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Trump and Rx Drug Prices: Let the Games Begin
By STEVEN FINDLAY President Trump is scheduled to deliver a major speech on drug prices today.  This post is intended to start a dialogue on what he says and proposes.      It’s unclear whether Trump will provide specifics or whether those will be rolled out in coming weeks.   As is always the case with Trump, there’s concern he’ll go off script despite apparent careful preparation of the speech.      The speech is reportedly going to coincide with an RFI from HHS on ways to restrain drug prices, building on ideas proposed in the administration’s fiscal 2019 budget request.   That sounds like a delay tacti...
Source: The Health Care Blog - May 11, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Notice of Funding Opportunity: Bioethics and Disability
This report would examine developments at the state and federal-level, court cases, and current views from stakeholders. Policy Questions Which states have PAS laws and what do those laws provide? What protections against abuse of PAS?What have the Supreme Court and lower courts held regarding individuals’ rights under PAS laws? The laws themselves?Is there evidence that persons with disabilities are being denied treatment by insurance companies but offered PAS instead, as NCD predicted?How is PAS viewed by disability organizations? Has this evolved in the past 13 years? If so why? If not, why?Are persons with disabi...
Source: blog.bioethics.net - May 8, 2018 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Patient Modesty: Volume 87
EO, a visitor writing in the Comment section of Volume 86 of this thread title has set the stage for further discussion-- particularly the way male patients are treated within the medical system. I thought his narrative would be appropriate to start this Volume. ..Maurice.Graphic: My composition using ArtRage and appearing as the graphic on the thread "Order vs Chaos in Medical Practice"At Sunday, May 06, 2018 3:55:00 PM,  Though I am encouraged that many of the contributors to this blog have become activists as regards affording male clients (patients) the same rights as female clients when it comes to mode...
Source: blog.bioethics.net - May 7, 2018 Category: Medical Ethics Authors: Maurice Bernstein, M.D. Tags: Health Care syndicated Source Type: blogs

McKesson Accused of Illegally Handling Cancer Medications
On April 4, 2018, a lawsuit was unsealed that shows McKesson Corporation – America’s largest drug distributor and one of the top five largest public companies of any kind in America – is being accused of illegally pooling leftover cancer medication from single-dose vials and selling it to healthcare providers. Those healthcare providers then in turn treated patients with it and typically billed the cost to government programs for reimbursement. The lawsuit, brought by a private company, Omni Healthcare, seeks unspecified damages from McKesson for violating the federal False Claims Act by selling the medication and p...
Source: Policy and Medicine - April 25, 2018 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Patient-Reported Outcome Measures: Progress Across the Pond
By TIM WILLIAMS & DAVID INTROCASO This past October CMS Administrator Seema Verma announced the agency’s “Meaningful Measures” initiative.[1] Ms. Verma launched the initiative because, she admitted, the agency’s current quality measurement programming, widely criticized for years by MedPAC and others, ran the risk of outweighing the benefits. Under “Meaningful Measures,” CMS will, Ms. Verma stated, put “patients first” by aligning a smaller number of outcome-based quality measures meaningful to patients across Medicare’s programs. Since “the primary focus of a patient visit,” Ms. Verma...
Source: The Health Care Blog - April 19, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Fix the EHR!
By ROBERT WACHTER and JEFF GOLDSMITH After a blizzard of hype surrounding the electronic health record (EHR), health professionals are now in full backlash mode against this complex new tool. They are rightly seen as a major cause of professional burnout among physicians and nurses: Clinicians are spending almost half their professional time typing, clicking, and checking boxes on electronic records. They can and must be made into useful, easy-to-use tools that liberate, rather than oppress, clinicians. Performing several tasks, badly. The EHR is a lot more than merely an electronic version of the patient’s chart. It ...
Source: The Health Care Blog - April 7, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Making Electronic Health Records Great Again
By ROBERT WACHTER and JEFF GOLDSMITH After a blizzard of hype surrounding the electronic health record (EHR), health professionals are now in full backlash mode against this complex new tool. They are rightly seen as a major cause of professional burnout among physicians and nurses: Clinicians are spending almost half their professional time typing, clicking, and checking boxes on electronic records. They can and must be made into useful, easy-to-use tools that liberate, rather than oppress, clinicians. Performing several tasks, badly. The EHR is a lot more than merely an electronic version of the patient’s chart. It ...
Source: The Health Care Blog - April 7, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

The Myth That Refuses to Die: All Health Care is Local
By PAUL KECKLEY In 1980, industry healthcare planners imagined a system where the centerpiece was a hospital in every community and a complement of physicians. Demand forecasting was fairly straightforward: based on the population’s growth and age, the need was 4 beds per thousand and 140 docs per 100,000, give or take a few. In 1996, the Dartmouth Center for the Evaluative Clinical Sciences published the Dartmouth Atlas on Health Care quantifying variability in the intensity of services provided Medicare enrollees in each U.S. zip code. They defined 306 hospital referral regions (HRRs) that remain today as the basis for...
Source: The Health Care Blog - March 28, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Paul Keckley Source Type: blogs

The Future of Value-Based Care Relies Upon Providers: Taking the Reins on Alternative Payment Models
By CHUCK SAUNDERS and NEAL SHORE, MD 2017 was a pivotal year for the growth of value-based care. For many practices, this meant completing their first performance year as part of the Merit-Based Incentive Payment System (MIPS). A much smaller percentage of practices was able to participate in approved advanced Alternative Payment Models (APMs). While practices await feedback on their 2017 performance, early lessons have already become evident. Clearly, as practices are assigned greater responsibility and accountability for patient populations, it becomes increasingly important that they effectively navigate the reimburseme...
Source: The Health Care Blog - March 23, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Hospitalized Patients Are Civilian Casualties in the Government ' s War on Opioids
A recentstory by Pauline Bartolone in the Los Angeles Times draws attention to some under-reported civilian casualties in the government ’s war on opioids: hospitalized patients in severe pain, in need of painkillers. Hospitals across the country are facing shortages of injectable morphine, fentanyl, and Dilaudid (hydromorphone). As a result, trauma patients, post-surgical patients, and hospitalized cancer patients frequently go un dertreated for excruciating pain.Hospitals, including the ones in which I practice general surgery, are working hard to ameliorate the situation by asking medical staff to use prescription opi...
Source: Cato-at-liberty - March 18, 2018 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs

Are physicians ready for single-payer health care?
Single payer health care is enjoying a boomlet in public opinion. A Pew Research Center poll released in June 2017 found that, “Overall, 33 percent of the public now favors such a ‘single payer’ approach to health insurance, up 5 percentage points since January and 12 points since 2014.”  58 percent of those surveyed by Pew said that the government has a responsibility to ensure health for all, with a third saying it should be through a single national government program and 25 percent through a mix of government and private programs.  Another 33 percent said the government is not responsible to ensure health...
Source: Kevin, M.D. - Medical Weblog - March 14, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/bob-doherty" rel="tag" > Bob Doherty < /a > Tags: Policy Public Health & Washington Watch Source Type: blogs

A Four Step Plan For the Value-Based Transformation of the Health Care System
By ALEX AZAR HHS Secretary Alex Azar spoke earlier this week at the American Federation of Hospitals, giving a widely reported speech that offered new details on the Trump administration’s plans for Accountable Care Organizations, the CMS quality measurement program, and a new drive for patient access to medical records. The full text of his remarks follows. – The Editors. It’s a pleasure to be here with all of you today. I want to thank Chip [Kahn] and all of the Federation’s members for inviting me to share our vision for HHS and America’s healthcare system, and how we hope to work with all of you to ma...
Source: The Health Care Blog - March 9, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Alex Azar Source Type: blogs

2018 Forecast: Another Theranos, Hospital Hiring Slows & Successful HIT Exits
By BOB KOCHER, MD and BRYAN ROBERTS For what is now an annual tradition, we are once again attempting to be healthcare soothsayers. We are proud to share with you our 10 healthcare predictions for 2018. In 2017, amaz-ingly, eight of our predictions came true. For 2018, we are betting on the following: 1. Another Theranos We think at least one healthcare information technology company with an enterprise value of more than $1 billion (not including Outcome Health, which we could not have predicted tanking so spectacularly quickly) will be exposed as not having product results to support their hype. It will also expose embar...
Source: The Health Care Blog - February 13, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Bob Kocher Bryan Roberts Venrock Capital Source Type: blogs

Brachytherapy for Breast Cancer Follow Up
Back in 2007, when I was diagnosed and treated for my breast cancer, I heard about this new technique for the radiation portion of treatment,brachytherapy. I was jealous. It was not offered at my hospital. The big thing I liked was that it took so much less time for treatment.Breast cancer treatment takes a LONG time. I was diagnosed at the end of May, after two surgeries that went into July, I finished chemo in December, and needed one more surgery (don ' t ask). I was then facing 7 weeks of radiation. I just wanted to be done. Since brachytherapy wasn ' t available I had the standard radiation treatment. I couldn ' t eve...
Source: Caroline's Breast Cancer Blog - February 11, 2018 Category: Cancer & Oncology Tags: breast cancer treatment cancer research radiation Source Type: blogs