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Am I the first user of the Hospice Compare website?
In a terrible twist of fate, the very day that the Centers for Medicare & Medicaid Services (CMS) Hospice Compare website went live, I found myself in a pulmonologist’s office with my parents, taking in the news of my mother’s advanced cancer and malignant pleural effusion. The shock of it, and the uncanny timing are beyond comprehension. You see, I’ve been leading research at RTI International and funded by CMS to develop the Hospice Quality Reporting Program and Hospice Compare since 2010. And now I stand to benefit from my own work in a way that I didn’t imagine would happen this soon in my life — as a...
Source: Kevin, M.D. - Medical Weblog - September 8, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/franziska-rokoske" rel="tag" > Franziska Rokoske < /a > Tags: Policy Hospital-Based Medicine Palliative Care Public Health & Source Type: blogs

Contracts for Retirement Communities May Require Expert Help to Fully Understand
Dear Carol: My husband and I are trying to help my brother select a retirement community that would also offer assisted living for his future needs. He’s 74 and has early Parkinson's disease so he wants to make this move soon. Our experience with trying to decipher the pricing structures of the places that we visited has been enormously frustrating.  Is there some sort of resource that covers retirement living contracts that transition to assisted living and perhaps even nursing care? We really need some guidance. Thanks for any help that you can provide. – TL Read full article on Inforum about the ins and ...
Source: Minding Our Elders - September 3, 2017 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

An Educational Conversation
I had an interesting conversation. I am doing some research on hospices and palliative care (for someone else, not me). I met with a social worker who used to work for a hospice. She was very helpful.I had no idea how hospice care worked, especially at home. Basically hospice care includes palliative care. If you have hospice care at home everything comes to you. Doctors, nurses, social workers, and more. It lasts for up to six months. If, at the end of the six months you are still alive, you can be recertified for more hospice time (I think) unless you are too healthy and stable and then its back to reality.Hospice c...
Source: Caroline's Breast Cancer Blog - September 1, 2017 Category: Cancer & Oncology Tags: dying hospice palliative Source Type: blogs

The EpiPen Whistleblower Saga Comes to a Close
Last week, Mylan Inc. and Mylan Specialty L.P. (hereinafter “Mylan”) reached an agreement with the United States Department of Justice (“DOJ”) to pay $465 million to resolve claims that they violated the False Claims Act (“FCA”). Mylan knowingly misclassified EpiPen as a generic drug, attempting to avoid paying rebates that were owed to Medicaid. The settlement resolves the government’s allegations that Mylan, by erroneously reporting EpiPen as a generic drug to Medicaid despite the absence of any therapeutically equivalent drugs, was able to demand massive price increases in the private market while avoidin...
Source: Policy and Medicine - August 31, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

A Stealth Marketer Goes Through the Revolving Door to ... the President ' s Council of Economic Advisors?!
Stealthy, deceptive systematicmarketing,lobbying, andpolicy advocacy campaigns on behalf of big health care organizations, often pharmaceutical, biotechnology and medical device companies, have long been a subject of Health Care Renewal.  A relatively recently revealedexample was the stealth marketing campaign used by GlaxoSmithKline to sell its antidepressant Paxil.  This campaign includedmanipulating andsuppressing clinical research,bribing physicians to prescribe the drug, use ofkey opinion leaders as disguised marketers, and manipulation ofcontinuing medical education.  Other notable examples included Jo...
Source: Health Care Renewal - August 24, 2017 Category: Health Management Tags: conflicts of interest deception Donald Trump revolving doors stealth health policy advocacy stealth lobbying stealth marketing Source Type: blogs

To Combat ‘Information Blocking,’ Look To HIPAA
Back in 2009, when the Health Information Technology for Economic and Clinical Health (HITECH) Act became law, US taxpayers committed $300 million to seed nationwide health information exchange. Taxpayers also agreed to pay what turned out to be $35 billion in incentive payments for physicians and hospitals to adopt and “meaningfully use” electronic health records (EHRs). In implementing the meaningful-use program, the Centers for Medicare and Medicaid Services (CMS) required eligible providers and hospitals to attest to certain activities, including engaging in health information exchange and providing their patients ...
Source: Health Affairs Blog - August 24, 2017 Category: Health Management Authors: Lucia C. Savage Tags: Health IT 21st Century Cures electronic health records HIPAA information blocking medical data privacy Source Type: blogs

Making Smoking Cessation Work For People With Mental Illnesses And Other Vulnerable Populations
The prevalence of cigarette smoking among adults is now at a modern low of 15 percent, and youth rates are also down for high school seniors, with only 3.4 percent smoking daily. Yet this is not a time to become complacent and move on to other public health problems. As many as 40 million people still smoke, and half of them will die prematurely as a result. Furthermore, smoking rates remain high among the most vulnerable populations, such as people with mental illnesses or substance use disorders, necessitating policies and strategies targeted specifically at them, as well as support for tobacco control at the federal, st...
Source: Health Affairs Blog - August 23, 2017 Category: Health Management Authors: Steven Schroeder Tags: Featured Health Equity Population Health Public Health Behavioral Health Mental Illness smoking cessation Substance Use Disorders vulnerable populations Source Type: blogs

Did Medicaid Expansion Cause The Opioid Epidemic? There ’s Little Evidence That It Did.
Conclusion Some Medicaid recipients who gained coverage under the ACA may have become addicted to opioids, but we find little evidence that Medicaid expansion caused aggregate drug-related death rates to increase. Future research on the opioid epidemic should develop approaches that untangle the effects of Medicaid expansion from pre-existing economic trends and the spread of accessible illegal drugs. That said, by addressing the causes of addiction and promoting appropriate treatment, Medicaid could be an important tool for policy makers in the fight against opioid abuse. In January 2016, the Centers for Medicare and Medi...
Source: Health Affairs Blog - August 23, 2017 Category: Health Management Authors: Andrew Goodman-Bacon and Emma Sandoe Tags: Following the ACA Medicaid and CHIP Public Health Quality Medicaid expansion opioid epidemic Source Type: blogs

Policy Primers: Public Coverage And Prescription Drug Pricing
Health Affairs has released the next set in a series of peer-reviewed health policy briefs on key issues currently shaping the prescription drug market. Each brief offers a short, accessible overview of the issue and a close examination of how it affects pricing. This second set of briefs tell the story of different prescription drug coverage mechanisms (who pays whom and how much), how they interact with other pricing measures, and what future reforms might look like. They are: MEDICARE PART B The Medicare Part B “buy and bill” payment structure for physician-administered drugs also influences private-sector prices. M...
Source: Health Affairs Blog - August 10, 2017 Category: Health Management Authors: Health Affairs Tags: Elsewhere@ Health Affairs Featured Health Policy Briefs Source Type: blogs

More Than 1 Million Young Caregivers Live In the United States, But Policies Supporting Them Are Still ‘Emerging’
Being a family caregiver today is a demanding responsibility. If caregiving is stressful for the “typical” caregiver—a 49-year-old woman—think how much more is at stake when the caregiver is a child or teenager. Yet more than a million youngsters ages 8–18 take on challenging tasks to help a parent, grandparent, sibling, or other relative. While that number is undoubtedly an underestimate, it does not even include an emerging subgroup—children whose parents are struggling with opioid addiction. If we have limited information about the young people taking care of those with diabetes, cancer, and ...
Source: Health Affairs Blog - August 7, 2017 Category: Health Management Authors: Carol Levine Tags: Featured Population Health Public Health Quality Agnes Leu child caregivers family caregivers National Alliance for Caregiving Saul Becker United Hospital Fund Source Type: blogs

The Skinny On The Senate ACA Debate, Day Three
Editor’s note: This post is part of ongoing Health Affairs Blog coverage by Tim Jost of the Senate debate over repealing and replacing—or maybe just repealing, or maybe just minimally repealing, or maybe retaining—the Affordable Care Act. See Tim’s earlier post and updates for more coverage. Update: Medicare-for-All And Abortion At about 2:30, the Senate voted on an amendment put forward by Senator Daines (R MT) incorporating the House Medicare-for-All bill. His intent was to embarrass and perhaps divide the Democrats by forcing them to vote on a proposal that some of them embrace, but some do not. In fact,...
Source: Health Affairs Blog - July 27, 2017 Category: Health Management Authors: Timothy Jost Tags: Costs and Spending Following the ACA Insurance and Coverage 1332 waivers Congressional Budget Office employer mandate individual mandate medical device tax skinny ACA repeal Source Type: blogs

Senate GOP Wins Vote To Debate Health Care, Then Loses Vote On ACA Replacement Bill
On July 25, 2017, the United States Senate began its long-awaited debate on repealing the Affordable Care Act. At around 2 in the afternoon, Senate Majority Leader McConnell called up a motion to proceed on consideration of the American Health Care Act, which the House of Representatives had passed on May 4, with a 217 to 213 vote. A motion to proceed on a budget reconciliation bill needs only to pass by a bare majority, but the Republicans hold only 52 of the chamber’s 100 votes, and Republican Senators Collins (ME) and Murkowski (AK) voted against proceeding. What’s Happened So Far There was high drama as Senator McC...
Source: Health Affairs Blog - July 26, 2017 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage abortion coverage ACA repeal and replace employer mandate individual mandate Planned Parenthood Source Type: blogs

Health + Design, Refactored
By ANDY ORAM Health care providers love to vaunt the unique and subtle needs of patients. How many ads have you heard from cancer centers or health clinics touting their flexibility and showing grateful, tear-flecked patients? But key aspects of our health care systems turn out to be rigid and heartless in practice. Despite the compassion of individual staff, our organizations tell patients in dozens of ways that they are widgets on an assembly line: We force patients to come early for every appointment and fill out the same paperwork each time with information they have given before. Patients traverse long, crowded corri...
Source: The Health Care Blog - July 25, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Eliminating The Medicaid Expansion May Cause More Damage Than Congress Realizes
The American Health Care Act (AHCA) and the Senate’s ill-fated Better Care Reconciliation Act (BCRA) attempted to deliver on two promises: 1) protecting patients with preexisting conditions, and 2) eliminating the Medicaid expansion. Though repeal efforts seem to have stalled for the time being, future GOP attempts to replace the ACA will undoubtedly involve the delicate task of appeasing conservative party members while maintaining provisions of the ACA that remain immensely popular with voters. While others have already discussed the failings of the proposed legislation with respect to the Medicaid expansion and preexi...
Source: Health Affairs Blog - July 20, 2017 Category: Health Management Authors: Justin Puckett and Jalpa Doshi Tags: Featured Following the ACA Medicaid and CHIP HIV/AIDS medicaid expansion states Source Type: blogs