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How To Think About Health Technology Assessment: A Response To Goldman And Coauthors
From 3,000 miles away—on the other side of the Atlantic and more precisely from England—it is hard not to sense a note of frustration in the Health Affairs Blog post by Dana Goldman, Sam Nussbaum, and Mark Linthicum: “We need health technology assessment. Only we can’t have it. Because we are us. But we need it. But we can’t have it. So what do we do?”
It is also hard not to offer sympathy, not least because every country that has what the three authors dub “full” health technology assessment (also referred to here as “HTA”) finds it endlessly controversial. But at least some of the dilemma that...
Source: Health Affairs Blog - September 15, 2016 Category: Health Management Authors: Nicholas Timmins Tags: Costs and Spending Drugs and Medical Innovation Featured Health IT Europe health technology assessment National Health Service Source Type: blogs
Rapid Biomedical Innovation Calls For Similar Innovation In Pricing And Value Measurement
Advances in foundational science, technology, and clinical knowledge are driving a revolution in patient care. Minimally invasive surgery has reduced rates of post-surgical complications, reduced hospitalization, and dramatically accelerated recovery; direct-acting antivirals have brought a cure for hepatitis C; and novel immunotherapies have brought the promise of increased survival to late-stage cancer patients. The list goes on.
At the same time, spending on these innovative drugs and devices has increased dramatically. Between 1980 and 2010, overall personal health care expenditures in the US grew nearly four-fold, dri...
Source: Health Affairs Blog - September 15, 2016 Category: Health Management Authors: Dana Goldman, Samuel Nussbaum and Mark Linthicum Tags: Drugs and Medical Innovation Featured Comparative Effectiveness health technology assessment National Health Service National Institute for Health and Care Excellence PCORI Source Type: blogs
The Women ’s Health Amendment Is Getting An Update. What Should It Include?
The Affordable Care Act (ACA) requires most private health plans in the United States to cover four sets of recommended preventive services without copayments, deductibles, or other out-of-pocket costs. One of those four sets of services focused on women’s preventive care needs. It was called for under the law’s Women’s Health Amendment, developed by an Institute of Medicine panel, and officially incorporated by the federal government into health plans’ requirements in 2012. Taken as a whole, the ACA’s preventive services provision requires coverage of a wide array of sexual and reproductive health services, from...
Source: Health Affairs Blog - September 14, 2016 Category: Health Management Authors: Adam Sonfield Tags: Costs and Spending Equity and Disparities Public Health Quality ACA contraceptive coverage HIV/AIDS sexually transmitted infections Women's Health Source Type: blogs
Do Integrated Delivery Systems Provide Higher Quality and Less Expensive Care?
I have always been somewhat dubious about the claim that hospital mergers and the development of integrated delivery systems (IDSs) will provide less expensive and higher quality care. A recent article discussed this idea in depth (see: The Downside of Merging Doctors and Hospitals). Below is an excerpt from it:One approach...[to the fragmentation of healthcare] is to consolidate more of the health care you need in one organization called an integrated delivery system. An I.D.S. owns one or several hospitals and also employs physicians across multiple specialties. It may also provide nur...
Source: Lab Soft News - September 13, 2016 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Cost of Healthcare Electronic Health Record (EHR) General Healthcare Healthcare Business Healthcare Delivery Quality of Care Source Type: blogs
Health Affairs ’ September Issue: Payment Reforms, Prescription Drugs, And More
The September issue of Health Affairs, a variety issue, includes a number of studies examining aspects of payment reform, the impact of certain ACA provisions, the value of some high-cost anticancer drugs, and more. It also includes a DataGraphic examining aging and health.
DATAWATCH: New evidence of rapid physician practice consolidation, 2013–15
In the past few decades, group physician practices have become more of the norm, and the proportion of physicians in larger groups has grown. David Muhlestein and Nathan Smith, with Leavitt Partners in Salt Lake City, Utah, looked at Medicare’s Physician Compare data for the ...
Source: Health Affairs Blog - September 7, 2016 Category: Health Management Authors: Lucy Larner Tags: Elsewhere@ Health Affairs Featured Health Affairs journal Source Type: blogs
8 Ways to Safely Take Charge of Your Health While Avoiding Toxic Vaccines
CONCLUSION
Conventional medicine has plans to develop more vaccines targeting every disease imaginable. Diseases targeted include diabetes, autoimmune disorders and cancer. Vaccinations have been causally linked to these diseases. No evidence supports that vaccines are safe or effective at preventing any disease.
Instead of using more toxic vaccinations to theoretically prevent a disease, we should avoid all vaccines like the plague. We can then focus on leading a healthy lifestyle, by eating a clean, nutrient dense diet, exercising, sleeping and getting lots of sun.
About the Author:
Michelle Goldstein is a mental ...
Source: vactruth.com - September 1, 2016 Category: Allergy & Immunology Authors: Michelle Goldstein Tags: Logical Michelle Goldstein Top Stories Healthy Living Pro Biotics Weston Price Source Type: blogs
Looking Back At Today ’s Healthcare In 2050
I receive many questions after my talks and on my online channels about the not yet visible future. People want to know what healthcare will be like in the next decades. But throwing around predictions will not help us design a better healthcare. Although showing an utopian future of healthcare might do so.
On a chilly October afternoon in 2050,
after having watched the leaves falling off the trees from our garden too long to get bored, my beautiful and overtly curious grandchild, Nina, came to me and started asking me questions.
She pointed at one of the many CubeSensors in the living room – small, very simply des...
Source: The Medical Futurist - August 31, 2016 Category: Information Technology Authors: nora Tags: Healthcare Design Medical Science Fiction future gc4 Medical education Medicine Personalized medicine technology Source Type: blogs
Imaginary Conversation In 2050 With My Future Grandchild About Today ’s Healthcare
I receive many questions after my talks and on my online channels about the not yet visible future. People want to know what healthcare will be like in the next decades. But throwing around predictions will not help us design a better healthcare. Although showing an utopian future of healthcare might do so.
On a chilly October afternoon in 2050,
after having watched the leaves falling off the trees from our garden too long to get bored, my beautiful and overtly curious grandchild, Nina, came to me and started asking me questions.
She pointed at one of the many CubeSensors in the living room – small, very simply des...
Source: The Medical Futurist - August 31, 2016 Category: Information Technology Authors: nora Tags: Healthcare Design Medical Science Fiction future gc4 Medical education Medicine Personalized medicine technology Source Type: blogs
Cleveland Clinic TV Advertisement: Get a Second Opinion in Cardiology
I recently viewed a TV commercial for the Cleveland Clinic on MSNBC. One of the major themes of it was: Get a second opinion if you have a diagnosis of a cardiology condition. There is nothing surprising about a tertiary care center like Cleveland Clinic promoting second opinions. I have been a strong advocate for this in selected cases and have blogged about the idea many times (see:Seeking A Second Opinion as a Partial Solution to the DCIS Controversy;Fourteen Ways to Avoid Getting Screwed by the U.S. Healthcare System;Some Tips for Selecting a"...
Source: Lab Soft News - August 30, 2016 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Health Insurance Healthcare Business Healthcare Delivery Medical Consumerism Medical Ethics Quality of Care Source Type: blogs
Health Affairs Web First: New ACA Coverage Enrollees Increased Prescription Use And Lowered Spending
This study will also appear in the September issue of Health Affairs.
Source: Health Affairs Blog - August 17, 2016 Category: Health Management Authors: Lucy Larner Tags: Costs and Spending Elsewhere@ Health Affairs Featured Insurance and Coverage Medicaid and CHIP chronic conditions Health Affairs journal Web First Source Type: blogs
Risk Adjustment Gone Wrong
By JONATHAN HALVORSON
The Affordable Care Act was intended to usher in a new era of competition and choice in health insurance, and at first it succeeded. But increasingly, provisions in the law are undermining competition and wiping out start-up after start-up. If something isn’t done soon, the vast majority of new insurers formed in the wake of the ACA will fail, and many old-line insurers that took the opportunity to expand and compete in the new markets will leave. It’s a classic story of unintended consequences and the difficulties of regulation.
Flush with optimism after the ACA passed, dozens of new insurers for...
Source: The Health Care Blog - August 7, 2016 Category: Consumer Health News Authors: Jonathan Halvorson Tags: Uncategorized ACA HealthRepublic UnitedHealth Source Type: blogs
Fight Aging! Newsletter, August 8th 2016
In conclusion, spermidine inhibits lipid accumulation and necrotic core formation through stimulation of cholesterol efflux, albeit without changing plaque size or cellular composition. These effects, which are driven by autophagy in VSMCs, support the general idea that autophagy induction is potentially useful to prevent vascular disease.
Intestinal Autophagy Important in Calorie Restriction and Longevity in Nematodes
https://www.fightaging.org/archives/2016/08/intestinal-autophagy-important-in-calorie-restriction-and-longevity-in-nematodes/
Based on the evidence accumulated from many years of studies of ...
Source: Fight Aging! - August 7, 2016 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
Estimating the Cost of Sedentary Lifestyles
It is known that leading an inactive life, one lacking in physical exercise, has a fairly large negative effect on health and life expectancy. In a similar way to past studies that assessed the overall cost of obesity across populations, researchers here investigate one methodology by which it is possible to estimate the global cost of sedentary lifestyles:
A study has revealed that in 2013, physical inactivity cost $67.5 billion globally in healthcare expenditure and lost productivity, revealing the enormous economic burden of an increasingly sedentary world. Based on data from 142 countries, representing 93.2 pe...
Source: Fight Aging! - August 4, 2016 Category: Research Authors: Reason Tags: Daily News Source Type: blogs
Why Health Care Innovation Lags (And What To Do About It)
Health Care Innovation: Less Than Meets the Eye
As health care reform gains momentum, the role of innovation described by Dr. Berwick in this landmark Health Affairs article on the “Triple Aim” is as important as ever. Yet, many health system executives struggle with reconciling innovation with the downsides of abandoning existing business models and disrupting long-standing culture and workflows.
Advocates for innovation also note that responsibility for fostering innovation also includes health care organizations’ boards of directors. Yet, boards are grappling their own governance challenges and, since many direct...
Source: Health Affairs Blog - August 3, 2016 Category: Health Management Authors: Jaan Sidorov Tags: Featured Health IT Health Professionals Hospitals Organization and Delivery behavioral economics Telehealth triple aim Source Type: blogs
Labor, IRS Propose New Health Plan Reporting Requirements; CMS Makes Its Case On Cost Sharing
Most of the regulations and guidance analyzed in the “Following the ACA” Health Affairs Blog series are issued by the Centers for Medicare and Medicaid Services of the Department of Health and Human Services. HHS shares jurisdiction over the implementation of the ACA’s insurance reforms, however, with the Employee Benefits Security Administration (EBSA) of the Department of Labor (DOL) and the Internal Revenue Service (IRS) of the Department of the Treasury. On July 11, EBSA posted a proposed rule on annual reporting and disclosure while EBSA, the IRS, and the Pension Benefit Guaranty Corporation (PBGC) posted an ide...
Source: Health Affairs Blog - July 12, 2016 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage Source Type: blogs
