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Total 84 results found since Jan 2013.

Liberty Mutual: A Blow to Health Care Transparency
By CHARLES ORNSTEIN The U.S. Supreme Court dealt a blow this week to nascent efforts to track the quality and cost of health care, ruling that a 1974 law precludes states from requiring that every health care claim involving their residents be submitted to a massive database. The arguments were arcane, but the effect is clear: We’re a long way off from having a true picture of the country’s health care spending, especially differences in the way hospitals treat patients and doctors practice medicine. It also means that, for the time being at least, we’ll remain heavily reliant on data being released by Medicare, the ...
Source: The Health Care Blog - March 4, 2016 Category: Consumer Health News Authors: Simon Nath Tags: Featured THCBist Charles Ornstein Source Type: blogs

Misdiagnosis: Obamacare Tried to Fix the Wrong Things and Prescribed the Wrong Treatments
By CHARLES SILVER and DAVID A.HYMAN Today THCB is happy to publish a piece reflecting the learnings from Charles Silver and David Hyman’s forthcoming book Overcharged: Why Americans Pay Too Much For Health Care, shortly to be published by the libertarian leaning Cato Institute. In subsequent weeks we’ll feature commentary from the right (Michael Cannon) and from the left (Andy Slavitt) about the book and its proposals. For now please give your views in the comments–Matthew Holt There are many reasons why the United States is “the most expensive place in the world to get sick.” In Part 1 of Overcharg...
Source: The Health Care Blog - June 19, 2018 Category: Consumer Health News Authors: matthew holt Tags: Economics OP-ED Cato Institute Charles Silver David A. Hyman Obamacare Overcharged Source Type: blogs

How Many of Obamacare’s New Enrollees Were Uninsured Last Year? Why It Doesn’t Matter
Charles Gaba, the enrollment guru who has been tracking Obamacare sign-ups since October, now estimates that by April 15, some 17 million Americans will have purchased their own insurance policies either in the Obamacare Exchanges (8 million) or off-Exchange (9 million) But how many of them were uninsured and how many were simply replacing policies that Obamacare had forced insurers to cancel?  This is the question conservatives ask.  After all they argue, if most of these folks already had coverage, we have just wasted a great deal of time and money moving them from a policy they chose to one that President Obama prefer...
Source: Health Beat - April 7, 2014 Category: American Health Authors: Maggie Mahar Tags: Affordable Care Act Charles Gaba enrolling in Obamacare how many were uninsured underinsured Source Type: blogs

Obamacare Enrollment 2015: How Many People Will Sign Up Next Year? (Public Support for Obamacare Is About to Turn a Corner) Part 1
Thanks to the Affordable Care Act, some 10 million previously uninsured adults gained coverage during the open enrollment period that began on October 1, 2013. Last month, the New England Journal of Medicine reported that the share of Americans who are “going naked” has plummeted from 21 percent in September of 2013 to 16.3 percent in April of this year. Even though open enrollment officially ended on March 31, 2014, people are continuing to sign up. Anyone who experiences a major life change (getting divorced, losing a job, having a baby) can still purchase insurance on the Exchanges this summer. Others are dropping o...
Source: Health Beat - August 26, 2014 Category: American Health Authors: Maggie Mahar Tags: Charles Gaba and attrition enrollment and word-of-mouth Jeffrey Young and trouble sign up as many uninsured Jeffrey Young and Obamacare and 2015 Medicaid expansion Mikey Dickerson Obamacare and attrition Obamacare and customer satisfaction Source Type: blogs

Fewer Choices and Higher Premiums in the Affordable Care Act ’s Exchanges
People shopping around on the insurance exchanges when the Affordable Care Act ’s Open Enrollment period begins next week will find that the choices they have are limited and that insurance premiums have gone up significantly.A new brief from the Department of Health and Human Services reports an average increase of 22 percent for benchmark plans, and consumers in some states will face hikes as high as 116 percent in Arizona.  The high profile exits of Aetna and UnitedHealth were covered at the time, but the report gives new insights into the aggregate effects of smaller exits and discontinuations as well. In the states...
Source: Cato-at-liberty - October 27, 2016 Category: American Health Authors: Charles Hughes Source Type: blogs

What Kmart ’s Settlement Says About Health Care Fraud
This reportedly violated regulations requiring pharmacies to apply their usual and customary charges when billing government payers. The DOJ claims that “[t]he government’s resolution of this matter illustrates the government’s emphasis on combating health care fraud,” It might more accurately have said that the settlement adds to the mountain of evidence showing that the government cannot control even the most obvious forms of health care fraud, a point we make at length in our forthcoming book, Overcharged: Why Americans Pay Too Much For Health Care. For one thing, at the very same time government payers were hon...
Source: The Health Care Blog - February 1, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Charles Silver David Hyman K-Mart Lisinopril Source Type: blogs

Why Bad News Is Not Always Bad
Last month, the cover of BusinessWeek featured an article, How Big Pharma Uses Charity Programs to Cover for Drug Price Hikes, focused on co-pay charities for Medicare patients. I of course had heard about such co-pay charities before, and even had the opportunity to meet with a representative of one a few years ago, but frankly I had no idea what they did. So when the article came out, outlining the "evils" of this practice, it caught my attention. By catching my attention, it actually saved my elderly parents significant amounts of money. My father and mother are both retired, living on a small pension and Social Secur...
Source: Policy and Medicine - August 4, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
October 27, 2022 Edition-----In the UK we have a political farce running with only a day or so to run when you read this, with a new PM (Rishi Sunak) in place..In the US the mid-term elections are coming in a week or so, thus some concern as to where the US is going!In China Xi has his third 5 year term so we all wonder how that will turn out!In OZ we have has a Budget with floods, inflation, data leaks, the threat of recession, Medicare concerns and other issues just rolling on! At least the Budget does not seem to have broken anything!Overall an ‘omnishambles’ as they say!-----Major Issues.-----https://www.afr.com/wo...
Source: Australian Health Information Technology - October 27, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Options? Subprime wasn't enough for you?
Do you have the same reaction as I when you read this New York Times article?  Excerpts:Some of the brokerage firms that helped pique Americans' interest in stocks are now luring them into something much riskier: stock options. As the stock market soars to new heights, E*Trade, Ameritrade and Charles Schwab are advertising the potential rewards of options, which give buyers the right to buy or sell stocks at predetermined prices in the future. Options, like their cousins, futures, have traditionally been the domain of Wall Street traders. But the brokerage firms say futures and options can be profitable for ordin...
Source: Running a hospital - May 28, 2013 Category: Health Managers Source Type: blogs

Medicare Pays $220 Million a Year for Acthar Without Any Controlled Trials that Prove it Works - While We Have No Money to Develop Ebola Vaccines or Treatment?
Introduction - No Money for Ebola Vaccine DevelopmentWhile a new Ebola epidemic continues in Africa, people in developed countries are getting worried. Even the 0.1%, who may have rarely worried about our dysfunctional health care system before, are getting nervous. For example, this week, the Donald seemed panic stricken that Ebola infected American health workers might be allowed to return to the US, no matter what the precautions.  As reported by Politico,Donald Trump has a message for the Ebola patient coming to the United States for treatment: Stay out.'Ebola patient will be brought to the U.S. in a few days — ...
Source: Health Care Renewal - August 5, 2014 Category: Health Management Tags: ACTH Acthar deception Ebola virus executive compensation FDA health care prices marketing perverse incentives Questcor You heard it here first Source Type: blogs

An open letter to The Lancet, again
On November 13th, five colleagues and I released an open letter to The Lancet and editor Richard Horton about the PACE trial, which the journal published in 2011. The study’s reported findings–that cognitive behavior therapy and graded exercise therapy are effective treatments for chronic fatigue syndrome–have had enormous influence on clinical guidelines for the illness. Last October, Virology Blog published David Tuller’s investigative report on the PACE study’s indefensible methodological lapses. Citing these problems, we noted in the letter that “such flaws have no place in publis...
Source: virology blog - February 11, 2016 Category: Virology Authors: Vincent Racaniello Tags: Information chronic fatigue syndrome Lancet mecfs myalgic encephalomyelitis PACE request for data Richard Horton vexations Source Type: blogs

Healthcare Insurance: America ’s Collective Action Nightmare
By CHARLES SILVER Across the country, ugly confrontations are occurring between Republican lawmakers who pledged to repeal Obamacare and Americans who are afraid of losing their healthcare coverage.  The protesters’ fears are understandable.  The cost of medical services can be devastating.  The chief selling point for Obamacare was that, between the guarantee of coverage on the exchanges and the expansion of Medicaid, the vast majority of Americans would be protected.  And the main difficulty that Republicans face in repealing Obamacare is the widespread concern that tens of millions of people might be tossed off th...
Source: The Health Care Blog - March 7, 2017 Category: Consumer Health News Authors: Jonathan Halvorson Tags: Uncategorized Source Type: blogs

An open letter to Psychological Medicine about “ recovery ” and the PACE trial
In conclusion, noted Wilshire et al., “the claim that patients can recover as a result of CBT and GET is not justified by the data, and is highly misleading to clinicians and patients considering these treatments.” In short, the PACE trial had null results for recovery, according to the protocol definition selected by the authors themselves. Besides the inflated recovery results reported in Psychological Medicine, the study suffered from a host of other problems, including the following: *In a paradox, the revised recovery thresholds for physical function and fatigue–two of the four recovery measures–were...
Source: virology blog - March 13, 2017 Category: Virology Authors: Vincent Racaniello Tags: Commentary Information adaptive pacing therapy CFS chronic fatigue syndrome clinical trial cognitive behavior therapy Dave Tuller exercise graded exercise therapy mecfs myalgic encephalomyelitis outcome PACE trial recovery Source Type: blogs

Make Trumpcare the First Big Step toward a Free Market in Healthcare
By CHARLES SILVER Say what you will about Obamacare—at least President Obama eventually took ownership of it. When it comes to the American Health Care Act, President Trump isn’t ready to do that. He’s discouraging people from calling it “Trumpcare.” Since Trump normally he puts his name on everything within reach—even the trash can liners at the Trump SoHo Hotel bear his moniker—he must be keeping his distance from the AHCA because he’s ashamed of it. The editors of The New York Times think he should be. They accuse Trump and the rest of the GOP of “Trading Health Care for the Poor for Tax Cuts for the R...
Source: The Health Care Blog - March 22, 2017 Category: Consumer Health News Authors: John Irvine Tags: Repeal Replace Uncategorized Source Type: blogs

An open letter to Psychological Medicine, again!
In conclusion, noted Wilshire et al., “the claim that patients can recover as a result of CBT and GET is not justified by the data, and is highly misleading to clinicians and patients considering these treatments.” In short, the PACE trial had null results for recovery, according to the protocol definition selected by the authors themselves. Besides the inflated recovery results reported in Psychological Medicine, the study suffered from a host of other problems, including the following: *In a paradox, the revised recovery thresholds for physical function and fatigue–two of the four recovery measures–were so lax ...
Source: virology blog - March 23, 2017 Category: Virology Authors: Vincent Racaniello Tags: Commentary Information adaptive pacing therapy CFS chronic fatigue syndrome clinical trial cognitive behavior therapy Dave Tuller exercise graded exercise therapy mecfs myalgic encephalomyelitis outcome PACE trial recovery Source Type: blogs