How Managerialsm/ Generic Management Damaged the American Red Cross
The American Red Cross is a storied non-profit organization.  It provides disaster relief, provides a major part of the US blood supply, and has important public health teaching functions, such as teaching cardio-pulmonary resuscitation (look here).  Nonetheless, its operations have become increasingly controversial.  ProPublica has been investigating them for years.  The latest ProPublica report, entitled "The Corporate Takeover of the Red Cross," showed how this renowned organization has suffered under generic management/ managerialism, providing another case study showing how bad generic ma...
Source: Health Care Renewal - December 16, 2015 Category: Health Management Tags: executive compensation generic management generic managers managerialism ' coup d etat marketing Red Cross Source Type: blogs

HHS And Treasury Release Substantive Guidance On ACA State Innovation Waivers
Implementing Health Reform. Section 1332 of the Affordable Care Act provides for waivers for state innovation. The idea behind this provision is that if individual states can find a better way of reaching the goals of the ACA, they should be allowed to try. Under section 1332, states may, for years beginning after January 1, 2017, apply to the Departments of Health and Human Services and Treasury for a waiver from certain provisions of the ACA, including the individual and employer mandates, the qualified health plan requirements, the actuarial value and essential health benefit requirements, and the premium and small...
Source: Health Affairs Blog - December 12, 2015 Category: Health Management Authors: Timothy Jost Tags: Costs and Spending Featured Following the ACA Insurance and Coverage Medicaid and CHIP States vulnerable populations Source Type: blogs

Senate Approves Reconciliation Bill Repealing Large Portions Of ACA
Implementing Health Reform. On December 3, 2015 the Senate voted 52 to 47 to repeal large parts of the Affordable Care Act. The House has voted over fifty times to repeal the ACA since the Republicans took control in 2011, but this is the first time the Senate has passed an ACA repeal bill. Because the vote was taken under the congressional budget reconciliation process, the legislation could be passed with a simple majority vote rather than the 60-vote majority that is usually necessary in the Senate to avoid a filibuster. The vote came at the end of a long day in which 46 amendments to the legislation were...
Source: Health Affairs Blog - December 4, 2015 Category: Health Management Authors: Timothy Jost Tags: Featured Following the ACA Insurance and Coverage Medicaid and CHIP ACA repeal budget reconciliation Cadillac tax Senate Source Type: blogs

Senate Approves Reconciliation Bill Repealing Large Portions Of ACA (Updated)
Implementing Health Reform (December 7 update). On December 4, 2015, the Centers for Medicare and Medicaid Services (CMS) released at its REGTAP.info website a guidance on the handling of 2015 “Unaffiliated Issuer Enrollments,” also known as “orphan enrollments.” These are enrollments that appear as active enrollments in an insurer’s records—and for whom insurers thus collect premiums and provide coverage—but do appear as active 2015 enrollments in the records of the federally facilitated marketplaces (FFMs), and thus cannot be passively reenrolled for 2016. Insurers are instr...
Source: Health Affairs Blog - December 4, 2015 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage Medicaid and CHIP ACA repeal budget reconciliation Cadillac tax orphan enrollments REGTAP Senate Source Type: blogs

"Underground Regulations" Violate the Constitution as Much as Headline-Grabbing Executive Actions
Small business owners aren’t typically lawyers, though they are undoubtedly familiar with the thousands of inscrutable pages of new regulations published every year in the Federal Register. Instead of devoting their energies to growing their businesses, owners must expend significant time and resources ensuring compliance with these voluminous and often vague regulations, with costly fines looming as consequences for failure to comply. “The Fourth Branch & Underground Regulations,” a new report by the National Federation of Independent Businesses (NFIB), details the processes by which administrative a...
Source: Cato-at-liberty - November 12, 2015 Category: American Health Authors: Ilya Shapiro Source Type: blogs

Towards an Implanted Artificial Kidney
Filtration in biology is a tractable problem to solve, to build devices that can carry out at least part of the function of organs like the kidneys by removing unwanted substances from the blood. There are already numerous fairly effective means of carrying out dialysis outside the body, for example. These technologies will improve and minimize in the years ahead until the state of the art is a durable, implanted artificial organ intended to augment or largely replace the kidneys. One group of researchers here provide an update on their current progress towards this goal: A surgically implantable, artificial kidney based ...
Source: Fight Aging! - November 11, 2015 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

IN MY VIEW: In Reality, FDA Deeming Regulations are Thinly Veiled Prohibition
Yesterday, based on my analysis of the FDA draft guidance that will accompany the electronic cigarette deeming regulations, I explained that the requirements for a pre-market tobacco product application (PMTA) are so cumbersome and expensive that only a few of the largest e-cigarette manufacturers would be able to keep their products on the market.Today, I add a few clarifications and expansions on my commentary, which I didn't have time to discuss yesterday because I wanted to present a general overview of the regulations and their likely impact.There are two additional points that come out of my analysis that deserve som...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 10, 2015 Category: Addiction Source Type: blogs

A brief history of the world
Here Brad DeLong discusses the history of technology. His particular emphasis is on the past 250 years or so with the sharply accelerating pace of change, but he ranges back to the invention of the spear and the domestication of the horse. His central concern here is on whether machines, having replaced much of the work of our bodies, will shortly replace the work of our brains, and how the economy would then work.That's a fair enough question, but I will take this opportunity to step back and reflect on the human created world in which most of us humans now live. This is the 50th anniversary of the great northeastern blac...
Source: Stayin' Alive - November 9, 2015 Category: American Health Source Type: blogs

FDA is Out of Its Mind: Deeming Regulations Should Be Called "The Cigarette Protection Act of 2015"; Regs are an Embarrassment to Public Health and Will Decimate the Vaping Industry
OMB Should Be Called Upon to Disapprove the Regulations and to Require Changes to Protect the Public's HealthThe Tobacco Vapor Electronic Cigarette Association (TVECA) has obtained a copy of the FDA electronic cigarette deeming regulations that were sent to the Office of Management and Budget (OMB) for final approval before promulgation, as well as a draft of the guidance that the agency intends to release in conjunction with the deeming regulations. The guidance relates to the recommended procedure for filing pre-market tobacco product applications (PMTA's). The TVECA has made the PMTA guidance publicly available on its w...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 9, 2015 Category: Addiction Source Type: blogs

Meet Disruptive Woman to Watch: Kathy Martinez
In 2015, Americans celebrated the 25th anniversary of the Americans with Disabilities Act (ADA).  But just as it is important to recognize that, for a quarter century, the law of the land has protected individuals with disability from discriminating, it is equally critical to acknowledge that there remains a significant employment gap in our society.  Americans with disabilities are far less likely to be gainfully employed and far more likely to be reliant upon public assistance programs. There is no greater champion in trying to change this paradigm than Kathy Martinez, a Disruptive Woman to Watch for 2016. ...
Source: Disruptive Women in Health Care - November 2, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Advocacy Champions Disabilities Source Type: blogs

China Persists in the Myth of Planning
The government of China has launched its 13th five-year plan (known as 13.5), sticking with the form if not the substance of Stalinism. But in our modern and networked world, China wants the world to understand its planning process, so it released this catchy video in American English: What’s China gonna do? Better check this music video The video explains how comprehensive the planning process is:  Every five years in China, man They make a new development plan! The time has come for number 13. The shi san wu, that’s what it means! There’s government ministers and think tank minds And party lea...
Source: Cato-at-liberty - November 2, 2015 Category: American Health Authors: David Boaz Source Type: blogs

ACA Open Enrollment Round 3: The Going Gets Tougher
This article assumes the ACA will be in place over the next five years even if a Republican becomes president in 2017.) Health insurance numbers can be confusing (and hyped out of context from both sides of the political aisle), so here’s a quick rundown of the current situation and the Obama Administration’s new projections. The current U.S. population is 326 million. According to the Census Bureau’s latest authoritative annual report (released in Sept) 10.4% of the population, or 33 million people, were uninsured for the entire year in 2014. That’s down sharply from 13.3%, or 41.8 million people, ...
Source: The Health Care Blog - October 30, 2015 Category: Consumer Health News Authors: Simon Nath Tags: THCB Steven Findlay Source Type: blogs

Meet Disruptive Woman to Watch: Elizabeth Gore
The United Nations is committed to the idea that the health and well-being of people throughout the world can be significantly improved through a vibrant expansion of entrepreneurship.  In fact, it is one of the UN’s Sustainable Development Goals that all of the world’s citizens should have free and equal work through job creation and entrepreneurship, with a goal of creating 600 million new employment opportunities worldwide by the year 2025.  The task of translating that goal into action falls upon leaders like Elizabeth Gore. Let’s strike the term “falls upon” and replace it with ...
Source: Disruptive Women in Health Care - October 29, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Innovation Source Type: blogs

A Green Light for Investment Crowdfunding?
There’s big news in the crowdfunding world. The Securities and Exchange Commission (SEC) announced that they are (finally) voting on final rules Friday that would make investment crowdfunding legal. Other types of crowdfunding — funding a venture with small amounts of money solicited from a large group of people — have been around for a while. The biggest crowdfunding site has even seen its name become a verb – as in “we’re Kickstarting our indie film.” And while one typically thinks of crowdfunding as a creature of the Internet, the concept has a long history. The Statue of Libert...
Source: Cato-at-liberty - October 29, 2015 Category: American Health Authors: Thaya Brook Knight Source Type: blogs

States Revisit Insurer Benefit Requirements, But Have Little Data on Consumers’ Experiences
The promise of the Affordable Care Act (ACA) was not just to broaden access to health insurance, but also to enable more Americans to have coverage they could count on if they became sick. The health law sought to ensure that coverage would meet the needs of consumers by requiring that insurance for individuals and small businesses include 10 categories of “essential health benefits.” In 2012, states helped determine the package of essential benefits that health plans in their state were required to offer starting in 2014. Though states recently had the chance to revisit this decision for 2017 and beyond, most ...
Source: The Commonwealth Fund: Blog - October 27, 2015 Category: Global & Universal Source Type: blogs

We need to provide health insurance for undocumented people. Here’s why.
The cost of medical service provision in the United States is one of the most palpable strains on the health care system, but we must not forget that cost is the sibling of quality and access — without considering the three as such, we will undoubtedly fail to navigate our country’s health care quandary. Low-quality care inevitably results in the need for more care in the form of readmissions, while lack of access to primary care leads to increases in the utilization of expensive, emergency services. Of particular concern in our country, a growing contributor to cost, and driven by low-quality care and even les...
Source: Kevin, M.D. - Medical Weblog - October 22, 2015 Category: Journals (General) Authors: Tags: Policy Emergency Primary care Source Type: blogs

CMS Provides FAQ About New Law Allowing States To Keep Original ACA Small-Employer Definition
Implementing Health Reform. On October 7, 2015, President Obama signed into law the Protecting Affordable Coverage for Employees (PACE) Act. The PACE Act amends the definition of “small employer” in the Affordable Care Act (ACA) so that it would continue to apply to employers with one to 50 employees, rather than changing to one to 100 employees as of 2016 as provided in the original ACA; however, the new legislation also allows states to opt for the one-to-100 employee definition of small employer if they choose. On October 19, 2015, the Centers for Medicare and Medicaid Services (CMS) released a series o...
Source: Health Affairs Blog - October 20, 2015 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage employer coverage PACE Act SHOP program small employers Source Type: blogs

Risk Corridor Claims By Insurers Far Exceed Contributions (Updated)
Implementing Health Reform. On October 1, 2015, the Centers for Medicare and Medicaid Services announced the total of collections and payouts under the risk corridor premium stabilization program for 2014. CMS announced that insurers have submitted $2.87 billion in risk corridor claims for 2014. Insurers only owe, however, $362 million in risk corridor contributions. Thus payments in 2015 for 2014 will be paid out at 12.6 percent of claims, assuming full collections of contributions owed The Affordable Care Act established three premium stabilization programs: the permanent risk adjustment program, which collects...
Source: Health Affairs Blog - October 2, 2015 Category: Health Management Authors: Timothy Jost Tags: Featured Following the ACA Insurance and Coverage Medicaid and CHIP Implementing Health Reform reinsurance program risk adjustment program risk corridor program SHOP enrollment Source Type: blogs

It Costs Nothing to Care: Why We Need to Provide Health Insurance for Undocumented US Residents
By ABRAAR KARAN, MD The cost of medical service provision in the United States is one of the most palpable strains on the healthcare system, but we must not forget that cost is the sibling of quality and access—without considering the three as such, we will undoubtedly fail to navigate our country’s healthcare quandary. Low quality care inevitably results in the need for more care in the form of readmissions, while lack of access to primary care leads to increases in the utilization of expensive, emergency services. Of particular concern in our country, a growing contributor to cost, and driven by low quality ...
Source: The Health Care Blog - September 30, 2015 Category: Consumer Health News Authors: Simon Nath Tags: THCB Uncategorized Source Type: blogs

Implementing Health Reform: CMS Contractor Oversight; Costs Of ACA Changes
On September 14, 2015, the Department of Health and Human Services Office of Inspector General (OIG) issued a highly critical report reviewing the work of the Centers for Medicare and Medicaid Services (CMS) in overseeing contractor performance for the Federally Facilitated Marketplace (FFM) during the time between the enactment of the ACA and the end of the first open enrollment period in 2014. The auditors reviewed 62 contracts with 35 contractors involved in the development, implementation, and operation of the FFM, focusing on the 20 most critical. In total $1.7 billion was spent under the contracts, $558 million of wh...
Source: Health Affairs Blog - September 16, 2015 Category: Health Management Authors: Timothy Jost Tags: Costs and Spending Following the ACA Insurance and Coverage CBO Congressional Budget Office contractor performance Federally Facilitated Marketplace HHS individual mandate OIG Small Business Health Options Program small employer Source Type: blogs

Against Conscience Taxes
In July, Georgetown law professor Michael Seidman and I had parallel op-eds in the Washington Times regarding religious objections to providing services to same-sex weddings. This wasn’t a point-counterpoint–neither of us saw the other’s writing before publication–but the Federalist Society invited us to respond to each other on its new blog. Seidman declined, but here’s my response.  Professor Seidman fundamentally misunderstands the paradigm here. When people object to Obamacare Robertscare mandates or to facilitating same-sex weddings, they aren’t objecting to...
Source: Cato-at-liberty - September 10, 2015 Category: American Health Authors: Ilya Shapiro Source Type: blogs

Donald Trump, Eminent Domain, and the Widow's House
Three weeks ago I wrote in the Guardian about Donald Trump’s years-long effort to use eminent domain to take Vera Coking’s Atlantic City house, along with two nearby small businesses, in order to build a limousine parking lot for his Trump Plaza hotel. Coking’s house may not have been paradise, but as Joni Mitchell would say, Trump wanted to pave it and put up a parking lot. Today the Washington Post splashes the story of the billionaire and the widow across the front of its Style section. It’s a story that deserves further attention. As I wrote: For more than 30 years Vera Coking lived in a three-s...
Source: Cato-at-liberty - September 10, 2015 Category: American Health Authors: David Boaz Source Type: blogs

With 10 Health Care Executives on it Board, US Chamber of Commerce Defends Big Tobacco Abroad
DiscussionUS health care is increasingly dominated by large organizations.  Most of these organizations like to portray themselves as warm and fuzzy supporters of individual and population health.  For example, Pfizer has a statement of responsibility which beginsAs a member of today’s rapidly changing global community, we are striving to adapt to the evolving needs of society and contribute to the overall health and wellness of our world.Anthem's statement includesAnthem is dedicated to delivering better care to our members, providing greater value to our customers and helping improve the health of our com...
Source: Health Care Renewal - August 17, 2015 Category: Health Management Tags: Abbott Celgene mission-hostile management Pfizer Sanofi-Aventis Steward Health Care tobacco US Chamber of Commerce WellPoint Source Type: blogs

Kasich’s Fiscal Record
John Kasich, the Governor of Ohio, makes his presidential announcement today. He becomes the 16th person to join the Republican field and the 8th current or former governor. Kasich is a fiscal policy expert. He has made a federal Balanced Budget Amendment a key talking point in his speeches and appearances so far, and was known for being a budget cutter while in Congress. His record in Ohio tells a very different story. Spending has risen rapidly  during Kasich’s tenure in Columbus. Data from the National Association of State Budget Officers illustrates the rapid growth general fund spending. From fiscal year 20...
Source: Cato-at-liberty - July 21, 2015 Category: American Health Authors: Nicole Kaeding Source Type: blogs

Limelight Health raises $3m to automate insurance quotes
By MATTHEW HOLT A while back Michael Lujan, who was one of the originals working at Covered California, came to see me at the Health 2.0 office. He and his colleagues realized that the workflow for small business health insurance quotations between the carriers and the agents was broken. Yet, despite the ACA (or maybe because of it!) agents are responsible for 90% of small business health quotes. Any small business who’s ever got a health insurance quote from an agent has likely seen a relatively incomprehensible series of prices and benefits on a PDF. And if they want to see a change, the broker ...
Source: The Health Care Blog - July 20, 2015 Category: Consumer Health News Authors: Matthew Holt Tags: Health 2.0 Matthew Holt THCB ACA brokers insurance quotes Limelight Health Source Type: blogs

Implementing Health Reform: Recent Reports Present Conflicting Pictures Of ACA Implementation
Two recent government reports present conflicting pictures of the implementation of the Affordable Care Act (ACA). On July 16, 2015, Government Accountability Office (GAO) testimony before the Senate Finance Committee entitled Observations on 18 Undercover Tests of Enrollment Controls for Health-Care Coverage and Consumer Subsidies Provided under the Act presents a dismal picture of bungling by the federally facilitated marketplaces (FFMs) in the handling of fictitious applications submitted by the GAO in an undercover investigation. On the other hand, the National Taxpayer Advocate’s mid-year report, released on Jul...
Source: Health Affairs Blog - July 17, 2015 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage Payment Policy Population Health Free File Alliance GAO HHS IRS National Taxpayer Advocate Report premium tax credits Timothy Jost Source Type: blogs

Implementing Health Reform: Recent Reports Present Conflicting Pictures Of ACA Implementation (Updated)
July 21, 2015 update:  On July 21, 2015, the Centers for Medicare and Medicaid Services (CMS) announced that it was sending state insurance commissioners a letter offering recommendations with respect to their review of premium rate increases requested by insurers for 2016. States are primarily responsible both under preexisting state and federal law and under the Affordable Care Act (ACA) for reviewing rates proposed by health insurers in the individual and small group markets. As of January 1, 2014, 49 states and three U.S. territories had “effective rate review programs” in at least one market, and thus...
Source: Health Affairs Blog - July 17, 2015 Category: Health Management Authors: Timothy Jost Tags: Equity and Disparities Following the ACA Hospitals Insurance and Coverage Organization and Delivery Payment Policy Population Health Quality discrimination Free File Alliance GAO HHS IRS National Taxpayer Advocate Report premiu Source Type: blogs

Surgical Complication Rates just got Simple: MedicineBall Is the New MoneyBall
By JORDAN SHLAIN, MD In an age where the importance of data, statistics and predictive modeling can win games for baseball teams and make money for high-frequency traders, the last bastion of opacity is in the midst of getting a whopping dose of sunshine. Every modern industry uses detailed information, mostly via the Internet, to lie out their foundational strategies for gaining market share and building their brands.  Fortress medicine has received a shot over the bow regarding the power of data and how they will need to craft a strategy that includes the bright light of outcomes into their institutions.  Propu...
Source: The Health Care Blog - July 15, 2015 Category: Consumer Health News Authors: John Irvine Tags: THCB Source Type: blogs

Surgical Complication Rates and the New Data Perspective
By JORDAN SHLAIN, MD  + (UPDATED) In an age where the importance of data, statistics and predictive modeling win big games for baseball teams and make fat money for high-frequency traders, we are at the dawn of a new age of transparency in healthcare  It behooves every actor, in every sector, to use this new perspective to constructively illuminate best practices and design an infrastructure for true operational, clinical and logistic efficiencies at large scale and the local level – all in the spirit of getting the patient the best outcome.    Every modern industry uses ‘big...
Source: The Health Care Blog - July 15, 2015 Category: Consumer Health News Authors: John Irvine Tags: THCB Source Type: blogs

Rate Of New Business Formation On Steady Decline, Even In Tech
Company size growing, fewer new competitors forming, number of small businesses shrinking. Start-up failure rate is increasing too. Happening in tech too. This isn't just the death of small town stores and pharmacies and shift to big chains. Read the whole thing. I suspect that computer and communications tech are behind this trend. Why I think this is happening: It is easier for a single company to sell into many markets because cheap communications, cheap shipping, lower trade barriers. Best company beats lower ranked companies that used to not compete directly. Large IT infrastructure with large amounts of developed sou...
Source: FuturePundit - July 11, 2015 Category: Research Authors: Randall Parker Source Type: blogs

Close the Export-Import Bank to Cut Federal Liabilities and Promote Economic Fairness
The Export-Import Bank’s charter expired on June 30. What is commonly known as “Boeing’s Bank” is headed toward Washington’s trash bin. When Congress returns, it could revive Ex-Im, which primarily subsidizes big business. But a proper burial for what candidate Barack Obama called “corporate welfare” would save Americans money, reduce economic injustice, and promote economic growth. ExIm exists to borrow at government rates to provide credit at less than market rates for select exporters, mostly corporate behemoths. The bank claims to be friendly to small business, but cherchez the...
Source: Cato-at-liberty - July 1, 2015 Category: American Health Authors: Doug Bandow Source Type: blogs

Implementing Health Reform: First-Year Results From SHOP Exchange, Reinsurance And Risk Adjustment Programs (Updated)
On July 3, 2015, the Centers for Medicare and Medicaid Services (CMS) released for the first time numbers on effectuated enrollment in the SHOP exchange program. The Small Business Health Options Program (SHOP) grew out of bipartisan legislation antedating the Affordable Care Act (ACA) that attempted to reform the small group health insurance market. The small group market has historically been plagued by high administrative costs and premiums and lack of access for groups with high cost enrollees. Repeated attempts by states to reform the small group market were largely unsuccessful. The ACA attempted a more comprehensive...
Source: Health Affairs Blog - July 1, 2015 Category: Health Management Authors: Timothy Jost Tags: Costs and Spending Featured Following the ACA Insurance and Coverage Payment Policy CMS health insurance insurers premium stabilization programs reinsurance risk adjustment Source Type: blogs

Free Market Capitalists Should Celebrate Ex-Im's Demise, But the "Eternal Vigilance" Thing
At midnight tonight, the gears of crony capitalism will grind to a halt at 811 Vermont Avenue, NW, Washington, D.C. After 81 years of funneling taxpayer dollars to favored companies, projects, and geopolitical outcomes under the guise of advancing some vague conception of the “U.S. economic interest,” the Export-Import Bank of the United States will end its financing operations at midnight tonight. No more subsidies to Fortune 100 businesses. No more siphoning revenues from unwitting U.S. firms and industries. No more loan guarantees to wealthy, autocratic foreign governments. No more crowding out of private le...
Source: Cato-at-liberty - June 30, 2015 Category: American Health Authors: Daniel J. Ikenson Source Type: blogs

Two Years Later: How Kynect Has Impacted Kentucky’s Healthcare System
By CAMPBELLSVILLE UNIVERSITY                                        SPONSORED CONTENT Since its second enrollment period ended in March, Kentucky’s health benefit exchange has been celebrated by state government leaders as a success story of the Affordable Care Act. Known as Kynect, the exchange has provided thousands of uninsured citizens with health insurance coverage. It has also drawn its share of controversy. Although much of the discussion surrounding Kynect and the Affordable Care Act has focused on their...
Source: The Health Care Blog - June 25, 2015 Category: Consumer Health News Authors: John Irvine Tags: THCB Source Type: blogs

Six Problems With The ACA That Aren’t Going Away
As Congress and the Obama Administration await the Supreme Court’s decision in King v. Burwell, there is heightened interest in what happens after the decision. One common assumption is that if the court rules in favor of the administration, there will be no need to make any major changes in the Affordable Care Act (ACA). This assumption is wrong. There is an urgent need to make major changes in the law regardless of how the Supreme Court rules. These are changes that will require bi-partisan cooperation — something that is rare in health policy. The changes are needed because there are at least six major probl...
Source: Health Affairs Blog - June 25, 2015 Category: Health Management Authors: John Goodman Tags: Costs and Spending Following the ACA Insurance and Coverage Medicare employer coverage GDP global budgets individual mandate Medicare Advantage premium subsidies Source Type: blogs

House Appropriations Bill Would Protect Public Health By Allowing E-Cigarettes to Stay on the Market
Sharing my concerns that the FDA deeming regulation will decimate much of the electronic cigarette industry, Representative Robert Aderholt (R-AL) has introduced a rider to the House appropriations bill that would essentially overrule the FDA and statutorily set the "grandfather" date for electronic cigarettes as the effective date of the FDA deeming regulation.The significance of this legislation is that it would allow all electronic cigarettes currently on the market (and all those on the market as of the effective date of FDA regulation) to remain on the market without having to submit complex and resource-int...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - June 25, 2015 Category: Addiction Source Type: blogs

Achieving Balance After Another ACA Decision
By SWARTZ, DEHNER and DAY As the health care community waits for the outcome of King v. Burwell, the latest Affordable Care Act (ACA) challenge, the focus has been on a key question:  What happens if the Supreme Court doesn’t allow the federal healthcare marketplace to continue to offer premium tax subsidies? But how such a decision would affect the rate of insurance is just the tip of the iceberg. Eliminating federal subsidies impacts a whole range of ACA policies that were carefully navigated during the legislative process. As we wait for legal decision, we have an opportunity to examine whether the choices ma...
Source: The Health Care Blog - June 23, 2015 Category: Consumer Health News Authors: John Irvine Tags: THCB King v Burwell Source Type: blogs

A Perspective on Long Term Risk in Cryonics
Cryonics is a form of low-temperature preservation of tissue immediately following death, with the aim of preserving brain structure sufficiently well to allow future revival. Since the necessary technologies for revival can be envisaged in some detail, but remain far in the future, a large focus of the cryonics community is long-term risk and survival of cryopreservation organizations into at least the later decades of this century. A lot of ink has been spilled on this topic over the years, and this article covers some of the high points, such as politics, regulation, the necessity for growth in what is currently a small...
Source: Fight Aging! - June 22, 2015 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

What Are The States Doing To Prepare For King v. Burwell? (Part 3)
Editor’s note: This is the third and final part of a Heath Affairs Blog series of case studies examining how states are preparing for the possibility that the Supreme Court will, in its King v. Burwell decision later this month, prohibit premium tax credits under the Affordable Care Act in states using the federally facilitated Marketplace. Part one of the series laid out some overall themes from the case studies and examined Florida’s preparations for the King decision. Part two focused on Michigan and New Hampshire. Part three, below, looks at North Carolina and Utah and offers some concluding thoughts. The r...
Source: Health Affairs Blog - June 9, 2015 Category: Health Management Authors: David K. Jones, Nicholas Bagley, Andrew Brown, Diane Hilligoss and Phillip Singer Tags: Featured Following the ACA Insurance and Coverage King v. Burwell North Carolina premium tax credits States Utah Source Type: blogs

Representative Cole Introduces Legislation to Force FDA to Grandfather In All Electronic Cigarettes on the Market as of Effective Date of Its Deeming Regulations
Sharing my concerns that the FDA deeming regulation will decimate much of the electronic cigarette industry, Representative Tom Cole of Oklahoma has introduced legislation that would essentially overrule the FDA and statutorily set the "grandfather" date for electronic cigarettes as the effective date of the FDA deeming regulation.The significance of this legislation is that it would allow all electronic cigarettes currently on the market (and all those on the market as of the effective date of FDA regulation) to remain on the market without having to submit complex and resource-intensive new product or substanti...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - May 19, 2015 Category: Addiction Source Type: blogs

A Spurned Vendor -- And a Tip To the FTC
In 2010, the Federal Trade Commission approached an Atlanta-based medical testing company, LabMD, with accusations that it had wrongfully left its customer data insecure and vulnerable to hackers. LabMD’s owner denied that the company was at fault and a giant legal battle ensued. To quote my post last year at Overlawyered: …according to owner Michael Daugherty, allegations of data insecurity at LabMD emanated from a private firm that held a Homeland Security contract to roam the web sniffing out data privacy gaps at businesses, even as it simultaneously offered those same businesses high-priced services to plu...
Source: Cato-at-liberty - May 13, 2015 Category: American Health Authors: Walter Olson Source Type: blogs

Capital Unbound: The Cato Summit on Financial Regulation
Interested in how to advance economic growth? Join the Cato Institute’s Center for Monetary and Financial Alternatives in New York on June 2nd for a day examining the current state of U.S. capital markets regulation at Capital Unbound: The Cato Summit on Financial Regulation. We’ve assembled an impressive list of distinguished speakers to discuss efficient capital markets and offer proposals to unleash a new engine of American economic growth. Our lineup includes such notables as Commissioner of the U.S. Commodity Futures Trading Commission J. Christopher Giancarlo, Commissioner of the U.S. Securities and Excha...
Source: Cato-at-liberty - May 11, 2015 Category: American Health Authors: Mark A. Calabria Source Type: blogs

So you want to be a female surgeon.  Here are 10 tips to make it.
I am lucky enough, from time to time, to be invited to speak to young women who want to be surgeons when they “grow up.” I always have a hard time striking a balance between what I should share that is positive and inspirational and what I should share that is a little harsh and uncomfortable. Once, I turned to my friends and colleagues on Facebook on what they thought about my topic for a women in surgery talk which was on how to have it all. One of my more opinionated friends summed it up pretty well: “I’d like to find the bitch who has ‘it all’ and slap her!” I love going to the...
Source: Kevin, M.D. - Medical Weblog - April 24, 2015 Category: Journals (General) Authors: Tags: Physician Surgery Source Type: blogs

Loretta Lynch Confirmed as Attorney General
After one of the longest confirmation processes in the history of the Attorney General’s office, Loretta Lynch was confirmed by the Senate today as Eric Holder’s successor. From a criminal justice perspective, whether Lynch will embrace or abandon Holder’s position on state-level drug legalization and his announced commitment to reforming civil asset forfeiture are two questions that spring immediately to mind. Loretta Lynch zealously defended civil asset forfeiture during her confirmation hearings, and was a devoted practitioner of it as a U.S. Attorney in New York.  One of her seizure cases, that o...
Source: Cato-at-liberty - April 23, 2015 Category: American Health Authors: Adam Bates Source Type: blogs

End the Personal Bribes Members of Congress Are Getting Not to Reopen ObamaCare
The U.S. Constitution vests the legislative, executive, and judicial powers in separate branches of the government that are supposed to police each other. But what if one of those branches violates the law in a manner that personally benefits the members of another branch? That’s what has been happening since the day ObamaCare became law in 2010. For more than five years, the executive branch has been issuing illegal subsidies that personally benefit the most powerful interest group in the nation’s capital: members of Congress and their staffs. A decision today by the Senate Small Business & Entre...
Source: Cato-at-liberty - April 23, 2015 Category: American Health Authors: Michael F. Cannon Source Type: blogs

Workplace Wellness Programs: Federal Agencies Weigh In
Workplace wellness programs are very controversial.  Employers believe that they improve employee health, reduce absenteeism, and cut the cost of employee health benefit programs.  They are encouraged in this belief by wellness program vendors, who aggressively tout the benefits of their programs.  Disability advocates, on the other hand, are concerned that wellness programs are perpetuating discrimination against the disabled and health status underwriting.  Privacy advocates worry about who has access to the sensitive medical information that wellness programs demand of participants.  Others worr...
Source: Health Affairs Blog - April 17, 2015 Category: Health Management Authors: Timothy Jost Tags: Equity and Disparities Featured Insurance and Coverage Americans With Disabilities Act Employer-Sponsored Insurance privacy workplace wellness programs Source Type: blogs

Workplace Wellness Programs: Federal Agencies Weigh In (Update on Contraceptive Coverage)
April 18 update on contraceptive coverage: On April 15, 2015, Supreme Court Justice Alito stayed the final order of the federal Court of Appeals for the Third Circuit in Zubik v. Burwell.  The Third Circuit had denied rehearing of its order denying relief in a case in which two Catholic dioceses, among other religious organizations, had challenged the administration’s latest accommodation of religious objections to compliance with the contraceptive coverage mandate issued under the Affordable Care Act.  The administration had proposed the accommodation, which merely requires religious organizations to notif...
Source: Health Affairs Blog - April 17, 2015 Category: Health Management Authors: Timothy Jost Tags: Equity and Disparities Featured Insurance and Coverage Americans With Disabilities Act Employer-Sponsored Insurance privacy workplace wellness programs Source Type: blogs

Implementing Health Reform: Navigator Grants, Another ACA Challenge Rejected, And More
On April 15, 2015, the Centers for Medicare and Medicaid Service issued its funding opportunity announcement for 2016 navigator grants.  (search CFDA 93.332 here ).  The 2016 grant announcement looks much like last year's, with one major change: grant awards will be for 36 months rather than 12 months (actually for 12 months renewable for two additional 12 month periods).  This should give navigator programs greater assurance of stability than they have had in the past and reduce start-up costs. The total amount of awards for 2016 will be $67 million.  This is the same as the amount awarded for 2014, b...
Source: Health Affairs Blog - April 16, 2015 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage Health Law Navigators Source Type: blogs

Setting the Agenda to Create a Learning Public Health System
If you were opening a small business or starting a new household project, what would be your first step? You would likely read reviews and talk to experts or others who have already successfully reached similar goals in the most efficient and effective way. A common sense approach would be to look for – and identify – the best route to success, pulling information from a variety of sources. It’s the same method we need to understand the best strategies for the nation’s public health system, which faces everyday pressures from health threats like measles, flu and antimicrobial resistant infections. T...
Source: Disruptive Women in Health Care - April 14, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Policy Source Type: blogs