What Can Patients Do In The Face Of Physician Conflict Of Interest?
Trust has always been essential to medical care. Of what use are the best communication skills, physician empathy, or clinical knowledge if patients don’t trust the advice and information that their doctors give them? Even the most psychologically disturbed or misanthropic TV doctor—from Doc Martin to Gregory House—can always be trusted to put his patients first; this is precisely because this trustworthiness is so central to our understanding of being a physician. While this sort of idealization is commonplace and reassuring, it has become more and more problematic. For, in today’s medical world, t...
Source: Health Affairs Blog - April 10, 2015 Category: Health Management Authors: James Rickert Tags: All Categories Business of Health Care Consumers Health Care Costs Health Care Delivery Payment Personal Experience Physicians Policy Quality Source Type: blogs

Religious Liberty’s Denouement in Indiana
Roger Pilon With the Final Four set to begin in Indianapolis this evening, maybe we can shift our attention from the anti-discrimination protests there that have consumed our attention all week to the games. But maybe not, since protests are expected even at the games. The left just doesn’t know when to stop. That’s the subject of the lead editorial in today’s Wall Street Journal, “Liberal Intolerance, Round II: To stamp out cultural dissent, the left is willing to stomp on religious liberty.” Here’s a sense of what the week’s been like for ordinary Hoosiers: Take the family-owned...
Source: Cato-at-liberty - April 4, 2015 Category: American Health Authors: Roger Pilon Source Type: blogs

New Pilot Study Finds High Cessation Rate among Smokers Making First Purchase at Vape Shops in Italy
This study adds to the growing body of evidence that among a subset of smokers, electronic cigarettes can be quite effective for achieving smoking cessation or substantial reduction in cigarette consumption. The study also suggests that the types of devices available at vape shops and/or the support and assistance provided at these shops may enhance the chances of quitting success.Unfortunately, despite the great promise of vape shops for enhancing smoking cessation, the proposed FDA deeming regulations would essentially shut down the tens of thousands of vape shops in the United States. These are small businesses that gen...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - April 1, 2015 Category: Addiction Source Type: blogs

Eric Holder Issues New Asset Forfeiture Restrictions for Structuring Offenses
Adam Bates Today Attorney General Eric Holder issued new guidelines to federal prosecutors tightening the rules for seizing assets for so-called “structuring” offenses. Under the Bank Secrecy Act, structuring occurs when someone is suspected of arranging their financial transactions as to avoid triggering a report to the federal government by the financial institution.  Some of civil asset forfeiture’s most egregious abuses are the result of federal prosecutors utilizing this nebulous statute to empty the bank accounts of unwitting citizens and small businesses who are never charged with any cr...
Source: Cato-at-liberty - March 31, 2015 Category: American Health Authors: Adam Bates Source Type: blogs

Reg A+: Only a Partial Win for Small Business Capital Access
Thaya Knight Tuesday, the SEC approved final rules for so-called Reg A+, a new and revitalized version of the Regulation A exemption, created by the JOBS Act of 2012.  While the new rules remove barriers for issuers seeking a raise near the top of the $50 million cap, they fail to remove the greatest barrier – state registration – for the smaller issuers, effectively leaving them out in the cold.  Reg A has been essentially unusable for years.  The exemption allows a company to sell securities to the public without full registration, provided the issuer raises no more than $5 million and provide...
Source: Cato-at-liberty - March 26, 2015 Category: American Health Authors: Thaya Knight Source Type: blogs

Physicians, You CAN Have It All: How To Run A Business And Also Practice Medicine
It’s no secret that physicians are experiencing burnout at an exponentially increasing rate in our progressively bureaucratic healthcare system. Many are looking for “alternative careers” as their salvation. I receive emails from physicians all the time, asking for advice about getting out of clinical medicine, since I have spent a few years outside it myself. As my own career pendulum has swung from full time clinical work to full time editorial and/or consulting work, I’ve found that the best mix is somewhere in between. If you’re like me, you’re happiest using both halves of your brai...
Source: Better Health - March 24, 2015 Category: American Health Authors: Dr. Val Jones Tags: Opinion Alternative Career Path bureaucracy Burnout Drop Out Club Hospital Medicine Living La Vida Locum Locum Tenens Physician Drop Out Traveling Physician Work-Life Balance Source Type: blogs

Washington Governor and Legislature Seeking to Protect Cigarette Profits; Legislation Would Decimate Public Health by Increasing Cigarette Consumption
Under the guise of acting to "protect the children," the Washington State Governor and legislature are poised to protect cigarette profits at the expense of the public's health.A new bill, introduced last week in the House, would impose the strictest regulations on e-cigarettes of any state in the country. In addition to banning the sale of e-cigarettes to minors, requiring labeling changes, and requiring child-proof packaging of e-liquids (which are reasonable), the bill would also: (1) ban flavorings - other than tobacco and menthol; (2) ban online e-cigarette sales; and (3) impose a 95% tax on e-cigarettes and...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - March 24, 2015 Category: Addiction Source Type: blogs

Should Health Lawyers Pay Attention To The Administration’s Privacy Bill?
Health care lawyers justifiably ignored the 2012 Obama administration consumer privacy framework because it expressly and broadly exempted entities subject to HIPAA, stating “To avoid creating duplicative regulatory burdens, the Administration supports exempting companies from consumer data privacy legislation to the extent that their activities are subject to existing Federal data privacy laws.” In contrast, the administration’s 2015 draft bill, the Consumer Privacy Bill of Rights Act, though based on that framework, substantially affects health care entities, including those subject to HIPAA, and so dem...
Source: Health Affairs Blog - March 13, 2015 Category: Health Management Authors: Nicolas Terry Tags: All Categories Big Data Business of Health Care Connected Health Consumers Health IT Health Law Policy Technology Source Type: blogs

Will the TPP Promote Minimum Wage Laws?
Simon Lester This is from the White House blog, explaining that the Trans Pacific Partnership (TPP) will be “the most progressive trade agreement in history”: They further explain: If we don’t secure this trade agreement, Americans will be forced to accept the status quo – which is bad for small businesses, bad for American workers, and bad for our future leadership.  Here’s why:  … We would fail to secure strong labor and environmental standards for trade in the world’s fastest-growing region:  There’d be no enforceable rules ensuring countries set a ...
Source: Cato-at-liberty - March 4, 2015 Category: American Health Authors: Simon Lester Source Type: blogs

Grading the Rubio-Lee Tax Reform Plan
Daniel J. Mitchell In my 2012 primer on fundamental tax reform, I explained that the three biggest warts in the current system: High tax rates that penalize productive behavior. Pervasive double taxation that discourages saving and investment. Corrupt loopholes and cronyism that bribe people to make less productive choices. These problems all need to be addressed, but I also acknowledged additional concerns with the internal revenue code, such as worldwide taxation and erosion of constitutional freedoms an civil liberties. In a perfect world, we would shrink government to such a ...
Source: Cato-at-liberty - March 4, 2015 Category: American Health Authors: Daniel J. Mitchell Source Type: blogs

Hyperbole Aside, Elizabeth Warren Is Right About the Risk of Investor-State
Daniel J. Ikenson Sen. Elizabeth Warren takes to the Washington Post op-ed pages today to warn about the dangers of the so-called Investor-State Dispute Mechanism, which is likely to be a part of the emerging Trans-Pacific Partnership deal.  In substance, if not style, Sen. Warren’s perspective on ISDS is one that libertarians and other free market advocates should share. At least, my colleague Simon Lester and I do.  ISDS grants foreign investors the right to sue host governments in third-party arbitration tribunals for treatment that allegedly fails to meet certain standards, such as new laws, regulation...
Source: Cato-at-liberty - February 26, 2015 Category: American Health Authors: Daniel J. Ikenson Source Type: blogs

Federal Workers: Performance, Pay, and Firing
Chris Edwards Americans are concerned about the performance of the federal bureaucracy. Many people think that federal workers are overpaid and underworked. Some recent news stories provide fresh input to the debate. A story yesterday at GovExec.com regards pay and performance. The federal pay structure is less efficient than private pay structures because it is generally based on seniority, not job performance. But GovExec.com finds that attempts to introduce federal performance pay have not worked very well either: Most federal agencies are not making meaningful distinctions in performance ratings and bonuses for senior...
Source: Cato-at-liberty - February 25, 2015 Category: American Health Authors: Chris Edwards Source Type: blogs

Implementing Health Reform: Final 2016 Letter To Federal Exchange Issuers
Each year the Centers for Medicare and Medicaid Services (CMS) releases a letter to issuers (insurers) in the federally facilitated marketplace (FFM) setting out the ground rules for coverage through the FFM for the coming year.  A draft letter is published for comments, followed by the final letter.  The letter addresses insurers that issue qualified health plans (QHPs) in the FFM, including stand-alone dental plans (SADPs), and covers the small business (FF-SHOP) marketplace as well as the individual marketplace. On December 19, 2014, CMS published the draft 2016 letter which I covered here.  On February 2...
Source: Health Affairs Blog - February 23, 2015 Category: Health Management Authors: Timothy Jost Tags: Access All Categories Consumers Disparities Health Reform Insurance Pharma Policy States Source Type: blogs

AdvaMed Releases Innovation Agenda: Proposes Device Tax Repeal; Automatic Coverage of FDA-Approved Clinical Trials
The Advanced Medical Technology Association (AdvaMed) on February 10th released a comprehensive set of policy proposals designed to renew the innovation ecosystem for medical technologies and diagnostics. View the proposal here. "[T]he innovation ecosystem that supports medical technology is severely stressed, states AdvaMed. "The U.S. has historically been the world leader in medical technology, but our leadership is eroding. Venture capital investment, especially investment in the start-up firms that are the seed corn of the industry, has plummeted." "The medical technology sector has the potential t...
Source: Policy and Medicine - February 12, 2015 Category: American Health Authors: Thomas Sullivan Source Type: blogs

Regulations and Taxes: Democrats Then and Now
Chris Edwards In recent decades, the Democratic Party has moved far to the left on economic policy. I have discussed the leftward shift on tax policy, which was illustrated once again by President Obama’s generally awful proposals in his new budget (see here, here, and here). What about regulations? Consider the following statement by President Jimmy Carter on his signing a landmark railroad deregulation bill in 1980. Have you ever heard President Obama express such views or push for similar sorts of legislation? Today I take great pleasure in signing the Staggers Rail Act of 1980. This legislation builds on the rai...
Source: Cato-at-liberty - February 9, 2015 Category: American Health Authors: Chris Edwards Source Type: blogs

Meet Maureen L. Mulvihill
Credit: Actuated Medical, Inc. Maureen L. Mulvihill, Ph.D. Fields: Materials science, logistics Works at: Actuated Medical, Inc., a small company that develops medical devices Second job (volunteer): Bellefonte YMCA Swim Team Parent Boost Club Treasurer Best skill: Listening to people Last thing she does every night: Reads to her 7- and 10-year-old children until “one of us falls asleep” If you’re a fan of the reality TV show Shark Tank, you tune in to watch aspiring entrepreneurs present their ideas and try to get one of the investors to help develop and market the products. Afterward, you might start ...
Source: Biomedical Beat Blog - National Institute of General Medical Sciences - February 9, 2015 Category: Research Authors: Emily Carlson Tags: Pharmacology Profiles Source Type: blogs

Seize First, Question Later: The Institute for Justice’s New Report on the IRS’ Abusive Civil Forfeiture Regime
Adam Bates Considering the growing controversy over the abuse of civil asset forfeiture at the federal and state levels, the Institute for Justice’s newly released report on the IRS’ questionable use of the practice is perfectly timed. An excerpt from the executive summary: Federal civil forfeiture laws give the Internal Revenue Service the power to clean out bank accounts without charging their owners with any crime. Making matters worse, the IRS considers a series of cash deposits or withdrawals below $10,000 enough evidence of “structuring” to take the money, without any other evidence of wrongd...
Source: Cato-at-liberty - February 4, 2015 Category: American Health Authors: Adam Bates Source Type: blogs

Health Affairs’ February Issue: Biomedical Innovation
The February issue of Health Affairs includes a number of studies examining issues pertaining to biomedical innovation. Some of the subjects covered: how declining economic returns for new drugs may affect future investments, the changing landscape of Medicare coverage determinations for medical interventions, the slowly emerging US biosimilar market, and more. With declining economic returns, can manufacturers afford to continue investing? Ernst Berndt of Massachusetts Institute of Technology’s Alfred P. Sloan School of Management and coauthors compared present values of average lifetime pharmaceutical revenues to p...
Source: Health Affairs Blog - February 2, 2015 Category: Health Management Authors: Chris Fleming Tags: All Categories Biotech Innovation Medicare Pharma Policy Research Science and Health Technology HA_BiomedInnovation Source Type: blogs

Loretta Lynch’s Worrisome Answer on Civil Asset Forfeiture
Adam Bates Referring to the federal government’s forfeiture regime as “an important tool” in fighting crime, attorney general nominee Loretta Lynch staunchly defended the concept of civil asset forfeiture during the first day of her confirmation hearings. After Sen. Mike Lee (R-UT) questioned the “fundamental fairness” of Americans having their property taken by the government without any proof (or often even suspicion) of criminal wrongdoing, Lynch asserted that there are “safeguards at every step of the process” to protect innocent people, “certainly implemented by [h...
Source: Cato-at-liberty - January 30, 2015 Category: American Health Authors: Adam Bates Source Type: blogs

Innovation In Health Care Education: A Call To Action
Health care administration educators are at a crossroads: the health care sector is rife with inefficiencies, erratic quality, unequal access, and sky-high costs, complex problems which call for innovative solutions. And yet, according to our content analysis of top U.S. health administration schools and a recent article in the Lancet, our educational systems focus their curricula on isolated, theoretical subjects, such as analytics and quantitative problem solving, rather than the team-oriented, practical problem-solving skills required for innovation. All too often, when graduates of these programs enter the workfor...
Source: Health Affairs Blog - January 29, 2015 Category: Health Management Authors: Regina Herzlinger, Kevin Schulman, Vasant Kumar, and Karen Staman Tags: All Categories Business of Health Care Innovation Workforce Source Type: blogs

President Obama Offers Free Trade as Reluctantly as Possible
K. William Watson President Obama has proven once again that he is his own worst enemy on trade policy. Despite expectations that he would make a strong push for trade promotion authority (TPA), President Obama offered only quick mention of trade in this week’s State of the Union address.  Although he did ask Congress to pass TPA to help him complete free trade agreements, the president backed up that request with some of the weakest arguments possible. I’ll give you the entire two paragraphs here: 21st century businesses, including small businesses, need to sell more American products overseas....
Source: Cato-at-liberty - January 23, 2015 Category: American Health Authors: K. William Watson Source Type: blogs

several Items A small business Discipline Can do To suit your needs
Have you been a small company operator all set to period enterprise to the next level? Do you wish to raise your yield? Do you wish to carry on getaways more frequently and also understand that your organization is very good palms? Do you wish to spend more time around the enterprise as opposed to within it? If you answered yes for the previously mentioned, Enterprise Instruction will be the response.Just what exactly does a enterprise discipline carry out? Listed here are several items an excellent enterprise discipline can do to suit your needs...1 ) Show you how to grow the mlm marketer.2 . not Raise your enterprise yie...
Source: Turn Your Head and Scoff - January 21, 2015 Category: Psychiatrists and Psychologists Tags: business Source Type: blogs

A Winter Update from the Methuselah Foundation
The Methuselah Foundation is one of the more important small non-profits involved in steering the near future course of aging research and human longevity. It is generally the case that the larger non-profits in medical research fund the status quo only, and so it is up to more nimble and driven organizations to make the status quo better - to really change the world, in other words. Organizations like the Methuselah Foundation and its core of dedicated supporters lead the way, change minds, and steer the broader community towards new and better directions more likely to extend healthy lives sooner rather than later. It i...
Source: Fight Aging! - January 15, 2015 Category: Research Authors: Reason Tags: Healthy Life Extension Community Source Type: blogs

Rep. Paulsen Introduces Bill to Repeal Medical Device Tax
Rep. Erik Paulsen (R-Minn) this week introduced a bill to repeal the 2.3 percent tax on medical device sales. The legislation is a bipartisan effort co-sponsored by Democrat Congressman Ron Kind of Wisconsin. This is the third time Paulsen has introduced such a bill since 2012--making it through the Republican-controlled House twice, but stalling in the Senate. Now that Republicans control both houses, 2015 could be when the stars align. The latest bill had 254 original co-sponsors, including more than 25 Democrats, and all eight members from Minnesota, home to many medical device manufacturers, including a large...
Source: Policy and Medicine - January 9, 2015 Category: American Health Authors: Thomas Sullivan Source Type: blogs

Hardly anyone is opening their own practice anymore. Why?
Young doctors are often progressive thinkers who like to support small businesses, buy locally grown produce from food shares, shop from individual merchants on Etsy, and never be seen in any chain store larger than Trader Joe’s. It seems every industry is recognizing the benefits of the personal service of a small business. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 26, 2014 Category: Journals (General) Authors: Tags: Physician Primary care Source Type: blogs

Implementing Health Reform: Wraparound Coverage Excepted Benefits And Draft 2016 Letter To Issuers (Updated)
Update, December 21, Draft 2016 Letter to Issuers: Each year CMS releases a letter to issuers (insurers) in the federally facilitated marketplace setting out the ground rules for coverage through the FFM for the coming year.  A draft letter is published for comments, followed by the final letter.  The letter covers insurers that issue qualified health plans (QHPs), including stand-alone dental plans (SADPs), and covers the small business (FF-SHOP) marketplace as well as the individual marketplace. On December 19, 2014, CMS  published the draft 2016 letter.  Not surprisingly, since it covers the third ye...
Source: Health Affairs Blog - December 20, 2014 Category: Health Management Authors: Timothy Jost Tags: All Categories Employer-Sponsored Insurance Health Reform Patient Safety Pharma Policy States Source Type: blogs

Do Businesses Have Rights?
David Boaz The Washington Post reports: As far as sales manager Brian Ward knows, Rep. Andy Harris has never shopped at Capitol Hill Bikes. But if the Maryland Republican congressman wanted to, he’d find a black and white picture of himself taped on the door with a message in bold type: NOT WELCOME. To many in the District, Harris is a public enemy — the force behind language added to the massive federal government spending bill intended to block D.C. from legalizing marijuana despite local voters overwhelmingly approving it on the November ballot. The move so infuriated District residents that someo...
Source: Cato-at-liberty - December 16, 2014 Category: American Health Authors: David Boaz Source Type: blogs

The Hobbylobbification of America
Ilya Shapiro If you ask reasonably informed consumers of news media what the year’s big Supreme Court case was, most would probably say Burwell v. Hobby Lobby, that case where “five white men” (in Harry Reid’s description) decided that corporations can deny women access to birth control. But, as I’ve said elsewhere, what was at stake in Hobby Lobby has nothing to do with the power of big business, the freedom to use any kind of legal contraceptive, or how to balance religious liberty against other constitutional considerations. Much like Citizens United (which struck down restrictions on corp...
Source: Cato-at-liberty - December 15, 2014 Category: American Health Authors: Ilya Shapiro Source Type: blogs

Implementing Health Reform: Beneath The Hood Of The ‘Cromnibus’
The “Consolidated and Further Continuing Appropriations Act, 2015” or “Cromnibus” legislation moving through Congress contains a number of provisions that relate to the implementation of the Affordable Care Act (ACA). Risk Corridors The provision that has been most widely noted so far requires the risk corridor program to be budget neutral for 2014. The risk corridor program moves funds from qualified health plans (QHPs) that have lower than anticipated allowable costs to those with higher than anticipated allowable costs. Section 1342 of the ACA, which creates the risk corridor program, contains no...
Source: Health Affairs Blog - December 12, 2014 Category: Health Management Authors: Timothy Jost Tags: All Categories Health Law Health Reform Insurance Policy Politics Spending Source Type: blogs

The Terrible, Horrible, No Good, Very Bad Falling Gas Prices
Randal O'Toole A left-coast writer named Mark Morford thinks that gas prices falling to $2 a gallon would be the worst thing to happen to America. After all, he says, the wrong people would profit: oil companies (why would oil companies profit from lower gas prices?), auto makers, and internet retailers like Amazon that offer free shipping. If falling gas prices are the worst for America, then the best, Morford goes on to say, would be to raise gas taxes by $6 a gallon and dedicate all of the revenue to boondoggles “alternative energy and transport, environmental protections, our busted educational system, our multi...
Source: Cato-at-liberty - December 11, 2014 Category: American Health Authors: Randal O'Toole Source Type: blogs

Section 1332 Waivers And The Future Of State Health Reform
Editor’s note: This post is part of a series of several posts stemming from presentations given at “The Law of Medicare and Medicaid at Fifty,” a conference held at Yale Law School on November 6 and 7. The Affordable Care Act (ACA) turbocharges state innovation through a number of provisions, such as the creation of the Center for Medicare & Medicaid Innovation, funding for states to establish customized insurance exchanges, and Medicaid reforms such as health homes and projects geared toward the dual eligible population. Yet another component of the law holds even more potential for broad reform. Bur...
Source: Health Affairs Blog - December 5, 2014 Category: Health Management Authors: Heather Howard and Galen Benshoof Tags: All Categories Coverage Health Law Health Reform Innovation Spending States Source Type: blogs

OIG Releases Annual “Top Management and Performance Challenges” Facing the Department of Health and Human Services
Yesterday, the Office of Inspector General released their annual summary of the most significant management and performance challenges facing the Department of Health and Human Services (HHS). The 2014 Top Management and Performance Challenges lists ten issues reflecting continuing vulnerabilities that OIG has identified for HHS over recent years as well as new and emerging issues that HHS will face in the coming year. For each category, OIG outlines the challenge, the progress that has been made regarding the challenge, and recommendations they offer going forward. Our coverage highlights a number of the challenges that O...
Source: Policy and Medicine - November 19, 2014 Category: American Health Authors: Thomas Sullivan Source Type: blogs

SHOP Exchange Glitches
Nicole Kaeding Open enrollment for Obamacare’s second year begins next week. In the chaotic launch of HealthCare.gov, the Department of Health and Human Services (HHS) delayed the launch of the sister portal for small businesses. Now, the health insurance exchange for small businesses is expected to open, but it is still plagued with problems. The Small Business Health Options Program (SHOP) provides an online portal for small businesses with fewer than 50 employees to purchase insurance. The website allows employers to provide a contribution towards an employee’s health insurance purchase. A new report from t...
Source: Cato-at-liberty - November 3, 2014 Category: American Health Authors: Nicole Kaeding Source Type: blogs

Enrolling College Students In Health Insurance: Lessons From California (Part 1)
Editor’s note: As we approach the beginning of the second open enrollment period under the Affordable Care Act, Walter Zelman describes an effort he led during last year’s initial open enrollment period to enroll students in the California State University (CSU) system in coverage. Part 1 below provides background on the CSU system and the enrollment effort, the CSU Health Insurance Education Project, as well as a discussion of what worked well. Part 2, which will appear tomorrow, addresses what worked less well, as well as project results, lessons and policy implications, and next steps. In addition to Zelman,...
Source: Health Affairs Blog - October 20, 2014 Category: Health Management Authors: Walter Zelman Tags: All Categories Consumers Coverage Health Reform Insurance Policy States Source Type: blogs

At a Minimum, Transatlantic Trade Negotiations Should Ditch Investor-State Provisions
Daniel J. Ikenson Some exaggeration notwithstanding, Harold Meyerson, with whom the occasion to agree is rare, does a reasonably good job describing some of the pitfalls of the so-called Investor-State Dispute Settlement mechanism in his Washington Post column yesterday.  ISDS has become a source of growing controversy, which threatens to derail the Transatlantic Trade and Investment Partnership negotiations, which are reported to be floundering during the seventh “round” of talks taking place this week in Chevy Chase, Maryland. “Under ISDS,” Meyerson writes, “foreign investors can sue a...
Source: Cato-at-liberty - October 3, 2014 Category: American Health Authors: Daniel J. Ikenson Source Type: blogs

A quick guide to health care innovation and the NHS
Disruptive Women UK will be launching Tuesday, September 30th in the House of Commons. This post is a part of a series running up to the launch welcoming Disruptive Women UK. So you’re officially a health innovator. You have a product that works, so now you just need some people to use it. Broadly, you have two options at this point – to get users to pay for it themselves, or to sell it to a healthcare provider to use with their patients. Selling direct to the public is great if you have the right sort of product, but it might be trickier in the UK than in the USA or in some parts of Europe because there isn&rs...
Source: Disruptive Women in Health Care - September 29, 2014 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: DW UK Mental Health Technology Source Type: blogs

Are we stuck in a digital cul de sac?
Disruptive Women UK will be launching Tuesday, September 30th in the House of Commons. This post is a part of a series running up to the launch welcoming Disruptive Women UK. In the UK we have a problem. The big digital movers and shakers – Google, Twitter, LinkedIn, Amazon and many others – were founded in America. We are stuck in a cultural cul-de-sac. There are no easy answers as to why the UK does not have the digital confidence of the US, but we must do our best to tackle our low digital self-esteem. One reason is location. The UK is a test-bed for American companies before they go into other markets in Eu...
Source: Disruptive Women in Health Care - September 26, 2014 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: DW UK Innovation Technology Source Type: blogs

SBA’s Risky Franchise Lending
Nicole Kaeding The Small Business Administration’s (SBA) stated mission is to aid small businesses and strengthen the economy. Under its popular 7(a) program, SBA provides private lenders with loan guarantees. In the case of default, SBA steps in to cover up to 85percent of the lender’s losses. This structure encourages lenders to provide more loans, but also encourages the approval of riskier loans. The lenders are insulated from most of the risks of default.   A new analysis conducted by the Wall Street Journal confirms that this arrangement induces SBA to provide loans that result in a large number of ...
Source: Cato-at-liberty - September 22, 2014 Category: American Health Authors: Nicole Kaeding Source Type: blogs

New Health Policy Brief: Employee Choice
A new Health Policy Brief from Health Affairs and the Robert Wood Johnson Foundation (RWJF) looks at health coverage choice for employees of small businesses. Unlike large organizations, small businesses have been less likely to provide comprehensive health insurance or a choice of plans, and their employees are more likely to be uninsured or underinsured. To address this insurance gap, the Affordable Care Act (ACA) created the Small Business Health Options Program (SHOP) Marketplaces in each state. (Note: The SHOP exchange was the subject of an earlier Health Policy Brief.) These Marketplaces (eighteen run by state exchan...
Source: Health Affairs Blog - September 18, 2014 Category: Health Management Authors: Chris Fleming Tags: All Categories Business of Health Care Employer-Sponsored Insurance Health Reform Source Type: blogs

Consumer Centricity: The Market and Employer Must Focus On Building Better Decisions
The NYTimes highlights the news on employer sponsored insurance:  premiums have not risen at the expected rate, rather they are staying under 8%, mostly around 6%.  This can change, however, based upon risks and percentage of insured from one city or state to another. There is still more in the Kaiser Foundation survey that shows the changes over time in employer/worker payments. What this means for employers and employees, however, is a new focus and determination to keep people well.  Worker premiums have gone up year over year from 2006 till now, and at a significant rate.  More of the cost...
Source: Disruptive Women in Health Care - September 16, 2014 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Uncategorized Source Type: blogs

Drama every where I go, and depression as always
I have no idea what is I wrong with me.  Each day now, seems like it is worse in the afternoon, I've been getting pretty low, down, I guess depressed.  I want to be cautious with that word because so many times now it doesn't seem like I'm depressed then I'm told that I am.  I was doing all of these non-normal things and didn't know why but wanted to change myself, yet depression never entered my mind.  So NOW that I think I am getting depressed, with no idea why, I hesitate to use that word.Nothing bad is going on in my life.  My husband supports my new small business venture. ...
Source: bipolar.and.me - September 16, 2014 Category: Psychiatry Source Type: blogs

Savings and the Decline of Small Business Entry
Mark A. Calabria A recent paper from the Brookings Institute raises an important observation that businesses are “becoming older,” that is, the age profile of American business is increasingly dominated by older firms.  One reason is that the entry rate of new businesses has been steadily declining for decades.  While this decline has been witnessed across firm size, it has been most dramatic among small firms.  One potential contributor to the decline in new small businesses is the long run decline in the personal savings rate.  According to the Census Bureau’s Survey of Business Own...
Source: Cato-at-liberty - September 4, 2014 Category: American Health Authors: Mark A. Calabria Source Type: blogs

Wednesday Potpourri
■ Craig Gottwals has the scoop on the latest Golden State efforts to come into line with the new group waiting period requirements:"A year and a half ago, California decided that the 90-day waiting period limit imposed by PPACA ... was too long and cut that period to 60 days via a series of confusing state laws."After driving benefits folks nuts trying to comply with conflicting federal and state requirements, the state's finally shelved their own ill-advised rule. Click on through for why this is so critical.■ Speaking of small groups, the news on the alleged SHOP (small group marketplace) isn't promising fo...
Source: InsureBlog - August 20, 2014 Category: Medical Lawyers and Insurers Source Type: blogs

The Evolution Of A Two-Tier Health Insurance Exchange System
TweetNote: In addition to Rosemarie Day, this post is also coauthored by Pamela Nadash and Angelique Hrycko. Health reform has been a catalyst for change. It has fostered the creation of public health insurance exchanges and accelerated existing trends in health insurance coverage for employees. Many employers are reevaluating their coverage offerings, some employers are no longer providing insurance coverage, and, among those who continue to offer it, high deductible plans with restricted networks are becoming the norm. In addition, employers are increasingly outsourcing health insurance benefits management by m...
Source: Health Affairs Blog - August 13, 2014 Category: Health Management Authors: Rosemarie Day, Pamela Nadash, and Angelique Hrycko Tags: All Categories Business of Health Care Coverage Employer-Sponsored Insurance Policy Source Type: blogs

Women in Biomedical Research
It has been a while since I’ve discussed the participation of women in research and NIH extramural programs, and following up on a recent workshop we held on the advancement of women in biomedical careers, I thought it would be a good time to revisit updated data and discuss issues concerning women in biomedical research. To quickly recap what we discussed in prior blogs, we have seen that in most instances women do well in competition for NIH research funding. For R01-equivalent grants, success rates are almost identical for men and women on type 1 applications with small, but persistent, disparity in success f...
Source: NIH Extramural Nexus: Rock Talk Blog - August 8, 2014 Category: Research Authors: Sally Rockey Tags: Rock Talk Biomedical Workforce Diversity women Source Type: blogs