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How Does The May 2 2013 Ontario Budget Look When Viewed Through A Disability Accessibility Lens?
AODA: Accessibility for Ontarians with Disabilities Act Here is our analysis of the May 2, 2013 Ontario Budget, viewed from the disability accessibility perspective. When reading the Budget Speech of Finance Minister Charles Sousa, we ask how and to what extent the Ontario Government is using its budget strategies to get Ontario on schedule for becoming fully accessible by 2025, the mandatory deadline that the Accessibility for Ontarians with Disabilities Act sets. Read The Full Article
Source: The Autism Acceptance Project - May 7, 2013 Category: Autism Authors: TAAP Admin Tags: News Source Type: blogs

For Hospital CEOs, Retirement May Mean Never Having to Lose Your Paycheck
 Dr Herbert Pardes was once one of the best paid CEOs of a US non-profit hospital system.  A new New York Times article reported that the hospital system continued to pay him millions after his retirement.  Introduction - the Best Paid Non-Profit Hospital System CEO in 2008In 2009, we first discussed the compensation given to Dr Herbert Pardes, the CEO of New York - Presbyterian Healthcare System, which appeared to make him one of the best paid, if not the best paid non-profit hospital system CEO in the US.  His total compensation for 2008 was $9.8 million, according to the NY Post.  While his comp...
Source: Health Care Renewal - July 17, 2014 Category: Health Management Tags: boards of trustees executive compensation Herbert Pardes New York - Presbyterian Hospital Uwe Reinhardt Source Type: blogs

Bush, Obama, and the Expansion of Government
David Boaz A John Allison who is not the president of the Cato Institute makes a pretty good point in today’s Washington Post letters column: Charles Krauthammer, in his Oct. 3 op-ed column, “Why winning the Senate matters,” wrote proudly about the “power of no,” which he advanced as key to blocking President Obama’s ideological agenda since 2010. “And Republicans should not apologize for it,” he said. “With an ideologically ambitious president committed instead to expanding entitlements, regulation and government itself, principle alone would compel the conservative party to say stop.”&n...
Source: Cato-at-liberty - October 7, 2014 Category: American Health Authors: David Boaz Source Type: blogs

Enabling partnerships for Alzheimer's disease drug development—meeting report
It was the best of times, it was the worst of times... --Charles Dickens. These words sum up the state of Alzheimer’s disease (AD) research, specifically therapy development, over the last few years. On the one hand, the budget climate and dismal therapeutic results cloud the future. On the other hand, there are tremendous opportunities presented by the U.S. National Plan to Address Alzheimer’s Disease and by the emergence of systems and precision medicine. These could transform AD research and drug development.
Source: Inside NIA: A Blog for Researchers - June 12, 2013 Category: Geriatrics Authors: Suzana Petanceska, Program Director, Division of Neuroscience Source Type: blogs

A Culture of Overtreatment
JACK COCHRAN, MD & CHARLES KENNEY The Dallas/Fort Worth Healthcare Daily ran a fascinating excerpt from the Steve Jacob’s book So Long, Marcus Welby, M.D.* The excerpt contained some very interesting assertions and statistics. For example: Consultant PwC, relying on that Congressional Budget Office (CBO) report, estimated that malpractice insurance and defensive medicine accounted for 10 percent of […]
Source: The Health Care Blog - November 14, 2014 Category: Consumer Health News Tags: THCB liability Malpractice Overtreatment Patient Safety PwC Source Type: blogs

Top 5 Health Care Trends to Watch in 2015
With a new Congress, health care is once again an issue of tremendous scrutiny and debate. Many of the federal policy debates in 2015 will be largely symbolic, resulting in little more than tweaks to existing law. However, health care policy is not just a matter for Congress to consider. A range of issues will play out in the states and the private sector, effectively shaping the future. Below are the top trends we’re watching this year. The Year of Living Interoperably From electronic health records (EHRs) to clinical measures and decision support tools, providers are inundated with new technologies that automate proces...
Source: Health Affairs Blog - February 25, 2015 Category: Health Management Authors: Susan DeVore Tags: All Categories Big Data Health Care Costs Health IT Innovation Payment Pharma Policy Quality Spending States Source Type: blogs

What Is Behind The Post-Recession Bend In The Health Care Cost Curve?
It has been a while since I last had the opportunity to analyze the slowdown in health spending and the extent to which it represents a lasting bend in the cost curve, as opposed to lingering effects of the “Great Recession or other temporary changes.” (See Note 1) Distinguishing Health Care Cost Curves When we discuss bending the health care cost curve, two questions arise: “Which curve?” and “Short run or long run?” In this post, I focus on the curve represented by the growth rate in national health expenditures (NHE) pre- and post-recession. Other curves of interest include “excess growth” (health spendi...
Source: Health Affairs Blog - March 23, 2015 Category: Health Management Authors: Charles Roehrig Tags: All Categories Consumers Dental Care Health Care Costs Health Care Delivery Health Reform Hospitals Medicare Payment Pharma Physicians Public Health Spending Source Type: blogs

Who Benefits? - Rising Generic Drug Prices and the Case of Mylan's Conflicted Property Purchases
Rising Generic Drug PricesHealth care costs in the US continue their seemingly inexorable rise.  Even the parts of health care that used to seem reasonably priced now are affected.  As Ed Silverman discussed on PharmaLotprices for many generic drugs have been climbing, prompting concerns that a low-cost staple of the U.S. health care system might soon strain budgets.Generic drugs, like practically every other part of US health care, have become big business.  As a Forbes article pointed out, the industry is becoming more consolidated, and more likely to suffer from manufacturing and regulatory issues.  ...
Source: Health Care Renewal - July 9, 2015 Category: Health Management Tags: boards of directors conflicts of interest executive compensation mission-hostile management Mylan perverse incentives Source Type: blogs

HHS Expects ACA Exchange Enrollment to Stagnate in 2016
For the second year in a row, the Department of Health and Human Services (HHS) estimates that enrollment in the health insurance exchanges will come in far below earlier projections from the Congressional Budget Office (CBO). According to the research brief released yesterday, HHS estimates that effectuated enrollment, or enrolled and paying premiums, will be in the range of 9.4 to 11.4 million at the end of 2016. In a conference call with reporters HHS Secretary Burwell said she believes “10 million is a strong and realistic goal… our target assumes something that is probably pretty challenging, which is that more th...
Source: Cato-at-liberty - October 16, 2015 Category: American Health Authors: Charles Hughes Source Type: blogs

Democratic Senators Urge OMB to Decimate Electronic Cigarette Industry
In a letter sent last Wednesday to the Office on Management and Budget (OMB), 11 Democratic senators, led by Jeff Merkley (OR) and Richard Blumenthal (CT), urged the agency to expedite its review of the FDA's electronic cigarette deeming regulations and not to change the proposed grandfather date of February 15, 2007.In the letter, Senators Markley, Blumenthal, and colleagues wrote: "We urge OMB to work quickly to finalize review of the final deeming rule, ensuring that the rule gives FDA authority over all tobacco products including e-cigarettes and cigars, explicitly bans the use of flavorings and marketing that appeals ...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - October 26, 2015 Category: Addiction Source Type: blogs

Zombie Corporate Welfare
Perhaps in anticipation of Halloween, two components of corporate welfare have been doing their best impression of a Hollywood monster that refuses to die. The Export-Import Bank (Ex-Im) seems poised to come back from the grave, and promises have already been made to reverse the minor cuts to the crop insurance subsidy program agreed to in this week’s budget deal. These cases give some insight into just how difficult it is to actually get rid of corporate welfare. Cato has long criticized both corporate welfare and crony capitalism, which benefit the few, the powerful, and the politically connected at the expense of ever...
Source: Cato-at-liberty - October 30, 2015 Category: American Health Authors: Charles Hughes Source Type: blogs

CBO: Tangled Web of Welfare Programs Creates High Tax Rates on Participants
The dozens of different programs that form our tangled welfare system often impose high effective marginal tax rates that make it harder for low-income people to transition out of these programs and lift of those programs and into the middle class. As the people in these programs enter the workforce, get a promotion, or work more hours, they can lose a significant portion of those earnings through reduced benefits and increased taxes. A new report from the Congressional Budget Office (CBO) illustrates this predicament: many households hovering around the poverty level face steeper effective marginal tax rates than even the...
Source: Cato-at-liberty - November 20, 2015 Category: American Health Authors: Charles Hughes Source Type: blogs

Smoking v. Obesity: The Economics Of Prevention And Its Dependence On Treatment
In 2012, the Congressional Budget Office (CBO) released an in-depth study of the health and budgetary effects of raising the excise tax on cigarettes. We commented on this study in our blog about the complex economics of disease prevention and longevity. CBO has since turned its attention to obesity and recently released a list of issues needing resolution in order for CBO to estimate the effects of federal policies impacting obesity. In this Health Affairs Blog post, we summarize research we have done, under a grant from the Robert Wood Johnson Foundation (RWJF), on the value of reductions in cigarette smoking and obesity...
Source: Health Affairs Blog - February 22, 2016 Category: Health Management Authors: Charles Roehrig and George Miller Tags: Costs and Spending Drugs and Medical Technology Health Policy Lab Long-term Services and Supports Population Health Public Health Quality culture of health Obesity Smoking Source Type: blogs

Study Finds Older Americans Have Significant Capacity to Work More, Underscoring the Need for Social Security Reform
The latest working paper in the ongoing Social Security Programs and Retirement Around the World project asks whether older people are healthy enough to work more years, and finds that there is a significant amount additional work capacity due to health and mortality gains. While piecemeal reforms like increasing the retirement age or changing how benefits are indexed are not as comprehensive as allowing young workers to invest a portion in personal accounts, they could be part of some comprehensive package to address the program’s shortfall. In a recent AP/NORC poll, 85 percent of respondents said protecting the future ...
Source: Cato-at-liberty - March 3, 2016 Category: American Health Authors: Charles Hughes Source Type: blogs

California’s Unprecedented Minimum Wage Hike Brings Major Risks
Californian lawmakers and labor unions have reportedly reached a deal to increase the minimum wage to $15 an hour by 2022, and index it to inflation after that. If this deal becomes a reality, California would be the first statewide experiment with the $15 minimum wage. The ratio of the minimum wage to the median wage in California would be one of the highest in the world among high-income countries. California’s minimum wage deal brings with it unprecedented risks, and any resulting adverse results will be primarily borne by younger workers, people with limited job skills, and people living outside of major cities. Rati...
Source: Cato-at-liberty - March 30, 2016 Category: American Health Authors: Charles Hughes Source Type: blogs