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Value Assessment Frameworks: How Can They Meet The Challenge?
Rising health care costs and pharmaceutical prices in particular are among the main factors that have prompted a steady flow of scholarly and lay press articles about moving from paying for volume to paying for value. Proposals from groups such as the Center for American Progress advocate drug pricing based on assessments of comparative effectiveness.
If implemented, value-based assessments of drugs and other health care services would influence payer, provider, and patient decision making, and likely patient outcomes as well. Each of these approaches assumes that some calculus of value could reliably be measured, would ap...
Source: Health Affairs Blog - March 2, 2017 Category: Health Management Authors: Robert Dubois and Kimberly Westrich Tags: Costs and Spending Drugs and Medical Innovation cost effectiveness analysis ICER value-based insurance design value-based purchasing Source Type: blogs
The Future Of Precision Medicine: Great Promise, Significant Challenges
Editor’s note: This post is part of a series stemming from the Fifth Annual Health Law Year in P/Review event held at Harvard Law School on Monday, January 23rd, 2017. The conference brought together leading experts to review major developments in health law over the previous year, and preview what is to come.
In his 2015 State of the Union address, President Obama launched the Precision Medicine Initiative (PMI), which is intended to help move medicine from the traditional “one-size-fits-all” approach where treatments are designed for the “average” patient, to one that “takes into account individual diffe...
Source: Health Affairs Blog - February 28, 2017 Category: Health Management Authors: Jonathan Darrow, Aaron Kesselheim and Jessica Lasky-Su Tags: Costs and Spending Featured Quality 21st Century Cures Act cancer moonshot cancerr Precision Medicine Research The Health Law Year in P/Review Source Type: blogs
Non-Alternative Facts About the Healthcare System
By JOE FLOWER
The economic fundamentals of healthcare in the United States are unique, amazingly complex, multi-layered and opaque. It takes a lot of work and time to understand them, work and time that few of the experts opining about healthcare on television have done. Once you do understand them, it takes serious independence, a big ornery streak, and maybe a bit of a career death wish to speak publicly about how the industry that pays your speaking and consulting fees should, can, and must strive to make half as much money. Well, I turn 67 this year and I’m cranky as hell, so let’s go.
The Wrong Question
We are ba...
Source: The Health Care Blog - February 26, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
21st Century Cures Act Lowers Confidence In FDA-Approved Drugs And Devices
President Barack Obama signed the 21st Century Cures Act on December 13, 2016, bringing into law a piece of health care policy legislation that some describe as landmark. The Act is the result of years of debate on how best to approach a wide range of health care policy goals, from funding for and approval of new drugs to the growing nationwide problem of opioid abuse.
First introduced in the House in January 2015, the new law went through seven iterations and grew to more than 1,000 pages before landing on the President’s desk. The final version invests in new therapies, injects money into health research and named ini...
Source: Health Affairs Blog - February 14, 2017 Category: Health Management Authors: Deborah Mazer and Gregory Curfman Tags: Drugs and Medical Innovation Drugs and Medical Technology Quality 21st Century Cures Act Drug approval FDA medical devices off-label promotion Patient Safety Source Type: blogs
How Can We Increase The Use Of Palliative Care In Medicare?
In August, 2016, a 93-year-old woman—the grandmother of one of this Blog post’s authors—died of congestive heart failure, five weeks after she underwent surgery to receive a pacemaker. There were alternative care options, but they were not offered to her and her family in a timely manner, at least in part because of Medicare’s long-standing payment rules that value procedures over discussion of goals and alleviation of symptoms. Medicare paid for the surgery and pacemaker with no questions asked, even though the procedure was, in retrospect, unproductive, wasteful, and even harmful from the family’s persp...
Source: Health Affairs Blog - February 13, 2017 Category: Health Management Authors: Donald Taylor, Matthew Harker, Andrew Olson and Janet Bull Tags: End of Life & Serious Illness Medicare Alternative Payment Models Dying in America Medicare Part B Palliative Care Source Type: blogs
Tucked Away In The Cures Act, A Better Option For Addressing Readmission Penalties For Safety-Net Providers
Along with accelerating the Food and Drug Administration (FDA) approval processes, funding the Cancer Moonshot, and strengthening mental health and substance abuse treatment programs, the wide-ranging 21st Century Cures Act, signed into law on December 13, 2016, also directs the Secretary of Health and Human Services (HHS) to change the way pay-for-performance penalties are applied to safety-net hospitals. This is a move in the right direction.
The Hospital Readmissions Reduction Program (HRRP), authorized by the Affordable Care Act, aims to improve care and outcomes for patients by assessing hospitals’ risk-standardize...
Source: Health Affairs Blog - February 7, 2017 Category: Health Management Authors: Susannah Bernheim and Karen Dorsey Tags: Costs and Spending Health Equity Hospitals Payment Policy Quality Hospital Readmissions Reduction Program safety-net providers Source Type: blogs
The Inconvenient Truth about the Military and Veterans Health Systems? They ’ re Working Just Fine.
By PAUL KECKLEY
Lieutenant colonel Justin Constantine USMC
Through the years, I’ve had the honor of speaking to groups after they heard from notables like Michael J. Fox, Sammy Hagar, Jeff Immelt, U.S. Secretaries of Health Tommy Thompson and Mike Leavitt, Warren Buffet and others. They’re the headliners and I usually follow them with a less celebrated presentation about the current issues and future in healthcare.
Earlier this month, in Arizona, I spoke to 3M’s annual healthcare conference following Lt. Colonel Justin Constantine, a Marine who served from 1997-2013. Justin’s story is profound: he was plying hi...
Source: The Health Care Blog - February 5, 2017 Category: Consumer Health News Authors: John Irvine Tags: OP-ED Uncategorized Source Type: blogs
Dear Mr. President: Here ’ s the Inconvenient Truth about the Military and Veterans Health Systems
By PAUL KECKLEY
Lieutenant colonel Justin Constantine USMC
Through the years, I’ve had the honor of speaking to groups after they heard from notables like Michael J. Fox, Sammy Hagar, Jeff Immelt, U.S. Secretaries of Health Tommy Thompson and Mike Leavitt, Warren Buffet and others. They’re the headliners and I usually follow them with a less celebrated presentation about the current issues and future in healthcare.
Earlier this month, in Arizona, I spoke to 3M’s annual healthcare conference following Lt. Colonel Justin Constantine, a Marine who served from 1997-2013. Justin’s story is profound: he was plying hi...
Source: The Health Care Blog - February 5, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
Can Community Health Centers Fill The Health Care Void Left By Defunding Planned Parenthood?
House Speaker Paul Ryan has stated that the House bill to repeal the Affordable Care Act (ACA), like its 2016 Congressional predecessor vetoed by President Obama, will include a provision that excludes certain providers that furnish abortions (other than those permitted under the Hyde Amendment) from the Medicaid program. Not only would such providers be excluded for family planning services; their exclusion would extend to the full range of Medicaid-covered services furnished in primary and preventive settings, such as breast and cervical cancer screening, mammograms, diagnosis and treatment of sexually transmitted diseas...
Source: Health Affairs Blog - January 27, 2017 Category: Health Management Authors: Sara Rosenbaum Tags: Costs and Spending Featured Organization and Delivery Population Health Quality Community Health Centers Congress Paul Ryan Planned Parenthood Primary Care Republicans Women's Health Source Type: blogs
We must tell sad medical stories too
This post is based on a “friend of a friend” situation. Important details have been changed to protect anonymity, but not the basic realities I want to discuss.
A 49-year old man was diagnosed with a rare form of lung cancer about a year and a half ago. This sad situation is compounded by the fact that he was in a stable marriage with a wife and two children, ages 10 and 14.
The man and his family did what anyone would do in this situation. They sought aggressive therapies to fight the cancer. They were willing to travel hundreds, even thousands, of miles to find promises of the latest and most aggressive treat...
Source: Kevin, M.D. - Medical Weblog - January 12, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/richard-young" rel="tag" > Richard Young, MD < /a > Tags: Physician Cancer Source Type: blogs
ACA Round-Up: Robust Marketplace Enrollment, CBO On Defining Health Insurance, And More
As of December 19, 2016, the extended deadline for enrolling in coverage for January 1, 2017, 6,356,488 consumers were covered by plans selected on HealthCare.gov, the Department of Health and Human Services announced on December 21. This was over 400,000 more than last year when applications closed for January 1, 2016 coverage on December 17, 2015. This included 2,049,127 new consumers and 4,307,361 returning consumers. Over 2.3 million signed up between December 11 and 19.
These numbers include neither state marketplace enrollees nor 2016 enrollees who will be batch auto-enrolled for 2017 over the next few days. In 2016,...
Source: Health Affairs Blog - December 22, 2016 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage Source Type: blogs
5 Reasons the Christmas Season Is the Worst Time for Workplace Incivility
We’re rapidly approaching the worst time workplace incivility. What is that time? I believe it’s the Christmas season — but why? Here are my 5 main reasons:
1) Social activity ramps up during December. There are work Christmas parties to contend with (oftentimes more than one) and difficult people are even more difficult with an increased blood alcohol level. Harassment, gossip, “walking on eggshells” and “making nice” can all place you under such increased strain that the temptation to drink and “make it all go away” is powerful.
What You Can Do: Only attend the Christmas party if you must ...
Source: World of Psychology - December 14, 2016 Category: Psychiatry & Psychology Authors: Sophie Henshaw, DPsych Tags: Addiction Anger General Holiday Coping Industrial and Workplace Self-Help Stress Christmas deadlines Hannukah Harassment Holiday Party Hostile Workplace Office Christmas party work stress Workplace Stress Source Type: blogs
21st Century Cures Act Becomes Law, Improves U.S. National Mental Health Efforts
When President Obama signed the 21st Century Cures Act on December 13th, he signed into law one of the most sweeping efforts to provide additional programs and funding for health conditions and innovation in America, including cancer, Alzheimer’s disease, opioid addiction, medical devices, access to new drugs, and mental health. The Cures Act includes the major provisions of the Senate mental health compromise bill, Mental Health Reform Act of 2016, as well as a few additional provisions from the House’s over-reaching Helping Families in Mental Health Crisis Act of 2016 bill.
While the bill goes a long way in h...
Source: World of Psychology - December 13, 2016 Category: Psychiatry & Psychology Authors: John M. Grohol, Psy.D. Tags: General Mental Health and Wellness Policy and Advocacy 21st century cures Helping Families in Crisis mental health reform act Mental Illness Source Type: blogs
Destroying the FDA to save it? No, more like just destroying it.
Yesterday, I noted the passage of the 21st Century Cures Act, a Hobson’s choice of a bill for those of us who support increased biomedical research funding that basically said: You can have an increase in the NIH budget. You can have the Cancer Moonshot. You can have President Obama’s Precision Medicine Initiative and his…
Source: Respectful Insolence - December 9, 2016 Category: Surgery Authors: Orac Tags: Cancer Clinical trials Medicine Politics Popular culture Skepticism/critical thinking Donald Trump fda Food and Drug Administration Jim O'Neill libertarian Mithril Capital Management Peter Thiel Source Type: blogs
Medicaid, Meet Indiana
By JONATHAN HALVORSON
We will soon have a Vice President and a head of CMS who hail from the great state of Indiana, and are proud of what they’ve done with Medicaid there through the Healthy Indiana Plan. Seema Verma, the proposed CMS Administrator, is credited with being the architect of Healthy Indiana, and Mike Pence, the Vice President-elect, presents Healthy Indiana as one of the signature achievements of his term as governor of that state.
It is too early to tell if the program will be enough to raise Indiana up the ranks on health and healthcare from the bottom quintile (1, 2). However, since Republicans have r...
Source: The Health Care Blog - December 2, 2016 Category: Consumer Health News Authors: Jonathan Halvorson Tags: Uncategorized Source Type: blogs
