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Health Reform

How immigrants help health reform succeed

July 31, 2015 by David E Williams

Medicare turns 50 today, which has provided an opportunity for all manner of retrospectives and speculation about what the future holds. The Partnership for a New American Economy is publicizing one of my favorite arguments: that immigrants are a key reason that Medicare is still solvent.Their 2014 study (Staying...[read more]

3 Big Healthcare Trends To Watch in 2015

July 21, 2015 by Moira O'Connell

Healthcare trends from specialty pharmacy to accreditation have been gaining traction this year in the healthcare world. We have been keeping an eye on three additional healthcare trends that we expect to hugely impact the healthcare industry through the end of the year and continuing on to 2016. From ICD-10 to telehealth, let's explore these important trends and what they mean for healthcare![read more]

Saving Relationship Medicine with Direct Primary Care

July 8, 2015 by Stephen Schimpff

The fundamental problem in health care delivery today is a highly dysfunctional payment system that leads to higher costs, lesser quality and reduced satisfaction. It also means less time between doctor and patient with the loss of “relationship medicine.” The core problem? Price controls and regulations that reduce the trust and core interactions between doctor and patient.[read more]

How High-Deductible Insurance Fuels Momentous Healthcare Shifts

July 2, 2015 by Stewart Gandolf, MBA

Although the Affordable Care Act (ACA), in its final, amended version, has been the law of the land for slightly more than five years, the industry-shaking consequence of “healthcare reform,” continue to emerge almost daily. High deductibles are causing major shifts in healthcare.[read more]

Obamacare Subsidies Continue, Court Rules. Now Let’s Get to Work.

June 30, 2015 by Jeanne Pinder

The Affordable Care Act’s health insurance subsidies to low-income people will continue, the Supreme Court ruled. Now that we have that behind us, let’s focus on the important questions of costs — or charges, or prices, or all three — and effectiveness.The Supreme Court ruling marks the end of one chapter and the beginning of another one. There’s work to do to fix the system. Transparent markets benefit consumers. It’s time.[read more]

King v. Burwell: A Frivolous Lawsuit

June 29, 2015 by David E Williams

Some are surprised that Chief Justice John Roberts came out so strongly for the government in King v. Burwell, the lawsuit that aimed to bar insurance subsidies from Obamacare exchanges run by the federal government.I’m not a lawyer or Supreme Court scholar but to me Roberts’ stance isn’t surprising at all. King v. Burwell was a joke –an exemplar of the type of “frivolous lawsuit” some on the right are so fond of citing.[read more]

Long Term Care Insurance: Narrow Framing Is Not the Problem

June 18, 2015 by David E Williams

Health Business Blog readers know the Wall St. Journal is among my favorite publications, but I have to call BS on a recent piece: Why People Don’t Buy Long-Term-Care Insurance. It’s written by a couple of Wharton professors, who frankly should be ashamed of themselves.[read more]

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Effective Healthcare Requires a Social Approach

June 15, 2015 by Paul Tunnah

We all know that the healthcare ecosystem is a highly fragmented space, encompassing all manner of different stakeholders, commercial and non-commercial. However, it strikes me that we still tend to view healthcare solutions in a rather two-dimensional way. The challenge for healthcare is to drive the right sociological change alongside the technological advancement. We need doctors, carers, family/friends and so on to all work collaboratively with each other, harnessing the power of technology and big data, to deliver a 360 degree solution built around the patient.

We all know that the healthcare ecosystem is a highly fragmented space, encompassing all manner of different stakeholders, commercial and non-commercial, including healthcare providers (doctors, nurses etc.), regulators, payers, technology players, pharmaceutical companies, device/diagnostic companies and, of course, the patient and...[read more]

Hospital Selfies and Stars: Patients Look Deeper Than HCAHPS

June 9, 2015 by Lonnie Hirsch

There’s a New Consumer in your service area. No longer “merely a patient,” healthcare reform and societal dynamics have empowered a new breed of high-expectation consumers and value-aware shoppers. Before they select a hospital or provider—for themselves or family members—they are increasingly informed about outcomes, reputation, safety scores, patient experience and the cost of care.[read more]

Temporary Health Plans With Low Benefits Continue to Grow

June 8, 2015 by David E Williams

The Affordable Care Act has increased awareness that everyone needs to have health insurance, so more people who would have otherwise had a gap in coverage are purchasing temporary plans instead. Are they worthwhile?[read more]

Disruptions on the Yellow Brick Road II

June 5, 2015 by Christine Kapsa, NP, DNP

Disruptors and “creative” destroyers blew through American health care like EF5 tornadoes blow through the prairies, starting about a decade ago. Electronic health records are the Winged Monkeys of Medicine. They’ve taken the stuffing out of physicians, dented trust patients had in providers and hijacked the pleasures of caregiving.[read more]

Are We Treating Symptoms While Ignoring the Cause?

June 4, 2015 by Tim Kilpatrick
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A study by the University of Wisconsin funded by the Robert Wood Johnson Foundation shows that the CDC HRA may be ignoring 50% of the determinants of health outcomes. A Health Affairs review of several studies shows that clinical care and behaviors represents only 50-60% of health outcomes. The three determinants of health missing are social, economic and environment.[read more]