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Bringing on-demand rideshare to medical transport. Interview with Veyo ’ s CEO
  Uber and Lyft have transformed (and largely destroyed) the taxi industry. Now startup companies like Veyo are applying similar approaches to the medical transportation field. I interviewed Veyo’s CEO, Josh Komenda to get his take. 1.How is non-emergency medical transportation (NEMT) defined? What’s included? How big is it? Non-Emergency Medical Transportation (NEMT) is a transportation benefit for Medicaid or Medicare members who need to get to and from medical services, but have no means of transportation. NEMT provides eligible patients with trips that are non-emergency in nature, meaning there is no i...
Source: Health Business Blog - March 9, 2017 Category: Health Management Authors: dewe67 Tags: Entrepreneurs Patients Podcast Technology medical transportation NEMT rideshare Source Type: blogs

ACA Repeal Would Mean Massive Cuts To Public Health, Leaving Cities And States At Risk
When the Affordable Care Act (ACA) was passed a little over six years ago, it brought with it the promise of health insurance for all Americans. It also sought to begin to shift the paradigm for health care in this country, emphasizing value over volume, and recognizing the importance of prevention coupled with appropriate access to care. By now, it is well known that repealing the ACA could leave nearly 20 million Americans uninsured and simultaneously result in millions of job losses across the country. An associated cost that has been less discussed, but no less relevant, is what repeal could mean for the nation’s alr...
Source: Health Affairs Blog - March 7, 2017 Category: Health Management Authors: Chrissie Juliano Tags: Costs and Spending Following the ACA Public Health Big Cities Health Coalition Community Health Prevention and Public Health Fund. Source Type: blogs

Positioning for the Future
As you may have heard, the United States has a new president. From where I sit, things do not bode well for me — that is to say my patients — over the next few years. In addition to the virtual certainty of massive changes in health insurance, I fear a significant overall economic downturn similar to the last time a Republican held office. Until the outgoing president managed to turn around the Great Recession, my income tanked. In fact, it’s only now beginning to come back to where it was seven years ago. Talk about nipping it in the bud! As I say, though, this is more about my patients than about me per...
Source: Musings of a Dinosaur - January 24, 2017 Category: Primary Care Authors: notdeaddinosaur Tags: Medical Source Type: blogs

Dear (Quite Possibly) President Trump
By MARGALIT GUR-ARIE Even the most ardent of Obamacare supporters are now forced to admit that the law has hit a rough patch this year. The opposition to Obamacare is positively gloating with self-congratulatory “I told you so” assessments of the supposedly dire situation. Defenders of the cause are counteracting with the customary deluge of charts and graphs to prove unequivocally that Obamacare is actually turning out better than they expected. Integrity and honesty being in short supply on both sides of this quandary, chances are excellent that no matter what happens next, the American people will lose big time, unl...
Source: The Health Care Blog - November 3, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized election 2016 Trump Source Type: blogs

Getting to Know Your 3 Brains: Part 4
Read more about getting to know your three brains: Part 1, Part 2, and Part 3. The word “trigger” refers to anything that sets off the three brains to the point where you become aware of a thought, feeling or body sensation. In the exercise from the last post, you brought up a memory that “triggered” a feeling, thought or physical sensation. In other words, the memory evoked some experience for you. Triggers can be external or internal. External triggers originate from our surroundings. An example of an external trigger is my mother’s criticism. As a result of her judging my outfit, let’s say, I am triggered t...
Source: World of Psychology - September 5, 2016 Category: Psychiatry & Psychology Authors: Hilary Jacobs Hendel, LCSW Tags: Brain and Behavior General Habits Personal Psychology Self-Help Anger Emotion Emotions Feeling Illness mind Shame Thought Source Type: blogs

The ‘Must Do’ List: Certain Patient Safety Rules Should Not Be Elective
The modern patient safety field was built on a foundation of “systems thinking,” namely, that we should avoid assigning individual blame for errors, instead focusing on identifying and fixing dysfunctional systems. While this approach is largely correct and is responsible for many of the field’s successes, it needs to be balanced with a need for accountability. Today, while there is an increasing appreciation of the importance of achieving such balance, leaders of health care delivery systems are unsure about how and when to enforce certain safety standards and rules. We believe that the time has come to articulate c...
Source: Health Affairs Blog - August 20, 2015 Category: Health Management Authors: Robert Wachter Tags: Health Policy Lab Health Professionals Hospitals Organization and Delivery Population Health Public Health Quality Just Culture Lucian Leape Institute National Patient Safety Foundation National Quality Forum Robert Wachter Source Type: blogs

Reinventing Home Health
Accountable care is finally coming to home health. The Centers for Medicare and Medicaid Services (CMS) is launching a value-based reimbursement (VBR) pilot program for Medicare home health care agencies. The model is part of the 2016 Home Health Prospective Payment System proposed rule, which was published in the Federal Register on July 10. In the current reality of home health care, if you are a home health provider and not part of a hospital or health system, your world looks something like this: A hospital discharge planner (your customer) chooses which agency will care for the homebound patient (also your customer)....
Source: Health Affairs Blog - August 11, 2015 Category: Health Management Authors: John Marchica Tags: Costs and Spending Health Professionals Long-term Services and Supports Medicare Payment Policy Population Health ACOs BAYADA CMS home healthcare triple aim value-based reimbursement Source Type: blogs

Getting To The ACO Tipping Point: What Else Might Be Needed?
Editor’s note: This post was authored by Madeleine Phipps-Taylor on behalf of the West Coast Harkness Policy Forum.  There are currently over 740 commercial, Medicare, and Medicaid accountable care organization (ACO) contracts operating in the U.S. This new health care contracting mechanism has grown rapidly over the last three years, and yet the future of the model is by no means secured. Across the U.S. there have been rumblings about the model’s financial attractiveness, complexity, and impact. At what seems to be a moment of reflection—as the new Centers for Medicare and Medicaid Services (CMS) rules f...
Source: Health Affairs Blog - June 3, 2015 Category: Health Management Authors: Madeleine Phipps-Taylor Tags: Following the ACA Health Professionals Medicaid and CHIP Medicare Organization and Delivery Payment Policy Quality ACOs clinical culture CMS International Pioneer ACO West Coast Policy Forum Source Type: blogs

How to Use Pre-MS Lessons to Tackle MS Challenges
All of us had a life before we were diagnosed with multiple sclerosis. Some of us were younger or older – with more or less experience – but we all had a life and we had all attained some level of proficiency at living. We had also all gained certain skills and attained some ‘tools’ with which to manage our world. I think it’s important to go back to that old tool box from time to time, to see what old skills might help us get through an MS day. The thought came to mind as I was (and am still) trying to battle back from my flu. I remembered the breathing device they gave me after my hip replacement surgery. It w...
Source: Life with MS - January 9, 2015 Category: Other Conditions Authors: Trevis Gleason Tags: multiple sclerosis Living with MS Source Type: blogs

Post #41 Update on the 2014-15 Flu Vaccine
The main circulating flu this year is a recently mutated H3N2 strain (91% in one sample).  Because of this new mutation, the vaccine currently used is not a great match for this particular strain. In my medical opinion, this paradoxically makes it even MORE IMPORTANT to get the flu vaccine. Mainly, because the worse protection the flu vaccine offers, the more widespread the flu will be this year, and this increases the likelihood that a large percentage of people, both immunized and unimmunized, will contract the flu. However, those who are unimmunized will be at an even greater risk of catching the flu. Ess...
Source: A Pediatrician's Blog - December 5, 2014 Category: Pediatrics Source Type: blogs

Lessons from Ebola: The Infectious Disease Era, And The Need To Prepare, Will Never Be Over
With the wall-to-wall news coverage of Ebola recently, it’s hard for many to distinguish fact from fiction and to really understand the risk the disease poses and how prepared we are to fight it. Fighting infectious diseases requires constant vigilance. Along with Ebola, health officials around the globe are closely watching other emerging threats: MERS-CoV, pandemic flu strains, Marburg, Chikungunya and Enterovirus D68. The best defense to all of these threats is a good offense — detecting, treating and containing as quickly and effectively as possible. And yet, we have consistently degraded our ability to respond...
Source: Health Affairs Blog - October 28, 2014 Category: Health Management Authors: Jeffrey Levi Tags: All Categories Global Health Hospitals Pharma Policy Prevention Public Health Research Workforce Source Type: blogs

Ebola Travel Restrictions – Marginal Measures
Alex Nowrasteh The recent story of a Liberian man in Dallas who had Ebola sparked a political conflagration around travel restrictions for countries where there are Ebola cases. The virus does not appear to have spread from him to anyone that did not come into direct contact with him in the Dallas hospital. Many are arguing that his arrival in the United States means that all travel from the affected West African countries should be shut immediately. Others are arguing that travel should remain as open as it currently is – which is still heavily restricted.  What happened to policy responses on the margin?  Fo...
Source: Cato-at-liberty - October 23, 2014 Category: American Health Authors: Alex Nowrasteh Source Type: blogs

Epic Fails And Deadly IT Cultures (An OPINION Piece)
The Ebola Virus...Image courtesy of scienceblogs.comIt's bad enough that a fellow from Liberia by the name of Thomas Eric Duncan through hubris, stupidity, or simply bad luck brought Ebola to our shores. He did ultimately seek medical attention in the Emergency Room of Texas Health Presbyterian Hospital in Dallas when he became symptomatic with the characteristic fever and pain of an Ebola infection. In fact, he presented twice to the Dallas ER. In between his two visits, Mr. Duncan was set loose on a city of well over a million souls while his disease was at its most infectious level. (He has since died of the disease, an...
Source: Dalai's PACS Blog - October 13, 2014 Category: Radiologists Source Type: blogs

The other shoe
I was finally beginning to feel my old self again. Instead of making energy to do things, I had energy to do things. I could read books without falling asleep after two paragraphs. My attitude was improving. I actually cut the weeds for the first time this year, and put up that picture in my mom’s office that I promised to do back in December. I looked forward to weekends and workdays. Life began to be worth living again.More than that. I came home one night about a week ago and I was thinking that really, I was about as happy as I’d ever been in my life.So naturally the other shoe dropped.I still haven’t come to gri...
Source: LifeAfterDx--Diabetes Uncensored - October 2, 2014 Category: Endocrinology Authors: Wil Source Type: blogs