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Driving and Memory Loss Are a Bad Combination: Some Tips
For many of us, a car is a sign of independence. But this emotional connection to our automobiles is part of what makes convincing a person that he or she is no longer capable of driving such a volatile battle. The longer adult children or others wait to discuss driving issues with a loved one, the harder it can be. Read more on HealthCentral about how to help memory-impaired loved ones stop driving: MedicareFAQ – Medicare Resource Center Support a caregiver or jump-start discussion in support groups with real stories - for bulk orders of Minding Our Elders e-mail Carol        ...
Source: Minding Our Elders - August 10, 2018 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Caring For Someone With Bladder Cancer - or Any Cancer: A Partnership
According to the National Cancer Society, the majority of bladder cancers occur in the older population, with the average age of at the time of diagnosis being 73. This makes bladder cancer an additional awareness issue for older adults and those who provide care for them. As with other cancers, taking preventive steps is best, so stay on top of any possible symptoms. Read the full article on HealthCentral about caring for someone with bladder cancer - or any cancer: MedicareFAQ – Medicare Resource Center Purchase Minding Our Elders: Caregivers Share Their Personal Stories – paperback or ebook An amazing book of storie...
Source: Minding Our Elders - August 7, 2018 Category: Geriatrics Authors: Carol Bradley Bursack 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

Making Sense of the Health Care Merger Scene    
By JEFF GOLDSMITH In the past 12 months, there has been a raft of multi-billion-dollar mergers in health care. What do these deals tell us about the emerging health care landscape, and what will they mean for patients/consumers and the incumbent actors in the health system? Health Systems There have been a few large health system mergers in the past year, notably the $11 billion multi-market combinations of Aurora Health Care and Advocate Health Care Network in Milwaukee and suburban Chicago, as well as the proposed (but not yet consummated) $28 billion merger of Catholic Health Initiatives and Dignity Health. However, the...
Source: The Health Care Blog - July 23, 2018 Category: Consumer Health News Authors: matthew holt Tags: Hospitals Physicians The Business of Health Care Healthcare merger Healthcare systems the future of healthcare Source Type: blogs

Are doctors bribed by pharma? An analysis of data
Conclusion Correlation is not causation. While many advocates of reduced interactions between “commercial” interests and physicians have implied or directly suggested a quid pro quo between industry meals and other financial interactions and prescribing habits, correlation alone does not prove a quid pro quo relationship. In the case of opioid prescribing, we believe that we have presented a strong case that 1) the relationship between industry payments and prescribing is much weaker than has been presented in the literature, and 2) that prescribing and attendance at manufacturer-sponsored informational lunches are bot...
Source: The Health Care Blog - July 21, 2018 Category: Consumer Health News Authors: at RogueRad Tags: Reanalysis Source Type: blogs

Let ' s Stop Claiming That Palliative Care Improves Survival
by Drew RosielleHospice and palliative care community, I ' m calling for a moratorium on all blanket, unqualified claims that hospice and palliative care improve survival.Let ' s just stop doing this.There has never been any actual evidence that palliative care (PC) interventions improve survival in patients, but since thelandmark Temel NEJM 2010 RCT of early outpatient palliative care for lung cancer patients showed a clinically and statistically significant improvement in longevity in the PC arm, I have heard and all read all sorts of statements by palliative people and all sorts of others (hospital executives, poli...
Source: Pallimed: A Hospice and Palliative Medicine Blog - June 30, 2018 Category: Palliative Care Tags: lung cancer palliative palliative care quality of life rosielle temel The profession Source Type: blogs

Misdiagnosis: Obamacare Tried to Fix the Wrong Things and Prescribed the Wrong Treatments
By CHARLES SILVER and DAVID A.HYMAN Today THCB is happy to publish a piece reflecting the learnings from Charles Silver and David Hyman’s forthcoming book Overcharged: Why Americans Pay Too Much For Health Care, shortly to be published by the libertarian leaning Cato Institute. In subsequent weeks we’ll feature commentary from the right (Michael Cannon) and from the left (Andy Slavitt) about the book and its proposals. For now please give your views in the comments–Matthew Holt There are many reasons why the United States is “the most expensive place in the world to get sick.” In Part 1 of Overcharg...
Source: The Health Care Blog - June 19, 2018 Category: Consumer Health News Authors: matthew holt Tags: Economics OP-ED Cato Institute Charles Silver David A. Hyman Obamacare Overcharged Source Type: blogs

Dander Still Up. Drowning in Great Dismal Swamp. Film at Eleven.
Maybe this is the last in my series of dander-raising essays, as recent national and world events have most definitely left so many of us with a raging case of TDS. (Trump Derangement Syndrome, look it up it ' s a thing).So many damned browser tabs open. So little time.Or maybe not. Who knows. Where are all these suicides coming from?My editor keeps telling me, " don ' t let it make you paralytic. " Hey, I ' m trying.Just sensing a kind of coalescence in all the corruption our bloggers keep writing about. How do we even differentiate these activities across so many sectors of society. We were going to see our swamp drained...
Source: Health Care Renewal - June 12, 2018 Category: Health Management Source Type: blogs

The Not-Quite Annual ASCO Round-Up - 2018 edition
by Drew RosielleTheAmerican Society of Clinical Oncology annual meeting, besides being a feast for the pharmaceutical business news pages (google ' ASCO ' and most of the hits will be about how announcement X affected drug company Y ' s stock), is also one of the premiere platforms for publishing original palliative-oncology research. So every year I try to at least scan the abstracts to see what ' s happening, and I figure I might as well blog about it. It ' s tough to analyze abstracts, so I ' ll mostly just be summarizing ones that I think will be of interest to hospice and palliative care folks. I imagine I ' ve missed...
Source: Pallimed: A Hospice and Palliative Medicine Blog - June 6, 2018 Category: Palliative Care Tags: artificial nutrition ASCO cannabanoid code status conference reviews fatigue hpmglobal marijuana mindfulness mucositis neuropathic oncology pain race rosielle scrambler Source Type: blogs

The March of Legal Settlements Made by Pharmaceutical Companies is Diminishing - Presaging Even Less Accountablity for Top Health Care Organizational Leaders?
DiscussionSo my perceptions that the number of the sorts of legal settlements of interest to us has likely been diminishing was accurate.  Unfortunately, rather than the decrease being due to better behavior, decresed reporting, or my laxity in case-finding, it now looks that US government efforts to combat bad behavior by big health care corporations and to hold top leaders of these organizations accountable is getting even more lax.So once again, with feeling... We seem to be sliding backwards in efforts to make the leaders of large health care organizations accountable, and particularly to combat the worse man...
Source: Health Care Renewal - May 25, 2018 Category: Health Management Tags: Donald Trump health care prices impunity kickbacks legal settlements Pfizer Source Type: blogs

BioethicsTV (May 14-22): #TheResident, #ChicagoMed
by Craig Klugman, Ph.D. The Resident (Season 1; Episode 14): Treating Loved Ones; Chemo for Healthy Patients ; Chicago Med (Season 3; Episode 20): Doctor and jury The Resident (Season 1; Episode 14): Treating Loved Ones; Chemo for Healthy Patients In the season finale, we learn that Hunter has been telling healthy people that they have cancer (when they do not) and giving them chemotherapy. She is committing Medicare fraud and also artificially bumping her success rates at curing cancer. Pravesh informs Lily, a frequent flyer, that she does not have cancer and is a victim of Hunter.…
Source: blog.bioethics.net - May 22, 2018 Category: Medical Ethics Authors: Craig Klugman Tags: BioethicsTV Featured Posts professional ethics Source Type: blogs

Advanced Cancer Diagnostics Reduce Frequency of Misdiagnoses: Interview with Precipio CEO Ilan Danieli
According to 2010-2012 data from the National Cancer Institute (NCI), 40% of men and women will be diagnosed with cancer in their lifetime. In all its forms, cancer is known to be a clinically and emotionally challenging disease to manage. Despite th...
Source: Medgadget - May 18, 2018 Category: Medical Devices Authors: Michael Batista Tags: Diagnostics Exclusive Oncology Pathology Source Type: blogs