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Fast Facts about Medicare and Social Security
Romina Boccia and Dominik LettMedicare and Social Security are the two largest federal government programs that are also growing the fastest. They are fiscally unsustainable as currently structured. Medicare consists of four parts which provide inpatient care (Part A), outpatient care (Part B), prescription drug coverage (Part D), and subsidies for seniors to choose alternative health insurance providers through Medicare Advantage (Part C). Social Security consists of Old Age and Survivors Insurance (OASI) and Disability Insurance (DI). For the purposes of this fact sheet, Social Security will refer to OASI only. This fact...
Source: Cato-at-liberty - April 13, 2023 Category: American Health Authors: Romina Boccia, Dominik Lett Source Type: blogs
Obesity is crippling the US, but there are solutions
By STEPHANIE TILENIUS
Well over a third of Americans are obese — and the percentage keeps growing at a staggering rate. Over the last twenty years, obesity prevalence grew from 30% to 42% of the US population and rates of severe obesity nearly doubled. If we don’t make serious changes to our healthcare system, it’s scary to think where we’re headed in a few short years.
The fact is, obesity is far from a cosmetic condition. It can be a devastating disease and was classified as such by the American Medical Association in 2013. Obesity is the leading risk factor for deadly diseases like type 2 diabetes, heart d...
Source: The Health Care Blog - April 13, 2023 Category: Consumer Health News Authors: matthew holt Tags: Health Policy GLP-1 Obesity Stephanie Tilenius vida health Source Type: blogs
Murderous capitalism
This essay by Hunter is mostly a summary of a Washington Post story but I ' m sending you there because of the WaPo paywall. It ' s rather long-winded and repetitive -- you ' ll pretty much get the idea before you read to the end. To put it in a coconut shell, the first main point is that the only purpose of AR-15 rifles and knockoffs thereof is to kill humans. They are military rifles that can get off a lot of not particularly well-aimed shots quickly and that cause horrendous tissue damage. They are not useful for hunting or target shooting or any other conceivable " sport. " They are military weapons designed to k...
Source: Stayin' Alive - March 28, 2023 Category: American Health Source Type: blogs
AI: Not Ready, Not Set – Go!
By KIM BELLARD
I feel like I’ve written about AI a lot lately, but there’s so much happening in the field. I can’t keep up with the various leading entrants or their impressive successes, but three essays on the implications of what we’re seeing struck me: Bill Gates’ The Age of AI Has Begun, Thomas Friedman’s Our New Promethean Moment, and You Can Have the Blue Pill or the Red Pill, and We’re Out of Blue Pills by Yuval Harari, Tristan Harris, and Aza Raskin. All three essays speculate that we’re at one of the big technological turning points in human history.
We’re not ready.
The subtitle ...
Source: The Health Care Blog - March 27, 2023 Category: Consumer Health News Authors: matthew holt Tags: Health Tech AI Health care tech Kim Bellard Source Type: blogs
Taking Social Determinants of Health (SDoH) From Data to Analysis and Action
The following is a guest article by Diana Zuskov, MPH, Associate Vice President of Healthcare Strategy at LexisNexis® Risk Solutions.
SDoH Success Stories to Inspire Adoption and Action in Your Organization
Healthcare organizations are spending significant resources – time, money, and human capital – to address social determinants of health (SDoH) and health equity. Effective execution requires going upstream of the programming itself to understand the social determinants of a population.
According to Data Bridge Market Research, the U.S. SDoH market is growing with a compound annual growth rate (CAGR) of 22.9% betw...
Source: EMR and HIPAA - March 24, 2023 Category: Information Technology Authors: Guest Author Tags: Analytics/Big Data C-Suite Leadership Health IT Company Healthcare IT Hospital - Health System Interoperability Clinical Data Data Action Data Analysis Diana Zuskov EHR Electronic Health Records Health Gorilla Health Gorilla’s Source Type: blogs
Markets at Work: DNA Sequencing
Chris Edwards and Ilana BlumsackTheWall Street Journal recentlyprofiled companies racing to slash the cost of genome sequencing. The progress has been remarkable, and the advances may generate vast benefits for human health. The article says that two decades ago it cost millions of dollars to sequence a genome, but since then one company has led the way in driving costs down:“Illumina in 2010 released a machine enabling genome sequencing for about $10,000… Subsequent innovations dropped the cost to $1,000 in 2014, and to $600 in 2020. Illumina is rolling out a new instrument series, NovaSeq X, that reduces it to ...
Source: Cato-at-liberty - March 3, 2023 Category: American Health Authors: Chris Edwards, Ilana Blumsack Source Type: blogs
Fight Aging! Newsletter, February 27th 2023
This study tested the hypothesis that ischemic vascular repair in aging by Ang-(1-7) involves attenuation of myelopoietic potential in the bone marrow and decreased mobilization of inflammatory cells.
Young or Old male mice of age 3-4 and 22-24 months, respectively, received Ang-(1-7) for four weeks. Myelopoiesis was evaluated in the bone marrow (BM) cells by carrying out the colony forming unit (CFU-GM) assay followed by flow cytometry of monocyte-macrophages. Expression of pro-myelopoietic factors and alarmins in the hematopoietic progenitor-enriched BM cells was evaluated. Hindlimb ischemia (HLI) was induced by ...
Source: Fight Aging! - February 26, 2023 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
More Visible Examples of Progress in the Longevity Biotech Industry in 2022
Much of the progress that takes place year after year in any segment of the broader biotech industry is invisible, and the growing portion of that industry focused on aging and longevity is no exception. Biotech is not a high profile industry, particularly because of the heavy dependence on intellectual property and trade secrets as a basis for government-granted monopolies on particular treatments. Details are kept quiet least larger entities in the industry to decide replicate a therapy and call it their own, because the potential rewards are worth the near certainty of a lawsuit. Thus every visible presentation or press...
Source: Fight Aging! - February 22, 2023 Category: Research Authors: Reason Tags: Longevity Industry Source Type: blogs
Retrieving Billions in Overpayments by CMS
This article focuses on the relatively young technologies that enable CMS to uncover overbillings, whether they be errors or fraud. The article is based on an interview with Kel Pults, chief clinical officer and vice president of MediQuant. A future article will explain how Medicare Advantage plans are trying to improving data collection and reporting, and how AI helps.
Challenges of Investigating Overpayments
Undeserved payments are needles lurking in the haystack of 135 million Americans enrolled in Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). But the needles pile up fast. Improper payments f...
Source: EMR and HIPAA - February 17, 2023 Category: Information Technology Authors: Andy Oram Tags: AI/Machine Learning Analytics/Big Data Health IT Company Healthcare IT Regulations Revenue Cycle Management #COVID19 CMS COVID Reimbursement Healthcare AI Healthcare Analytics Kel Pults MAOs Medicare Advantage MediQuant Overp Source Type: blogs
All Three Legs of the Obamacare Stool Are Working Well – Part 2
BY GEORGE HALVORSON
2022 Medicare Advantage data gathering process change made last year just made upcoding for plans irrelevant and impossible, but the critics do not accept that it happened.
CMS just ended that upcoding debate for 2022 by completely killing the coding system for the plans, effective immediately. The plans can’t code risk levels up because the coding system was eliminated entirely for 2022.
RAPS is dead.
The payment approach for Medicare Advantage now has no upcoding components and the government just used their new and more accurate numbers to create the 2023 payment level for the pla...
Source: The Health Care Blog - February 17, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Health Policy Affordable Care Act Medicaid Medicare Medicare Advantage Obamacare Source Type: blogs
Mark Cuban Cost Plus Drug Company ( " MCCPDC " ) PBC May Be Able to Say " Mission Accomplished " Even if Sales Stop Growing
On January 19, 2022, a startup called theMark Cuban Cost Plus Drug Company ( " MCCPDC " )opened its doors to the American public as a new online pharmacy and generic manufacturing startup. Initially, MCCPDC was also planning to launch its own Pharmacy Benefit Manager, but it later scrapped those plans, instead announcing several PBM partnerships with some PBM startups which do not engage in " spread pricing " , including on generic, biosimilar and " authorized generic " drugs. The company bears the name of its famous principal investor, multibillionaire Mark Cuban, who is perhaps best known as both owner of the NBA te...
Source: Scott's Web Log - February 7, 2023 Category: Endocrinology Tags: authorized generic 2023 Alex Oshmyansky authorized generics Biosimilar biosimilars Cost Plus costplus drug company drug prices drug pricing generic drugs mark cuban Mark Cuban Cost Plus Drug Company Source Type: blogs
The “Antebellum Paradox”: What is it and why it matters.
BY MIKE MAGEE
I recently made the case that “Health is foundational to a functioning democracy. But health must be shared and be broadly accessible to be an effective enabler of good government.” I also suggested that the pursuit of good health is implied and imbedded in the aspirational and idealistic wording of our U.S. Constitution, and that the active pursuit of health as a nation is essential if we wish to rise to Hamilton’s challenge in Federalist #1 and prove that we are “capable of establishing good government from reflection and choice.” So why are native white males lagging behind in health?
...
Source: The Health Care Blog - January 30, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Health Policy antebellum paradox health informatics Mike Magee Population Health Source Type: blogs
Using Design Thinking to Advance SDOH Data Exchange Initiatives
The following is a guest article by Sarah Samis, VP, Public Health Products & Platforms at GCOM.
Chronic diseases, which most Americans have at least one of, are the leading causes of death and disability in the U.S. These ongoing and usually incurable diseases account for more than 80% of hospital admissions, 90% of prescriptions filled, and 75% of all physician’s visits. Two-thirds of all deaths are caused by five chronic diseases in particular: heart disease, cancer, stroke, diabetes, and chronic obstructive pulmonary disease.
Preventing and managing chronic disease is not solely a job for an individual and thei...
Source: EMR and HIPAA - January 26, 2023 Category: Information Technology Authors: Guest Author Tags: Analytics/Big Data Communication and Patient Experience Healthcare IT cancer CDC Center for Disease Control Chronic Diseases Chronic Illness Chronic Obstructive Pulmonary Disease Data Exchange Design Thinking diabetes GCOM Heart Source Type: blogs
Evidence based medicine and politics
I ' m not sure if you can read this -- I have a cookie that gives me access, but the URL doesn ' t include the proxy server and it appears to be accessible. Let me know. Anyway, it ' sa discussion in NEJM of the U.S. Preventive Services Task Force. The USPSTF is a panel of clinical experts convened by the Agency for Healthcare Research and Quality, AHRQ, which is usually pronounced like ark. It draws on available research to evaluate screening tests and preventive interventions. An A or B grade means they recommend it. A C grade means it might be worthwhile for some people, but you should discuss it with your doctor and ma...
Source: Stayin' Alive - January 5, 2023 Category: American Health Source Type: blogs
Healthcare AI – 2023 Health IT Predictions
As we head into 2023, we wanted to kick off the new year with a series of 2023 Health IT predictions. We asked the Healthcare IT Today community to submit their predictions and we received a wide ranging set of responses that we grouped into a number of themes. Check out our communities predictions below and be sure to add your own thoughts and/or places you disagree with these predictions in the comments and on social media.
Check out our community’s healthcare AI predictions.
Evangelos Hytopoulos, Sr. Director of Data Science at iRhythm Technologies
There is no doubt that AI has become mainstream in many areas....
Source: EMR and HIPAA - January 3, 2023 Category: Information Technology Authors: John Lynn Tags: AI/Machine Learning Health IT Company Healthcare IT 2023 Health IT Predictions 4D Path Carlene MacMillan CommBox Dave Bennett Evangelos Hytopoulos Gabriel Mecklenburg Healthcare AI Hinge Health iRhythm Technologies Judy Jiao Na Source Type: blogs
