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Health Care Price Tags Won ’t Find You the Best Doctor
This article originally appeared on STAT here. 
Source: The Health Care Blog - March 12, 2019 Category: Consumer Health News Authors: matthew holt Tags: Health Technology Hospitals Physicians health care pricing Michael Millenson Quality of care transparent pricing Source Type: blogs

The Future of the Affordable Care Act: Unscathed by Attacks from the Right, Overtaken on its Left?
By ETIENNE DEFFARGES  Having survived years of attacks from Republicans at the federal level, will the surviving ACA be rendered obsolete by Democrats’ local and state efforts towards universal health care? This could be an ironic twist of fate for Obamacare. Conceived out of the conservative Heritage Foundation’s ideas and an early experiment in Massachusetts under a Republican governor, President Obama’s signature legislative achievement could very well survive its most recent judiciary challenge. But over time the ACA is susceptible to obsolescence, because of the many universal health care solutions being pushed...
Source: The Health Care Blog - January 24, 2019 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Obamacare Affordable Care Act Etienne Deffarges Politics 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

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

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

Facts, Conclusions, and More Questions on the Road to Solving Disparities
By SCOTT COOK, PhD We tested whether new payment mechanisms could be harnessed in health care delivery reform to reduce health and health care disparities. Here’s what we found. First, there were facts that couldn’t be ignored: #1: Children in rural Oregon on Medicaid suffered more health-related dental challenges compared to children with private insurance, including the pain, systemic health problems and disruptions to education that come with them. Advantage Dental, the state’s largest provider of Medicaid services, was determined to do something about it. #2: New mothers on Medicaid in a New York City hospital we...
Source: The Health Care Blog - October 30, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health disparities Medicaid Uncategorized health care delivery reform health care disparities Health care payment reform Source Type: blogs

Vote Blue, Your Country ’ s Lifeblood is At Stake
On this ugly rainy day I find my mind turning to the potentially ugly future. Over the years that I’ve written in my blog I have made no secret of the fact that I’m both Jewish and a Liberal Democrat. I am in mourning for the Jews that were shot yesterday in Pittsburgh. Two of them were developmentally disabled. One was actually a Holocaust survivor. Six others were innocent human beings. I live in Massachusetts, I believe in publicly funded social programs like Welfare, supports for the disabled, elderly, poor, and addicted. I believe in funding public education and special education and bilingual education. I...
Source: Susan's Blog - October 29, 2018 Category: Child Development Authors: Susan Senator Tags: Uncategorized Source Type: blogs

Please support Charles Gaba at ACASignups
By CHARLES GABBA It’s pretty rare that I ask THCB readers to go over to another blog and support that blog with money BUT, today is the day to do that. Charles Gabba has been THE leading source of information about exactly who is signing up for ACA plans on which exchange, and what impact on the ACA Trump et al have had. He’s not in academia, not on some big company or foundation payroll, just a one man band web designer who has basically torpedoed his own business to deliver what I think is a vital service. I support him and anyone interested in health policy could do a lot worse than shove a few bucks a year ...
Source: The Health Care Blog - October 14, 2018 Category: Consumer Health News Authors: matthew holt Tags: Politics THCB Trump ACA ACA Database Charles Gaba Obamacare Source Type: blogs

The Merchants of Death
It occurs to me that a cheap trick to get blog material is to tell you what I lectured about yesterday. Most weeks I lecture Monday Wednesday and Friday, although I have guest lecturers when I can because I ' m lazy and the students would get sick of me anyway. But Friday I talked about the tobacco industry.In 1953, British scientists Doll and Hill published the results of a cohort study that showed that smoking tobacco causes lung cancer. Evidence quickly piled up that it also caused heart disease. Tobacco company scientists got right away that this was all true, and told the executives. (I ' ll tell you how we know this ...
Source: Stayin' Alive - October 13, 2018 Category: American Health Source Type: blogs

Mandated Queries of the Florida Prescription Drug Monitoring Program: Early Experiences from a Cancer Center-based Outpatient Palliative Medicine Clinic
This article describes our e xperiences in the first month of experience with the new law, although we plan to examine queries for a total of three months before closing this QI project.For the purpose of this QI project, we have documented patients ’ demographics, including each patient’s age, gender and limited identifying information, such as patient names and identification numbers; this data will be de-identified for any statistical analysis planned in the future. We also recorded patients’ main diagnosis and pain symptoms, the numbe r of prescribers listed by the PDMP as well as the dose of the patient’s opio...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 14, 2018 Category: Palliative Care Tags: kollas opioids pdmp quality improvement The profession 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

Cats & Dogs: Can We Find Unity on Health Care IT Change?
By MATTHEW HOLT Today we have a humming economy and insane politics. In early 2009 we were in economic meltdown and were about one week into the sanest, soberist Administration and even Congress over many recent decades. In February 2009 They passed a stimulus bill that had a huge impact on the health IT market (and still does). At that time there was much debate on THCB about what the future of health IT policy should look like and how the stimulus “Meaningful Use” money should be spent. My January 2009 summary of that whole debate introduced the notion of “Cats and Dogs in health IT”. They’...
Source: The Health Care Blog - August 15, 2018 Category: Consumer Health News Authors: matthew holt Tags: Matthew Holt 2008 Election EHR Health 2.0 Policy Policy/Politics RHIOs Startups 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

Balancing stewardship and entitlement in health care
Today’s news is full of commentary about work requirements for Medicaid. Is work a prerequisite for health care or is health a prerequisite for work? Not to complicate things, but can we even agree on what health care is? I don’t think we can, and it largely falls back on what we want to share in paying for. A patient with an ugly skin lesion can have it removed if it might be cancer or if it bleeds or causes pain. If it is just ugly, it’s considered cosmetic, and insurance won’t pay for it. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - July 23, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/a-country-doctor" rel="tag" > A Country Doctor, MD < /a > Tags: Policy Public Health & Washington Watch Source Type: blogs