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Total 511 results found since Jan 2013.

A Healthcare Reform Compromise That Just Might Work (Maybe)
By BRIAN JOONDEPH, MD Healthcare reform is stalled, so says Politifact. Fake news or the truth? Hard to know these days. President Trump and Speaker Ryan both sounded optimistic in recent public appearances. The Tweeter-in-Chief this week tweeted, “Great progress on healthcare. Improvements being made – Republicans coming together!” Maybe so, but remember that every TV news network was optimistic over Hillary Clinton’s landslide victory until about 9 PM on election night. Is Trump’s enthusiasm part of “The Art of the Deal”? To quote from the book, “I never get too attached to one deal or one approac...
Source: The Health Care Blog - March 23, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Conservatives Are Using The American Health Care Act To Restrict Private Insurance From Covering Abortion
Earlier this month, House Republicans introduced their first draft of legislation to repeal and replace large portions of the Affordable Care Act (ACA). While they found themselves divided on a wide range of important issues, from the ACA’s Medicaid expansion and subsidies in the form of tax credits, in one area they were united. The new legislation, titled the American Health Care Act (AHCA), includes language barring federal money from being used to support any private insurance plan that covers abortion. These efforts are an extension of a long-term campaign to isolate abortion from the rest of the health care system ...
Source: Health Affairs Blog - March 21, 2017 Category: Health Management Authors: Adam Sonfield Tags: Following the ACA Insurance and Coverage Medicaid and CHIP Abortion abortion coverage ACA repeal and replace Women's Health Source Type: blogs

The Really Bad Reason For Decline in Cancer Rates
There is a really bad reason fordeclining cancer rates. That is when people lose their health insurance and stop going to the doctor. New research has recently found that as people lose their jobs, they lose their health insurance and stop going to the doctor so fewer cancer cases are diagnosed." As the country plunged into recession between 2008 and 2012, something unexpected happened: An earlier small decline in the number of new cancer cases became a much bigger one. "And..." A2015 analysis in the Journal of Cancer covering the years from 1973 to 2008 found that the incidence and treatment of cancer in the United States...
Source: Caroline's Breast Cancer Blog - March 19, 2017 Category: Cancer & Oncology Tags: cancer diagnosis cancer rates politics Source Type: blogs

For Self-Employed Entrepreneurs, Losing The ACA Would Be An Enormous Setback
Lawmakers who dream of gutting the Affordable Care Act (ACA) do not seem to care about its importance to small business owners, particularly those who are solo entrepreneurs. What these politicians fail to understand is that the health care law is the first meaningful insurance reform available to entrepreneurs in decades. In fact, for many self-employed business owners, their firms would not exist without it. That’s why repealing the law is going to be a sizable setback for entrepreneurship. One of the most popular and best-known provisions of the ACA has been particularly important to solo entrepreneurs: the prohibitio...
Source: Health Affairs Blog - March 9, 2017 Category: Health Management Authors: John Arensmeyer Tags: Following the ACA Insurance and Coverage Colorado entrepreneurs Source Type: blogs

ACA Repeal Would Mean Massive Cuts To Public Health, Leaving Cities And States At Risk
When the Affordable Care Act (ACA) was passed a little over six years ago, it brought with it the promise of health insurance for all Americans. It also sought to begin to shift the paradigm for health care in this country, emphasizing value over volume, and recognizing the importance of prevention coupled with appropriate access to care. By now, it is well known that repealing the ACA could leave nearly 20 million Americans uninsured and simultaneously result in millions of job losses across the country. An associated cost that has been less discussed, but no less relevant, is what repeal could mean for the nation’s alr...
Source: Health Affairs Blog - March 7, 2017 Category: Health Management Authors: Chrissie Juliano Tags: Costs and Spending Following the ACA Public Health Big Cities Health Coalition Community Health Prevention and Public Health Fund. Source Type: blogs

R & D Costs For Pharmaceutical Companies Do Not Explain Elevated US Drug Prices
That pharmaceutical companies charge much more for their drugs in the United States than they do in other Western countries has contributed to public and political distrust of their pricing practices. When these higher US prices (which are sometimes cited as being two to five times the prices in Europe) are challenged, the pharmaceutical industry often explains that the higher prices they charge in the US provide them with the funds they need to conduct their high-risk research. This claim—that premiums earned from charging US patients and taxpayers more for medications than other Western countries funds companies’...
Source: Health Affairs Blog - March 7, 2017 Category: Health Management Authors: Nancy Yu, Zachary Helms and Peter Bach Tags: Costs and Spending Drugs and Medical Innovation Payment Policy Big Pharma drug pricing Source Type: blogs

Myths About The Medicaid Expansion And The ‘Able-Bodied’
A conservative critique of the Affordable Care Act’s (ACA’s) expansion of Medicaid eligibility is that it helps adults who are “able-bodied” and may discourage them from working. For example, a policy summary released by House Republicans proposes that “Obamacare’s Medicaid expansion for able-bodied adults [should] be repealed in its current form” (emphasis added). Arkansas Governor Asa Hutchinson has declared that if people are not willing to work and are “able-bodied, they ought to be kicked off the system.” In fact, the great majority of adults covered by the Medicaid expansion are in ill health or are...
Source: Health Affairs Blog - March 6, 2017 Category: Health Management Authors: Leighton Ku and Erin Brantley Tags: Following the ACA Insurance and Coverage Medicaid and CHIP Quality ACA repeal and replace Arizona Medicaid expansion medicaid expansion states Source Type: blogs

Invisible High-Risk Pools: How Congress Can Lower Premiums And Deal With Pre-Existing Conditions
As Congress and the Trump administration move forward with plans to repeal and replace the Affordable Care Act (ACA), they are looking for proven state-led reforms that maintain access for those with pre-existing conditions in the current exchange market while also lowering premiums for everyone buying insurance in the individual market. Maine faced similar challenges in 2011 as it sought to unwind failed experiments that pushed its market into a long-term death spiral. But by creating an invisible high-risk pool and relaxing its premium rating bands, Maine policymakers were able to cut premiums in half while still guarant...
Source: Health Affairs Blog - March 2, 2017 Category: Health Management Authors: Joel Allumbaugh, Tarren Bragdon and Josh Archambault Tags: Following the ACA Health Policy Lab Insurance and Coverage ACA repeal and replace high-risk pools pre-existing conditions Source Type: blogs

Outdated Privacy Law Limits Effective Substance Use Disorder Treatment: The Case Against 42 CFR Part 2
On November 17, 2016, Surgeon General Vivek Murphy released the first report on substance use disorder (SUD) in the U.S. This landmark document described the tremendous toll of alcohol and drug use on the health and well-being of our nation. With the report, the Surgeon General issued a call to action, stating “how we respond to this crisis is a test for America.” Highlighted in the recommendations was the need to address the segregation of SUD treatment outside of medical care and the need to fight persistent stigma. However, full implementation of these recommendations remains nearly impossible so long as the...
Source: Health Affairs Blog - March 1, 2017 Category: Health Management Authors: Sarah Wakeman and Peter Friedmann Tags: Featured Health Professionals Population Health Public Health Quality 42 CFR Part 2 ADA addiction HIPAA opioid epidemic patient privacy Substance Use Disorders Source Type: blogs

Drug Price Debate Could Stall, Unless Consumers Get Engaged
By STEVEN FINDLAY It’s still unclear whether Congress or the Trump administration will try to tackle the prescription drug price/cost issue this year.  Amid ACA repeal and replace, and possible Medicaid and Medicare reform fights, it seems a stretch.    In recent weeks, Trump has also changed his tune on the subject.  Soaring prescription prices were a populist rallying cry at his campaign stops pre-election and then pre-inauguration. (“They’re getting away with murder,” he bellowed, referring to drug companies.) But, fitting a post-inauguration pattern, Trump softened his message after a get-together with p...
Source: The Health Care Blog - February 28, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Reading The Fine Print: Do ACA Replacement Proposals Give States More Flexibility And Authority?
State officials have been heartened by statements from incoming Congressional leadership and the new President that states will gain greater authority and autonomy over their health insurance markets than they have had under the Affordable Care Act (ACA). For example, President Trump’s executive order on the ACA called for giving states “more flexibility and control to create a more free and open health care market.” Similarly, leading members of Congress have said, for example: “States, not the federal government, should have the primary responsibility for health policy,” and suggested that their replacement pla...
Source: Health Affairs Blog - February 23, 2017 Category: Health Management Authors: Sabrina Corlette and Kevin Lucia Tags: Following the ACA Insurance and Coverage interstate insurance States Source Type: blogs

A Million Jobs in Healthcare ’ s Future
By PRAVEEN SUTHRUM “The Future is Here. It’s Just Not Evenly Distributed.” It’s true. Science fiction writer William Gibson said that right. We simply have to look around enough – now – to find out what the future holds. The future may never be evenly distributed. But it’s surely becoming the present faster. What would you do when… Here are a series of what-would-you-do-when questions to think about. Each of these are a reality today, somewhere. There’s more medical data than insight Kaiser Permanente presently manages 30 petabytes of data. Images. Lab tests. EHRs. Pat...
Source: The Health Care Blog - February 21, 2017 Category: Consumer Health News Authors: John Irvine Tags: Tech Uncategorized Source Type: blogs

10 New Jobs in the Future of Healthcare and Medicine – Part I.
Disruptive technologies will transform the healthcare job market. Although some tasks and positions will become obsolete, new medical professions will gain ground. Organ designers, robot companion technicians and telesurgeons in the first part of our article series. Profession re-design: in progress As in the era of the various Industrial Revolutions, many people are currently afraid that robots and artificial intelligence will take their jobs. It is without doubt that disruptive technologies are changing healthcare, medicine and pharma, as well as the way we gather medical information or how we interact with medical profe...
Source: The Medical Futurist - February 2, 2017 Category: Information Technology Authors: nora Tags: Future of Medicine artificial intelligence cryonics deep learning driverless car healthcare jobs Innovation medical drones Personalized medicine robotics technology telehealth Source Type: blogs

Purging Healthcare of Unnatural Acts
BY UWE REINHARDT Everyone knows (or should know) that forcing a commercial health insurer to write for an individual a health insurance policy at a premium that falls short of the insurer’s best ex ante estimate of the cost of health care that individual will require is to force that insurer into what economists might call an unnatural act. Remarkably, countries that rely on competing private health insurers to operate their universal, national health insurance systems all do just that. They allow each insurer to set the premium for a government-mandated , comprehensive benefit package, but require that each insurer “...
Source: The Health Care Blog - January 31, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Uwe Reinhardt Source Type: blogs

How States Can Expand Access To Palliative Care
Conclusion The policies discussed in this Blog post are intended to serve as a framework for policymakers and other stakeholders interested in doing more to support palliative care in their states. Here are a few considerations for those interested in exploring potential options: None of the policies and initiatives described above would have been possible without efforts from key stakeholders such as the state hospice and palliative care associations, and local funders, researchers, and advocates. Champions such as Colorado’s Center for Improving Value in Health Care (CIVHC), the Coalition for Compassionate Care of Cal...
Source: Health Affairs Blog - January 30, 2017 Category: Health Management Authors: Stacie Sinclair and Diane Meier Tags: End of Life & Serious Illness Long-term Services and Supports Medicaid and CHIP Payment Policy Quality California End-of-Life Care Palliative Care States Source Type: blogs