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CMS Releases 2016 Open Payments Teaching Hospital List
As they did on October 1st last year, yesterday, the Centers for Medicare and Medicaid Services (CMS) released an updated Teaching Hospital list and increased (slightly) reporting thresholds for the next year’s reporting cycle.
In looking at the new hospital file, CMS has added to its list—the agency included 1,203 last year, it is up to 1,222 this year. In terms of a “de minimis” threshold, if a payment or other transfer of value is less than $10.22 ($10.21 for 2015; $10.18 for 2014), unless the aggregate amount transferred to, requested by, or designated on behalf of a covered recipient exceeds $102.19 in a cale...
Source: Policy and Medicine - October 2, 2015 Category: American Health Authors: Policy and Medicine Writing Staff Source Type: blogs
Sen. Bernie Sanders Announces "Prescription Drug Affordability Act of 2015"
Pushes for Lower Drug Prices Through Variety of Measures Including Drug Pricing Transparency; Allowing Part D Negotiations; Imports Of Cheaper Drugs from Canada; Increased Fraud Penalties
Taking a break from campaigning for President, Sen. Bernie Sanders (I-VT) and House Oversight and Government Reform Committee Ranking Member Elijah Cummings (D-MD) introduced legislation to address high prescription drug prices called the “Prescription Drug Affordability Act of 2015.” Announcing the Act, Sandars said: “the American people pay, by far, the highest prices for prescription drugs in the entire world...
Source: Policy and Medicine - September 15, 2015 Category: American Health Authors: Thomas Sullivan Source Type: blogs
Politico 2015: EHR sellers using “gag clauses” (despite Koppel/Kreda's 2009 JAMA article on EHR nondisclosure clauses, and my 2009 JAMA Letter to the Editor on how these clauses violate Joint Commission safety standards)
I have not blogged on EHR issues in some time, despite some interesting source material such as:"Evidence Summary: Electronic Health Records (EHRs)" at http://www.ohri.ca/kta/docs/KTA-EHR-Evidence-Review.pdf ; "Electronic Health Records Software Often Written without Doctors' Input" at http://www.scientificamerican.com/article/electronic-health-records-software-often-written-without-doctors-input/ ; and"Avoiding Expensive And Consequential Health Care Decisions Based On Weak Research Designs" [e.g., EHR expansion - ed.] at http://healthaffairs.org/blog/2015/08/31/avoiding-expensive-and-consequential-health-care-decisi...
Source: Health Care Renewal - September 14, 2015 Category: Health Management Tags: Darius Tahir david kreda defects nondisclosure clause gag clause healthcare IT risks hold harmless clause Politico ross koppel Source Type: blogs
Hurricane Katrina: Remembering the Federal Failures
Ten years ago this week, Hurricane Katrina made landfall on the Gulf Coast and generated a huge disaster. The storm flooded New Orleans, killed more than 1,800 people, and caused $100 billion in property damage. The storm’s damage was greatly exacerbated by the failures of Congress, the Bush administration, the Federal Emergency Management Agency (FEMA), and the Army Corps of Engineers.
Weather forecasters warned government officials about Katrina’s approach, so they should have been ready for it. But they were not, and Katrina exposed major failures in America’s disaster preparedness and response systems.
Here are s...
Source: Cato-at-liberty - August 27, 2015 Category: American Health Authors: Chris Edwards Source Type: blogs
What Should Public Health Officials Be Doing About E-Cigarettes?
Are electronic cigarettes a safer alternative to combustible cigarettes, or are they a new gateway to a lifetime of nicotine addiction? In the past month, the editors of The New York Times noted the opposite conclusions from the British agency Public Health England that reported e-cigarettes can reduce the health risks of smoking by 95 percent, compared to a study in the Journal of the American Medical Association, which showed that ninth graders who tried e-cigarettes were far more likely to then use regular combustible tobacco within a year.
In a step that may help resolve this controversy, the Food and Drug Administrati...
Source: Health Affairs Blog - August 27, 2015 Category: Health Management Authors: John Maa Tags: Costs and Spending Drugs and Medical Technology Featured Global Health Population Health Public Health Children e-cigarettes FAA FDA Prevention Smoking tobacco vaping Source Type: blogs
American Christians Should Stop Hurting Sudanese Christians With Sanctions
KHARTOUM, SUDAN—Ubiquitous American advertising is absent in Sudan. Washington bans most imports and exports to the country. Among the strongest supporters of economic coercion have been American Christians, seeking to punish the Muslim-dominated central government for its brutal conduct in past ethnic conflicts.
While the combat has largely ceased, the embargo remains. And Sudanese Christians with whom I recently spoke said that they suffer when Washington penalizes the Sudanese people for Khartoum’s sins. Rev. Filotheos Farag of Khartoum’s El Shahidein Coptic Church, explained “we want to cancel all the sanctions...
Source: Cato-at-liberty - August 26, 2015 Category: American Health Authors: Doug Bandow Source Type: blogs
Title X: The Lynchpin Of Publicly Funded Family Planning In The United States
The Title X national family planning program was created 45 years ago with broad bipartisan support. Today, Congress has Title X—still the only federal grant program dedicated entirely to family planning and related preventive health care—in its sights for severe funding cuts or even elimination.
The U.S. House of Representatives has proposed ending the program for the fifth year in a row, and the U.S. Senate is recommending a sizable reduction to Title X’s budget. In addition, while legislation aimed at defunding Planned Parenthood and its affiliates, whose health centers serve one-third of Title X clients n...
Source: Health Affairs Blog - August 10, 2015 Category: Health Management Authors: Kinsey Hasstedt Tags: Costs and Spending Equity and Disparities Featured Long-term Services and Supports Population Health Public Health Quality ACA family planning Planned Parenthood Title X Women's Health Source Type: blogs
Americans Are Finally Eating Less - From the New York Times
Americans Are Finally Eating LessAfter decades of worsening diets and sharp increases in obesity, Americans' eating habits have begun changing for the better.Calories consumed daily by the typical American adult, which peaked around 2003, are in the midst of their first sustained decline since federal statistics began to track the subject, more than 40 years ago. The number of calories that the average American child takes in daily has fallen even more — by at least 9 percent.The declines cut across most major demographic groups — including higher- and lower-income families, and blacks and whites — though they vary s...
Source: Dr Portnay - July 26, 2015 Category: Cardiology Authors: Dr Portnay Source Type: blogs
ITC Vote Clears Way for New Tire Taxes...and More Frivolous Cases
In a 3-to-3 vote today, the U.S. International Trade Commission determined that the domestic industry producing passenger car and light truck tires was materially injured by reason of dumped and subsidized imports from China. Wait, what? Yes, that’s right. Despite the Washington protectionism lobby’s self-portrayal as victims of unfair foreign trade practices who are forced to surmount the highest of hurdles before they can “obtain relief” at everyone else’s expense, tie votes go to the protectionists. A negative determination would have required four votes. Here’s what I wrote about the case on ...
Source: Cato-at-liberty - July 14, 2015 Category: American Health Authors: Daniel J. Ikenson Source Type: blogs
Appropriate Use Of Reference Pricing Can Increase Value
The California Public Employees Retirement System (CalPERS) purchases coverage for 1.3 million employees (and their families) of the state of California, and of other public entities such as municipalities and transit systems. The organization’s purchasing strategy seeks to stimulate providers to compete with each other on price as well as performance, thereby increasing the value offered by the health care system.
CalPERS has long been recognized as a leader in value-based purchasing, including defined contributions towards insurance premiums, quality reporting, and promotion of Accountable Care Organizations. Many of t...
Source: Health Affairs Blog - July 7, 2015 Category: Health Management Authors: Ann Boynton and James C. Robinson Tags: Costs and Spending Drugs and Medical Technology Equity and Disparities Featured Health Professionals Hospitals Insurance and Coverage Payment Policy Population Health Quality ACOs CalPERS Consumers health care market health car Source Type: blogs
Serious Risks And Few New Benefits From FDA-Approved Drugs
Over the past year, the U.S. Senate and The New York Times have been investigating the failure of the nation’s auto safety regulators to protect citizens from cars with occasionally dangerous faulty devices.
But neither august institution has paid attention to the Food and Drug Administration’s (FDA) failure to protect the 170 million Americans who take prescription drugs from adverse reactions that are killing more than 2,400 people every week. Annually, prescription drugs cause over 81 million adverse reactions and result in 2.7 million hospitalizations.
This epidemic of harm from medications makes our prescription d...
Source: Health Affairs Blog - July 6, 2015 Category: Health Management Authors: Donald W. Light Tags: Costs and Spending Drugs and Medical Technology Equity and Disparities Health Policy Lab Public Health adverse drug events FDA hospitalizations Patient Safety prescriptions Source Type: blogs
Greece Is Being Taxed to Death
American news stories about the Greek financial collapse frequently echo complaints of government employees and their supplicants about “budget cuts.” In reality, Greek government spending rose from 44.6 percent of GDP in early 2006 to 54 percent in 2010 and 59.2 percent in 2014 (although this is partly because private GDP fell even faster than government spending). Military spending is particularly lavish in Greece, second only to the United States within NATO as a percentage of GDP.
What is rarely mentioned in all the one-sided confusion about “austerity” is the other side of the budget–namely, taxes.
...
Source: Cato-at-liberty - July 1, 2015 Category: American Health Authors: Alan Reynolds Source Type: blogs
Changing the View of Aging: Are We Winning Yet?
Peter Thiel, who has invested millions into the SENS rejuvenation research programs over the past decade, has of late been talking much more in public on the topic of treating aging. Having wealth gives you a soapbox, and it is good that he is now using it to help the cause of treating aging as a medical condition. One of Thiel's recent public appearances was a discussion on death and religion in this context.
In the struggle to produce meaningful progress in rejuvenation research, the tipping point can come from either a very large amount of money, hundreds of millions of dollars at least, dedicated to something very sim...
Source: Fight Aging! - June 26, 2015 Category: Research Authors: Reason Tags: Daily News Source Type: blogs
Six Problems With The ACA That Aren’t Going Away
As Congress and the Obama Administration await the Supreme Court’s decision in King v. Burwell, there is heightened interest in what happens after the decision. One common assumption is that if the court rules in favor of the administration, there will be no need to make any major changes in the Affordable Care Act (ACA). This assumption is wrong.
There is an urgent need to make major changes in the law regardless of how the Supreme Court rules. These are changes that will require bi-partisan cooperation — something that is rare in health policy.
The changes are needed because there are at least six major problems ...
Source: Health Affairs Blog - June 25, 2015 Category: Health Management Authors: John Goodman Tags: Costs and Spending Following the ACA Insurance and Coverage Medicare employer coverage GDP global budgets individual mandate Medicare Advantage premium subsidies Source Type: blogs
State-by-State Data on the Number of Taxpayers King v. Burwell Would Free from Illegal Taxes
A ruling for the challengers in King v. Burwell would have benefits that swamp other effects of the ruling, including:
More than 67 million Americans would be freed from illegal taxes in the form of ObamaCare’s employer mandate.
More than 11 million Americans would be freed from an illegal tax averaging $1,200 (i.e., ObamaCare’s individual mandate).
Affected workers could receive a pay raise of around $900 per year.
The ruling could create an estimated 237,000 new jobs.
It could add an estimated 1.3 million workers added to the labor force.
It could result in more hours and higher incomes for 3.3 mill...
Source: Cato-at-liberty - June 24, 2015 Category: American Health Authors: Michael F. Cannon Source Type: blogs
