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Total 186 results found since Jan 2013.

An interesting case
SAN DIEGO — A La Jolla oncologist was sentenced in San Diego federal court Tuesday to a year of probation, stemming from a scheme in which he and his practice treated patients with unapproved foreign cancer drugs, then fraudulently billed Medicare $1.7 million.Dr. Joel I. Bernstein’s sentence is in addition to the one his medical corporation received Friday. His practice was ordered to pay a $500,000 fine, forfeit $1.2 million and make restitution to Medicare for $1.7 million.The payments have all been paid, said his attorney, Charles Sevilla.A federal judge also sentenced the practice to a year of probation, mean...
Source: PharmaGossip - July 3, 2013 Category: Pharma Commentators Authors: insider Source Type: blogs

How Cleveland Clinic reduces men's health disparities
by Andrea J. Simon I am passionate about finding innovative ways to improve men's health. I am always looking for programs that are uniquely designed to reach men, get them engaged in their health, and help them live healthier, longer lives. My May blog post in Hospital Impacton three hospitals and physician groups that are doing just that. This blog post is an introduction to Charles Modlin, M.D., kidney transplant surgeon, urologist, founder and director of the Minority Men's Health Center at the Cleveland Clinic's Glickman Urological and Kidney Institute, and executive director of Minority Health for Cleveland Clinic...
Source: hospital impact - July 17, 2013 Category: Health Managers Authors: Wendy Johnson Source Type: blogs

What Sorts of People are "Most Influential in Healthcare?"
Modern Healthcare just put out their list of the "100 Most Influential People in Healthcare" for 2013.  A look at what sorts of people are on this list says a lot about who runs US health care, and raises questions about who should.Some Health Care Professionals, Lots of Hired ManagersI did some quick descriptive categorizations. (Counts were double checked but I am not guaranteeing accuracy.  Categorizations were sometimes difficult for highly diversified organizations.)First, less than one third of list members are physicians (31% by my count).  I did not see any other health professionals on it (although ...
Source: Health Care Renewal - August 27, 2013 Category: Health Medicine and Bioethics Commentators Tags: health care reform generic managers executive compensation health policy Source Type: blogs

Raising the Minimum Wage Is Not the Answer
Michael D. Tanner On August 19, the Cato Institute released a study by me and Charles Hughes, The Work vs. Welfare Trade-Off, 2013: An Analysis of the Total Level of Welfare Benefits by State, showing that a family collecting welfare benefits from seven common programs – Temporary assistance for Needy Families (TANF), food stamps, Medicaid, WIC, public housing assistance, utilities assistance (LIHEAP) and free commodities – could receive more than what a minimum wage job would pay in 35 states. Critics responded: so raise the minimum wage. Making work pay better, including the sort of entry level jobs that people leav...
Source: Cato-at-liberty - August 30, 2013 Category: Health Medicine and Bioethics Commentators Authors: Michael D. Tanner Source Type: blogs

Marketing Bad Health Care Decisions as a New Form of Stealth Health Policy Advocacy
A remarkable set of video advertisements appeared a few weeks ago that seem designed to frighten people into making bad health care decisions.The "Bad Uncle Sam" Advertisements As described by Businessweek,In the first ad, dubbed 'The Exam,' a young woman who has signed up for Obamacare arrives at a medical facility and changes out of her clothes and into a flimsy hospital gown. Following the instructions of a doctor, she reclines on a hospital bed and spreads her legs into a pair of stirrups. The doctor leaves the room. Then, suddenly a mascot wearing a plastic Uncle Sam mask and sporting an unwavering grin—Creepy Uncle...
Source: Health Care Renewal - October 7, 2013 Category: Health Medicine and Bioethics Commentators Tags: health care reform stealth health policy advocacy health insurance disinformation Source Type: blogs

Physician Payment Sunshine Act: Open Payments Technology Vendor Mired in Healthcare.Gov
Discussion Although CGI may have separate staff working on the Open Payments website, the recent glitches on Healthcare.gov should raise concerns for those Sunshine and transparency stakeholders eagerly awaiting the first publication of data in September 2014. There may be some hope for CGI because the Open Payments website certainly has distinct differences from Healthcare.gov. For example, Open Payments is not being used to purchase or look for health insurance and does not require the same type of interaction or assistance with certified navigators to find health insurance. However, there are also similarities bet...
Source: Policy and Medicine - October 24, 2013 Category: Health Medicine and Bioethics Commentators Authors: Thomas Sullivan Source Type: blogs

Why such differing opinions on the ACA?
We have a major philosophical disagreement concerning the ACA. I have tried to watch both MSNBC and Fox News. I read both “liberal” and “conservative” columnists. Unlike too many Americans, I have not just read and watched those who reinforce their own opinions. As one reads the NY Times editorial page and watches MSNBC, one finds some consistent themes. Today’s NY Times editorial makes that point. Insurance Policies Not Worth Keeping. Mr. Obama clearly misspoke when he said that. By law, insurers cannot continue to sell policies that don’t provide the minimum benefits and consumer protect...
Source: DB's Medical Rants - November 3, 2013 Category: Health Medicine and Bioethics Commentators Authors: rcentor Tags: Medical Rants Source Type: blogs

Health Wonk Review: Pre-Thanksgivukkah edition
Here's an interesting fact about this particular edition of the venerable HWR: it won't happen again for 78,000 years (at which time Julie will still be looking great, BTW).How's that, you ask?This year (2013/5774), the first night of Chanukah falls on Thanksgiving, and that happy (if confusing) confluence of events won't happen again for another 78,000 years. At which time, I certainly hope that the host of that 'Review will be kind enough to link back to this one (hey, traffic is traffic, right?).So the theme of this edition will be freedom and gratitude, which also turns out to be the theme of both Chanukah and Thanksgi...
Source: InsureBlog - November 21, 2013 Category: Medical Lawyers and Insurers Source Type: blogs

Prescription Dollars Wasted By 913 Doctors
This kind of thing really pisses ticks me off. Everyone in the country is trying to do their part to help reduce medical spending. Most people really do try. Patients get generics, are taking better care of themselves, doctors think about costs when suggesting treatments, hospitals are trying to manage their costs in many ways, insurance companies are managing and lowering their overhead costs.Then we have a bunch of 913 loser doctors who prescribed name brand drugs without allowing for substitution by generic. Now I realize that some people need the name brand drugs  because the generics are not the same for them. Bu...
Source: Caroline's Breast Cancer Blog - November 23, 2013 Category: Cancer Tags: doctors medication costs prescriptions Source Type: blogs

Beginning 2014 Without Health Insurance
New York was one of several states that set up their own healthcare exchange rather than rely upon the Federal exchange provided by the Affordable Healthcare Act. For one applicant, three months of efforts have left him without insurance and without an exContributor: Charles SimminsPublished: Jan 02, 2014
Source: Most Recent Health Wellness - Associated Content - January 2, 2014 Category: Other Conditions Source Type: blogs

Hail the Sunshine Act (?)
Do you want to know if your doctor has been eating pizza for lunch that was purchased by Pfizer as she listened to a drug rep describe a new medication? Do you want to know if your endocrinologist has been paid $1,500 to give a brief talk about a new injectable diabetes medication to his colleagues as they gobble down filet mignon? If the answer is “yes,” then you are in luck. As the August 1st, 2013 deadline to start reporting information about these sorts of transactions approaches, doctors and hospitals are reevaluating whether a free tray of chicken salad wraps is worth the scrutiny. The Sunshine Act, a provision o...
Source: The Examining Room of Dr. Charles - June 8, 2013 Category: Primary Care Authors: drcharles Tags: Uncategorized Source Type: blogs

A Real Example of Public Relations Talking Points to Justify Outsize Executive Compensation - and Why We Should No Longer be Fooled
We frequently discuss outsize executive compensation in health care organizations as both a symptom and a cause of these organizations' poor leadership and governance, and hence of widespread health care dysfunction.The Latest Stories of Huge CEO Pay Stories of gargantuan compensation appear almost daily.  For example, some headlines about pay at hospitals and hospital systems in the last few months included,Millionaire health care?With high costs and insurance premiums in Garfield County, focus falls on pay of a hospital’s chief executiveAudit faults UMass Medical School for improper documentation of $2 million in ...
Source: Health Care Renewal - June 25, 2014 Category: Health Management Tags: executive compensation logical fallacies public relations You heard it here first Source Type: blogs

Income Verification On The Exchanges: The Broader Policy Picture
The Affordable Care Act scandal de jour (or at least one of them) is the difficulty the exchanges have faced in verifying the eligibility of many premium tax credit applicants. Two Department of Health and Human Services Office of Inspector General Reports in early July documented the existence of these problems. One reported that as of the first quarter of 2014, the federal exchange alone had been unable to resolve 2.6 or 2.9 million data inconsistencies. Another reported that internal controls at the federal and two state exchanges were not fully effective in ensuring that individuals enrolled in exchanges were in fact e...
Source: Health Affairs Blog - July 14, 2014 Category: Health Management Authors: Timothy Jost Tags: All Categories Consumers Employer-Sponsored Insurance Health Care Costs Health Reform Medicaid Medicare Policy Politics 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

Implementing Health Reform: Senator Rebuffed In Challenge To Congressional Participation In ACA Exchanges
The Halbig and King cases released on July 22, 2014 dramatically overshadowed another court decision released the previous day. That case, Johnson v. U.S. Office of Personnel Management, was important in its own right, however, and is covered here. On July 21, 2014, Judge William C. Griesbach of the United States District Court for the Eastern District of Wisconsin dismissed a case brought by Wisconsin Republican Senator Ron Johnson and one of his staff members. The plaintiffs claimed that the rule promulgated by the Office of Personnel Management that allows members of Congress and their official staff to purchase health...
Source: Health Affairs Blog - July 23, 2014 Category: Health Management Authors: Timothy Jost Tags: All Categories Coverage Health Law Health Reform Insurance Policy Source Type: blogs