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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
The Uncertainty Bomb
By PAUL KECKLEY
I like certainty and routine. I like my daily Tall Dark Roast with no room for cream at 5 am at Starbucks. I like the same restaurants, the same suits and ties and the same TV shows. Holidays throw me off and I get bored quickly when I have down time.
For six years, the healthcare industry in the U.S. has been adjusting to its new normal based on the regulatory framework of the Affordable Care Act (ACA). It became routine to discuss the volume to value, accountable care organizations, bundled payments, Medicaid expansion and Healthcare.gov. We were certain they’d be around for years to come.
Then came th...
Source: The Health Care Blog - November 27, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
Health Care Crap
So we have a new president elect (who shall remain nameless). My biggest problem with him is that he claims he will dismantle the Affordable Care Act. This is a serious issue. I do not give a rat ' s a$$ about political partisanship or how Hillary is a liar or whatever label you want to put on anyone. I only care about health care for those of us sick people.What if health insurance was taken away from all of us chronically sick people? That would be murder essentially for many people who can ' t afford their health insurance and are seriously ill. And if they don ' t die, they would be bankrupt.This is a serious problem. ...
Source: Caroline's Breast Cancer Blog - November 16, 2016 Category: Cancer & Oncology Tags: changes government health insurance insurance costs Source Type: blogs
What Does the Trump Presidency Imply for Healthcare and Healthcare IT?
Many organizations have asked me to comment on the impact of the Trump Presidency on Healthcare and Healthcare IT. I served the Bush administration for 4 years and the Obama administration for 6 years. I know that change in Washington happens incrementally. There is always an evolution, not a revolution, regardless of speechmaking hyperbole.What am I doing in Massachusetts? I ’m staying the course, continuing my focus on social networking for healthcare, mobile, care management analytics, cloud, and security while leaving the strategic plan/budget as is.I have no inside information and no inv...
Source: Life as a Healthcare CIO - November 16, 2016 Category: Information Technology Source Type: blogs
The Future Of The Affordable Care Act In A Trump Administration
This segment originally aired on The Diane Rehm Show on November 14, 2016.
The HealthCare.gov website, where people can buy health insurance, is displayed on a laptop screen. AP PHOTO/ANDREW HARNIK
Republicans in Congress have voted more than 50 times to repeal the Affordable Care Act without success. Now, they have an ally in President-elect Donald Trump, who promised on the campaign trail to “repeal and replace” the law. But over the weekend, Trump seemed to soften his stance. He told the Wall Street Journal he would consider leaving in place some provisions, including one that prohibits insurers from denying covera...
Source: Disruptive Women in Health Care - November 15, 2016 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Affordable Healthcare Act Consumer Health Care Cost Coverage Policy Election 2016 Health Reform Source Type: blogs
Symptoms of Cancer May Include Fatigue, Unexplained Weight Loss, Fever and Foreclosure
by Bridget BlitzAs a palliative care social worker, I provide home visits to patients and families to explore how they are coping with complex medical issues, which resources they need, how we might add services that could reduce caregiver strain, and talk to them about their goals of care and about their wishes for the life they have left. Startling to me, within these discussions, is the depth of fear and anxiety about finances that leave these individuals struck with more than a horrible illness. They now have to absorb the real possibility of being without a permanent home in addition to adapting to new treatments, sym...
Source: Pallimed: A Hospice and Palliative Medicine Blog - November 14, 2016 Category: Palliative Care Tags: bankruptcy financial social work social worker Source Type: blogs
Repealing and Replacing the ACA: A Whole New Ball Game. Same Problems Though.
By STEVEN FINDLAY
I’ll dive right in, with the stipulation that this blog is initial reaction in a very fluid, unprecedented and soon-to-be even-more-intense political environment. Fasten your seat belts!
The ACA. Replace is the critical word in “repeal and replace.” Consensus is already emerging that Trump and the Republicans will indeed repeal the ACA in early 2017, via the reconciliation process Congress used earlier this year. That resulted in the Senate’s first an only full ACA repeal vote. Obama vetoed the bill, of course. But Republicans demonstrated the do-ability of the reconciliatio...
Source: The Health Care Blog - November 11, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized ACA Cadillac Tax Medicare Independent Payment Advisory Board Reconcilliation repeal and replace Trump Source Type: blogs
A Whole Ball Game. Same Questions Though.
By STEVEN FINDLAY
I’ll dive right in, with the stipulation that this blog is initial reaction in a very fluid, unprecedented and soon-to-be even-more-intense political environment. Fasten your seat belts!
The ACA. Replace is the critical word in “repeal and replace.” Consensus is already emerging that Trump and the Republicans will indeed repeal the ACA in early 2017, via the reconciliation process Congress used earlier this year. That resulted in the Senate’s first an only full ACA repeal vote. Obama vetoed the bill, of course. But Republicans demonstrated the do-ability of the reconciliatio...
Source: The Health Care Blog - November 11, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized ACA Cadillac Tax Medicare Independent Payment Advisory Board Reconcilliation repeal and replace Trump Source Type: blogs
NxThera ’s Rezūm Provides a New Treatment Option for Patients with BPH: Interview with CEO of NxThera
Benign prostatic hyperplasia (BPH), or enlargement of the prostate gland, affects about half of men between the age of 51 and 60 and up to 90% of men over the age of 80. Symptoms include difficulty with initiating urination, weak urine flow, post-voi...
Source: Medgadget - November 10, 2016 Category: Medical Equipment Authors: Kenan Raddawi Tags: Exclusive Urology Source Type: blogs
Dear (Quite Possibly) President Trump
By MARGALIT GUR-ARIE
Even the most ardent of Obamacare supporters are now forced to admit that the law has hit a rough patch this year. The opposition to Obamacare is positively gloating with self-congratulatory “I told you so” assessments of the supposedly dire situation. Defenders of the cause are counteracting with the customary deluge of charts and graphs to prove unequivocally that Obamacare is actually turning out better than they expected. Integrity and honesty being in short supply on both sides of this quandary, chances are excellent that no matter what happens next, the American people will lose big time, unl...
Source: The Health Care Blog - November 3, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized election 2016 Trump Source Type: blogs
The Cost Of A Cure: Revisiting Medicare Part D And Hepatitis C Drugs
Two years ago, soon after the Food & Drug Administration (FDA) approved the first breakthrough treatment for hepatitis C, we wrote about the potential cost of a cure to Medicare Part D and its beneficiaries. For that piece, we used the best available data to estimate the number of people on Medicare who might seek treatment and the impact on Medicare spending. Here we revisit our earlier analysis using new data released by CMS, and consider both the ongoing impact of hepatitis C drugs for Part D and the broader implications for Medicare of new high-priced drugs entering the market.
Hepatitis C Drugs Have Driven Drug Sp...
Source: Health Affairs Blog - November 3, 2016 Category: Health Management Authors: Jack Hoadley, Tricia Neuman and Juliette Cubanski Tags: Drugs and Medical Innovation Medicare FDA Harvoni hepatitis C prescription drug prices Sovaldi Source Type: blogs
Trumping the Evidence - The Donald Denies Asbestos Related Disease, Post-Traumatic Stress Disorder, Chronic Traumatic Encephalopathy but Asserted Vaccines Cause Autism
One of the main causes of health care dysfunction identified by demoralized health care professionals in our 2003 qualitative study was threats to evidence-based medicine, and by extension, evidence-based public health and health policy.(1) Since then, we have frequently discussed threats such asmanipulation andsuppression of clinical research to further vested interests, and distortion of research dissemination, such asghost written articles, often enabled byindividual andinstitutional conflicts of interest.These and other causes of health care dysfunction which we discuss, however, have hardly been the stuff of political...
Source: Health Care Renewal - November 2, 2016 Category: Health Management Tags: asbestos Donald Trump evidence-based medicine health policy public health Source Type: blogs
ACA Round-Up: Appropriations, Battles Over Reinsurance Program Collections, And More
On September 29, President Obama signed a continuing resolution appropriations bill that will fund the government through December 9, 2016, unless a 2017 appropriations bill is passed before that date. The headline is that the bill provides $1.1 billion in funding for combating the Zika virus. But the legislation otherwise continues in place funding for ACA programs at the rates at which they were funded for 2016, subject to a half percent reduction.
The continuing resolution retains riders and restrictions imposed by the 2016 appropriations legislation, including restrictions on using HHS administrative funds to fund the ...
Source: Health Affairs Blog - September 30, 2016 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage ACA litigation appropriations ASPE GAO reinsurance program Zika virus Source Type: blogs
Fail to Scale: Why Great Ideas In Healthcare Don ’ t Thrive Everywhere
By JEFF GOLDSMITH and LAWTON BURNS
In the world of fine wine, it is well known that some types of wine grapes grow only in very specific climates and ecologies. The concept borrowed from the French is “terroir” (ter-WAHR). Terroir explains why the finest champagne grapes grow only in a small district in northeastern France, characterized by rolling hills and a chalky limestone subsoil that provides a steady level of moisture and imparts a mineral note to the wine’s flavor.
Health policy advocates have sought for generations to propagate promising forms of health care organization across the country. Yet one finds rep...
Source: The Health Care Blog - September 29, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
Fail To Scale: Why Great Ideas In Health Care Don ’t Thrive Everywhere
In the world of fine wine, it is well known that some types of wine grapes grow only in very specific climates and ecologies. The concept borrowed from the French is “terroir” (ter-WAHR). Terroir explains why the finest champagne grapes grow only in a small district in northeastern France, characterized by rolling hills and a chalky limestone subsoil that provides a steady level of moisture and imparts a mineral note to the wine’s flavor.
Health policy advocates have sought for generations to propagate promising forms of health care organization across the country. Yet one finds repeatedly that some forms of organiza...
Source: Health Affairs Blog - September 29, 2016 Category: Health Management Authors: Jeff Goldsmith and Lawton Burns Tags: Costs and Spending Featured Insurance and Coverage Medicare Payment Policy Independent Practice Association Medicare fraud States Source Type: blogs
