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Process Re-engineering Can Produce Results, Lumeon Finds
A rigorous look at organizational processes, perhaps bolstered by new technology, can produce big savings in almost any industry. In health care, Lumeon finds that this kind of process re-engineering can improve outcomes and the patient experience too–the very Triple Aim cited as goals by health care reformers.
A bad process, according to Robbie Hughes, Founder and CEO for Lumeon, can be described as, “The wrong people have the wrong information at the wrong time.” One example is a surgery unit that Lumeon worked with on scheduling surgeries. The administrative staff scheduled the surgeries based on minim...
Source: EMR and HIPAA - November 19, 2018 Category: Information Technology Authors: Andy Oram Tags: Health Care Healthcare HealthCare IT Fee for Service Fee-For-Value Longitudinal Care Operations Management Optimization Patient Engagement Process Re-engineering Source Type: blogs
The MSSP Is No Silver Bullet for Healthcare Cost Control
But ACOs could pave the way for more significant cost-cutting based on competition.
By KEN TERRY
The Medicare Shared Savings Program (MSSP), it was revealed recently, achieved a net savings of $314 million in 2017. Although laudable, this victory represents a rounding error on what Medicare spent in 2017 and is far less than the growth in Medicare spending for that year. It also follows two years of net losses for the MSSP, so it’s clearly way too soon for anyone to claim that the program is a success.
The same is true of accountable care organizations (ACOs). About a third of the 472 ACOs in the MSSP received a total of...
Source: The Health Care Blog - November 19, 2018 Category: Consumer Health News Authors: matthew holt Tags: Economics Health Policy Medicare Accountable Care Organizations Hospitals Ken Terry Medicare Shared Savings Program Physicians Source Type: blogs
Fight Aging! Newsletter, November 12th 2018
This study's researchers approached all people turning 85 in 2006 in two cities in the UK for participation. At the beginning of the study in 2006-2007, there were 722 participants, 60 percent of whom were women. The participants provided researchers with information about what they ate every day, their body weight and height measurements, their overall health assessment (including any level of disability), and their medical records.
The researchers learned that more than one-quarter (28 percent) of very old adults had protein intakes below the recommended dietary allowance. The researchers noted that older adults w...
Source: Fight Aging! - November 11, 2018 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
Conference on Drug Pricing Injects New Statistics Into Debate, Few New Insights (Part 1 of 2)
The price of medications has become a leading social issue, distorting economies around the world and providing easy talking points to politicians of all parties (not that they know how to solve the problem). Last week I attended a conference on the topic at the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School.
On one level, the increasing role that drugs play in health care is salutary. Wouldn’t you rather swallow a pill than go in for surgery, with the attendant risks of anesthesia, postoperative pain opiates, and exposure to the increasingly scary bacteria that lurk in h...
Source: EMR and HIPAA - November 8, 2018 Category: Information Technology Authors: Andy Oram Tags: Healthcare Reform Medical Economics Personalized Medicine Precision Medicine Drug Pricing Healthcare Costs Medication Pricing Source Type: blogs
Notes on the 2018 Longevity Forum in London
The Longevity Forum, hosted by investor Jim Mellon and company yesterday in London, was a reminder that we still have a way to go when it comes to guiding the conversation on longevity and rejuvenation in a useful direction. On the one hand, most people give medicine and aging little serious thought until it is too late, and if we want large-scale funding for the goal of human rejuvenation through realization of the SENS research agenda, then the public at large really has to be on board in the same way that they are reflexively in favor of doing something about cancer and Alzheimer's disease. On the other hand, the first ...
Source: Fight Aging! - November 6, 2018 Category: Research Authors: Reason Tags: Activism, Advocacy and Education Source Type: blogs
There ’ s a Psychiatrist Crisis in America That Few Are Talking About
There’s a psychiatrist crisis in America and virtually nobody is having a serious conversation about how to fix it. It’s not clear how we, as a nation, can brag about our amazing healthcare system when finding a psychiatrist who takes your insurance and is open to new patients is virtually impossible in most places in the U.S.
Even worse is that the crisis is still growing and little is being done to avert it.
Over at Popula, Jameson Rich details his ordeal in trying to find a new psychiatrist that takes his insurance:
My therapist would make a dosage recommendation in consultation with some other doctors, she...
Source: World of Psychology - November 5, 2018 Category: Psychiatry & Psychology Authors: John M. Grohol, Psy.D. Tags: General Policy and Advocacy Professional Psychiatry Treatment american psychiatrist lack of psychiatrists psychiatrist crisis Source Type: blogs
A Round Up Of The Responses To Part 1 Of The Senate Inquiry Into The #myHealthRecord And What Has Been Sadly Missed.
It seems that Labor had early warning – as you would expect – of the release of the Report on the Government plans to tighten the privacy and patient control protections of data held in the myHR.There is a link to their release here:https://aushealthit.blogspot.com/2018/10/from-this-release-it-seems-clear-labor.htmlFollowing this re lease and the report release we have seen these articles appear.First we had this appear.Labor vows to redraft My Health Record legislationBy Dana McCauley12 October 2018 — 12:05amFederal Labor has called for a rewrite of the controversial My Health Record legislation to prevent insurers ...
Source: Australian Health Information Technology - October 14, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Is Crowdfunding The Grim Future of Health Insurance?
A growing number of people, mostly Americans, is forced to use crowdfunding sites to ask for money to cover medical expenses. While in many cases, the option is a potential source of hope binding people together for a good cause that would otherwise be lost due to financial reasons, the phenomenon also shows the desperate state of a healthcare system where victims of terrible illnesses have to “commodify” themselves on online donation forums. Should it stay that way? Should we fear for a dark future of health insurance in some parts of the world?
The patchwork called crowdfunding
Kickstarter, GoFundMe, Indiegogo, Crowd...
Source: The Medical Futurist - October 13, 2018 Category: Information Technology Authors: nora Tags: Health Insurance Healthcare Design Social media in Healthcare crowdfunding digital health digital health insurance ethics future health data medical medical expenses Source Type: blogs
Fight Aging! Newsletter, September 10th 2018
In conclusion, HSC ageing is characterised by reduced self-renewal, myeloid and platelet HSC skewing, and expanded clonal haematopoiesis that is considered a preleukaemic state. The underlying molecular mechanisms seem to be related to increased oxidative stress due to ROS accumulation and DNA damage, which are influenced by both cell- and cell non-autonomous mechanisms such as prolonged exposure to infections, inflammageing, immunosenescence, and age-related changes in the HSC niche. Thus, HSC ageing seems to be multifactorial and we are only beginning to connect all the dots.
The Price of Progress or the Waste...
Source: Fight Aging! - September 9, 2018 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
Healthy lifestyle can prevent diabetes (and even reverse it)
The rate of type 2 diabetes is increasing around the world. Type 2 diabetes is a major cause of vision loss and blindness, kidney failure requiring dialysis, heart attacks, strokes, amputations, infections and even early death. Over 80% of people with prediabetes (that is, high blood sugars with the high risk for developing full-blown diabetes) don’t know it. Heck, one in four people who have full-blown diabetes don’t know they have it! Research suggests that a healthy lifestyle can prevent diabetes from occurring in the first place and even reverse its progress.
Can a healthy diet and lifestyle prevent diabetes?
The D...
Source: Harvard Health Blog - September 5, 2018 Category: Consumer Health News Authors: Monique Tello, MD, MPH Tags: Diabetes Diet and Weight Loss Food as medicine Healthy Eating Prevention Source Type: blogs
Prior Authorizations: Will They Become Damocles Sword?
By NIRAN AL-AGBA
Niran Al-Agba, MD, FAAP
In July 2009, the family of Massachusetts teenager Yarushka Rivera went to their local Walgreens to pick up Topomax, an anti-seizure drug that had been keeping her epilepsy in check for years. Rivera had insurance coverage through MassHealth, the state’s Medicaid insurance program for low-income children, and never ran into obstacles obtaining this life-saving medication. But in July of 2009, she turned 19, and when, shortly after her birthday, her family went to pick up the medicine, the pharmacist told them they’d either have to shell out $399.99 to purchase Topomax out-of-poc...
Source: The Health Care Blog - August 28, 2018 Category: Consumer Health News Authors: matthew holt Tags: Patients Physicians Insurance companies medical malpractice Medicine Pharmaceuitcals Prior Authorization Source Type: blogs
Rauner Veto Preserves Consumer Protections in Short-Term Plans, Improves ObamaCare ' s Risk Pools
Hours ago, Illinois Gov. Bruce Rauner (R)vetoedlegislation that would have subjected enrollees in short-term health insurance plans to higher deductibles, higher administrative costs, higher premiums, and lost coverage. The vetoed bill would have blocked the consumer protections made available in that market bya final rule issued earlier this month by the U.S. Department of Health and Human Services, and would have (further) jeopardized ObamaCare ’s risk pools by forcing even more sick patients into those pools.Short-term plans are exempt from federal health insurance regulations, and as a result offerbroader access to...
Source: Cato-at-liberty - August 27, 2018 Category: American Health Authors: Michael F. Cannon Source Type: blogs
Popular Insurance Pre-Existing Conditions Ban Under Threat
by Craig Klugman, Ph.D.
Do you have pre-existing health conditions? Approximately 23 percent of Americans do.
According to the University of Pittsburgh Medical Center, a pre-existing condition is “a medical condition that occurred before a program of health benefits went into effect.” Healthcare.gov defines it as “A health problem, like asthma, diabetes, or cancer, you had before the date that new health coverage starts. Insurance companies can’t refuse to cover treatment for your pre-existing condition or charge you more.” That means if an adult had a childhood disease, that’s a pre-existing condition.…
Source: blog.bioethics.net - August 7, 2018 Category: Medical Ethics Authors: Craig Klugman Tags: Featured Posts Health Disparities Health Policy & Insurance Health Regulation & Law ACA Affordable Care Act pre-existing conditions Source Type: blogs
How Proposed Changes to Medicare Documentation Regs Can Impact Palliative Care
by Amy Davis (@MaximizeQOL)(CMS open to comments until Sep 10, 2018. See end of post for details. - Ed.)Centers for Medicare and Medicaid Services (CMS) hasproposed sweeping reforms to documentation requirements, clinician reimbursement, and the Quality Payment Program (QPP), to begin in 2019. (1) If approved in their current form, the changes are likely to have dramatic net negative effects on outpatient palliative care reimbursement. A detailed review and analysis of all 1,473 pages of the Proposed Rule, plus its addenda, would not be practical here. The reader is referred to thecomplete text (1) andothers ’ asses...
Source: Pallimed: A Hospice and Palliative Medicine Blog - August 2, 2018 Category: Palliative Care Tags: billing CMS davis The profession Source Type: blogs
