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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
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
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
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
Senate HELP Committee Holds Hearing on Opioids and the Impact on Families
Conclusion
In a moment of rare bipartisanship, Committee members came together to agree that additional funding was needed to address the opioid crisis and provide opioid use disorder (OUD) sufferers with adequate anti-addiction resources. The bipartisanship ended, however, Democrats specifically criticized recent budget cuts by the administration and recommended that additional federal funding should be directed towards Medicaid and other health care institutions that work to support the families of opioid users.
Related StoriesHouse Holds Hearing on Opioid CrisisState of the...
Source: Policy and Medicine - February 22, 2018 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs
Proposed Medicare Changes to Limit Opioid Prescribing
by Chad KollasOn February 1, 2018, the Centers for Medicare& Medicaid Services (CMS)published its Advance Notice of Methodological Changes for Calendar Year 2019. Included in these proposed rules were several directives intended to reduce" Opioid Overutilization ” (see p. 202), including formal adoption of the “90 morphine milligram equivalent (MME) threshold cited in the CDC Guideline, which was developed by experts as the level that prescribers should generally avoid reaching with their patients (p. 203). ” CMS proposed “adding additional flags for high-risk beneficiaries who use ‘potentiator’ drugs (such...
Source: Pallimed: A Hospice and Palliative Medicine Blog - February 4, 2018 Category: Palliative Care Tags: CMS health policy kollas medicare opioids Source Type: blogs
Burnout Returns to Center Stage
A recentMayo Clinic Proceedings guesteditorial, by Yale University physician Kristine Olson, asks the question--to some of us it ' s far from a rhetorical one--whether burnout among her fellow physicians is in fact " A Leading Indicator of Health System Performance? "Seems to me that her gist is: yes, it surely must be just such an indicator. If she ' s right, then our system ' s performance is in a heap of trouble.What is burnout? Our fearless editor, Dr. Poses, has addressed it repeatedly, including a few months agohere in these pages. But burnout is actually hard to delineate and hard to quantify. People quitting? ...
Source: Health Care Renewal - January 30, 2018 Category: Health Management Source Type: blogs
Hospice Care is covered by Medicare and Most Other Insurance
Dear Carol: My dad has aggressive prostate cancer that has spread to his liver and bones. His oncologist isn’t very communicative and when I asked about hospice care he said that’s up to us. He told us that Dad won’t get better but that he can keep treating him if we want. The treatments make Dad miserable. If they won’t help, what’s the point? I feel strongly that Dad needs hospice care and have been trying to talk my mom into it but she’s dragging her feet. How do we go about getting the service? Which one do we choose? Will Mom have to go on Medicaid to get it paid for? This is her biggest fear. – ST...
Source: Minding Our Elders - January 14, 2018 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
New Evidence in JAMA Shows Insurance Gaps Leave Some Cancer Patients Without
BY BAILEY FITZGERALD
“How long do I have?”
The man was just diagnosed with lung cancer.
“That depends,” his doctor says. “What insurance do you have?”
New research suggests that conversations like these may be actually taking place across the country. Todd Pezzi and colleagues analyzed a national database for treatment outcomes for patients with limited stage non-small cell lung cancer, a diagnosis with high rates of response to treatment. The results, reported in JAMA Oncology last week were astounding: patients with Medicare, Medicaid, or no health insurance received different, and often worse, care than thos...
Source: The Health Care Blog - January 12, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Bailey Fitzgerald Cancer JAMA Oncology Standard of Care Source Type: blogs
New Evidence in JAMA Shows Insurance Gaps Leave Some Cancer Patients Without Treatment
BY BAILEY FITZGERALD
“How long do I have?”
The man was just diagnosed with lung cancer.
“That depends,” his doctor says. “What insurance do you have?”
New research suggests that conversations like these may be actually taking place across the country. Todd Pezzi and colleagues analyzed a national database for treatment outcomes for patients with limited stage non-small cell lung cancer, a diagnosis with high rates of response to treatment. The results, reported in JAMA Oncology last week were astounding: patients with Medicare, Medicaid, or no health insurance received different, and often worse, care than thos...
Source: The Health Care Blog - January 12, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Bailey Fitzgerald Cancer JAMA Oncology Standard of Care Source Type: blogs
