health reform

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  • Top stories in health and medicine, June 17, 2013


    Authority Authority:
    Brought to you by MedPage Today . 1. NSAID Use Raises Heart Risk in Arthritis . atients with rheumatoid arthritis and other inflammatory musculoskeletal diseases continue to be treated with nonsteroidal anti-inflammatory drugs (NSAIDs), even with their high risk for ischemic heart disease. 2. Mom’s Worrying ...
    2 days ago
  • Who’s truly responsible for the $2.7 trillion medical bill?


    Authority Authority:
    As someone who professionally closely tracks the debate over the transformation of the American health care clinical delivery system, I did not learn much new from the New York Times article:  The $2.7 Trillion Medical Bill .  I did find the article’s approach useful in explaining how the wide variations in ...
    3 days ago
  • What if doctors worked for free?


    Authority Authority:
    Today I am going to write about how the US could save up to 10% on its healthcare bill. The US spends more on health care than any other nation, $8,500 per person per year. Multiply that by 300 million people and try to grasp the vast sum of $2,5 trillion. A lot of changes are taking place with the intent to save ...
    4 days ago
  • A more realistic approach to achieving accountable care


    Authority Authority:
    Hospitals that are already struggling financially to stay afloat face significant challenges in the coming months and years under some of the provisions of Obamacare. Under the Affordable Care Act’s Hospital Readmissions Reduction Program, hospitals that readmit certain patients within 30 days of discharge could ...
    4 days ago
  • Health Datapalooza IV: A Moment with Bryan Sivak


    Authority Authority:
    Dr. Pat Salber @docweighsin and CEO of @HealthTechHatch spoke with Bryan Sivak, CTO and ‘entrepreneur-in-residence’ at the Department of Health and Human Services (HHS) on day 2 of the Health Datapalooza IV in Washington, DC. Bryan had some very big shoes to fill given his predecessor’s presence, style ...
    6 days ago
  • What should we name our healthcare super stars?


    Authority Authority:
    The MomsRising healthcare team is getting excited that millions of families will soon have new health coverage options through their state health coverage marketplaces! We will be recruiting members (that’s you!) for a special team who will pledge to share information with their friends and family about what new ...
    6 days ago
  • Breaking: Will Lawmakers and Aides Quit Over ObamaCare?


    Authority Authority:
    Dozens of lawmakers and aides are so afraid that their health insurance premiums will skyrocket next year thanks to Obamacare that they are thinking about retiring early or just quitting. The fear: Government-subsidized premiums will disappear at the end of the year under a provision in the health care law that ...
    6 days ago
  • Medicare Special Needs Plans: MedPAC Recommendations on Future of Special Needs Plans


    Piper Report on Medicare, Medicaid, and Health ReformAuthority Authority: 98
    Special Needs Plans (SNP) are part of the Medicare Advantage program and were created by the Medicare Modernization Act of 2003 (MMA). There are three types of SNPs, each intended to provide coordinated care for Medicare beneficiaries that meet specific criteria . Institutional SNPs (I-SNP) serve ...
    6 days ago
  • Dehumanizing the Opposition


    Authority Authority:
    It is a whole lot easier to get people to kill or vilify other people when they think the opposition is less-than-human. During World War I the Wilson administration called Germans “the Huns” to dehumanize them and undermine any allegiance German immigrants might have for their country of origin. Calling the foes ...
    6 days ago
  • Will ObamaCare Subsidize Layoffs?


    Authority Authority:
    [U]nlike the Recovery Act’s program, [the Affordable Care Act] welcomes people out of work even if they left work by quitting, retiring or being fired for cause. It also welcomes people who have the possibility of joining a spouse’s plan and people who had no health insurance on their prior job. Thus, we are ...
    1 week ago
  • Medicaid Federal Match Rates: Reforming the FMAP Formula


    Piper Report on Medicare, Medicaid, and Health ReformAuthority Authority: 98
    The Government Accountability Office ( GAO ) says it has found a more fair way to set federal matching rates for state spending on social programs such as Medicaid and the Children’s Health Insurance Program (CHIP). Match rates that take into account differences among states in health costs, demand for ...
    1 week ago
  • ACA Drives Cumberland Farms To Expand Coverage. Result: “Shockwaves Throughout the Industry”


    Authority Authority:
    The Framingham-based company that owns the Cumberland Farms convenience store chain and all Northeast Gulf gas stations just announced a smart, reasonable step that will be seen as bold, and confounds conventional wisdom about implementation of the ACA. Effective January 1, 2014, the Affordable Care Act requires that ...
    1 week ago
  • Hospital Community Benefit Expenditures: Looking Behind The Numbers


    Authority Authority:
    Community benefit investments have been an obligation of nonprofit hospitals as a condition of their federal tax-exempt status for decades, and most states impose similar expectations. The financial advantage that accrues to the nonprofit hospital industry as a result of their special tax-favored status was valued ...
    1 week ago
  • Multi-State Health Plans in Health Insurance Exchanges: OPM Final Rules


    Piper Report on Medicare, Medicaid, and Health ReformAuthority Authority: 98
    The federal Office of Personnel Management (OPM) had a tricky job in setting rules for multi-state health plans (MSP), which eventually will be offered in all states through  Health Insurance Exchanges (HIX). The OPM had to take decide how to allow for disparate state and federal requirements for exchange-based ...
    1 week ago
  • Headlines I Wish I Hadn’t Seen


    Authority Authority:
    Two online health calculators designed by federal officials to help states and employers comply with ObamaCare mandates are riddled with so many flaws that users are abandoning them . Another pay-for-performance failure .(HT: Jason Shafrin) The government also knows what you buy .
    1 week ago
  • The dual narratives that define health reform


    Authority Authority:
    Doctors are trying to rationalize our current story line:  the loss of autonomy and pay cuts are a necessary evil for the greater good.   We’re taking one for the excess-health care cost team.  We’re willing to take this personal sacrifice for our fellow man and woman.   It is the noble thing to do.   It ...
    1 week ago
  • The doctor will see you now. Or the nurse. Or the physician assistant.


    Ezra KleinAuthority Authority: 134
    Welcome to Health Reform Watch, Sarah Kliff’s regular look at how the Affordable Care Act is changing the American health-care system — and being changed by it. You can reach Sarah with questions, comments and suggestions  here . Check back every Monday, Wednesday and Friday afternoon for the latest edition, and ...
    1 week ago
  • Lawmakers may enter Marion County dispute over Oregon Health Plan cash


    Authority Authority:
    A year after granting provider groups local control in how they spend Oregon Health Plan money, lawmakers are hearing a bill to intervene in one groups dispute over how that money is divvied up.
    1 week ago
  • Health Insurance Exchange Premiums: Adverse Selection Possibly Mitigated with Taxpayer Subsidies


    Piper Report on Medicare, Medicaid, and Health ReformAuthority Authority: 98
    Fears abound that health insurance premium increases because of the Affordable Care Act  (ACA) will discourage young, healthy people from participating in the Health Insurance Exchanges . But most young people are likely to be eligible for exchange subsidies, softening the sting of so-called premium shock and ...
    1 week ago
  • How the Oregon Medicaid experiment is a failure


    Authority Authority:
    An important article was recently published in the New England Journal of Medicine , titled The Oregon Experiment — Effects  of Medicaid on Clinical Outcomes . This study provides a rare look at the effects of expanding Medicaid coverage (specifically, Oregon Health Plan, Oregon’s version of Medicaid) to a ...
    1 week ago

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