Steve Anderson has posted a great new “Be Mine” Valentine’s Edition of Health Wonk Review at HealthInsurance.org Blog. His post shows which bloggers are feeling the love for Obamacare and which aren’t, among many other topics. Check it out.
And as long as we’re on the health policy frame of mind, here are a few other things that have caught our eye this week:
New Obamacare Figures from HHS, Gallup Are Encouraging – Jonathon Cohn
Obamacare beats a January enrollment projection – Sarah Kliff
Why Are So Many Americans Confused About Obamacare? How a Video Produced by CBS’ Washington Bureau Misled Millions -Part 1 – Maggie Mahar
HHS Enrollment Figures Indicate Sign-Ups Even In States Where Officials Have Opposed The Health Law – Kaiser Health News
The Latest Obamacare Numbers: Three Charts and Two Unanswered Questions – Business Week
GOP States Struggling With Medicaid Expansion Issues _ Kaiser Health News
Where the states stand on Medicaid expansion – 4 states are considering expansion
Posts Tagged ‘Affordable Care Act’
Steve Anderson has posted a great new “Be Mine” Valentine’s Edition of Health Wonk Review at HealthInsurance.org Blog. His post shows which bloggers are feeling the love for Obamacare and which aren’t, among many other topics. Check it out.
Some of the blogosphere’s most informed observers offer their opinions on last week’s Supreme Court decision in this special supplemental Health Wonk Review posted at Joe Paduda’s Managed Care Matters. See SCOTUS on health reform – the bloggers respond – part 1 and Bloggers respond, part 2.
We also point you to Joe’s post on Health reform, the Supreme Court decision and workers comp: the long and the short of it: “Healthier claimants, less cost-shifting, more science, and possibly slightly higher frequency – on balance, good news indeed for workers’ comp.”
Big day today! We’re on the case.
We point you to the SCOTUS Blog – Live Blogging Coverage – this is the best place to be for informed commentary on the Supreme Court decision and what it means. They say that “We expect the health care decision to be announced at roughly 10:15a. 1045a-1p – live coverage and analysis.”
We’ll update this post periodically through the day with links and info as the day progresses so check back!
MSNBC: Supreme Court upheld the individual mandate as constitutional — but under taxing authority. News media are scrambling to make sense of things.
SCOTUS Twitter feed
There are more than 800,000 people following the SCOTUS live blog right now. Amazing the role blogging is playing in disseminating news. Here is an ignominious “Dewey Wins” style screw up headline from CNN captured for posterity.
Talking Points Memo: BREAKING: Supreme Court Upholds ‘Obamacare’
Full decision available at Ezra Klein’s WonkBlog
President to make a statement at 12:15. You can watch it live at whitehouse.gov/live.
Helathcare Reform Implementation Timeline
We’re making more frequent updates on our Twitter feed.
Tom Lynch, our CEO, weighs in:
American health care costs more than twice as much as the average for the rest of the economically developed nations making up the Organization for Economic Cooperation and Development (OECD), but our healthcare outcomes are generally worse than the average. We don’t live longer and we’re not healthier than the others.
Today’s Supreme Court ruling upholding the Affordable Care and Patient Protection Act (ACA)is a major step forward in reversing our less than enviable world ranking. But it is only a first step. America’s health care tree, now planted, will require frequent attention and pruning. Congress and the States will modify and improve the law just as we have done in Massachusetts.
Our Massachusetts healthcare law, passed under Governor Romney and the model for the ACA , envisioned tackling this problem in a two step fashion. First, by making health insurance mandatory for all citizens, and, second, by attacking the high costs. We’ve succeeded with step one. About 98% of all Massachusetts citizens are now insured. Two years ago, we dove into the deep end of the pool to begin the serious work of controlling costs. Since then, we’ve seen improvement, but we still have a long way to go.
I’m hopeful that now that SCOTUS has ruled all of us can put our collective shoulder to the healthcare wheel and begin improving our nation’s health and lowering our costs.
Related: The Best Health Care in The World (PDF)
Ezra Klein: The political genius of John Roberts
Jonathan Cohn: Did Roberts Gut the Commerce Clause?
Kaiser Family Foundation: State Action Toward Creating Health Insurance Exchanges, as of June 18, 2012
Kaiser Health News: After The Ruling: A Consumer’s Guide
Kaiser Health News: KHN legal analyst Stuart Taylor: ‘Most Amazing Supreme Court Theater I’ve Ever Seen’
Kaiser Health News: Political Leaders Sounding Off On Health Law Decision With Speeches
Senate Majority Leader Harry Reid, House Speaker John Boehner, House Minority Leader Nancy Pelosi, GOP presidential candidate Mitt Romney and President Obama react to Thursday’s Supreme Court decision on the health law with speeches.
Charles Ornstein, ProPublica: Mystery After the Health Care Ruling: Which States Will Refuse Medicaid Expansion?
Brad Wright of Wright on Health tees up all the health wonkery this week as he hosts Health Wonk Review: A Masterful Edition.
Texas – Texas does things differently and their work comp program is true to course. Employers are not mandated to have workers comp insurance – they can opt out. According to a 2010 survey, 15% of businesses with 500+ employees choose to opt out. And now Walmart is opting out of work comp in Texas. See more on this at PropertyCasualyt360, including a graph of market share for the top 10 insurers comparing 2010 to 2011: Concerns Arise over Texas Workers’ Comp. State System After Walmart Drops Out
Mississippi reform – Mississippi is working on workers comp reform and we note that one provision about “medical proof” establishes a pretty high bar to hurdle for some injuries; for example, a back injury: “It also would require a worker to provide the employer with medical proof that an injury or illness is a direct result of the job if the worker’s claim is contested.”
Dirty Business – Is workers’ comp dirty? Some people seem to think so and Dave DePaolo considers whether there’s more to the frequent use of the term than coincidence. See Work Comp and Dirt – Do They Have to be Synonymous?
Florida drug wars – Tampa Bay Times says that drugstores are the new focus of painkiller investigations. From the article: “The U.S. Drug Enforcement Administration says that in 2009 no Walgreens retail pharmacies were listed among the DEA’s top 100 Florida purchasers of oxycodone — a key ingredient in OxyContin, Percocet and Percodan. / By 2011, 38 Walgreens made the list. By February, the total reached 53 of the top 100. So says a warrant filed last week in U.S. District Court for the Middle District of Florida. / In Fort Myers, the DEA says one Walgreens pharmacy sold more than 2.1 million oxycodone pills in 2011. That’s more than 22 times the oxycodone sales at the same pharmacy two years earlier.”
Healthcare’s 1% – Who are the chronically costly? The costliest 1% of patients consume one-fifth of all health care spending in the U.S., according to federal data. Doug Trapp of amednews digs into the data to profile the most costly patients and where so much of the medical spend goes.
From the courts – Fred Hosier of SafetyNewsAlert has an interesting post about whether workers comp will be on the hook for prescribed drug’s side effects. He cites a case related to a West Palm Beach police officer who has filed for additional workers’ comp benefits for the treatment of his gynecomastia, an excess growth of breast tissue, a side effect of medication he was prescribed to treat a work-related injury. Initially denied, an appeals court has reopened his claim for review by an expert medical advisor.
Occupational Medicine – It’s been a bit since we visited the American College of Occupational and Environmental Medicine (ACOEM) site. ACOEM offers up a few new guides, and a revision of an older guide – Fatigue Risk Management in the Workplace (PDF), Guidance to Prevent Occupational Noise-Induced Hearing Loss and Guidance for the Chronic Use of Opioids.
Affordable Care Act – At Health Care Policy and Marketplace Review, Bob Laszewski looks at what individual health insurance might cost if the court strikes the mandate down and still requires insurers to cover everyone. Hint: a lot.
- US Labor Department’s OSHA announces new National Emphasis Program for Nursing and Residential Care Facilities
- Light-duty work 387 miles from home not ‘suitable’
- Big Mistake for Employers to Demand Employees’ Facebook Passwords
- There’s no such thing as lawsuit avoidance in 2012
- Mike Wallace’s battle with depression leading to a suicide attempt
- Seven Key Slicer Errors to Avoid
- Oil and gas operations safety
Health Wonk Review – Jason Shafrin has posted the Health Wonk Review: More than Birth Control Pills edition at Healthcare Economist. And there is indeed much more than birth control in this issue: politics, health care reform, the Affordable Care Act, and a grab bag of other timely topics. Check it out!
CDC calls prescription drug problem “epidemic” – The CDC weighs in on the prescription drug abuse problem, calling it “epidemic” and “the fastest growing drug problem in the United States.” Risk & Insurance offers a concise summary. And on the same theme is a story about how New Jersey has implemented a Prescription Drug Monitoring Program. “In unveiling the program last month, state officials related that one patient obtained more than 2,500 doses of oxycodone and methadone in a four-week period. The patient presented what are now believed to be forged prescriptions to three pharmacies on 14 separate occasions, spread out his visits among the pharmacies, and paid sometimes with cash and sometimes by insurance.”
Affordable Care Act: What if… – What if the Supreme Court overturns the mandate? At Managed Care Matters, Joe Paduda looks at what the repeal of the mandate would mean for workers comp.
Marijuana & impairment Roberto Ceniceros recently discussed the issue of marijuana use and impairment. He cites a recent Louisiana appeals-court ruling that upheld benefits for an injured worker who showed positive in a post-injury test for consumption of marijuana and a prescription drug.
Emerging Risks: Exploding Hog Farms – Hog farmers take note: the Minnesota Daily covers reports of a mysterious foam that has caused Midwest swine barns to unexpectedly explode. The foam can build up to heights of four feet on manure pits. “The foam traps gases like methane and when a spark ignites it causes an explosion. About a half dozen barns in the Midwest have exploded since the foam was discovered in 2009. / In mid-September 2011, a barn in Iowa was added to the growing number of barns taken down by the foam. In the explosion, 1,500 pigs were lost, and one worker was injured.”
Contractors in conflict zones – At Risk Management Monitor, Jared Wade discusses contractor deaths in Afghanistan as reported in a recent New York Times article. He notes that, “In 2011, for the first time, there were more civilian contractors working for U.S. companies that died in Afghanistan than there were U.S. soldiers.” He follows up with excerpts and links to a prior Risk Management story on working in the world’s most dangerous locations
Economy & Insurance – Global financial woes will not derail the economy, according to Robert Hartwig, President and Economist at the Insurance Information Institute, who has been a reliable forecaster and source of information on both the overall economy and the impact on the insurance industry. He sees opportunities for insurers beyond waiting for rate increases. Read more in Chad Hemenway’s story at Propertycasualty360: Hartwig: U.S. Insurers Should Look at ‘New Trajectory of Growth’
Aging & Construction Work – The Center for Construction Research and Training analyzed 100,000 workers comp construction industry claims for the
state of Colorado to understand the relationship between the claimant
age and costs by the causes and natures of injuries and illnesses. Consistent with other aging studies, the report says “Older construction workers filed a small percentage of the total workers’ compensation claims; however, when they did file a claim the associated costs were greater.” Review the key findings: The Role of Age on the Cause, Type, Nature and Cost of Construction Injuries (PDF)
- Some Downsides of Social Media for Doctors
- Would You Get Married to Avoid a Deposition? A Case Study…
- Workplace Violence: Fatal Shooting at Dental Office Was Not Sufficiently Connected to Employment
- Be one in a million this American Heart Month
- Police Union Seeks Data for Cancer Links to 9/11
- How 1-Minute Intervals Can Improve Your Health
- How healthy are your employees? Track via your state’s Well-Being Index
- Safety Precautions for Solo Workers
Ready for a bi-weekly grab-bag of risk-related reading? Jacob A. Irwin hosts Cavalcade of Risk # 127 – Riskiest Jobs Edition at My Personal Finance Journey.
Agents & Experience Mods – What role do insurance agents play in keeping a client’s workers’ comp losses as low as possible? In PropertyCasualty360, Kevin Ring of the Institute of WorkCompProfessionals offers Six Ways to Keep a Client’s Experience Mod Under Control.
Federalization – Over the years, talk about the impending federalization of workers comp has surfaced time and again. In recent years, with healthcare reform and a move to increased federal oversight of financial industries, talk of workers comp federalization has increased. Joe Paduda classifies this as a “never gonna happen” thing, and he makes his case in a four-part argument: part 1, part 2, part 3, and part 4.
More charges filed in Upper Big Branch case – Ken Ward of Coal Tattoo reports that criminal charges were filed against a former Massey Energy employee who faked his certification to perform safety exams. Ward reports that “…he is the second person to be charged as part of what is said to be a broad federal criminal investigation of the explosion and safety practices at the Massey operation.” You can find more of Ken’s reporting in the archives of the Upper Big Branch Disaster.
Healthcare – Liz Borkowski of The Pump Handle looks at The Affordable Health Care Act’s first year and sees some disappointments but also great progress. Her post highlights a provisions that have already kicked in. And in another healthcare report, a new survey by Gallup reveals that there is a wide discrepancy in health coverage across U.S. metro areas. Nine of the ten most uninsured metro areas surveyed were in Texas and California; 8 out of the metro areas with the lowest percentage of uninsureds were in the northeast.
Just for fun – Your enjoyment and amusement at the following site will be in direct proportion to your age: Obsolete Skills is a wiki database of things we used to know that are no longer very useful to us. Some of these skills are everyday matters like dialing a rotary phone or adjusting rabbit ears, but the list is also a compendium of disappeared jobs, such as taking shorthand, asbestos installation, blacksmiths, bookbinding, and more. It’s a fun site to browse and because it’s a wiki, you can also contribute.
- Roberto Ceniceros on Telecommuting
- HR Daily Advisor: Must You Allow Telecommuting as an ADA Accommodation?
- Fraud: Social Media the Latest Tool for Health Care Fraud Investigators
- Safety: The Triangle Fire 100 Years Later: Lessons Learned and Unlearned
- Monthly Labor Review: Nonfatal Injuries and Illnesses in State and Local Government Workplaces in 2008 (PDF)
- Compensability: Co-worker’s Falling Asleep at Wheel is Negligent, Covered by Workers’ Comp
- OSHA: Small Business Compliance Guidance Issued for Final Rule for Cranes & Derricks
- Canada: Human Resources Legislative Update Blog
This dramatic satellite shot from NOAA captures the scope of the blizzard that swept across the country in the last few days. Being snowbound offered our contributing bloggers lots of time to think about all things healthcare, and in that arena, the climate is almost as stormy as the weather. The Florida judge’s ruling against the Health Care Act was much on the mind of several of our bloggers, as was the State of the Union address — both of which occurred since our last compilation. We have a lot of good submissions this week – grab a cup of cocoa to take the chill off and dig in.
Managed Care Matters – Hosting has its privileges, so we kick off this issue with a nod to the blogger who did the heavy lifting last issue, Joe Paduda. One thing we love about Joe is that he is never one to mince words, as evident in this week’s submission, Paul Ryan’s blatant hypocrisy – and the abject failure of mainstream media. Joe takes the Wisconsin representative to task, along with most of his colleagues in the GOP and the mainstream media. He finds today’s hand-wringing over healthcare related debt insincere from the same players who ignored yesterday’s elephant in the room. Also see his related post: If health reform is overturned.
The Apothecary (posted at Forbes) – Avik Roy’s post Florida v. HHS: Why Vinson’s Ruling Might Stand offers a detailed discussion of the four components of Judge Vinson’s Monday ruling, with an emphasis on why the lack of a severability clause might be the key factor in overturning the entire law.
California Healthline – With talk of rolling back the Patient Protection and Affordable Care Act dominating the news, Dan Diamond reminds us that this isn’t the first time that Congress has considered overturning a major health law. He wonders if the battle over the 1988 Medicare Catastrophic Coverage Act and its repeal 17 months later mightn’t hold some lessons for today.
Colorado Health Insurance Insider – Louise Norris suggests that any debate on healthcare should be based first and foremost on facts rather than rumors. She puts on her detective hat in considering whether a Colorado Representative’s vote was swayed by debunked info from an E-mail forward. She thinks the public debate should be informed by a higher standard and offers some clues for spotting suspect chain-mail claims
Disease Management Care Blog – Jaan Sidorov considers Atul Gawande’s recent essay The Hot Spotters and asks if targeted care management is something new? Jann says that while The New Yorker article might garner the glitteratis’ attention, the practice of identifying and reaching out to patients at risk is a standard MO in many commercial insurance plans. “What’s next, Dr. Gawande,” he asks, “discovering that there are machines that use electromagnetic radiation to take pictures of people’s insides?”
Health Affairs Blog -Tim Jost offers an analysis of Judge Vinson’s decision invalidating the Affordable Care Act, while his co-bloggers opine about the implications of the Sate of the Union speech and its aftermath: Kavita Patel on health care and the State Of The Union; Len Nichols who suggests being honest for a change, and Joe Antos with a taste of budgets to come.
Health AGEnda – In his post on the the John A. Hartford Foundation’s blog, Chris Langston poses a good question: Why are Medicare’s innovations more secret than the Joint Strike Fighter?. He champions the idea that we should be more nimble, transparent and collaborative in sharing innovations and improvements in care, particularly in terms of knowledge that we as taxpayers have already purchased.
Health Beat Blog – Maggie Mahar suggests that when it comes to electronic health records, perhaps we should walk before we run. She likens the mad stampede of EHR implementation to a market bubble with too many sellers, too many buyers, and too little information. In light of this, she tackles the question of whether Congress should defund the conversion to EHRs as some are proposing.
Health Business Blog – What makes you sad? For David Williams, it comes down to three words: US biogenerics policy. David makes the case that the debate on biogenerics misses the point: There are better, safer, faster ways to bring down the cost of biotech drugs while preserving incentives for innovation.
Health Care Renewal – Roy Poses makes a strong contribution to this week’s roundup with his post Big Door Keeps On Turning. He lists examples of health care leaders going from government to industry and then back to government again. He asks if this revolving door, with its constant interchange among corporate and government health care leaders, is a sign of how corporatist health care has become and if we can we really expect a cozy corporate leadership class with no fixed loyalty to any organization to put the care of individuals and populations ahead of their personal interests and relationships?
Health News Review Blog – Gary Schwitzer enlists the help of Harry Demonaco, director of the Mass. General Hospital’s Innovation Support Center in turning a critical eye on health screening advice issued by Prevention magazine, which advised readers, “If you haven’t had these cutting-edge screenings, put this magazine down and call your doctor. Now.” This is cited as another bad example of screening madness in US health care journalism, which promotes and fosters screening outside the boundaries of the best evidence.
Healthcare Economist – Jason Shafrin informs us that home health services are among the fastest growing services that Medicare provides. In thinking of reform to control this rise in spending, he turns to MedPAC’s 2011 Home Health Reform Recommendations.
Healthcare Technology News – Rich Elmore and Paul Tuten discuss the launch of pilot projects enabling secure direct messages among healthcare stakeholders in their post about Direct Project implementations taking flight. They offer project details and note that this is a very big deal, as reflected in the related briefing by David Blumenthal (National Coordinator for Health IT), Aneesh Chopra (US CTO) and Glen Tullman (CEO Allscripts) among other federal and industry participants.
healthyimagination – In December, scientists and healthcare professionals shared groundbreaking research an NIH symposium focused on health disparities. Lisa Cappelloni shares some of the novel approaches aimed at eliminating health inequities in her post Advancing Minority Health: New Minds, New Methods.
The Hospitalist Leader – Bradley Flansbaum offers A Hospitalist’s Lament, a thoughtful essay on the issue of end of life care and advance directives. In the light of controversies like death panels and care rationing, he states that our country may be at least a decade or two away from having a sophisticated discussion on this subject. He illustrates the complexity of the surrounding issues through an intriguing exercise conducted with his colleagues.
Improving Population Health – David Kindig is another contributor who listened closely to the State of the Union address, and asks if one could find any mention of population health, public health, or prevention in the speech. While he didn’t hear those phrases directly, he was heartened by the speech addressing two major drivers of health — education and jobs.
The Incidental Economist – Austin Frakt says that cost shifting is not well understood and has become a political football. He sheds light on the topic in the first of a series of posts: Hospital cost shifting: Brief history and possible future.
Insure Blog – As the oft-quoted Andy Warhol line goes, we will all have our 15 minutes of fame. But in the world of insurance, fame may be measured in cents rather than minutes, if Hank Stern’s post about Ceridian’s 2-cent Moment is any measure. In this case, the company made headlines when a cancer patient was denied coverage over a 2 cent shortchange. Or was there more to this story than the headlines? Hank digs a little deeper and offers his two cents on the matter. (Oh, and kudos to Hank & crew for Insure Blog’s 6 year blogiversary – quite the landmark!)
John Goodman’s Health Policy Blog – In his post The Case For Health Insurance, John states that everyone should have access to health insurance, and notes that real insurance involves a pooling of risks. “The insurer must make sure each new entrant to the pool pays a premium that reflects the expected costs that entrant brings to the pool. Otherwise, the insurer won’t be able to pay claims. The business of insurance is the business of pricing and managing risk.”
The Notwithstanding Blog – Genomic medicine, end-of-life care, and rationing are three “hot” areas of medicine and health policy in which much stock is given to the opinion of bioethicists. Our blogger at the Notwithstanding Blog (written by a first-year medical student) says that he has a bad feeling in observing the near-uniformity with which the bioethics establishment has opposed medical advancement and patient empowerment, and uses the lens of public-choice analysis to argue that the deference shown to their prescriptions is at least partially misplaced.
Pizaazz – In his post about how early career physicians use Facebook, Glenn Laffel reviews a study that should give some comfort to those who worry that physicians will misuse the social networking site by failing to protect patients’ protected health information.
Workers Comp Insider – In the niche area of occupational illnesses and injuries, Jon Coppelman demonstrates that some villains contributing to skyrocketing health care costs might lie entirely outside the delivery system. He examines the curious spike in carpal tunnel injuries reported by guards at an Illinois correctional facility in his post John T. Dibble’s Sympathetic Ear.
That wraps up this issue! Next up to bat: Louise Norris at Colorado Long Term Care Insider on February 16!
Like much of the country, we’ve had a sizzling summer here in the northeast, and we are just entering the dog days of summer. In Ancient Rome, the Dog Days extended from July 24 through August 24 and were popularly believed to be an evil time “when the seas boiled, wine turned sour, dogs grew mad, and all creatures became languid, causing to man burning fevers, hysterics, and phrensies.”
That sounds like a pretty accurate description of the climate as we head on into election season. If you thought all the excitement over health care reform had died down and you could slack off for your summer reading, think again. Things are still pretty heated and we expect much in the way of sea boiling, wine souring, madness, phrensies and hysteria right through the November election. To help you make sense of things, our esteemed contributors offer up an assortment of hot issues related to healthcare – from costs and reform to technology and ethics.
In A Reply to the Cato Insitute Report, Part 1 Maggie Mahar of Health Beat takes on Michael Tannner’s 52-page thesis Bad Medicine, which asserts that the Patient Protection and Affordable Care Act is both unaffordable and unfair. Bad Medicine is meant to serve as a playbook for those who hope to kill reform, a theme that Tanner says will serve as the “centerpiece of Republican campaigns this fall.”
In his post Controlling health care costs: Who’s responsible?, Joe Paduda of Managed Care Matters wonders why those who believe health reform is socialism don’t have faith in the free market’s ability to control costs and deliver quality.
Uwe Reinhardt of Health Affairs Blog contemplates the difference between widgets and health care as he examines the issue of whether more insurers will better control health care costs.
In Standardizing Payments for Childbirth, Louise of Colorado Health Insurance Insider offers a quick and dirty summary of her idea to lower the c-section rate, which would be one piece of the ‘costs’ puzzle that is overwhelming our healthcare system.
David Williams of Health Business Blog expresses doubt about the sincerity of Republican objections to sending extra money to the states for Medicaid, but just in case, he offers a suggestion for how the deficit hawks can satisfy their concerns about Medicaid spending.
We have a pair of posts from the bloggers at Health Access WeBlog. First, Anthony Wright notes that the rate hikes by Anthem Blue Cross of California that helped jump-start health reform have had a second, third, and fourth act. He thinks that their recent rate filing demonstrates that public scrutiny matters. Next, Beth Capell reminds us that reform isn’t just about expanding coverage – it’s also about saying adios to the junkiest of junk health insurance.
A final rule for the “Meaningful Use” Regulation for Electronic Health Records has recently been issued, and two of our regular contributors shed light on the topic. Rich Elmore at Healthcare Technology News delivers a compendium of resources and analysis related to the final rules for Health Information Technology – Meaningful Use and Standards/Certification. David Harlow of HealthBlawg explains how this rule, along with the EHR certification rule and the HIPAA rule amendments (also recently released) will govern the future development of health IT in this country, and discusses details and implications of the meaningful use rule.
In his posting The Medicare ‘doc fix’: How to make political lemonade, Austin Frakt of The Incidental Economist, says that the Sustainable Growth Rate system was flawed from the start and should have been fixed years ago, but now we have an opportunity to make necessary systemic changes.
Jaan Sidorov of Disease Management Care Blog says that although the risk may appear to be low, Congress should consider the risk of a physician boycott of Medicare. He suggests that good business practice — Enterprise Risk Management (ERM) — requires it.
In Whose costs? Our costs, The Notwithstanding Blog suggests that patient convenience as a benefit of medical care delivery is largely ignored, and he makes the case for why it is a factor that should be weighed in any honest evaluation of competing reform proposals.
Peggy Salvatore of Healthcare Talent Transformation advocates for E-learning as the most cost effective and best way to educate healthcare workers on the use of IT in her post Technology for Healthcare Education: Build it and They Will Come, and Keep Coming!
Jared Rhoads of the The Lucidicus Project has been tweeting about the highlights and lowlights of the healthcare chapter of Mitt Romney’s book, “No Apology: The Case For American Greatness.” He’s compiled his tweets in his blog post: Twead #3: Mitt Romney. (Here’s a Twitterspeak Guide for all you non-tweeters)
In Everybody outta the pool!, Henry Stern of InsureBlog reports on a new high risk health pool and suggests that an agenda-driven press has mangled the message.
At Healthcare Economist, Jason Shafrin observes that when Congress enacted the Medicare and Social Security programs, the media coverage was intense. He notes, however, that Medicaid’s beginnings were more humble.
Ethics and marketing
Roy Poses of Health Care Renewal posts that the Avandia spin cycle continues even after the FDA safety hearings, noting that the case offers a good lesson in the need for skepticism about data and claims proffered to support commercial health care products. He finds it particularly disappointing that formerly prestigious medical societies and disease activity groups are increasingly funded by industry, and increasingly act like industry marketers.
Tinker Ready looks at the ethics of advertising, questioning whether hospitals should be promoting drugs used in clinical trials as “treatment” in her post MGH: Research as Marketing? at Nature Network Boston. We usually see Tinker at Boston Health News but this post appears the forum/blog/calendar/jobs site for local scientists.
In a series of posts (#1; #2; #3; #4; and #5), Brad Wright takes a closer look at health reform by elaborating on quotes drawn from Brown University political science professor Jim Morone’s Health Affairs article Presidents and Health Reform: From Franklin D. Roosevelt to Barack Obama.”
Over a series of posts at The Apothecary, Avik Roy discusses a Medicaid study from the University of Virginia which suggests that Medicaid patients fare worse than the uninsured (and far worse than those with private insurance) when undergoing a broad range of surgical procedures. Roy also points to posts by Incidental Economist Austin Frank, who has a different take on the studies.