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Health Reform Must End the Harms of Prior Authorizations
By CRAIG BLINDERMAN, MD
As the White House continues to push for a revised Republican proposal to replace the Affordable Care Act (ACA), one thing is for certain, many of the sickest Americans will continue to suffer as they are denied medications and other treatments under current health insurance strategies to save costs.
Both the ACA, and the recently proposed MacArthur Amendment, do not address a well-established practice of health insurers’ use of restrictive prior authorization requirements to deny or delay coverage of medications and treatments to seriously ill patients. In my own practice caring for cancer patien...
Source: The Health Care Blog - May 3, 2017 Category: Consumer Health News Authors: John Irvine Tags: Repeal Replace Uncategorized ACA Cancer Insurers MacArthur Amendment Prior Authorization Source Type: blogs
Acupuncture: A point in the right direction, or a stab in the dark?
Acupuncture is a treatment that dates back to around 100 BC in China. It is based on traditional Chinese concepts such as qi (pronounced “chee” and considered life force energy) and meridians (paths through which qi flows). Multiple studies have failed to demonstrate any scientific evidence supporting such principles. Acupuncture involves the insertion of thin needles into the skin at multiple, varying locations based on the patient’s symptoms. Once inserted, some acupuncturists hand turn the needles for added therapeutic benefit. Although there are many uses for acupuncture in traditional Chinese medicine, in Wester...
Source: Harvard Health Blog - May 3, 2017 Category: Consumer Health News Authors: Paul G. Mathew, MD, FAAN, FAHS Tags: Complementary and alternative medicine Headache Health Pain Management Source Type: blogs
Dialectical Behavior Therapy: For More Than Borderline Personality Disorder
Dialectical Behavior Therapy (DBT), developed by Marsha Linehan in the late 1980’s is a specific type of cognitive behavioral therapy that was originally developed to treat chronically suicidal individuals diagnosed with borderline personality disorder (BPD). It is now considered the treatment of choice for individuals with characteristics associated with symptoms of BPD such as impulsivity, interpersonal problems, emotion dysregulation, self-harm, and chronic suicidal behaviors.
Dialectical Behavioral Therapy is a type of cognitive therapy that focuses on the balance between acceptance and change. DBT works with indi...
Source: World of Psychology - April 30, 2017 Category: Psychiatry & Psychology Authors: Lianna Tsangarides, LCSW Tags: Addiction Anxiety and Panic Borderline Personality Eating Disorders Psychology Psychotherapy Treatment Borderline Personality Disorder Cognitive Behavioral Therapy Dialectical Behavior Therapy Dialectical Behavioral Therapy emotion d Source Type: blogs
Am I or Will I Get Better?
I get asked often, am I getting better? Have any of my doctors found a miraculous treatment for me?The answers are and always will be a big fat ' no ' .There are different kinds of ailments out there. They are (in my non medical terminology):Acute - an ailment which happens and gets better. Think a cut, the flu, appendicitis, Lyme disease.Chronic - an ailment which occurs and lasts and lasts and lasts. Think things like arthritis, fibromyalgia, degenerating disks, etc.Terminal - an ailment which will kill you. "Terminal illnesses or infections are consideredincurable when there are no conservative therapies available which...
Source: Caroline's Breast Cancer Blog - April 26, 2017 Category: Cancer & Oncology Tags: ailments chronic conditions medical treatment pain management Source Type: blogs
Virtual Reality Is Used in Clinical Practice
Dr. Brennan M. Spiegel and his research team at the Cedars-Sinai Medical Center have been experimenting with virtual reality (VR) for years. I had a fruitful and very exciting correspondence with him about moments of immersion, virtual pharmacies or how to travel to Iceland without leaving your hospital bed. Read on!
VR is an area of endless possibilities
VR has not just moved the imagination of science-fiction fans, but also clinical researchers and real life medical practitioners. As a doctor, you could assist in the OR without ever lifting a scalpel. If you are a medical student, you could study the human body more clo...
Source: The Medical Futurist - April 20, 2017 Category: Information Technology Authors: nora Tags: Virtual Reality in Medicine clinical practice future GC1 Healthcare Innovation technology VR Source Type: blogs
How to Select the Best Hospice Care Provider
The website of the National Hospice and Palliative Care Organization defines hospice care as follows:“Considered to be the model for quality, compassionate care for people facing a life-limiting illness or injury,hospice care involves a team-oriented approach to expert medical care, pain management, and emotional and spiritual support expressly tailored to the patient's needs and wishes.Support is provided to the patient's loved ones as well.At the center of hospice and palliative care is the belief that each of us has the right to die pain-free and with dignity, and that our families will receive the necessary support t...
Source: Alzheimer's Reading Room, The - April 19, 2017 Category: Neurology Authors: rtdemarco at gmail.com Tags: alzheimer's awareness alzheimer's care Alzheimer's Dementia help with dementia care hospice Hospice Care memory care memory care facility nursing home searches related to alzheimer's Source Type: blogs
Kathy Greenlee ’s Reflections on Paths to Person-Centered Planning
Challenging Us to See the Whole Person at All Stages of LifeKathy Greenlee, VP for Aging and Health PolicyThe Center for Practical Bioethics hosted the Joan Berkeley symposium on Thursday, April 6. The title for the day was “Paths to Person-Centered Planning.” In planning the event, my objective was to focus on tools and techniques grounded in a disability policy perspective that could benefit healthcare professionals and bioethicists. The day brought articulate and engaged speakers, raised new questions, introduced different language, and ultimately affirmed the strength of a multi-disciplinary approach t...
Source: blog.bioethics.net - April 18, 2017 Category: Medical Ethics Authors: Practical Bioethics Tags: Health Care bioethics chronic pain healthcare decisions Opioid Epidemic Paths to Person-Centered Planning syndicated Source Type: blogs
Where is the patient in the discussion of the opioid epidemic?
The opioid epidemic has been declared loud and clear in the media over the past several years. Doctors have been demonized, and patients have been stereotyped. The statistics are alarming. However, I have yet to see anything published that focuses on the patient who lives with chronic pain. There is very little understanding for these individuals.
Let me be more specific. Society reacts empathetically towards the person who has pain related to cancer or a severe medical condition, such as a burn. But what about the patient with less tangible pain? We assume that these individuals are drug seekers that haven...
Source: Kevin, M.D. - Medical Weblog - April 13, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/s-blake-kelly" rel="tag" > S. Blake Kelly, MD < /a > Tags: Physician Pain management Source Type: blogs
Medicaid Responds To The Opioid Epidemic: Regulating Prescribing And Finding Ways To Expand Treatment Access
Medicaid programs are at the center of the opioid epidemic. Nearly 12 percent of adults covered by Medicaid have a substance use disorder, including opioid use disorder. Available data suggest that Medicaid beneficiaries are prescribed painkillers at higher rates than non-Medicaid patients and have a higher risk of overdose, from both prescription opioids and illegal versions including heroin and fentanyl. In addition to the human toll, abuse of opioids has significant financial effects. In 2010, Arizona Medicaid paid for more than half of all opioid-related emergency department admissions, and in 2012, 81 percent of the $...
Source: Health Affairs Blog - April 11, 2017 Category: Health Management Authors: Amy Bernstein and Nevena Minor Tags: Costs and Spending Medicaid and CHIP Public Health opioid epidemic preferred drug lists prescription drug abuse prescription drug monitoring programs prior authorization requirements Section 1115 Waivers Source Type: blogs
Treating pain after opioid addiction: A personal story
Follow me on Twitter @Peter_Grinspoon
As a primary care physician at Massachusetts General Hospital (MGH), I am profoundly grateful for my 10 years in recovery from opiate addiction. As detailed in my memoir Free Refills, I fell into an all too common trap for physicians, succumbing to stress and ready access to medications, and became utterly and completely addicted to the painkillers Percocet and Vicodin. After an unspeakably stressful visit in my office by the State Police and the DEA, three felony charges, being fingerprinted, two years of probation, 90 days in rehab, and losing my medical license for three years, I fi...
Source: Harvard Health Blog - April 7, 2017 Category: Consumer Health News Authors: Peter Grinspoon, M.D. Tags: Addiction Drugs and Supplements Managing your health care Pain Management Source Type: blogs
Sleep Problems, and Solutions
I might have mentioned before that I have problems sleeping. This isn ' t new. I have had problems sleeping since my 30s. But its only recently that it has gotten much more complicated than just a bit of insomnia. Add in things like:Back pain so it can be really hard to get comfortable to sleep at all.Fibromyalgia which causes both fatigue and insomniaRheumatoid painSleep apnea and an evil CPAP machine which keeps me awakeShould I go on? I can....In the past, I have been known to get up and wash the dishes and clean the kitchen in the middle of the night because I couldn ' t sleep. Trust me, I have been all over the house ...
Source: Caroline's Breast Cancer Blog - April 6, 2017 Category: Cancer & Oncology Tags: lack of sleep Source Type: blogs
Research and Reviews in the Fastlane 178
LITFL: Life in the Fast Lane Medical Blog
LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Welcome to the 178th edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature.
This edition contains 5 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Justin Morgenstern and Chris Ni...
Source: Life in the Fast Lane - April 6, 2017 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Intensive Care Pediatrics Procedure R&R in the FASTLANE Radiology Respiratory Resuscitation Toxicology and Toxinology Education emergency Emergency Medicine recommendations Review Source Type: blogs
Cancer Patients May Not Get The Rehab They Need: A Missed Opportunity To Consider
This blog post first appeared at: Curious Dr. George
Rehabilitation medicine is one of the best-kept secrets in healthcare. Although the specialty is as old as America’s Civil War, few people are familiar with its history and purpose. Born out of compassion for wounded soldiers in desperate need of societal re-entry and meaningful employment, “physical reconstruction” programs were developed to provide everything from adaptive equipment to family training, labor alternatives and psychological support for veterans.
Physical medicine and rehabilitation (PM&R) then expanded to meet the needs of those injured in Wo...
Source: Better Health - April 5, 2017 Category: American Health Authors: Dr. Val Jones Tags: Health Tips Opinion Cancer Rehab Oncology Physiatry PM&R Rehabilitating From Cancer Rehabilitation Medicine Source Type: blogs
Top Virtual Reality Companies in Healthcare
What is the common denominator of behavioral psychology, pain management, medical training, rehabilitation and meditation? The answer is virtual reality. I believe that within a few years, VR will be a game-changer in these areas. Thus, it is high time to enlist the most important VR companies in healthcare.
VR is conquering new heigths in terms of healthcare and sales figures
Medical VR is an area with fascinating possibilities. It has not just moved the imagination of science-fiction fans, but also clinical researchers and real life medical practitioners. As a doctor, you could assist in the OR without ever lifting a sca...
Source: The Medical Futurist - April 5, 2017 Category: Information Technology Authors: nora Tags: Virtual Reality in Medicine future GC1 Healthcare Innovation meditation pain management Personalized medicine psychology rehabilitation VR Source Type: blogs
