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Total 96 results found since Jan 2013.
Watching the Detectives: Logical Fallacies and Unsubstantiated Claims to Denigrate Investigations of Leaders ' Conflicts of Interest and Alleged Corruption
DiscussionSo here is one example, one anecdote, showing, in my humble opinion, an extreme case of illogical, unsupported argumentation in defense of our current president against multiple credible allegations of conflicts of interest and corruption. These allegations should concern anyone who cares about conflicts of interest and corruption in health care, because the presidency sets the tone for the whole country, and up to now, the executive branch of the US government provided the most and best resources for preventing and challenging conflicts of interest in health care. Obviously, these allegations should ...
Source: Health Care Renewal - January 30, 2019 Category: Health Management Tags: conflicts of interest disinformation Donald Trump health care corruption logical fallacies propaganda Source Type: blogs
Dander Gathering Again: Terzo
It ' s hard these days to rid oneself of the rising dander. DanderOmnium GatherumPatch Numero Terzo. To put it more simply, here are more tales from the DOG Patch. And a smattering of actualgood (how ' s this possible?) news.Double Back on Politics at the VA.There ' s a guy now installed under Secretary David Shulkin by the name of Darin Selnick. He carries the title of Senior Advisor, and also works (with the same title) in the White House. Selnick was a California consultant when he fell in with the Koch Brothers and their deep pockets. Together they fostered an organization called Concerned Veterans for America. Ch...
Source: Health Care Renewal - February 27, 2018 Category: Health Management Source Type: blogs
The inevitable downgrading of burdensome, destructive EHRs back to paper & document imaging
In recent days, I ' ve posted about current articles on the destructive nature of today ' s vastly over-complex, burdensome EHR technology. These posts included "Physicians Harassed by Overwhelming Levels of Messaging From Electronic Medical Records" athttp://hcrenewal.blogspot.com/2018/01/physicians-harassed-by-onerwhelming.htmland" Medical Economics: Highly experienced physicians lost to medicine over bad health IT " athttp://hcrenewal.blogspot.com/2018/01/medical-economics-highly-experienced.html.There are many other earlier articles of a similar nature discussed on this blog, e.g., the May 2017 post "Death ...
Source: Health Care Renewal - January 31, 2018 Category: Health Management Tags: Alexi Wright MD bad health IT burnout Christine A. Sinsky healthcare IT difficulties Healthcare IT failure Ingrid Katz MD NEJM Source Type: blogs
Physicians Harassed by Overwhelming Levels of Messaging From Electronic Medical Records
In yet another example of the clerical overload caused by bad health IT, physicians find themselves drinking from a fire hose through cybernetics. This, in the field of dermatology, let alone critical care specialties:Physicians Overwhelmed by Messaging From Electronic Medical RecordsMedicalResearch.com Interview with: Matilda W. Nicholas, MD, PhDDuke DermatologyJanuary 29, 2018https://medicalresearch.com/author-interviews/physicians-overwhelmed-by-messaging-from-electronic-medical-records/39671/MedicalResearch.com: What is the background for this study?Response: I have found many physicians overwhelmed by the e...
Source: Health Care Renewal - January 30, 2018 Category: Health Management Tags: bad health IT burnout healthcare IT dissatisfaction healthcare IT distraction healthcare IT harms medicalresearch.com Source Type: blogs
Medical Economics: Highly experienced physicians lost to medicine over bad health IT
The title of the article is actually "Physicians leaving profession over EHRs" , but that title omits the real impact of the phenomenon: seasoned physicians, along with their medical expertise, judgment and experience, are lost to the pool of people entrusted to provide care thanks to poorly designed and badly implemented IT:http://cci.drexel.edu/faculty/ssilverstein/cases/Bad Health IT is IT that is ill-suited to purpose, hard to use, unreliable, loses data or provides incorrect data, is difficult and/or prohibitively expensive to customize to the needs of different medical specialists and subspecialists, causes cognitive...
Source: Health Care Renewal - January 28, 2018 Category: Health Management Tags: bad health IT data trafficking Ddulite Medical Economics Munzoor Shaikh physicians leaving medicine Ramin Javahery MD Tom Davis MD FAAFP Source Type: blogs
Clinical registry solution market heads toward $2 billion
Specialty medical societies such as the American College of Cardiology and American College of Surgeons sponsor clinical registries that collect observational data on patients with specific conditions or procedures, such as heart failure or joint replacement. This “real world” evidence helps hospitals improve quality of care, meet state and federal reporting requirements, and achieve pay-for-performance bonuses.
Q-Centrix, which provides technology and services that enable hospitals to participate in registries, commissioned Health Business Group to conduct a market sizing and growth study. We found that the ma...
Source: Health Business Blog - September 20, 2017 Category: Health Management Authors: dewe67 Tags: Announcements Hospitals Research clinical registries Q-Centrix Source Type: blogs
Should Value Frameworks Take A ‘ Societal Perspective ’ ?
Editor’s note: One of the authors of this post, Peter Neumann, will be discussing issues related to the post at a Health Affairs September 13 event, “Understanding The Value of Innovations In Medicine.”
In 1996, the U.S. Panel on Cost-Effectiveness in Health and Medicine recommended that analysts conducting cost-effectiveness analyses (CEAs) should perform a reference case analysis, following a set of standard methodological practices to improve comparability and quality. They further recommended that such analyses assume a societal perspective, reflecting the perspective of a decision maker allocating resourc...
Source: Health Affairs Blog - September 6, 2017 Category: Health Management Authors: Peter J. Neumann and Sachin Kamal-Bahl Tags: Costs and Spending Drugs and Medical Innovation Quality 2nd Panel on Cost-Effectiveness in Health and Medicine Source Type: blogs
Health Affairs New Issue: Market Concentration
The September issue of Health Affairs includes a group of studies examining different aspects of health care markets: market concentration, preserving competition, and provider networks. Other September studies provide updates on Affordable Care Act (ACA) coverage.
The issue was supported in part by The Commonwealth Fund, which provided funding for the studies on market concentration.
Insurers drive down hospital and physician prices
The rapid pace of consolidation in health care markets has continued: From 1998 to 2015, there were 1,412 US hospital mergers, with 40 percent of them after 2009. To examine how provider and i...
Source: Health Affairs Blog - September 5, 2017 Category: Health Management Authors: Health Affairs Tags: Elsewhere@ Health Affairs journal Source Type: blogs
What Should We Conclude From ‘ Mixed ’ Results In Payment Reform Evaluations?
Now that the Affordable Care Act (ACA) repeal-and-replace process is coming to an end, perhaps it’s a good time to turn to an area of health policy where there is considerably more bipartisan consensus: payment reform. Even here, however, challenges remain. A recent spate of evaluations, reviews, and published perspectives have cast doubt on the promise and spending-reduction potential of care coordination initiatives, shared savings accountable care organizations (ACOs), patient-centered medical homes, and bundled payments in particular. As the Trump administration, members of Congress, states, and other health care sta...
Source: Health Affairs Blog - August 14, 2017 Category: Health Management Authors: Len Nichols, Alison E. Cuellar, Lorens Helmchen, Gilbert Gimm and Jay Want Tags: Costs and Spending Featured Payment Policy Accountable Care Organizations Patient-Centered Medical Home Payment Reform Source Type: blogs
Physician Workforce Trends And Their Implications For Spending Growth
Controlling the growth rate of health care spending is central to the success of the Affordable Care Act or any subsequent reform. Because labor represents more than 50 percent of health care costs and the clinical workforce drives use and prices, the size and composition of the health care workforce has important ramifications for spending growth. We set out to understand the trends underlying the growth in the clinical workforce and their potential implications for health care spending, health policy, and health system design.
A large literature establishes a link between primary care–oriented health systems and lo...
Source: Health Affairs Blog - July 28, 2017 Category: Health Management Authors: Christopher Barbey, Nikhil Sahni, Robert Kocher and Michael Chernew Tags: Costs and Spending Featured Health Professionals Organization and Delivery nurse practitioners physician’s assistants Primary Care Source Type: blogs
Inexact Sciences
Thoughts on the place of science in an era of false convictionSome recent articles, noted by a few of us in journals regularly monitored byHCR bloggers, provide real food for thought in our New World Order of alternate facts, fake news and truthiness.In a recent number of the still intrepidly pay-wall-free Guardian, development economist John Rapleysummarizeshis new bookTwilight of the Money Gods. This summary is the best we in the colonies can do until this month ' s UK publication of the full volume makes it to our shores. (Rapley, a true globalist, both an academic and a public intellectual experienced a...
Source: Health Care Renewal - July 17, 2017 Category: Health Management Source Type: blogs
The American Health Care Act Could Chip Away At The Medicare Savings Programs
The American Health Care Act (AHCA) is not just an alarming, slapdash effort to repeal the Affordable Care Act—it’s also a plan to radically weaken Medicaid, our nation’s health care safety net. Indeed, the US House-passed bill’s most dramatic savings—$834 billion according to Congressional Budget Office estimates—are achieved by slashing federal funding to Medicaid, which provides health coverage to nearly 75 million low-income Americans, and undoing the program’s basic guarantee.
Nevertheless, these draconian reforms have been among the lesser told stories of the AHCA’s anticipated impact. The...
Source: Health Affairs Blog - June 15, 2017 Category: Health Management Authors: Maura Calsyn and Stacy Sanders Tags: Costs and Spending Following the ACA Insurance and Coverage Medicaid and CHIP Medicare Payment Policy ACA repeal and replace American Health Care Act dual eligibles Source Type: blogs
Measuring Value Based On What Matters To Patients: A New Value Assessment Framework
We spend 18 percent of our national gross domestic product on health care. As health care spending continues to grow and as we appropriately drive the health care system toward a payment system that rewards value instead of volume, it is imperative that we promote conversations on how to define value. To do this, it is critical that we first answer the question: value to whom?
Value in health care can mean different things to different stakeholders. Payer priorities may not match up with manufacturer concerns, and both may assess value entirely differently than public health entities. However, no matter which of these stak...
Source: Health Affairs Blog - May 23, 2017 Category: Health Management Authors: Josh Seidman, Margaret Anderson, Domitilla Masi, Melea Atkins and Maureen Japha Tags: Costs and Spending Drugs and Medical Innovation Payment Policy Quality Avalere FasterCures National Pharmaceutical Council patient-centered care Patient-Perspective Value Framework value frameworks Source Type: blogs
Death By A Thousand Clicks: Leading Boston Doctors Decry Electronic Medical Records
Channeling Lyndon Johnson on Walter Cronkite, in clinical medicine, when you ' ve lost Boston (including MGH), you ' ve probably lost the health IT war.Death By A Thousand Clicks: Leading Boston Doctors Decry Electronic Medical RecordsMay 12, 2017By Drs. John Levinson, Bruce H. Price and Vikas Sainihttp://www.wbur.org/commonhealth/2017/05/12/boston-electronic-medical-recordIt happens every day, in exam rooms across the country, something that would have been unthinkable 20 years ago: Doctors and nurses turn away from their patients and focus their attention elsewhere — on their computer screens.By the time the doctor can...
Source: Health Care Renewal - May 18, 2017 Category: Health Management Tags: healthcare IT dissatisfaction Healthcare IT failure Massachusetts General Hospital MGH texting while driving Source Type: blogs
As Patients Take On More Costs, Will Providers Shoulder The Burden?
Despite the uncertainty about the future of the Affordable Care Act (ACA) and any replacement, in the coming years, more Americans will almost surely find themselves in health plans with considerable patient cost sharing at the point of service (for example, high deductibles, copayments, or co-insurance). The trend toward more limited plans has been a reality for more than a decade. For example, the average deductible has grown from $818 in 2006 to $2,069 in 2015.
Moreover, Congress may try to reduce cost-sharing subsidies and encourage people to select more limited plans in other ways, such as increasing the attractivenes...
Source: Health Affairs Blog - May 4, 2017 Category: Health Management Authors: Michael Chernew and Jonathan Bush Tags: Costs and Spending Featured Insurance and Coverage Payment Policy cost sharing high-deductible plans medical debt Source Type: blogs
