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Implementing Health Reform: Clarifying Requirements For Coverage Of Contraceptives And Other Preventive Services
The Affordable Care Act requires nongrandfathered individual and group insurers and group health plans to cover certain preventive services without cost sharing. Specifically, it requires coverage of: evidence-based items and services given an “A” or “B” rating by the United States Preventive Services Task Force (USPSTF) with respect to the individual involved; immunizations as recommended by the Advisory Committee on Immunization Practices of the Centers for Disease Control; children’s preventive care and screenings as recommended by Health Resources and Services Administration (HRSA) guidelines; Women’s prev...
Source: Health Affairs Blog - May 12, 2015 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage contraceptives Prevention Source Type: blogs

World Ovarian Cancer Day: Together We ’ re Stronger
Each year, nearly a quarter of a million women around the world are diagnosed with ovarian cancer and the disease is responsible for 140,000 deaths annually. Statistics show that just 45% of women with ovarian cancer are likely to survive for five years compared with 89% of women with breast cancer. We ask that you join us […]
Source: Libby's H*O*P*E* - May 5, 2015 Category: Cancer & Oncology Authors: Paul Cacciatore Tags: Advocacy Early Detection Genetic Testing Multimedia Ovarian Cancer Risk Prevention Prognosis Symptoms Angelina Jolie Pitt Elizabeth Remick Libby's H*O*P*E* National Ovarian Cancer Coalition ovarian cancer early warning signs Ovar Source Type: blogs

World Ovarian Cancer Day: Together We’re Stronger
Each year, nearly a quarter of a million women around the world are diagnosed with ovarian cancer and the disease is responsible for 140,000 deaths annually. Statistics show that just 45% of women with ovarian cancer are likely to survive for five years compared with 89% of women with breast cancer. We ask that you join us […]
Source: Libby's H*O*P*E* - May 5, 2015 Category: Cancer & Oncology Authors: Paul Cacciatore Tags: Advocacy Early Detection Genetic Testing Multimedia Ovarian Cancer Risk Prevention Prognosis Symptoms Angelina Jolie Pitt Elizabeth Remick Libby's H*O*P*E* National Ovarian Cancer Coalition ovarian cancer early warning signs Ovar Source Type: blogs

Dr. Google will never know you or care as much as I do
Here are ten ways that Internet diagnosing interferes with your health care. 1. Dr. Google doesn’t know you. Can’t see you, can’t hear your story, can’t smell you, and can’t touch you. It doesn’t have intuition or gut feelings about you. 2. The Internet breeds cyberchondria in some and false reassurance in others. The more complex the problem, the more likely your self-diagnosis is wrong. Internet research can quickly overwhelm you, causing cyberchondria; when a person becomes overly anxious and convinces themselves that they have an illness when in fact they don’t. You may think you have ovarian cancer but w...
Source: Kevin, M.D. - Medical Weblog - May 3, 2015 Category: Journals (General) Authors: Tags: Physician OB/GYN Primary care Source Type: blogs

A patient this oncologist can’t forget
She was so young — only 32 when diagnosed with ovarian cancer. She had given birth to a son only four months earlier and by all rights should have been celebrating being a new mother. But, instead, she had developed acute pelvic pain, undergone emergent removal of her uterus and ovaries, and was now in my office to discuss treatment. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - May 1, 2015 Category: Journals (General) Authors: Tags: Physician Cancer Source Type: blogs

It’s Time For Value-Based Payment In Oncology
Value-based health care has risen to the top of the health policy agenda, as public and private payers search for ways to improve outcomes. The value principle---reimbursing hospitals, physicians, and other health care providers for quality or quality improvement that also help lower costs---aligns incentives between payers and providers. It’s time to apply this principle in oncology. Background Medicare implemented value-based payment for hospitals in 2012. Reimbursement is based in part on how well the hospital performed on three sets of measure: process of care, patient satisfaction, and mortality. About 1,231 hospita...
Source: Health Affairs Blog - April 28, 2015 Category: Health Management Authors: Dana Goldman Tags: Costs and Spending Equity and Disparities Health Policy Lab Payment Policy Quality cancer care oncology outcomes value based care Source Type: blogs

The quack view of preventing cancer versus reality and Angelina Jolie, part 4
Why, oh why, did I look at GreenMedInfo again? You remember GreenMedInfo? It’s yet another wretched hive of scum and quackery, but with a twist. Its proprietor, Sayer Ji, thinks he’s an expert at interpreting the biomedical literature. Unfortunately, as he demonstrates time and time again with depressing regularity, he is nothing of the sort.…
Source: Respectful Insolence - April 3, 2015 Category: Surgery Authors: Orac Tags: Cancer Clinical trials Complementary and alternative medicine Quackery Science Angelina Jolie BRCA1 breast cancer mastectomy oophorectomy ovarian cancer Sayer Ji Source Type: blogs

Top stories in health and medicine, April 1, 2015
From MedPage Today: Brain Cancer: Did ’60 Minutes’ Report Raise False Hope? A glioblastoma therapy touted in a “60 Minutes” report that aired Sunday evening, focusing on the use of the polio virus to treat glioblastoma, isn’t a particularly new idea and results are still unpublished — but some oncologists are worried that patients might not have gotten that message from the program. The Birth and Increasingly Troubled Life of Medicare. On July 30, 1965, an 81-year-old Missourian proudly accepted the nation’s first Medicare card. Vaccine Slows Advanced Ovarian Cancer. A tumor-derived ...
Source: Kevin, M.D. - Medical Weblog - April 1, 2015 Category: Journals (General) Authors: Tags: News Cancer Infectious disease Medicare Source Type: blogs

Top stories in health and medicine, March 31, 2015
From MedPage Today: Nephrologists Iffy About Dialysis in Expectant Moms. A third of nephrologists reported being somewhat to very uncomfortable caring for a pregnant patient on hemodialysis despite a growing number having to do so. What Makes an Opioid Stronger or Weaker Than Morphine? A February 2015 report from the Centers for Disease Control and Prevention provided updated estimates of prescription opioid analgesic use among adults ages 20 and over. Mixed Results for Avastin Plus Chemo in Ovarian Cancer. Women with recurrent, platinum-sensitive ovarian cancer obtained an unprecedented survival benefit with a chemother...
Source: Kevin, M.D. - Medical Weblog - March 31, 2015 Category: Journals (General) Authors: Tags: News Cancer Nephrology Source Type: blogs

TBT: Angelina got tested. Will everyone at risk be able to?
Given Angelina Jolie’s latest decision we felt it was appropriate for this TBT to re-run our post from when she had a double mastectomy in 2013. We would love to hear what you think about her decision to remove her ovaries. Angelina Jolie announced today in a New York Times op-ed that she recently underwent a double mastectomy after finding out that she has the gene mutation known as BRCA1, which increases a woman’s chances of getting breast cancer by 87% over her lifetime (and ovarian cancer by 50%). It is certainly a marvel of modern medicine that we not only know about this gene mutation but have the ability to ...
Source: Disruptive Women in Health Care - March 26, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Women's Health Source Type: blogs

The quack view of preventing cancer versus reality and Angelina Jolie, part 3
I happen to be in Houston right now attending the Society of Surgical Oncology annual meeting. Sadly, I’m only about 12 miles away from the lair of everybody’s favorite faux clinical researcher and purveyor of a cancer cure that isn’t, Stanislaw Burzynski. Such is life. In any case, this conference is all about cancer and…
Source: Respectful Insolence - March 26, 2015 Category: Surgery Authors: Orac Tags: Cancer Complementary and alternative medicine Quackery Surgery Angelina Jolie BRCA1 breast cancer epigenetics ovarian cancer prophylactic surgery Sayer Ji Source Type: blogs

Endo Awareness
March is endometriosis awareness month.  According the CDC, endometriosis occurs “when the kind of tissue that normally lines the uterus grows somewhere else”.  In other words your uterine lining can grow on ovaries, it can wrap around your intestines and in some cases on parts of the body nowhere near the female reproductive organs, like in a few rare cases the lungs.  As serious as this sounds, unfortunately, many people have heard more about ovarian cancer (which is very serious) than endometriosis.  I, however, have known about this disease and the havoc it can wreak for my entire life. Growing up I used to pra...
Source: Disruptive Women in Health Care - March 16, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Advocacy Women's Health Source Type: blogs

Top stories in health and medicine, March 3, 2015
From MedPage Today: Don’t Like ICD-10? Don’t Worry — ICD-11 is on the Horizon. As U.S. physicians gear up to put the ICD-10 coding system in place by the upcoming Oct. 1 deadline, work is being done elsewhere on the coding system’s next-generation product: ICD-11. Docs Struggle With Vaccine Spacing. Ninety-three percent of pediatricians and family physicians said that they’d been asked by a parent to spread out vaccinations for children under 2 years of age, deviating significantly from recommended schedules. Four Words That Could Destroy Health Insurance for Millions. “Established by ...
Source: Kevin, M.D. - Medical Weblog - March 3, 2015 Category: Journals (General) Authors: Tags: News OB/GYN Pediatrics Source Type: blogs