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Total 47 results found since Jan 2013.

" Strike Two " : A Pediatrician ' s " Dance " with Alan Levine/Ballad Health - And WHY We Need Federal Medical Whistle-blower Protection For ALL Healthcare " Workers " NOW
This is the story of how government failed me as a Pediatrician - for the second time.  The saddest thing of all is that there is a " Strike Three " .  Nobody cares about Pediatrics - or Pediatricians.  They haven ' t for a very long time.  This is a long post.  Don ' t whine about it.  Read it. CARE that somebody trying to stand up for your children lived it - and not for the first time.Twenty-two years ago, the morally-bankrupt executives of my now fiscally-bankrupt hometown hospital (in Asheboro, North Carolina) railroaded me out of town . . . after I intervened in a nursery case being...
Source: Dr.J's HouseCalls - May 12, 2020 Category: American Health Tags: Alan Levine Ballad Health Cooperative Agreement COPA ETSU Medical Whistle-blower Pediatric Hospitalist Ralph Northam Randolph Hospital Tennessee Department of Health Virginia Department of Health Source Type: blogs

As Open Enrollment Nears, A Health Affairs Conversation With Alan Weil
In a new Health Affairs Conversations podcast, Alan Weil, the executive director of the National Academy for State Health Policy, discusses the impending opening of the Affordable Care Act's health insurance marketplaces. In a wide-ranging discussion with me, Weil also talks about Medicaid, federal-state health policy dynamics, and how our health care system might evolve in coming years. For more from Alan, check out his many contributions to Health Affairs (most recently "Promoting Cooperative Federalism Through State Shared Savings" in our August issue) and his blog "Once In A Weil." This is the third in a series of pod...
Source: Health Affairs Blog - September 24, 2013 Category: Health Medicine and Bioethics Commentators Authors: Chris Fleming Tags: Coverage Health Reform Insurance Medicaid Podcast Policy Politics Spending States Source Type: blogs

The Old Infrastructure Excuse for Bigger Deficits
Alan Reynolds Washington Post columnist/blogger Ezra Klein recently echoed the latest White House rationale for additional “stimulus” spending for 2013-15 and postponing spending restraint (including sequestration) until after the 2014 elections. Klein argues for “a 10- or 12-year deficit reduction plan that includes a substantial infrastructure investment in the next two or three years.” In other words, a “deficit-reduction plan” that increases deficits until the next presidential election year. Citing Larry Summers (who similarly promoted Obama’s 2009 stimulus plan while head of the National Economic Counc...
Source: Cato-at-liberty - June 16, 2013 Category: Health Medicine and Bioethics Commentators Authors: Alan Reynolds Source Type: blogs

Delaying the Individual Mandate Will Delay Political Backlash until after the Election
Alan Reynolds Republican Senators Ted Cruz (TX) and Mike Lee (UT) and a few others have proposed that all Obamacare funding be cut off by a legislative “rider,” ostensibly forbidding funding of the 2010 law. They argued that public opinion polls trump mere laws enacted by Congress and vetted by the Supreme Court–an idea that sounds more like populism than conservatism. Even if such “defunding” could have magically attracted the 67 Senate votes needed to override a veto, it would not have undone the mandate to buy insurance, premium subsidies through refundable tax credits, planned cuts in payments to Me...
Source: Cato-at-liberty - September 27, 2013 Category: Health Medicine and Bioethics Commentators Authors: Alan Reynolds Source Type: blogs

When Mean-Tested Benefits Rose, Labor Force Participation Fell
Alan Reynolds The U.S. job market has tightened by many measures – more advertised job openings, fewer claims for initial unemployment insurance, substantial reduction in long-term unemployment and the number of discouraged workers.  Yet the percentage of working-age population that is either working or looking for work (the labor force participation rate) remains extremely low.  This is a big problem, since projections of future economic growth are constructed by adding expected growth of productivity to growth of the labor force. Why have so many people dropped out of the labor force?  Since they’re not wor...
Source: Cato-at-liberty - February 5, 2015 Category: American Health Authors: Alan Reynolds Source Type: blogs

Furman’s Folly: Nostalgia about 1973 and Nonsense about the Bottom 90 Percent
Alan Reynolds Jason Furman, chairman of the Council of Economic Advisers, set out to explain “middle-class economics” in the Wall Street Journal, March 11, in an earlier Vox blog and in a presentation to National Association of Business Economists (NABE), as well as the first chapter of the Economic Report of The President.  The intent is to make the recent economy look healthier (massaging 2.3-2.4 percent growth for 2013-14 into 2.7 percent), and to claim that “subpar” 2010-14 income gains for the middle class (generously defined as the bottom 90 percent) are not due to a subpar recovery but to something that h...
Source: Cato-at-liberty - March 11, 2015 Category: American Health Authors: Alan Reynolds Source Type: blogs

Simon Johnson Claims the Warren Health Plan is a Gift to U.S. Businesses
Alan ReynoldsAn advisor to the Warren campaign,Simon Johnson of MIT, has written an impressively fact-freeWall Street Journalarticle claiming Senator Warren's "remedy for health care costs" would be a wonderful gift to American businesses."Americans currently spend nearly 18% of gross domestic product on healthcare. . . and a great deal of this burden falls directly on companies." He claims "this dead weight gets heavier each year" and "companies cannot by themselves easily constrain health-insurance premiums." The impression is that businesses shoulder a large and rising share of total spending on health care. And unlike ...
Source: Cato-at-liberty - December 2, 2019 Category: American Health Authors: Alan Reynolds Source Type: blogs

Technologies Change Health Insurance: The Most Innovative Ventures
The accumulation of medical data enables health insurance companies to move from the 100-year-old concept of reactive care to preventive medicine. The future points to simple, fast and highly personalized insurance plans based on information from the healthcare system and data from health sensors, wearables, and trackers. Here is the changing health insurance scene and its most innovative solutions! Health insurance systems are unsustainable partly due to costly chronic diseases According to OECD predictions, exceeding budgets on health spending remains an issue for OECD countries. Maintaining today’s healthcare systems...
Source: The Medical Futurist - October 31, 2017 Category: Information Technology Authors: nora Tags: Future of Medicine Healthcare Design big data chronic illness digital digital health gc3 health data health insurance healthcare data technology trackers wearables Source Type: blogs

Let ' s Talk About Hospitals And Rural Healthcare (Particularly Mother-Baby Care): My Letter To The NC Government Commission/NC State Treasurer In Support Of Randolph County ' s Application For A Loan To Save Randolph Health
Author ' s Note:  The lawyers have a saying, " Res Ipsa Loquitur " " .  Translated from Latin, it means, " The thing speaks for itself " .  This is the text of the letter I sent to theNC Local Government Commission (embellished with a few links and additional comments in red) . . .in support of the state of North Carolina granting a loan to Randolph County (via the NC Rural Healthcare Stabilization Act) . . . for purposes of assisting in the " rescue " of Asheboro ' s Randolph Health - in a bankruptcy Court-approved buy-out of Randolph ' s assets by American Healthcare Systems, LLC.On May 4th, afte...
Source: Dr.J's HouseCalls - May 7, 2021 Category: American Health Tags: Asheboro Atrium Health Bankruptcy Cone Health Duke Lifepoint LGC Medical Whistle-blower Mother-Baby Care NC Rural Heatlh NCDHHS Non-profit Randolph Health UNC Health Wake Forest Baptist Source Type: blogs

The Impact of Caronia Case: What Happens Next?
Last month, in a landmark ruling, the United States Court of Appeals for the Second Circuit in United States v. Caronia, vacated the criminal conviction of a pharmaceutical sales representative who was found guilty of conspiracy to introduce a misbranded drug, under the Food, Drug & Cosmetic Act (FDCA), because he spoke about off-label uses of a particular drug.  The court held “that the government cannot prosecute pharmaceutical manufacturers and their representatives under the FDCA for speech promoting the lawful, off-label use of an FDA-approved drug.”  In a client alert written by the law firm Arnold & P...
Source: Policy and Medicine - January 17, 2013 Category: Health Medicine and Bioethics Commentators Authors: Thomas Sullivan Source Type: blogs

Simpson-Bowles and Daschle-Frist-Domenici: Unveil Plans for Reducing Healthcare Spending
In addition to the President’s FY 2014 we previously reported on, former Fiscal Commission heads, Alan Simpson and Erskine Bowles, unveiled an updated deficit reduction plan – building on a framework released in February 2013 – including $2.5 trillion in savings from spending cuts and revenue increases, of which $585 billion comes from healthcare reductions and reforms over the next 10 years.  Highlights from this plan, courtesy of Thorn Run Partners include:  Delivery System and Payment Reforms (-$60B/10): Among other recommendations, includes the cost of replacing the SGR with a payment freeze coupled with a s...
Source: Policy and Medicine - April 29, 2013 Category: Health Medicine and Bioethics Commentators Authors: Thomas Sullivan Source Type: blogs

Cutting Health Cost Growth By Shared State-Federal Savings
In a Health Affairs Web First commentary released today, Alan Weil discusses the concept of “cooperative federalism” in light of the Affordable Care Act. He proposes an optional shared savings program between the states and the federal government as a response to concerns that there may be increased federal control over implementation of the health reform laws at the state level because state decisions will determine the level of federal spending. For example, state decisions regarding Medicaid benefits, payment levels, and the use of managed care, and state exchange policies on rate review, qualifying health plans, a...
Source: Health Affairs Blog - July 24, 2013 Category: Health Medicine and Bioethics Commentators Authors: Chris Fleming Tags: All Categories Children Health Care Costs Health Reform Medicaid Policy Politics Quality States Source Type: blogs

Health Leaders Call for Reformation of the Physician Certification Process
A recent post at Health Affairs blog calls for reforming the physician certification process. It is authored by Dr. Alan Muney, Chief Medical Officer at Cigna, and Peter R. Orszag, former Director of the Office of Management and Budget in the Obama Administration and previously the Director of the Congressional Budget Office (CBO). We have discussed the certification process at length in previous posts. Muney and Orszag make several arguments. First: "Currently, doctors are recertified based exclusively on their book knowledge.  Wouldn't it be better to base medical certification at least in part on how doctors actual...
Source: Policy and Medicine - November 11, 2013 Category: Health Medicine and Bioethics Commentators Authors: Thomas Sullivan Source Type: blogs

Implement Electronic Health Records & Save $25K in Uncompensated Work
This post has been contributed by Alan Edwards who holds an MBA in Health Care and is a former hospital CEO and group practice administrator. He continues to be active in the field and often writes on health insurance and health policy. According to a study conducted by Physician’s Foundation, a physician gives away at least $25,000 in uncompensated work. Surprisingly, it does not matter if the patients are private pay, insurance or Medicare – in fact, the busier the doctor is, the more he gives away. So, who has their hand in the doctor’s wallet? The family member of a patient he or she must call. The laboratory as...
Source: EMR EHR Blog for Physicians - March 12, 2014 Category: Technology Consultants Authors: Alok Prasad Source Type: blogs

Happy Birthday HCPF
Today marks the 20th birthday of the Colorado Department of Health Care Policy and Financing.  The story of its creation provides an important reminder of how our thinking about health care has evolved over the past few decades – and how it continues to evolve today. Back in the bad old days, Medicaid was just another social service.  Housed within a broader social services agency, Colorado Medicaid – as was the case in most states – grew up with a typical welfare mentality.  Program enrollees were beneficiaries.  If they did not enroll, we assumed it meant they did not need or want our services.  Eligibility w...
Source: Health Affairs Blog - July 1, 2014 Category: Health Management Authors: Alan Weil Tags: All Categories Health Care Costs Health Care Delivery Health Reform Medicaid Medicare Nonmedical Determinants Policy States Source Type: blogs