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        <title>MedWorm Tags: centers for medicare and medicaid</title>
        <description>MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'centers for medicare and medicaid'.</description>
        <link><![CDATA[http://www.medworm.com/rss/search.php?qu=%22centers+for+medicare+and+medicaid%22&t=%22centers+for+medicare+and+medicaid%22&r=Exact&o=d&f=tag]]></link>
        <lastBuildDate>Sat, 03 Sep 2011 02:26:55 +0100</lastBuildDate>
        <item>
            <title>Implementing Health Reform: Playing the Waiting Game</title>
            <link>http://www.medworm.com/index.php?rid=4631477&amp;cid=t_454998_87_f&amp;fid=38368&amp;url=http%3A%2F%2Fdocs.house.gov%2Fenergycommerce%2Fppacacon.pdf</link>
            <description>The following is a guest post by Nicole Sweeny, originally posted on Policy Mic on March 22nd. 
By Nicole Sweeny. In October 2010, seven months after the passage of health reform, hundreds of health care industry stakeholders gathered in an overcrowded conference room at the Centers for Medicare &amp; Medicaid Services. They were all eagerly waiting to give their input on one of the most buzzworthy provisions of health reform: the Accountable Care Organization. Implemented by Section 3022 of the Patient Protection and Affordable Care Act, Accountable Care Organizations, or “ACOs,” are vaguely defined as groups of providers that will manage all aspects of care for the Medicare beneficiaries assigned to them (seniors over the age of 65 are eligible for Medicare). ACOs will have to meet q...</description>
            <author>Disruptive Women in Health Care</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4631477</comments>
            <pubDate>Thu, 24 Mar 2011 12:45:51 +0100</pubDate>
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            <title>Berwick political saga is a tragic attack on better healthcare</title>
            <link>http://www.medworm.com/index.php?rid=4592493&amp;cid=t_454998_113_f&amp;fid=34625&amp;url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FNeilVerselsHealthcareItBlog%2F%7E3%2FopWr_wehgR8%2F</link>
            <description>President Barack Obama has made plenty of mistakes in his first two-plus years in office, but none may be more serious for the future of America than his decision to install Donald M. Berwick, M.D., as a recess appointment to head the Centers for Medicare and Medicaid Services in July 2010.
Berwick really is a great choice to head CMS, but the underhanded nature of the recess appointment has provided fodder for all kinds of uninformed ideologues and assorted nut jobs to attack Obama’s healthcare reform efforts. Just as CMS is gearing up to release widely anticipated proposed regulations for Accountable Care Organizations, we get the sad news that that Berwick’s days are numbered.
After refusing to allow Berwick to testify before the Senate last year, Obama renominated Berwick on Jan. 2...</description>
            <author>Neil Versel's Healthcare IT Blog</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4592493</comments>
            <pubDate>Mon, 14 Mar 2011 18:21:58 +0100</pubDate>
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            <title>Advice From The EMR Trenches</title>
            <link>http://www.medworm.com/index.php?rid=4560274&amp;cid=t_454998_87_f&amp;fid=39187&amp;url=http%3A%2F%2Fgetbetterhealth.com%2Fadvice-from-the-emr-trenches%2F2011.03.07</link>
            <description>The latest from moi: &amp;#8220;Implementing Electronic Medical Records: Advice from the Trenches&amp;#8221; in the March/April 2011 issue of HIT Exchange magazine. An excerpt:
The news released in late December from the Centers for Disease Control and Prevention that more than half of the nation’s physicians are now using electronic medical records (EMR)—double the adoption rate of just five years ago—is surely worth celebrating. Until, that is, you take a look and realize that just a fourth of office-based physicians have access to a “basic” EMR system including patient history, demographics, problem lists, clinical notes, and computerized physician order entry (CPOE), while just one in 10 has a “fully functional” system, which also includes the communication system required for me...</description>
            <author>Better Health</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4560274</comments>
            <pubDate>Mon, 07 Mar 2011 23:00:00 +0100</pubDate>
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            <title>How Dare Conservatives Stand athwart ObamaCare Yelling, Stop!</title>
            <link>http://www.medworm.com/index.php?rid=4560251&amp;cid=t_454998_87_f&amp;fid=36438&amp;url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FLizuL3o0-Bs%2F</link>
            <description>By Michael F. CannonIn a column for Kaiser Health News, Michael L. Millenson, President of Health Quality Advisors LLC, laments that conservatives in the U.S. House are approaching ObamaCare like, well, conservatives.  He cites comments by unnamed House GOP staffers at a recent conference:
The Innovation Center at the Centers for Medicare &amp; Medicaid Services? &quot;An innovation center at CMS is an oxymoron,&quot; responded a  Republican aide...&quot;Though it's great for PhDs who come to Washington on the government tab.&quot;
There was also no reason the government should pay for &quot;so-called comparative effectiveness research,&quot; another said.
&quot;Everything's on the chopping block,&quot; said yet another.
No government-funded comparative-effectiveness research?  The horror!  For my money, those staffers (and...</description>
            <author>Cato-at-liberty</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4560251</comments>
            <pubDate>Mon, 07 Mar 2011 15:26:48 +0100</pubDate>
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            <title>Family Physicians: Are They Paid Well Compared To Other Docs?</title>
            <link>http://www.medworm.com/index.php?rid=4322510&amp;cid=t_454998_87_f&amp;fid=39187&amp;url=http%3A%2F%2Fgetbetterhealth.com%2Faverage-hourly-earnings-of-primary-care-relative-to-other-specialists-graph%2F2011.01.07</link>
            <description>Here&amp;#8217;s an interesting article, talking about stuff that&amp;#8217;s not new to anyone who has read my blog for the last three years. The current relative value unit (RVU) system is a scam, perpetuated by a super-secretive group of subspecialists each  inflating their own worth for the benefit of themselves, at the expense of primary care.

If you don&amp;#8217;t understand what I&amp;#8217;m talking about, first read about RVUs explained. Then come back and read this article put out by the National Institute for Health Care Management. It&amp;#8217;s titled &amp;#8220;Out of Whack: Pricing Distortions in the Medicare Physician Fee Schedule.&amp;#8220; In his essay, Dr. Robert Berenson shows how distorted primary care specialties are paid, relative to other specialties, in an all Medicare practice with t...</description>
            <author>Better Health</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4322510</comments>
            <pubDate>Fri, 07 Jan 2011 14:00:00 +0100</pubDate>
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            <title>Healthcare Spending: Slowest Growth Since The Great Depression</title>
            <link>http://www.medworm.com/index.php?rid=4318333&amp;cid=t_454998_87_f&amp;fid=39187&amp;url=http%3A%2F%2Fgetbetterhealth.com%2Fhealthcare-spending-slowest-growth-since-the-great-depression%2F2011.01.06</link>
            <description>Healthcare spending grew in 2009 at its slowest rate since 1938, according to a report published in Health Affairs.
The last time America saw such a slow growth rate on health spending it was still emerging from the Great Depression and hadn&amp;#8217;t yet entered World War II. The most recent recession is also the cause for the health spending figures, according to the annual report, released by the Centers for Medicare and Medicaid Services.
The report shows that the recession left a deeper impact than previous ones.
Healthcare spending grew 4 percent to $2.5 trillion, outpacing the rest of the still recovering economy. Authors wrote that the recession contributed to slower growth in private health insurance spending and out-of-pocket spending by consumers, as well as a reduction in capita...</description>
            <author>Better Health</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4318333</comments>
            <pubDate>Thu, 06 Jan 2011 18:00:00 +0100</pubDate>
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            <title>CMS Adds Website To Aid in Physician Comparison and Selection</title>
            <link>http://www.medworm.com/index.php?rid=4309544&amp;cid=t_454998_83_f&amp;fid=34856&amp;url=http%3A%2F%2Finsidesurgery.com%2F2011%2F01%2Fcms-adds-website-aid-physician-comparison-selection%2F</link>
            <description>The Centers for Medicaid and Medicare Services (CMS) has launched the website Physician Compare that will by 2013 include outcomes measures on quality and patient satisfaction. (Source: Inside Surgery)</description>
            <author>Inside Surgery</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4309544</comments>
            <pubDate>Tue, 04 Jan 2011 02:52:10 +0100</pubDate>
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            <title>Making 2011 “Meaningful”</title>
            <link>http://www.medworm.com/index.php?rid=4309612&amp;cid=t_454998_87_f&amp;fid=39187&amp;url=http%3A%2F%2Fgetbetterhealth.com%2Fmaking-2011-meaningful%2F2011.01.03</link>
            <description>Today, $27 billion in incentives begin for using electronic medical records, as office- and hospital-based providers begin to register for meaningful use criteria.
Providers must use a certified system according to Centers for Medicare and Medicaid meaningful-use guidelines for 90 consecutive days within the first year of the program to qualify. Eligible professionals can receive up to $44,000 over five years under the program. There&amp;#8217;s an additional incentive for eligible professionals who provide services in a Health Professional Shortage Area. To get the most money, Medicare-eligible professionals must begin by 2012. By 2015, Medicare-eligible professionals and hospitals that do not demonstrate meaningful use get punished. (more&amp;#8230;)

			
			*This blog post was originally publis...</description>
            <author>Better Health</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4309612</comments>
            <pubDate>Mon, 03 Jan 2011 20:00:00 +0100</pubDate>
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            <title>Addressing Healthcare Spending: “Cowardice” Or Bravery?</title>
            <link>http://www.medworm.com/index.php?rid=4225247&amp;cid=t_454998_87_f&amp;fid=39187&amp;url=http%3A%2F%2Fgetbetterhealth.com%2Faddressing-healthcare-spending-%25e2%2580%259ccowardice%25e2%2580%259d-or-bravery%2F2010.12.03</link>
            <description>In assessing the “best and worst” of the recommendations from the National Commission on Fiscal Responsibility, Washington Post blogger Ezra Klein accuses the Commission of “cowardice” in addressing healthcare spending:
“The plan&amp;#8217;s healthcare savings largely consist of hoping the cost controls . . . and various demonstration projects in the new healthcare law work and expanding their power and reach. . . In the event that more savings are needed, they throw out a grab bag of liberal and conservative policies . . . but don&amp;#8217;t really put their weight behind any. . .[their] decision to hide from the big questions here is quite disappointing . . . ”
Pretty harsh words, considering that in other respects Klein gives the Commission high marks. But I think there is a lot mo...</description>
            <author>Better Health</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4225247</comments>
            <pubDate>Fri, 03 Dec 2010 21:00:00 +0100</pubDate>
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            <title>Healthcare Decision Making And Don Berwick’s “Leaders With Plans”</title>
            <link>http://www.medworm.com/index.php?rid=4167956&amp;cid=t_454998_87_f&amp;fid=39187&amp;url=http%3A%2F%2Fgetbetterhealth.com%2Fhealthcare-decision-making-and-don-berwicks-leaders-with-plans%2F2010.11.15</link>
            <description>From a recent post of the Retired Doc&amp;#8217;s Thoughts blog entitled &amp;#8220;What Are the Plans Of Don Berwick&amp;#8217;s &amp;#8216;Leaders With Plans?&amp;#8217;&amp;#8220;:
&amp;#8220;I wonder which is worse: A medical leader recommending price controls out of ignorance of basic economics or being aware of the likely outcomes and mak[ing] that recommendation anyway?&amp;#8221;
Wow. I’m speechless. Thanks to Retired Doc for getting this out in a cogent summary.

			
			*This blog post was originally published at GruntDoc* (Source: Better Health)</description>
            <author>Better Health</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4167956</comments>
            <pubDate>Mon, 15 Nov 2010 23:00:55 +0100</pubDate>
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            <title>Medical Malpractice Reform: Would Doctors Accept The Deal?</title>
            <link>http://www.medworm.com/index.php?rid=4167960&amp;cid=t_454998_87_f&amp;fid=39187&amp;url=http%3A%2F%2Fgetbetterhealth.com%2Fmedical-malpractice-reform-would-doctors-accept-the-deal%2F2010.11.15</link>
            <description>The bipartisan debt commission appointed by President Obama recently released its recommendations on how to pare the country’s debt.
Of interest to doctors is the suggestion to change the way doctors are paid. Physician lobbies have been advocating for removal of the Sustainable Growth Rate (SGR) formula — the flawed method by which Medicare, and subsequently private insurers, pays doctors. According to this method, physicians are due for a pay cut of more than 20 percent next month.
According to the commission:
The plan proposes eliminating the SGR in 2015 and replacing it with a “modest reduction” for physicians and other providers. The plan doesn’t elaborate on what constitutes a “modest reduction” in Medicare reimbursement.
Meanwhile, the Centers for Medicare and Medicai...</description>
            <author>Better Health</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4167960</comments>
            <pubDate>Mon, 15 Nov 2010 15:00:26 +0100</pubDate>
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            <title>Light Shed On The Corruption Of The RUC</title>
            <link>http://www.medworm.com/index.php?rid=4133714&amp;cid=t_454998_87_f&amp;fid=39187&amp;url=http%3A%2F%2Fgetbetterhealth.com%2Flight-shed-on-the-corruption-of-the-ruc%2F2010.11.03</link>
            <description>Interesting [recent] front-page article in the Wall Street Journal (WSJ) about the American Medical Association&amp;#8217;s (AMA) Relative Value Scale Update Committee (RUC). From the WSJ:
Three times a year, 29 doctors gather around a table in a hotel meeting room. Their job is an unusual one: divvying up billions of Medicare dollars.
The group, convened by the American Medical Association, has no official government standing. Members are mostly selected by medical-specialty trade groups. Anyone who attends its meetings must sign a confidentiality agreement. [...]
The RUC, as it is known, has stoked a debate over whether doctors have too much control over the flow of taxpayer dollars in the $500 billion Medicare program. Its critics fault the committee for contributing to a system that spen...</description>
            <author>Better Health</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4133714</comments>
            <pubDate>Wed, 03 Nov 2010 18:00:00 +0100</pubDate>
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            <title>Nurse Anesthetists: Allowed To Work Without Doctor Supervision?</title>
            <link>http://www.medworm.com/index.php?rid=4105665&amp;cid=t_454998_87_f&amp;fid=39187&amp;url=http%3A%2F%2Fgetbetterhealth.com%2Fnurse-anesthetists-allowed-to-work-without-doctor-supervision%2F2010.10.25</link>
            <description>New Jersey&amp;#8217;s state health department is considering a rule that would allow nurse anesthetists to work without a doctor&amp;#8217;s supervision, as long as there&amp;#8217;s a plan to reach one in case of an emergency. New Jersey would join the 30 states that allow nurse anesthetists to work without direct supervision.
On the other end of the country, a California court upheld the state&amp;#8217;s decision to opt out of a Medicare requirement that doctors be present while a nurse anesthetist works in order to be reimbursed. The Centers for Medicare and Medicaid Services have allowed states to opt out of that requirement since 2001.
Since then, there has been no evidence of increased inpatient deaths or complications, researchers reported in the August 2010 issue of Health Affairs. Earlier this ...</description>
            <author>Better Health</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=4105665</comments>
            <pubDate>Mon, 25 Oct 2010 22:00:00 +0100</pubDate>
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            <title>Charitable Hospitals Being Sold To For-Profits To Survive</title>
            <link>http://www.medworm.com/index.php?rid=3914998&amp;cid=t_454998_87_f&amp;fid=39187&amp;url=http%3A%2F%2Fgetbetterhealth.com%2Fcharitable-hospitals-being-sold-to-for-profits-to-survive%2F2010.08.30</link>
            <description>More than one-fifth of hospitals are government-owned, but states and counties are out of cash to keep them open. So, charitable hospitals are being sold to for-profit groups or facing closures. Rising costs and more uninsured patients run smack into falling Medicare and Medicaid reimbursement. When bonds come due, there&amp;#8217;s little chance of states and counties paying them back. And the facilities are often standalones, and they can&amp;#8217;t fall back on corporate backing. This year, 53 hospitals have been sold in 25 arrangements. While the deals often stipulate that care for the poor continues, no one is certain exactly how or even whether such services will continue.
That said, other charitable hospitals are making big profits. What are they doing differently? First, they&amp;#8217;re co...</description>
            <author>Better Health</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=3914998</comments>
            <pubDate>Mon, 30 Aug 2010 16:00:00 +0100</pubDate>
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            <title>Dr. Don Berwick’s “Patient-Centered” Medicine</title>
            <link>http://www.medworm.com/index.php?rid=3757866&amp;cid=t_454998_87_f&amp;fid=39187&amp;url=http%3A%2F%2Fgetbetterhealth.com%2Fdr-don-berwicks-patient-centered-medicine%2F2010.07.15</link>
            <description>There’s been a bit of buzz in the health blogs over President Obama’s decision last week to use the mechanism of a recess appointment to be the director of the Centers for Medicare and Medicaid Services (CMS).
Recess appointments, for those who may not be aware, allow a President to put a nominee in place when Congress is in recess in order to have him in place without the messy process of having him approved by the Senate. True, the Senate still has to approve a recess appointment by the end of its term, or the seat goes vacant again, but it’s an excellent way to avoid having nasty confirmation fights during election years. Of course, both parties do it, and the reaction of pundits, bloggers, and politicians tend to fall strictly along partisan lines.
If you support the President, t...</description>
            <author>Better Health</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=3757866</comments>
            <pubDate>Thu, 15 Jul 2010 12:00:36 +0100</pubDate>
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            <title>The “Free Stuff” Of Healthcare Reform</title>
            <link>http://www.medworm.com/index.php?rid=3753826&amp;cid=t_454998_87_f&amp;fid=39187&amp;url=http%3A%2F%2Fgetbetterhealth.com%2Fthe-free-stuff-of-healthcare-reform%2F2010.07.14</link>
            <description>It happened. Guilty. I confess. Reading about Dr. Berwick&amp;#8217;s recess appointment to lead the Centers for Medicare and Medicaid Services (CMS) induced me to watch a Fox news clip. Gosh, I feel bad about it. It felt good, though.
Patients &amp;#8212; that&amp;#8217;s you and me &amp;#8212; should know that CMS controls doctors, nurses and especially hospital/practice managers. They are ten times more scary than the radar patrol car on the highway.
Dr. Berwick likes the British system of healthcare delivery. In Europe healthcare is free, and everyone likes free stuff. Free stuff happens all the time, doesn&amp;#8217;t it?
In Cambridge, Mass &amp;#8212; at Harvard &amp;#8212; free stuff for all seems a plausible tenet. There must be a lot of coffee shops and free time in Cambridge. In the real world &amp;#8212; on Ma...</description>
            <author>Better Health</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=3753826</comments>
            <pubDate>Wed, 14 Jul 2010 14:00:00 +0100</pubDate>
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            <title>Blink Of An Eye: Genentech &amp; Medicare Spending</title>
            <link>http://www.medworm.com/index.php?rid=3672034&amp;cid=t_454998_150_f&amp;fid=35777&amp;url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2F7CpBD1Qpr10%2F</link>
            <description>Once again, a battle looms over the cost of treating wet age-related macular degeneration. An unpublished study shows Medicare can save more than $500 million annually by using Avastin, instead of Lucentis to treat the illness, The Wall Street Journal reports. The disclosure underscores a heated debate that has embroiled federal officials and Genentech, which sells both drugs, for years.
Why? Avastin is not approved to treat the eye disease, which is a leading cause of blindness among the elderly. Lucentis is approved, but Avastin is much cheaper. For instance, the study found Avastin, which is used in 65 percent of Medicare patients but only 40 percent are treated with Lucentis. But Medicare paid $537 million for Lucentis in 2008 and only $20 million for Avastin, the Journal writes. Put a...</description>
            <author>Pharmalot</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=3672034</comments>
            <pubDate>Thu, 17 Jun 2010 13:13:18 +0100</pubDate>
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            <title>Columbus Dispatch: ObamaCare = Malpractice</title>
            <link>http://www.medworm.com/index.php?rid=3515338&amp;cid=t_454998_87_f&amp;fid=36438&amp;url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FH78JrwFZ7EQ%2F</link>
            <description>By Michael F. CannonPopular discontent with ObamaCare extends even so far as the traditionally left-of-center Columbus Dispatch editorial page:
Almost daily, the ill effects of the health-care overhaul passed by Congress last month are becoming apparent. As employers and government bureaucrats analyze the law&amp;#8217;s effect on bottom lines for the private sector and for government, the alarm bells are ringing.
The tragedy is that these ill effects could have been and should have been calculated before the law was passed, not after.
In fact, many of them were prophesied before passage of the bill, but the prophets were ignored by President Barack Obama and the Democratic majority in Congress. That&amp;#8217;s because their uppermost goal was not to pass the best health-care bill possible but me...</description>
            <author>Cato-at-liberty</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=3515338</comments>
            <pubDate>Wed, 28 Apr 2010 20:05:13 +0100</pubDate>
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            <title>A Little Less Poetry, a Little More Economics</title>
            <link>http://www.medworm.com/index.php?rid=3448838&amp;cid=t_454998_87_f&amp;fid=36438&amp;url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FLljRnaMl8Oo%2F</link>
            <description>By Jim HarperA good friend sent me an article on &amp;#8220;patient-centered health care&amp;#8221; written by Dr. Donald Berwick, President Obama&amp;#8217;s intended nominee for administrator of the Centers of Medicare &amp; Medicaid Services. What an improvement an administrator like this will bring compared to his predecessors! Right? The article is called What ‘Patient-Centered’ Should Mean: Confessions Of An Extremist (requires login).
I have no doubt of Berwick&amp;#8217;s sincerity, but the essay gives me little hope for progress. It doesn&amp;#8217;t mention, for example, parity in the tax treatment of employer-purchased and individually purchased health insurance.
Why don&amp;#8217;t we talk about diner-centered restaurants or grocery stores? Because when consumers select restaurants and stores, ch...</description>
            <author>Cato-at-liberty</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=3448838</comments>
            <pubDate>Thu, 08 Apr 2010 15:36:02 +0100</pubDate>
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            <title>Health Cost Projections to 2019: The Doc Fix Trick Again</title>
            <link>http://www.medworm.com/index.php?rid=3335288&amp;cid=t_454998_87_f&amp;fid=36438&amp;url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FeMoZExHNuB4%2F</link>
            <description>By Alan ReynoldsCongressman Paul Ryan (R-WI) takes the President to task for cooking the books on projected health care costs, most egregiously with the “doc fix” &amp;#8212; namely, assuming Medicare slashes physician payments by 21.3% this year and subsequently lets them fall continuously in real terms.
What nobody seems to have noticed is that the same phony “doc fix” taints the new “Health Spending Projections Through 2019&amp;#8221; from Centers for Medicare and Medicaid Services (CMS).
Drew Altman, president and CEO of the Kaiser Family Foundation, tries to downplay the CMS forecast “that the public sector will start paying more than half of the nation&amp;#8217;s health care bill starting in 2012, and that government spending will grow faster than private spending from 2009 to 2019...</description>
            <author>Cato-at-liberty</author>
            <type>blogs</type>
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            <pubDate>Thu, 04 Mar 2010 20:59:09 +0100</pubDate>
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            <title>HHS Bureaucracy Is Not up to the Task</title>
            <link>http://www.medworm.com/index.php?rid=3171877&amp;cid=t_454998_87_f&amp;fid=36438&amp;url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FfYqakBfBSqo%2F</link>
            <description>By Tad DeHavenOne aspect of the health care debate that has not been sufficiently addressed is how the Department of Health and Human Services will handle all its new responsibilities given the massive fraud and abuse that already plagues its existing programs.
It seems that every week there’s a new report of government health care being bilked. Since what’s reported is typically only what is caught, one can only imagine how much isn’t being caught. Harvard’s Malcolm Sparrow, a top specialist in health care fraud, estimates that up to 20 percent of federal health program budgets are consumed by improper payments, which would be a staggering $150 billion a year for Medicare and Medicaid.
New York Times columnist David Leonhardt did raise the question this week of whether the HHS bur...</description>
            <author>Cato-at-liberty</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=3171877</comments>
            <pubDate>Thu, 14 Jan 2010 14:42:55 +0100</pubDate>
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            <title>CMS Moves Up Avastin Pricing Changes</title>
            <link>http://www.medworm.com/index.php?rid=3019232&amp;cid=t_454998_150_f&amp;fid=35777&amp;url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2FA9XD-pE-Prg%2F</link>
            <description>After pressure from Congress, the Centers for Medicare and Medicaid has accelerated its recently announced changes to reimbursement coding for Avastin, which is used to treat wet macular degeneration, a leading cause of blindness among seniors. The drug, however, is controversial because it&amp;#8217;s often used off-label in small amounts to treat the eye disease.
Why? Avastin is made by Genentech, which also sells Lucentis, a more expensive drug approved by the FDA to combat the same problem. But anywhere from 50 percent to 60 percent of docs use Avastin instead of Lucentis, because it costs $2,000 a dose versus about $50 for Avastin. 
Last month, the CMS agreed to reinstate its original billing rate for Avastin. However, the agency was going to wait until Jan. 1 to make the change. However,...</description>
            <author>Pharmalot</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=3019232</comments>
            <pubDate>Mon, 23 Nov 2009 13:21:21 +0100</pubDate>
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            <title>CMS Blinks Over Avastin Medicare Coding</title>
            <link>http://www.medworm.com/index.php?rid=2939562&amp;cid=t_454998_150_f&amp;fid=35777&amp;url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2F7uuRROWNdjM%2F</link>
            <description>After pressure from Congress and concern from doctors, the Centers for Medicare and Medicaid now plans to reverse recently enacted reimbursement coding for Avastin, which is used to treat wet macular degeneration, a leading cause of blindness among seniors and the elderly. The drug, you may recall, is often used off-label in small amounts to treat the eye disease.
Here&amp;#8217;s the rub: Avastin is made by Genentech, which also sells Lucentis, a much more expensive drug approved by the FDA to combat the same problem. But, as noted by Herb Kohl, a Wisconsin Democrat on the Senate Special Committee on Aging, anywhere from 50 percent to 60 percent of docs use Avastin instead of Lucentis. Why? Lucentis cost $2,000 a dose versus about $50 for Avastin. 
Medicare recently introduced a new payment c...</description>
            <author>Pharmalot</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2939562</comments>
            <pubDate>Wed, 28 Oct 2009 20:57:06 +0100</pubDate>
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            <title>Nice Insurance Company. Shame If Anything Were to Happen to It.</title>
            <link>http://www.medworm.com/index.php?rid=2912162&amp;cid=t_454998_87_f&amp;fid=36438&amp;url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FNn-RkQ-j_Z0%2F</link>
            <description>Just days after the health-insurance lobby released a report criticizing the Senate Finance Committee&amp;#8217;s health care overhaul (for not expanding government enough!), Democrats and President Barack Obama lashed out at health insurers, threatening to revoke what the Government Accountability Office calls the insurers&amp;#8217; &amp;#8220;very limited exemption from the federal antitrust laws.&amp;#8221;
Democrats say they&amp;#8217;re motivated by the need to increase competition in health insurance markets.  Right.
According to Business Week:
David Hyman, a professor of law and medicine at the University of Illinois College of Law and adjunct scholar at the Cato Institute&amp;#8230;considers it unlikely that repeal would fundamentally change the nature of the market. While it might increase competition ...</description>
            <author>Cato-at-liberty</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2912162</comments>
            <pubDate>Wed, 21 Oct 2009 14:30:55 +0100</pubDate>
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            <title>Thoughts on a Single Payer System</title>
            <link>http://www.medworm.com/index.php?rid=2570356&amp;cid=t_454998_87_f&amp;fid=38368&amp;url=http%3A%2F%2Fwww.whitehouse.gov%2Fassets%2Fdocuments%2FCEA_Health_Care_Report.pdf</link>
            <description>The following guest post is penned by Lisa Korin, Graduate Student, Masters of Public Health, Johns Hopkins University Bloomberg School of Public Health.
Barack Obama&amp;#8217;s grassroots organization, Organizing for America (OFA), called for a series of health reform kick-off meetings on June 6 (coincidentally my birthday), to brainstorm ideas on the public option notion and plan a healthcare day of service for June 27. I attended a meeting at a stranger&amp;#8217;s home that I found on the OFA website.
As the attendees went around the room sharing their healthcare stories, it quickly became apparent that most everyone at the meeting was for a single payor system, in which there is only one public payor for all, and not interested in discussing the Obama plan that was to be the meeting&amp;#8217;s ...</description>
            <author>Disruptive Women in Health Care</author>
            <type>blogs</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2570356</comments>
            <pubDate>Thu, 02 Jul 2009 13:32:37 +0100</pubDate>
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            <title>Mentally Ill Violence in Nursing Homes?</title>
            <link>http://www.medworm.com/index.php?rid=2287232&amp;cid=t_454998_109_f&amp;fid=34750&amp;url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F03%2F23%2Fmentally-ill-violent-in-nursing-homes%2F</link>
            <description>In yet another example of sensationalism posing as legitimate journalism, the Associated Press&amp;#8217;s Carla K. Johnson penned an article over the weekend calling people with mental illness who live in nursing homes a &amp;#8220;threat.&amp;#8221; What kind of threat? Well, according to the article, it appears to be the usual one, drawing an unscientific and unsupported link between mental illness and violence:

Over the past several years, nursing homes have become dumping grounds for young and middle-age people with mental illness, according to Associated Press interviews and an analysis of data from all 50 states. And that has proved a prescription for violence, as Jackson&amp;#8217;s case and others across the country illustrate.
Younger, stronger residents with schizophrenia, depression or bipola...</description>
            <author>World of Psychology</author>
            <type>blogs</type>
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            <pubDate>Mon, 23 Mar 2009 10:31:17 +0100</pubDate>
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