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Is this cost-saving Medicare proposal doomed?
The Trump administration has proposed that insurance plans providing drug coverage to Medicare beneficiaries will no longer be forced to cover six hitherto“protected” drug classes. The classes — which include drugs for psychiatric conditions, cancer and immune diseases –– are among the priciest of all drugs and account for as much as 33 percent […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Source: Kevin, M.D. - Medical Weblog - January 3, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/martha-rosenberg" rel="tag" > Martha Rosenberg < /a > < /span > Tags: Policy Public Health & Source Type: blogs
Dander Up, Down, and All Around
Today ' s topics: VA health care politics; a clear-eyed and sane report from a bastion of managerialism, with related observations on innovators trying to create real bottom-up value.It ' s the last day of the year, so let ' s get this done. Owing to various largely unforeseen challenges, happily now largely behind us, this " Dander " series was interrupted for some time. Apologies to anyone who noticed. In any case, to refresh: as Chief Blogger and FIRM president Dr. Poses has indicated often enough in these pages, health care developments raising our dander are still everywhere, all the time, and on the increas...
Source: Health Care Renewal - December 31, 2018 Category: Health Management Source Type: blogs
Anniversary of Loved One's Death Particularly Hard During Holidays
Photo credit Tim Doerfler
Dear Carol: This January marks one year since my mother died. My dad adored her, as we all did, but he's having a harder time adjusting than we kids, which I suppose is to be expected. Mom had cancer but her treatments proved to be ineffective so she eventually went on hospice care. With hospice helping, Mom was coherent during the holidays last year. We got through it, and Dad did admirably well, considering the circumstances. I think he kept up a front for Mom's sake. Once she died, which was mid-month, he fell apart and had only marginally recovered before this year's holidays approached. The f...
Source: Minding Our Elders - December 26, 2018 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
Holiday Spirit Gone After Loss of Loved Ones
Photo credit Annie Spratt
Dear Carol: Last year was a tough one for my family. Dad had never recovered from a massive stroke that he suffered two years ago and Mom, who’d been his caregiver, discovered shortly after his death that she had advanced breast cancer. They were both 79. Mom was peaceful with the fact that the cancer was too advanced for her to fight and said that she was ready to join dad. We realize that since she was beyond treatment when she was diagnosed she was showing a healthy attitude, but my sister and I are still feeling traumatized by the year. Our parents loved Christmas and spent weeks decor...
Source: Minding Our Elders - December 23, 2018 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
Johnson and Johnson ' s Latest Ethical Misadventures: Settled Kickback Allegations, Reportedly Concealed Knowledge of Adverse Effects of a " Sacred Cow " Product
Giant pharmaceutical/ biotechnology/ device company Johnson& Johnson has its famous" credo " which starts withWe believe our first responsibility is to the doctors, nurses and patients, to mothers and fathers and all others who use our products and services. In meeting their needs everything we do must be of high quality..Nonetheless, the company has a long history of ethical misadventures (lookhere, and see appendix below). Now late in 2018, we note two more Johnson& Johnson misadventures. In chronological order,$360 Million Settlement of Allegations of Kickbacks to Medicare/ Medicaid Patients to...
Source: Health Care Renewal - December 15, 2018 Category: Health Management Tags: adulterated drugs adverse effects deception impunity Johnson and Johnson kickbacks legal settlements Source Type: blogs
Dad Living With Dementia Repeatedly Asks for His Deceased Wife
Photo credit Seth Hays
Dear Carol: My dad was the primary caregiver for my mom during the first years that she was sick with cancer, but during her last years he began to show signs of Alzheimer’s. When Mom died, Dad was devastated. He seemed to comprehend what happened and retain the memory and the grief. Now, though, he’s starting to ask for Mom. When this began we reminded him what happened but the result was horrible. His first reaction was grief but that quickly turned to anger at us for “trying to fool him.” Eventually, we convinced him that yes, Mom was gone, but we said she’d “wait for him....
Source: Minding Our Elders - November 25, 2018 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
Understanding the Difference Between Palliative Care and Hospice
Many people have heard of hospice care but they mistakenly think that it’s just a way to help cancer patients be more comfortable at the end of their lives. Fewer people have heard of palliative care, and they may have no idea what it is. The truth is that hospice and palliative care are related but used for different reasons at different times, and everyone should be well-versed in what they offer. Here, we’ll clarify some points of confusion.
View the slideshow on HealthCentral to help clarify the differences between palliative care and hospice:
MedicareFAQ – Medicare Resource Center
Support a caregiver or jump-sta...
Source: Minding Our Elders - November 24, 2018 Category: Geriatrics Authors: Carol Bradley Bursack 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
Mrs. Verma Goes to Washington
By ANISH KOKA MD
Seema Verma, the Trump appointee who runs Medicare, has had an active week. The problem facing much-beloved Medicare is one that faces every other government-funded healthcare extravaganza: it’s always projected to be running out of money. Medicare makes up 15% of the total federal budget. That’s almost $600 billion dollars out of a total federal outlay of $4 Trillion dollars. The only problem here is that revenues are around $3.6 trillion. We are spending money we don’t have, and thus there there is constant pressure to reduce federal outlays.
This is a feat that appears to be legislatively im...
Source: The Health Care Blog - November 15, 2018 Category: Consumer Health News Authors: anish_koka Tags: Health Policy Hospitals Medicare Physicians Anish Koka Government Health care spending Source Type: blogs
Against A Highly Regressive “Meat Tax”
Some economists want to make it more expensive for the less well-off to enjoy aclear revealed pleasure: eating red and processed meat.The average household in the poorest fifth of the income distribution dedicates 1.3 percent of spending towards it. That’s over double average household spending in the richest quintile. Yet meat is now a new “public health” target. Once, lifestyle controls stopped at smoking and drinking. They recently expanded to soda and even caffeine. Now, even the hallowe d steak is not sacred.Last week, a report by University of Oxford academics calculated supposedly “optimal tax rates”...
Source: Cato-at-liberty - November 12, 2018 Category: American Health Authors: Ryan Bourne 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
November: Time for Celebrating Hospice and Palliative Care
“I hope we don’t have another funeral this Christmas,” my young son said after we wrapped up Halloween. Hearing my child voice that fear nearly broke my heart, but our family had endured the deaths of two elders during the last two Christmas seasons so why wouldn't he wonder if this year would be the same? Thankfully, that particular year we didn’t have a funeral during the season, though we did have another death at that time the following year. So, when it comes to death during the holidays, I have had some experience. I’ve also learned a lot since then about how hospice can not only make the death proces...
Source: Minding Our Elders - November 2, 2018 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
Where people die
Truer words were never spoken: we all have to die sometime. But here’s something you may have thought less about: we all have to die somewhere. And most people don’t want it to be in a hospital. Despite this, about one-third of deaths in this country occur in hospitals. The good news is, that this seems to be changing.
Where people die is changing
Although more than 700,000 people die in hospitals each year in the US, the trend is toward fewer in-hospital deaths. According to the CDC, the number of people dying in the hospital dropped from 776,000 to 715,000 (an 8% drop), even as hospital admissions increased from 31.7...
Source: Harvard Health Blog - October 31, 2018 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: End of life Health Source Type: blogs
Dr. Holly Christman moves practice to Marin
After many years working in downtown San Francisco, dermatologist Holly Christman has left that group for a prestigious practice in Marin. We wish Holly the best--Marin is lucky to have her!For those seeking care in San Francisco, Union Square Dermatology is located in the venerable 450 Sutter Street Building. The four Board Certified dermatologists provide services such as mole and skin cancer checks, Mohs surgery, management of rosacea, eczema and psoriasis. The practice is in network with Aetna, Cigna and United Health Care PPO plans and Medicare. Cosmetic options included Botox, fillers, lasers for sun sp...
Source: Skinema, dermatology in the media blog - October 20, 2018 Category: Dermatology Authors: vail reese Tags: Health Source Type: blogs
