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 'exchanges'. Sat, 03 Sep 2011 02:39:33 +0100 http://www.medworm.com/index.php?rid=4975829&cid=t_167946_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FRiV-GAJmBbo%2F By Michael F. CannonHere we have the spectacle of a former Republican Health and Human Services secretary getting rich by helping states implement ObamaCare. Leavitt Partners (among other consultants) is helping states create the law’s health insurance “Exchanges.” Or the non-ObamaCare-compliant health insurance Exchanges that will by law become ObamaCare-compliant Exchanges.  Via Politico: More than $300 million in exchange grants has already flowed into the states since the Affordable Care Act passed. That number will grow exponentially in the coming months, as states move from the initial steps of passing exchange legislation to the more lucrative task of setting them up. For health consultants and information technology vendors, it’s already shaping up to be a gold mine&#8... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4975829 Tue, 28 Jun 2011 15:41:55 +0100 4975829 http://www.medworm.com/index.php?rid=4592371&cid=t_167946_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FJAVZY3Aq0cM%2F By Michael F. CannonIn a March 4 article for National Review Online titled, “Mitch Daniels’s Obamacare Problem,” I explain how Indiana Gov. Mitch Daniels (R) is undermining the effort to repeal ObamaCare, and how he might do even more damage to that movement as the Republican nominee for president.  My article came under fire from Daniels' policy director Lawren Mills (in the comments section of my article), Grace-Marie Turner of the Galen Institute, and Bob Goldberg of the Center for Medicine in the Public Interest. Today, NRO runs my response.  An excerpt: In brief, the trio believes that Daniels’s expansion of government-run health care is a conservative triumph. I can’t believe we’re even having this conversation... Daniels has an ObamaCare problem that could hurt the ... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4592371 Mon, 14 Mar 2011 12:40:37 +0100 4592371 http://www.medworm.com/index.php?rid=4545030&cid=t_167946_113_f&fid=34625&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FNeilVerselsHealthcareItBlog%2F%7E3%2FyENL-jmhHiI%2F The first Health Wonk Review since last week’s HIMSS conference is up, courtesy of Jared M. Rhoads of the Lucidicus Project. While I’m no fan of organization’s ideological bent (it seems to think CMS Administrator Don Berwick is more interested in socialism than in improving healthcare), I’m happy to say this roundup has more IT than normal. For one thing, Rhoads mentions my post detailing my injury at HIMSS and the consumerism and EMR use that played into the care I received at a walk-in clinic in Orlando, Fla. I’m happy to report that I got the stitches out on Tuesday and the deep laceration is healing well. There’s a good chance that the resulting scar might kind of blend into my eyebrow, so I’m hoping it won’t be too conspicuous. Four oth... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=4545030 Thu, 03 Mar 2011 22:58:59 +0100 4545030 http://www.medworm.com/index.php?rid=4507261&cid=t_167946_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2Ftwq6vyeVFIM%2F By Michael F. CannonThe Washington Post reports: Practically every week, a Republican governor or lawmaker announces a new effort to kill the health-care law or undercut its implementation. Unfortunately, many of those same governors are still implementing the law when they should be outright refusing to do so. In my Kaiser Health News column today, I offer two reasons why (at least) Republican governors should stop implementing ObamaCare: Swearing an oath to support the Constitution also obligates governors to use lawful means to prevent its unlawful abuse. Governors who believe ObamaCare to be unconstitutional are as duty-bound to stop implementing the law as they are to challenge it in court... It is the height of fiscal irresponsibility to be making new spending commitments (1) when... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4507261 Tue, 22 Feb 2011 15:30:35 +0100 4507261 http://www.medworm.com/index.php?rid=4022900&cid=t_167946_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FqCYT1eaGZXs%2F By Michael F. CannonFirst, a dozen insurers said they would stop writing child-only health insurance policies.  Now, according to the Wall Street Journal: By forcing the exit of Principal Financial Group — which ran a profitable, $1.6 billion health insurance business — ObamaCare has now left 840,000 Americans to find another source of coverage. According to The New York Times, other insurers may soon follow: More insurers are likely to follow Principal’s lead, especially as they try to meet the new rules that require plans to spend at least 80 cents of every dollar they collect in premiums on the welfare of their customers… “It’s just going to drive the little guys out,” said Robert Laszewski, a health policy consultant in Alexandria, Va. Smaller players like ... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4022900 Fri, 01 Oct 2010 14:09:44 +0100 4022900 http://www.medworm.com/index.php?rid=3993884&cid=t_167946_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FaPLQbHBbzV8%2F By Michael F. CannonThis is what happens when government price controls limit insurance companies’ ability to set premiums according to risk: Note that this adverse-selection death spiral happened before ObamaCare‘s price controls on child-only coverage even took effect.  (Of course, President Obama never calls them price controls.  He calls them “consumer protections.”  Some protection.) ObamaCare supporters are in full-blown denial: “We’re just days away from a new era when insurance companies must stop denying coverage to kids just because they are sick, and now some of the biggest changed their minds,” Ethan Rome, executive director of Health Care for America Now, an advocacy group, said in a statement. “[It] is immoral, and to blame ... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=3993884 Tue, 21 Sep 2010 18:09:40 +0100 3993884 http://www.medworm.com/index.php?rid=3036990&cid=t_167946_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FeXeiCoqQKS0%2F Everyone seems to love talking about RHIO, HIE and all of the other various initiatives happening around sharing patient health information amongst doctors. This weekend, I want to open it up to you the readers to get an idea of what type of participation you’ve had in an RHIO, HIE or other clinical data exchange. Are you participating in one now? Do you like it? Do you hate it? In fact, what do you like and what do you hate? Do you use an EMR to interface with the exchange? What’s the interface like? How much work is it to manage the interface? I’d also be interested in hearing about people who are working through the process now. Where are you at in the process? What’s holding you up from making this happen? Let’s help educate each other on what’s happ... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3036990 Sat, 28 Nov 2009 16:11:30 +0100 3036990 http://www.medworm.com/index.php?rid=2881307&cid=t_167946_134_f&fid=35187&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FDiabetesDaily%2F%7E3%2FdpCyx9chYRA%2Fcarb-wars.php Episode IV: The Tweak DietA long long time ago, in a dietitian's office, far far away .... Okay, maybe not. But at the beginning of the "oughts" an older friend was diagnosed with diabetes. We were frequent dinner companions, so our cooking changed to accommodate her dietary concerns and ours: low carb cooking. It was hard at first, since carbs are cheap and plentiful, but we managed. Tostadas, stir fry, roasts - anything to keep her in what she told us she had to stay at - 15 carbs per meal. And that stuck with me when I finally picked up the gauntlet again a few weeks ago. And boy did I dip too low in my carbs. I was still suffering what I've grown to know as my "carb hangover" feelings - tired, faux-hungry, THIRSTY - and tired. Exhausted. So I did what keeps me busy: more research. S... Diabetes Daily blogs http://www.medworm.com/rss/comments.php?id=2881307 Sun, 11 Oct 2009 13:00:00 +0100 2881307 http://www.medworm.com/index.php?rid=2751993&cid=t_167946_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FbffcvkNpO3k%2F One of my readers pointed out that NaviNet was offering their Health Information Exchange (HIE) solution to state governments for free. Here’s a short part of the press release: NaviNet (formerly NaviMedix), America’s largest real-time healthcare communications network, today announced the NaviNet Health Information Exchange (HIE), a solution that combines the NaviNet Provider Network of more than 770,000 providers nationwide, and NaviNet technology and services. The NaviNet HIE is now available to all state governments and U.S. territories at no cost, enabling more efficient implementation and expansion of local health data exchange. Adoption of NaviNet HIE minimizes technology investment requirements, providing states and territories a rapid and cost-effective way to offer their ... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=2751993 Mon, 31 Aug 2009 18:27:53 +0100 2751993 http://www.medworm.com/index.php?rid=2365201&cid=t_167946_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2009%2F04%2F23%2Fstill-far-from-healthcare-interoperability%2F I think that anyone that is in this industry had to be struck by the story of ePatientDave pulling his medical history into Google Health (see my previous ePatientDave post). It’s not that we didn’t already know that it was a problem. I think that most in the medical industry know the problems associated with our data right now. However, I feel like we’re all (including myself) in a little bit of denial about this fact. The story of ePatientDave just painted a picture of how bad the data really is going to be. The takeaway I have from ePatientDave’s experience is that we’re still a long way from having interoperable patient records. In fact, it makes my previous post about ICD-10 and EHR interoperability even more significant. Not to mention the need to simpli... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=2365201 Thu, 23 Apr 2009 20:06:13 +0100 2365201 http://www.medworm.com/index.php?rid=2314666&cid=t_167946_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2F-eFyoyxwg6I%2F A lot of talk has been done lately on the importance of interoperability of EHR software. Many people point to health information exchanges when talking about this EHR interoperability. I must admit that almost all of the interoperability and health information exchange discussions I’ve seen recently leave me lost. Maybe I’m just not that smart, but I also think it’s possible that people are trying to bite off more than they can chew. I’d like to see a simplified method for exchanging health information. Let’s break it down into bite size increments where we can actually have achievable goals and solvable problems. For example, let’s start with something like prescriptions, allergies or labs. Let’s get those right and then add on top of those funct... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=2314666 Wed, 08 Apr 2009 13:36:04 +0100 2314666 http://www.medworm.com/index.php?rid=1200442&cid=t_167946_109_f&fid=35677&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FBrainBasedBusiness%2F%7E3%2F228928113%2Fturn_talk_into_tasks_through_q.html Imagine yourself listening to  long … intensive … conversations where words tumble into your brain as fast as rice spills into a crock pot. Ever felt bored when a person pours out more words than you can respond to from your own experience? Yes, we’ve all been there. Life and learning is a volley that takes back and forth words – with actions attached. We learn best by rolling ideas and experiences and bits of information to and fro in flexible exchanges. The brain is built to engage.  Sometimes it’s simply an acknowledgement that a point has been made … other times it’s a story back to expand on the insight from a personal perspective. Do you ever wish you could respond to a fast talking speaker … or try out a cool new idea whe... BrainBasedBusiness blogs http://www.medworm.com/rss/comments.php?id=1200442 Mon, 04 Feb 2008 14:36:43 +0100 1200442