you hear now from the elite punditry is aimed at obfuscating this simple truth. Forget about dainty glass ceilings, we the people were able to break through the fortified ramparts erected by entrenched money and power and exercise our right to govern ourselves. I would caution the smug intelligentsia against underestimating the wisdom of the people once again, and I would caution you against forgetting who sent you there and why we did so. We...
Source: The Health Care Blog - November 13, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Is There a Silver Lining in a Dark Cloud?
From a public health perspective, there are many reasons to be concerned about the outcome of Tuesday ’s election. However, there is one reason to potentially be encouraged. With a Trump presidency, and with Republican control of the Senate, we ironically have a tremendous opportunity to once and for all craft a sensible regulatory strategy for electronic cigarettes and vaping products.The Rest of the StoryAlthough the issue was not directly addressed during the campaign, I would expect President-elect Trump to be supportive of vaping products and especially of the thousands of small businesses that are likely going ...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 10, 2016 Category: Addiction Source Type: blogs

Day One And Beyond: What Trump ’ s Election Means For The ACA
On November 8, 2016, in a stunning upset, Donald Trump was elected president of the United States. The Republican Party, under whose banner he run, retained control over both the House and Senate. President Trump will be able to appoint at least one Supreme Court justice almost immediately and possibly more during his term in office. He will also appoint dozens of district and appellate court judges. Finally, he will presumably replace the cabinet secretaries and most of the political appointees in the Departments of Health and Human Services, Labor, and Treasury — that administer the Affordable Care Act. The Republi...
Source: Health Affairs Blog - November 9, 2016 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage Medicaid and CHIP ACA repeal and replace budget reconciliation Source Type: blogs

The Election's Bearing on Monetary Freedom
No matter who wins this year ’s presidential election, believers in monetary freedom will have their work cut out for them.A newly-elected president Trump will quickly turn from making the Fed a scapegoat for his own campaigns ’ tribulations to blaming it for his economic policy failures — starting with the equities market nose dive that’s likely to follow his surprise victory. But instead of continuing to rail against the Fed’s supposedly easy policy stance, you can bet that president-elect Trump would soon be bl aming it for keeping money too tight.In any event, a newly-elected Trump adminis...
Source: Cato-at-liberty - November 8, 2016 Category: American Health Authors: George Selgin Source Type: blogs

Does Monetary Policy Have a Future?
I have chosen a provocative title, but it is fully justified. Fed officials are flying on autopilot, but the controls don ’t work anymore, or at least not reliably. Fed watchers are largely clueless. The investment community and the economy may be collateral damage.Let me begin by briefly reviewing the recent past. All through last year, Fed officials were signaling they would begin a program of rate increases. At first, there were going to be 8 increases of one quarter point. As the year progressed, the first increase faded into the future. Finally, in December 2015, the Fed finally hiked its new interest-rate targe...
Source: Cato-at-liberty - November 2, 2016 Category: American Health Authors: Gerald P. O'Driscoll Jr. Source Type: blogs

There ’ s a Story Behind the “ Craziest Thing in the World ”
By STEVE FINDLAY Is he on or off message — or what?  We are taking about Bill Clinton, who said in a speech today/yesterday that small business folks and individuals were “getting killed” by Obamacare….with “premiums doubled and their coverage cut in half.”   “The people who are getting killed in this deal are the small businesspeople and individuals who make just a little too much to get in on these subsidies,” Clinton said. He added that for many people, Obamacare’s changes have meant “their premiums doubled and their coverage [was] cut in half.&rdquo...
Source: The Health Care Blog - October 4, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Bill Clinton Obamacare Source Type: blogs

The medical histories of Hillary Clinton and Donald Trump shouldn ’t be a big deal
When you are 70 years old, you are bound to have some medical problems, so I am not sure why the media and the public are making a hoopla about the medical histories of Hillary Clinton and Donald Trump. For an elderly patient, my usual medical dictation reads “Mr. A is a 70-year-old former truck driver who has hypertension, diabetes, bypass surgery, and who now comes in with a cough and shortness of breath over two days …” or “Mrs. B is 69-years-old woman who was small business owner has a history of breast cancer, cholecystectomy, hysterectomy, and now has fever and burning on urination.” Ev...
Source: Kevin, M.D. - Medical Weblog - September 28, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/manoj-jain" rel="tag" > Manoj Jain, MD, MPH < /a > Tags: Physician Medications Source Type: blogs

FDA Issues New Draft Guidance on Regulation Compliance for Certain Types of E-Cigarettes; CDC Comments
The FDA took steps yesterday to clear a big point of confusion that has arisen concerning a subset of electronic cigarettes on the market. Due to novel technology that allows nicotine to be extracted in concentrated form from potatoes, a number of e-cigarette companies have switched to using potatoes as a source of nicotine for their e-liquids. Several companies have asked the FDA's Center for Tobacco Products for guidance on whether they need to comply with the tobacco product regulations, since their products do not contain tobacco and the nicotine used is not derived from tobacco.Here is the relevant excerpt from the FD...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - September 28, 2016 Category: Addiction Source Type: blogs

CMS Bolsters Outreach To Young Adults As Open Enrollment Nears
On September 27, the Centers for Medicare and Medicaid Services announced a new campaign to enroll young adults in the health insurance marketplaces. The announcement was released as part of the White House Millennial Outreach and Enrollment Summit. Young adults have seen the sharpest drop in uninsured rates since the enactment of the Affordable Care Act (ACA) in 2010, yet millions remain uninsured. Nine out of 10 marketplace-eligible young adults without health insurance have incomes that would make them eligible for tax credits, thus they should find marketplace coverage affordable. As young adults tend to be healthy and...
Source: Health Affairs Blog - September 27, 2016 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Hawaii open enrollment Section 1332 waivers SHOP marketplace Social Media Source Type: blogs

Bank of Dave
Tom Clougherty ’s recent post on competition (or the lack thereof) in UK banking nicely highlights the problem posed by barriers to entry into the British banking industry. That there is indeed an entry problem should be obvious from the fact thatMetro Bank, which opened in 2010, was the first new financial institution in the UK to get its own banking licensein over 150 years!What may still not be sufficiently appreciated is the extent to which entry into the British banking industry has been limited, not by the unavoidable challenges would-be entrants must face in attempting to compete head-on with established Briti...
Source: Cato-at-liberty - September 27, 2016 Category: American Health Authors: Kevin Dowd Source Type: blogs

September pay line update
We have pay line updates! The big news is that the final career development awards pay line for the year is the 20th percentile. Of equal interest is the fact that we’re increasing our general allocation research grant pay line to the 11th percentile. We also have news on fellowships and small business awards. (Source: Inside NIA: A Blog for Researchers)
Source: Inside NIA: A Blog for Researchers - September 21, 2016 Category: Geriatrics Authors: Robin Barr, Director of the Division of Extramural Activities Source Type: blogs

Health Affairs Web First: Employer-Sponsored Family Health Premium 2016 Costs
Annual family premiums for employer-sponsored health insurance rose an average of 3 percent to $18,412 this year, a modest increase at a time when workers’ wages (2.5 percent) and inflation (1.1 percent) also grew modestly, according to the benchmark Kaiser Family Foundation/Health Research & Educational Trust (HRET) 2016 Employer Health Benefits Survey released today. Workers on average contribute $5,277 annually toward their family premiums. The 18th annual Kaiser/HRET survey of more than 1,900 small and large employers provides a detailed picture of the status and trends in employer-sponsored health insur...
Source: Health Affairs Blog - September 14, 2016 Category: Health Management Authors: Lucy Larner Tags: Elsewhere@ Health Affairs Employer Health Benefits Survey webfirst Source Type: blogs

The Bipartisan Push to Fully Restore the Export-Import Bank
Export-Import Bank supporters are back at it again. According to a document from the Office of Management and Budget, the administration isreportedly asking lawmakers to include a provision restoring the agency ’s full lending authority as part of the continuing resolution that needs to be passed in order to keep the government functioning after September 30th. It was just a few weeks before his election in 2008 thatObama said it had “become little more than a fund for corporate welfare,” and cited it as an example of why he wasn’t someone “who believes we can or should defend every government...
Source: Cato-at-liberty - September 7, 2016 Category: American Health Authors: Charles Hughes Source Type: blogs

Federal Government: Monopoly on Worst Experiences
According to opinion polls, Americans think that the federal government is too large and powerful. Most people do not trust the federal government to handle problems. Only one-third of people think that the government gives competent service, and the public ’s “customer satisfaction” with federal services is lower than for virtually all private services. I discussed these sad realitiesin this study.NextGov.com reports today on a new customer satisfaction study:Despite a major push by the Obama administration in recent years, the federal government “still fails at customer experience,” accordin...
Source: Cato-at-liberty - September 6, 2016 Category: American Health Authors: Chris Edwards Source Type: blogs

CMS Sees Drop In Special Enrollment Period Selections, Plans Further Steps
As premium rate increases for 2017 continue to come in high, the Centers for Medicare and Medicaid Services (CMS) continues to look for “fixes” that might calm down jittery marketplace insurers. A major focus of these efforts has been special enrollment periods (SEPs). SEPs allow individuals to obtain coverage if they were unable to enroll during open enrollment for one of a number of reasons, such as loss of employee benefits or the birth of a child after enrollment closed. SEPs also allow people who meet certain criteria to change their insurer after open enrollment ends, for example because of a move. Insure...
Source: Health Affairs Blog - September 6, 2016 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage CMS Navigators special enrollment periods Source Type: blogs

How Can The Government Improve Prevention Programs In The Workplace?
In the U.S., over 150 million adults go to work daily and spend the majority of their waking hours engaged in some form of employment. Prior to the passage of the Affordable Care Act (ACA), the federal government had not seriously considered the workplace as an appropriate venue for improving population health, although the Centers for Disease Control and Prevention (CDC) had funded a small number of workplace projects dating back to the mid-1980s. In a bipartisan manner, the federal government can play a significant role to engage the business community in building and sustaining workplace health promotion programs that w...
Source: Health Affairs Blog - September 2, 2016 Category: Health Management Authors: Ron Goetzel Tags: Costs and Spending Organization and Delivery Population Health Quality health promotion Prevention Workplace Wellness Source Type: blogs

The Psychology of Donald Trump & How He Speaks
Donald J. Trump will go down in American history as one of the most unusual politicians of all time. He is an enigma to everyone in the political establishment (and to much of America) as he continues his 2016 run for the American presidency. What makes this Republican nominee tick? Why does Donald Trump speak the way he does, saying clearly outlandish things, then taking them back a day or two later? Let’s find out. I’m not the first person who has had serious concerns about the mental health and stability of Donald Trump. Many others have commented on their concerns before me, especially about Trump’s...
Source: World of Psychology - August 31, 2016 Category: Psychiatry & Psychology Authors: John M. Grohol, Psy.D. Tags: Celebrities General Psychology Donald Trump election 2016 how trump speaks how trump talks indirect speech Narcissism Narcissistic Personality Disorder Politics Presidential Election psychology of trump reality TV star trump an Source Type: blogs

Muslim Assimilation: Demographics, Education, Income, and Opinions of Violence
ConclusionThe differences between Muslim Americans and other Americans are small on most of these measures.   The assimilation of Muslim immigrants and their descendants is proceeding well.  My next post in this series will examine Muslim American religiosity.  (Source: Cato-at-liberty)
Source: Cato-at-liberty - August 24, 2016 Category: American Health Authors: Alex Nowrasteh Source Type: blogs

Are You Making These 5 Financial Mistakes In Your Medical Practice?
We know doctors don’t get finance or accounting training during the time they spend in medical school. As a result, they tend to rely heavily on practice managers, accountants and other financial experts with managing their money.   But as medical practice owners (aka small business owners), the buck stops with the doctor. Thus, it … Continue reading "Are You Making These 5 Financial Mistakes In Your Medical Practice?" (Source: Pediatric Inc)
Source: Pediatric Inc - August 10, 2016 Category: Pediatrics Authors: Brandon Tags: Leadership The Business of Medicine credit cards Healthcare high interest loans mistakes partnership partnership agreement Pediatrics Practice Management savings Source Type: blogs

Are You Making These 5 Financial Mistakes In Your Medical Practice?
We know doctors don’t get finance or accounting training during the time they spend in medical school. As a result, they tend to rely heavily on practice managers, accountants and other financial experts with managing their money.   But as medical practice owners (aka small business owners), the buck stops with the doctor. Thus, it is wise not to rely blindly on the “experts” and from time to time take a look at areas of the business for yourself. Below are five areas I’m going to suggest for you to explore. Get acquainted with these suggestions. You never know. Overlooking them may be affectin...
Source: Pediatric Inc - August 10, 2016 Category: Pediatrics Authors: Brandon Tags: Leadership The Business of Medicine credit cards Healthcare high interest loans mistakes partnership partnership agreement Pediatrics Practice Management savings Source Type: blogs

Are You Making These 5 Financial Mistakes In Your Medical Practice?
We know doctors don’t get finance or accounting training during the time they spend in medical school. As a result, they tend to rely heavily on practice managers, accountants and other financial experts with managing their money.   But as medical practice owners (aka small business owners), the buck stops with the doctor. Thus, it […] (Source: Pediatric Inc)
Source: Pediatric Inc - August 10, 2016 Category: Pediatrics Authors: Brandon Tags: Leadership The Business of Medicine credit cards Healthcare high interest loans mistakes partnership partnership agreement Pediatrics Practice Management savings Source Type: blogs

The future for science post-Brexit
The immediate reaction among the scientific community was shock, since the majority of scientists (including Steven Hawking) did not want to leave the EU. According to a poll by Nature, 83% of UK researchers indicated that they would want the UK to remain in the EU, and 77% of EU researchers also voted this way. Comparing this to the poll results for the general UK population, however, the result was very different; only 44% of the UK population wanted to remain. Implications for funding and research grants For UK researchers, around 16% of their research grants are from EU funding sources, and the UK has received around &...
Source: BioMed Central Blog - August 3, 2016 Category: Journals (General) Authors: Miranda Wilson-Wood Tags: Uncategorized Source Type: blogs

News For This Month: Sales
Various Techniques in Buying Used Office Equipment It is a great idea for small businesses to save up cost on office furniture because now a day, there are used furniture that can be purchased in online stores or in malls that can still be used by the small businesses. Because there are now many used office furniture that are being sold in the market, it is better if you know some tips or guides on you can effectively buy these used office furniture to save up cost or money. you must always plan ahead prior to purchasing anything for your business so that you may know if there is a really a need for you to purchase addit...
Source: All Kidney News - August 1, 2016 Category: Urology & Nephrology Authors: admin Tags: Foods & Culinary Source Type: blogs

Finding Similarities Between Systems and Life
Small Business Tips When Purchasing Fire Alarm Systems When you install the best commercial fire alarm equipment you help safeguard valuable data and hardware from fire damage. If professionals install the fire alarm system; you will protect lives and your property. Professional installation is necessary but observing the right maintenance practices ensures your equipment is ready for urgent situations. You should do your homework on various fire alarm equipment brands before you pay for them. When you research, you will know your needs and the pros and cons of different systems offered. Whether you are looking for deluge...
Source: All Kidney News - August 1, 2016 Category: Urology & Nephrology Authors: admin Tags: Real Estate Source Type: blogs

State-Run SHOPs: An Update Three Years Post ACA Implementation
The Affordable Care Act (ACA) created the Small Business Health Options Program (SHOP) to make it easier for small-business owners and their employees to shop for and compare plan options online. Today, 17 states and the District of Columbia operate a state-run SHOP alongside an individual insurance marketplace, including Utah and Mississippi, which opted out of running an individual marketplace but built their own SHOP.         (Source: The Commonwealth Fund: Blog)
Source: The Commonwealth Fund: Blog - July 29, 2016 Category: Global & Universal Source Type: blogs

Are Practice Management Consultants Worth Hiring?
This is a guest post from Chip Hart. Chip is a frequent contributor to PediatricInc and former co-host of the highly revered Pediatric Management Awesomecast. When Chip isn’t protecting independent pediatric practices against evil conglomerates, naysayers, and the League of Shadows, you can find him at PCC doing… something (I’ve never figured out what is it that he does at PCC, exactly).  I will never forget the scene. I was the lonely consultant in the dark and shag-carpeted basement “conference room” of a large pediatric practice and was giving them a stern lecture...
Source: Pediatric Inc - July 27, 2016 Category: Pediatrics Authors: Brandon Tags: Practice Management Consulting CPT's fees Health Insurance Company negotiations payers Pediatric Practice Management AwesomeCast Pediatrics physician compensation Pricing rbrvs SOAPM Source Type: blogs

FDA's Convoluted Response to a Simple Question Shows How Arbitrary, Capricious, and Inane the Deeming Regulations Are
Someone shared with me the actual reply they received from the FDA in response to a very simple question: " Are e-cigs that do not contain nicotine (or any other tobacco extracts) also covered by the FDA deeming regulations? &nbsp; If so, will they also require pre-market approval like products that do contain nicotine? " This seems like a simple and straightforward question that could and should be able to be answered with a simple " yes " or " no. " After all, if e-cigarettes do not contain nicotine then there is no basis for the FDA to assert jurisdiction over them as tobacco products...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - July 25, 2016 Category: Addiction Source Type: blogs

3 Types of Services Physicians Can Use to Build their Practice
Running a successful medical practice requires a lot of time and effort, and a small, private practice can ’t always afford the luxury of having a dedicated staff member assigned to each job. This leads to several employees wearing multiple hats, which can prevent them from providing the best service possible. The physician should be able to give patients their full attention without being distracted b y untangling financial webs, scrambling to fix network crashes, or worrying about how to promote their practice online Fortunately, there are several companies that now cater to these smaller medical practi...
Source: ePharma Summit - July 21, 2016 Category: Pharmaceuticals Tags: HCPs health marketing IT Medical Billing Medical practices Pharma Physicians technology Source Type: blogs

CMS Releases 2017 Enrollment Manual For Individual And Small Business Marketplaces
On July 19, 2016, the Centers for Medicare and Medicaid Services released the Federally-facilitated Marketplace (FFM) and Federally-facilitated Small Business Health Options Program (FF-SHOP) Enrollment Manual for the fourth (2017) marketplace open enrollment period. The 167 page manual covers in detail the rules and procedures governing the FFM and FF-SHOP, issuers of qualified health plans (QHPs) and qualified dental plans (QDPs) in the FFM and FF-SHOP, qualified individuals and employers who apply for coverage in the FFM and FF-SHOP, and brokers and agents (including web-brokers) and others who assist applicants and enr...
Source: Health Affairs Blog - July 20, 2016 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage agents and brokers Federally Facilitated Marketplace Federally-facilitated Small Business Health Options Program Source Type: blogs

FDA Botched Cost-Benefit Analysis of Its E-Cigarette Deeming Regulations
After reviewing the declaration of Nicopure Labs'  CEO Jeff Stamler in its lawsuit against the FDA, I have concluded that the FDA completely botched its cost-benefit analysis of the e-cigarette deeming regulations, drastically underestimating the costs of the regulations and without even attempting to quantify the benefits.As such, this represents a violation of the Administrative Procedures Act, providing strong grounds for the D.C. District Court to overturn the regulations.In its declaration, Nicopure reveals that it has 2,400 stock keeping units (SKUs), including e-liquids, vaporizers, and component parts. This me...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - July 13, 2016 Category: Addiction Source Type: blogs

A Monetary Policy Primer, Part 6: The Reserve-Deposit Multiplier
In my last post in this series, I observed that an economy’s “base” money serves as the “raw material” that commercial banks and other private-market financial intermediaries employ in “producing” deposits of various kinds that can themselves serve as means of exchange. If they could do so profitably, these private intermediaries would, by making their substitutes more attractive than base money itself, collectively gain possession of every dollar of base money in existence. In some past monetary arrangements, most notably that of Scotland before 1845, banks came very close to achi...
Source: Cato-at-liberty - July 12, 2016 Category: American Health Authors: George Selgin Source Type: blogs

IRS Taxpayer Watchdog On Agency’s Implementation Of ACA: ‘Commendable,’ But Work Remains
Implementing Health Reform. The National Taxpayer Advocate Service (TAS) has recently released volume 1 of its Objectives Report to Congress for fiscal year 2017. The TAS reports that, overall, “The IRS has done a commendable job of implementing the various stages of the Patient Protection and Affordable Care Act.” In addition to providing data on Affordable Care Act (ACA) tax filings for the 2015 filing year, however, the report also contains information regarding ongoing issues with Internal Revenue Service (IRS) efforts to implement the ACA and recommendations to Congress regarding ACA tax issues that t...
Source: Health Affairs Blog - July 11, 2016 Category: Health Management Authors: Timothy Jost Tags: Costs and Spending Following the ACA APTC IRS National Taxpayer Advocate Service premium tax credits Source Type: blogs

I Guess An Explanation For My Anger
I saw my therapist/psychiatrist yesterday, and I was chomping at the bit to get out what had been bothering me since last weekend.Tara (she was like a little sister when I lived with her family after my mother had kicked me out) had sent out what I considered a frivolous "GoFundMe" page for $7k in donations.  For the record, she received no donations, the group conversation she sent virtually everyone left, and her mother said once she figured out how to deactivate it, she did. I guess I am validating myself - but I am not alone, just saying!  I had NO idea why I wnnt from 0 to 100 when I read the descr...
Source: bipolar.and.me - July 7, 2016 Category: Psychiatry Source Type: blogs

Drama - I Hate You, But Come Closer
Mark's parents visited and have now gone.  I guess the trip was a "success", as much as it can be. I see now why I get so upset after being with them, even though they appear to be friendly towards me.  I am treated like an outsider, yet in a polite way, if that makes any sense.  I suppose that is natural - I am not their child, but for me it is a bit different.  I do not have my own side of the family with connections. My expectations from them are too high I am sure.  I told my sister in law that we are not the In-Laws, we are the Out-Laws.  She loved it and feels the same.I talked...
Source: bipolar.and.me - July 3, 2016 Category: Psychiatry Source Type: blogs

House Republican Tax Plan
House Republicans have released a proposal for major tax reform. Kudos to Ways and Means chairman Kevin Brady for stepping up to the plate and planning ahead for 2017. Brady and his staff did extensive outreach to think tank experts and the GOP caucus, and they have come up with a blueprint that focuses on savings, investment, simplification, and economic growth.   The GOP plan would cut the top personal income tax rate from 40 percent to 33 percent, while consolidating the bracket structure from 7 rates to 3. The plan would reduce the top tax rate on small businesses to 25 percent, and it would repeal the estate tax ...
Source: Cato-at-liberty - June 24, 2016 Category: American Health Authors: Chris Edwards Source Type: blogs

How can patients accept cash-based practices?
A primary care physician named Ashley Maltz recently discussed advantages and disadvantages of a cash-based practice. I appreciate her evenhanded tone: She prefers this model yet expressed concern for patients who can’t use it. In the comments section, several physicians extolled the virtues of cash-pay, but patients were mixed. It’s attractive for those who can afford it, while it worries, and maybe angers, those who can’t. I enjoy the personal and patient benefits of a mostly cash-pay psychiatric practice (I also see some patients under Medicare). I...
Source: Kevin, M.D. - Medical Weblog - June 22, 2016 Category: Journals (General) Authors: Tags: Physician Primary care Psychiatry Source Type: blogs