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Towards the Recognition of Aging as a Treatable Medical Condition
In recent years numerous groups have made a start on the long road of changing the public view of aging, from considering it a normal state to considering it a pathological state. To have it recognized as a harmful medical condition that can in principle be treated - that medical technologies can be developed for this purpose soon enough to matter. This is a process of unofficial advocacy and persuasion on the one hand, to change minds and educate people, but on the other there is also a strong component of formalism, of working with regulatory definitions. Medical research and development is, sadly, heavily regulated. The...
Source: Fight Aging! - October 6, 2017 Category: Research Authors: Reason Tags: Activism, Advocacy and Education Source Type: blogs

The CHRONIC Care Act Passes Senate, Obstacles Remain
Late last Tuesday night, only hours after Republican leaders announced they were pulling the Graham-Cassidy repeal and replace bill from Senate consideration, the body unanimously passed the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 (the Act). Aiming to improve care for seniors with chronic conditions, the Act first passed the Senate Finance Committee in May of this year. A Health Affairs blog post by former Senators Tom Daschle and Bill Frist, along with in-depth analysis from the Bipartisan Policy Committee, helpfully outline the need for a bipartisan effort to add...
Source: Health Affairs Blog - October 5, 2017 Category: Health Management Authors: Billy Wynne Tags: Costs and Spending Insurance and Coverage Medicaid and CHIP Medicare Organization and Delivery ACA ACO bipartisanship chronic CHRONIC Care Act dual eligibles Long-Term Care Medicare Advantage Telehealth Source Type: blogs

Health 2.0 Fall Conference Startup Pitch Competition: Meet the Companies
This week, healthcare technology innovators, thought leaders, and business owners convene in Santa Clara, California for Health 2.0’s 11th Annual Fall Conference. While this year’s event runs from October 2-4, Medgadget was able to part...
Source: Medgadget - October 3, 2017 Category: Medical Devices Authors: Michael Batista Tags: Exclusive Source Type: blogs

Is It time For Physicians to Unionize?
By NIRAN AL-AGBA, MD Since the birth of our nation, labor unions have existed in one form or another in the United States.  Unions are a force to protect the ‘working population’ from inequality, gaps in wages, and a political system failing to represent specific industry groups.  Historically, unions organize skilled workers in a specific corporation, such as a railroad or production plant, however unions can organize numerous workers within a particular industry.  Known as “industrial unionism”, the union gives a profession or trade a collective and representative voice.  The existence of unions has already ...
Source: The Health Care Blog - September 12, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Oral Contraceptives Should be Free (From the Third-Party Trap)
An argument will soon erupt over the fate of the Affordable Care Act ’s mandate that requires health insurance to cover oral contraceptives at no direct out of pocket cost to the patient. This mandate was never explicitly listed in the ACA as one of the “essential health benefits.” Its inclusion was made at the discretion of the HHS Secretary. According to pres sreports, the Trump Administration is about to relax the requirement.The arguments made in favor of loosening the mandate mostly revolve around the employers ’ right to freedom of conscience. Meanwhile, some advocacy groups fear this will mean many women won...
Source: Cato-at-liberty - September 5, 2017 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs

Think Different about Patient Engagement: Aetna, Apple, and a Vision of Digital Health ’s Future, Part 2
By LYGEIA RICCARDI This is the second post in a series on digital health inspired by Aetna and Apple, whose developing partnership is poised to impact millions of Americans. Part 1 is Mystery Mission in LA. Getting to Patient Engagement “Patient engagement” is a popular phrase in healthcare these days, but how do you actually get people to take a greater role vis a vis their own health and healthcare? As the first Director of Consumer eHealth at ONC in the US federal government, I spent several years making the case for strengthening patient engagement with technology, and trying to figure out how to make it happen a...
Source: The Health Care Blog - August 28, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized 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

Confessions of a Healthcare Super User
BY JEFF GOLDSMITH On July 17 of this year, I journeyed from Charlottesville Virginia, where I live, to Seattle to have my cervical spine rebuilt at Virginia Mason Medical Center, whose Neuroscience Institute has a national reputation for telling patients they don’t need surgery. It was my fifth complex surgical episode in 29 months, after more than fifty years of great health.  My patient experience has been wrenching, and it made me question yet again the conventional wisdom about doctors and patients that dominates much of our current health policy debate. None of these interventions was remotely elective: head and ne...
Source: The Health Care Blog - August 22, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Shock Trauma ’s Violence Intervention Specialists Help Break the Cycle and Change Lives After Violent Injury
It’s heard in the news cycle pretty often in Baltimore – the victim of a gunshot wound or stabbing is taken to Shock Trauma, where they survive their injuries. However, it’s NOT often you hear about what happens to these survivors. How are they recovering from their injuries, mentally and emotionally? What are our teams doing to help them get access to resources to avoid violent injury again? That’s where Leonard Spain and David Ross come in.  They’re both Violence Intervention Case Managers at the University of Maryland Shock Trauma Center.  Anytime someone suffers a violent injury and survives their injuries ...
Source: Life in a Medical Center - August 3, 2017 Category: Universities & Medical Training Authors: UMMC Tags: Community Outreach Miscellaneous patient care Patient Safety and Quality Service Social Work trauma Baltimore baltimore violence shock trauma shooting 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

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

The Most Important Questions About the GOP ’ s Health Plan Go Beyond Insurance and Deficits
By ROSS KOPPEL and JASMINE MARTINEZ Ending healthcare for those who need it will not make them or their problems disappear. On the contrary, the GOP plan will shatter American families and the economy. Nothing magical happens if we stop caring for the elderly, the ones who need vaccinations, the small infections that can be treated for $2 worth of antibiotics, the uncontrolled diabetics, and those with contagious diseases who clean our schools’ offices and homes. They don’t just get healthy. As George Orwell said in Down and Out in Paris and London, “the more one pays for food, the more sweat and spittle one is obli...
Source: The Health Care Blog - July 13, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs