The Health Care Blog

Time for Toto to Pull the Curtain Away from Patient-Centered Medical Homes

By AL LEWIS Patient-Centered Medical Homes in statewide populations have unstoppable momentum and major constituencies in support of them, so valid analysis of their outcomes is probably as futile as it will be unwelcome. However, the math speaks for...

Published Sun, Apr 03 2011 7:33 AM by The Health Care Blog

Filed under: THCB, Patient Centered Medical Homes, North Carolina Community Access, Al Lewis

First Impressions of the Medicare ACO Rule

By VINCE KURAITIS On March 31, CMS released the long-awaited “Medicare Shared Savings Program: Accountable Care Organizations” document (ACO Rule). Read the details here (strong suggestion: unless you’re working on your PhD in ACOs, start with the fact...

Published Sun, Apr 03 2011 3:00 AM by The Health Care Blog

Filed under: THCB

Full employment for health futurists?

I’m not quite as convinced as some that there’s too much difference in the amount of consulting being requested and required by health systems now compared to in years past. After all it wasn’t so many years ago that APM made every hospital...

Published Sat, Apr 02 2011 10:36 PM by The Health Care Blog

Filed under: Hospitals, ACOs, micro

Minor League Report Cards

By DAVID DRANOVE I was pleased to see the Chicago Tribune carry an op-ed piece this week by my friend and colleague Michael Millenson. The gist of the piece was that information about hospital quality is readily available online and we should use that...

Published Sat, Apr 02 2011 3:37 AM by The Health Care Blog

Filed under: THCB, Quality, Risk adjustment, Leapfrog, PROMIS, Healthgrades, Inside Baseball, Hospital Compare

Save Money on Medical Costs – Get Your Old Medical Records

By DAVIS LIU, MD There are many tips to saving money on medical costs like asking your doctor only for generic medications, choosing an insurance plan with a high deductible and lower monthly premiums, going to an urgent care or retail clinic rather than...

Published Fri, Apr 01 2011 12:07 PM by The Health Care Blog

Filed under: THCB, Atul Gawande, Colonoscopy, Overtreatment, Dr. Oz, Shannon Brownlee

Inspiration, spirit, connection, optimism–Health 2.0 Spring Fling

By Matthew Holt It’s been crazy post Health 2.0 Spring Fling in San Diego, I tried do my wrap of highlights and feelings from this Health 2.0 before the plane touched down last week, but I never quite finished them. So with a little hindsight, here are...

Published Fri, Apr 01 2011 12:28 AM by The Health Care Blog

Filed under: THCB, Health 2.0, Patients, Tech

Does the GOP Have a Health Plan?

By JOHN GOODMAN The Republicans have no plan to insure the uninsured. How do I know that? A New York Times editorial told me. So did Ezra Klein, writing in The Washington Post. Matt Miller, also writing in the Post, went further. “I’m willing...

Published Thu, Mar 31 2011 1:14 PM by The Health Care Blog

Filed under: THCB, John Goodman, Politics, Obamacare, GOP, Healthcare reform

How the Veterans are Winning the War

By PAUL LEVY At a seminar last night at the Center for Public Leadership at Harvard’s Kennedy School, one of the students asked a question along the lines of, “How do you know when you have done too much with regard to transparency?”...

Published Thu, Mar 31 2011 6:34 AM by The Health Care Blog

Filed under: THCB, Quality, Transparency, Kennedy School of Government, VA Medical System, BIDMC

Shaken, Flooded, Stressed by Power Outages, Fukushima Daiichi Moves into Second Place

By ROD ADAMS Two weeks ago, I wrote an article titled Nuclear plant issues in Japan are the least of their worries that attempted to provide a realistic prediction of the worst case consequences of the one-two punch from a very large earthquake and tsunami...

Published Thu, Mar 31 2011 6:06 AM by The Health Care Blog

Filed under: THCB, Rod Adams, Radiation, Fukushima Daiichi, Nuclear energy

Conflicts Of Interest In Guideline Development: A Dirty Little Secret Gets Aired Again

By DAVID WILLIAMS An Archives of Internal Medicine article (Conflicts of Interest in Cardiovascular Clinical Practice Guidelines) is getting a lot of notice today. In essence, many of the physicians who develop guideline that influence practice patterns...

Published Thu, Mar 31 2011 4:19 AM by The Health Care Blog

Filed under: THCB, Quality, NIH, cardiology, Conflict of interest, Guidelines, Eli Lilly, Archives of Internal Medicine

The 6th Thing to Watch in the Medicare ACO Regulations

By VINCE KURATIS Health care lobbyists and advocates are bracing for six pages of the health care reform law to explode into more than 1,000 pages of federal regulations when the Department of Health and Human Services releases its long-delayed accountable...

Published Wed, Mar 30 2011 4:17 PM by The Health Care Blog

Filed under: THCB, ACOs

Does My Doctor Trust Me (and Does It Matter)?

By JESSIE GRUMAN Members of the American public are frequently surveyed about their trust in various professionals. Doctors and nurses usually wind up near the top of the list, especially when compared to lawyers, hairdressers and politicians. Trust in...

Published Wed, Mar 30 2011 9:58 AM by The Health Care Blog

Filed under: THCB, Jessie Gruman, Doctors and Patients

Potassium Iodide Pills

By DEREK LOWE Well, the nuclear crisis in Japan seems to be causing a run on potassium iodide (KI), and not just in Japan. If news reports are to be believed, people in many other regions (such as the west coast of the US and Canada) are stocking up,...

Published Wed, Mar 30 2011 8:58 AM by The Health Care Blog

Filed under: Derek Lowe, The Insider's Guide to Health Care, Postassium iodide, Radioactive iodine

Remember: Technology is but a Tool

By JOHN MOORE Yesterday, Chilmark Research participated in the CRG conference, Driving Change Through Managed Care IT from Provider Payments to Quality, which was held in New York City. Despite having a title that no one will be able to remember, the...

Published Wed, Mar 30 2011 8:04 AM by The Health Care Blog

Filed under: EHR, THCB, John Moore, Workflow, Process, Payers

Oregon Death with Dignity Act vindicated

To no one rational’s surprise, a study confirms that those few Oregon patients (400 over 10 years) who chose legal physician assisted suicide in case of terminal illness had a better quality of death than those who didn’t. Sadly because those...

Published Wed, Mar 30 2011 7:53 AM by The Health Care Blog

Filed under: Policy, Quality, micro

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