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New California Legislation Tries to Make Drug Pricing More Transparent
I personally believe that the drug companies have been running amok of late with their drug pricing policies. Their predatory prices have Invited a regulatory response from various quarters. The state of California has responded with a new law designed to make drug prices more transparent (see:California Governor Signs Law To Make Drug Pricing More Transparent). Below is an excerpt from one of the recent articles discussing this new law:The new law will require pharmaceutical companies to notify the state and health insurers if they plan to raise the price of a medication by 16 percent or more over two years. G...
Source: Lab Soft News - October 17, 2017 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Cost of Healthcare Medical Consumerism Medical Ethics Pharmaceutical Industry Source Type: blogs

Health 2.0 Fall Conference: 12 New Product Launches Announced
The Health 2.0 Fall Conference provides a number of opportunities for startups and entrepreneurs to share their novel innovations and ideas, including the Startup Pitch Competition, the Exhibit Hall, Market Connect sessions, 3.5 minute breakout sessi...
Source: Medgadget - October 6, 2017 Category: Medical Devices Authors: Michael Batista Tags: Exclusive Source Type: blogs

Health 2.0 Fall Conference Startup Pitch Competition: Meet the Companies
This week, healthcare technology innovators, thought leaders, and business owners convene in Santa Clara, California for Health 2.0’s 11th Annual Fall Conference. While this year’s event runs from October 2-4, Medgadget was able to part...
Source: Medgadget - October 3, 2017 Category: Medical Devices Authors: Michael Batista Tags: Exclusive Source Type: blogs

Latest Legal Settlements Suggest Hazards of Making Pharmaceutical Regulation More Lenient, as is Apparently Favored by New FDA Leader
DiscussionAll the cases discussed above were of behavior that could have harmed patients.  Many of the companies involved had records of previous ethical misadventures.  While a few cases resulted in corporate guilty pleas (to misdemeanors), none resulted in monetary penalties that would have much impact on the companies ' finances, and none resulted in any negative consequences for people who enabled, authorized, directed or implemented the bad behavior.These, just the latest in the march oflegal settlements by large health care organizations, again demonstrate how often and how seriously pharmaceutical companie...
Source: Health Care Renewal - October 1, 2017 Category: Health Management Tags: adulterated drugs Celgene crime deception FDA impunity legal settlements market fundamentalism Novo Nordisk revolving doors thalidomide Source Type: blogs

Graham-Cassidy Could Be an Additional Financial Blow to Smaller and Rural Hospitals
I have blogged previously about the shaky financial status of small and rural hospitals (see:Rural Hospitals Fighting for Survival; How Can Care in Them Be Improved?) and similar stories are common on the web (see: A Hospital Crisis Is Killing Rural Communities. This State Is ‘Ground Zero.’) A recent article suggested that theGraham-Cassidy bill will increase the financial pressure on rural and small hospitals (see:Rural hospitals see Graham-Cassidy as latest threat to survival). Below is an excerpt from it:Leaders of cash-strapped rural hospitals worry that the latest proposal to repeal and replace the Aff...
Source: Lab Soft News - September 25, 2017 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Cost of Healthcare Healthcare Business Healthcare Delivery Healthcare Insurance Hospital Financial Source Type: blogs

We Can Improve Care Management
As a physician and CIO, I ’m quick to spot inefficiencies in healthcare workflow. More importantly, as the care navigator for my family, I have extensive firsthand experience with patient facing processes.My wife ’s cancer treatment, my father’s end of life care, and my own recent primary hypertension diagnosis taught me how we can do better.Last week, when my wife received a rejection in coverage letter from Harvard Pilgrim/Caremark, it highlighted the imperative we have to improve care management workflow in the US.Since completing her estrogen positive, progesterone positive, HER2 negative breast cancer treat...
Source: Life as a Healthcare CIO - September 12, 2017 Category: Information Technology Source Type: blogs

Is It time For Physicians to Unionize?
By NIRAN AL-AGBA, MD Since the birth of our nation, labor unions have existed in one form or another in the United States.  Unions are a force to protect the ‘working population’ from inequality, gaps in wages, and a political system failing to represent specific industry groups.  Historically, unions organize skilled workers in a specific corporation, such as a railroad or production plant, however unions can organize numerous workers within a particular industry.  Known as “industrial unionism”, the union gives a profession or trade a collective and representative voice.  The existence of unions has already ...
Source: The Health Care Blog - September 12, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Oral Contraceptives Should be Free (From the Third-Party Trap)
An argument will soon erupt over the fate of the Affordable Care Act ’s mandate that requires health insurance to cover oral contraceptives at no direct out of pocket cost to the patient. This mandate was never explicitly listed in the ACA as one of the “essential health benefits.” Its inclusion was made at the discretion of the HHS Secretary. According to pres sreports, the Trump Administration is about to relax the requirement.The arguments made in favor of loosening the mandate mostly revolve around the employers ’ right to freedom of conscience. Meanwhile, some advocacy groups fear this will mean many women won...
Source: Cato-at-liberty - September 5, 2017 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs

Dear insurance doctor: You are not my peer
I am a gynecologic-oncologist. I work in the high-stakes realm of cancer care. I strategize complex treatment plans involving surgery, radiation, chemotherapy and the newer biological agents to treat the myriad of disease that we call collectively “cancer.” Cure — or at least control — requires urgent and timely administration of these modalities along with various imaging or blood work to assure that the treatment prescribed is effective. I love my job as each day; I am privy to observing the resiliency and grace from those of whom I am fortunate enough to care. Oncology remains a profoundly rewarding profession. ...
Source: Kevin, M.D. - Medical Weblog - September 1, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/rick-boulay" rel="tag" > Rick Boulay, MD < /a > Tags: Physician OB/GYN Oncology/Hematology Radiology Source Type: blogs

Health care at the N of 1
In the past few weeks, there has been a question regarding my use of the hashtag #Nof1 along with how I end the majority of my posts and tweets: Health care is delivered at the N of 1. One person even believed there might be a trademark infringement with the company N-of-1 who provides molecular testing for patients and then delivers evidenced-based medical recommendations for oncology patients. The reality is that, while the company N-of-1 provides services, the topic I speak about is how the evolution of health care is occurring. This seed was planted in me during my clinical rotations in 1998–1999 while at the Univers...
Source: Kevin, M.D. - Medical Weblog - August 24, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/andy-delao" rel="tag" > Andy DeLao < /a > Tags: Patient Hospital-Based Medicine Oncology/Hematology Primary Care Source Type: blogs

Trial by Error: My E-Mail Exchange With NICE Chief Executive
By David Tuller, DrPH On Friday, I had an e-mail exchange with Sir Andrew Dillon, chief executive of the NICE Guidance Executive. The other seven Guidance Executive members are various directors within the NICE hierarchy, including the communications director. This group will make the final decision about whether to accept the provisional decision of a NICE surveillance review team to leave as is CG53, the guidance for CFS/ME released in 2007. (I have written about the NICE review process on CG53 here, here and here.) That ten-year-old CFS/ME guidance recommends treatment with graded exercise therapy and cognitive behavio...
Source: virology blog - August 14, 2017 Category: Virology Authors: David Tuller Tags: Uncategorized Source Type: blogs

Thoughts on diagnostic errors in 2017
The Society to Improve Diagnosis in Medicine has on its website this quote: Reducing Harm from Diagnostic Error 1 in 10 diagnoses are incorrect. Diagnostic error accounts for 40,000-80,000 US deaths annually—somewhere between breast cancer and diabetes. Chances are, we will all experience diagnostic error in our lifetime. (US Institute of Medicine 2015, BMJ Quality & Safety 25-Year Summary of US Malpractice Claims, 2013.) The current focus on diagnostic error raises an interesting question:  Is this a larger problem in 2017 than in the 1970s and 1980s? In this post, I postulate that the problem has increased.  Se...
Source: DB's Medical Rants - August 7, 2017 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs

The Skinny On The Senate ACA Debate, Day Three
Editor’s note: This post is part of ongoing Health Affairs Blog coverage by Tim Jost of the Senate debate over repealing and replacing—or maybe just repealing, or maybe just minimally repealing, or maybe retaining—the Affordable Care Act. See Tim’s earlier post and updates for more coverage. Update: Medicare-for-All And Abortion At about 2:30, the Senate voted on an amendment put forward by Senator Daines (R MT) incorporating the House Medicare-for-All bill. His intent was to embarrass and perhaps divide the Democrats by forcing them to vote on a proposal that some of them embrace, but some do not. In fact,...
Source: Health Affairs Blog - July 27, 2017 Category: Health Management Authors: Timothy Jost Tags: Costs and Spending Following the ACA Insurance and Coverage 1332 waivers Congressional Budget Office employer mandate individual mandate medical device tax skinny ACA repeal Source Type: blogs

Health + Design, Refactored
By ANDY ORAM Health care providers love to vaunt the unique and subtle needs of patients. How many ads have you heard from cancer centers or health clinics touting their flexibility and showing grateful, tear-flecked patients? But key aspects of our health care systems turn out to be rigid and heartless in practice. Despite the compassion of individual staff, our organizations tell patients in dozens of ways that they are widgets on an assembly line: We force patients to come early for every appointment and fill out the same paperwork each time with information they have given before. Patients traverse long, crowded corri...
Source: The Health Care Blog - July 25, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Primary pain disorders
In a move likely to create some havoc in compensation systems around the world (well, at least in my corner of the world!), the International Association for the Study of Pain has worked with the World Health Organisation to develop a way to classify and thus record persistent pain conditions in the new (draft) ICD-11. While primary headache disorder has been in the classification for some years, other forms of persistent pain have not. Recording the presence of a pain disorder is incredibly important step forward for recognising and (fingers crossed) funding research and treatment into the problem of persistent pain. As t...
Source: HealthSkills Weblog - July 23, 2017 Category: Anesthesiology Authors: adiemusfree Tags: Chronic pain Clinical reasoning Health Research biopsychosocial healthcare Source Type: blogs