Health Care Costs

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It’s perverse but the healthcare system in the United States is making you sick. Don’t believe me – then maybe you have a high-end plan with no deductible and full access and no ceiling. But there are not many of those and for the rest of us, I imagine your interaction with the system is […]

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Designing an Effective Population Health Program Population health is the topic du jour for the health care industry, and I’m glad to see us all focusing on this important issue. But there is a lot of confusion as to what, exactly, constitutes population health. Or more correctly, an effective population health system. A good population […]

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The move toward value-based reimbursement is shaking up traditional healthcare in all kinds of ways, as connectivity and cost-effectiveness become critical attributes in care delivery. Proprietary PACS, used in image acquisition systems, are starting to feel the squeeze from this dual pressure, as vendor-neutral archives take over many of their functions. A recent study by […]

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The rising costs of drugs is covered in this piece offering some thoughtful insights into the rising costs that exceed inflation rates (2014 projected to increase by 6%) and the jaw dropping costs for some chronic conditions that top tens of thousands of dollars per year The solutions and underlying problems are not clear and […]

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This week I had the fortune of speaking at the Connected Health – Healthcare Reinvented – Customer First I pulled together an update in resources on the payment streams for mHealth activity alongside some review of the players in the space and some success stories The over riding principle in my mind is encapsulated by […]

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There is no known medical condition that enables an individual to predict the future. While such an ability would be extremely useful for myriad reasons, we have, instead, learned to hone and leverage our analytic skills to deduce what might occur, relying on the data we cull and parse to help forecast the future. So, […]

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This week I will be at the Medicine 2.0 Conference on a panel Bridging the Patient Digital Divide moderated byMelody Smith Jones and includesLauren Still andNick Genes The session was put together by Melody to take on the oft talked about but perhaps poorly understood “Digital Divide”. Patients spend less than 1% of their time with doctors […]

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We have some Healthcare reform in the US but we are still challenged with a system that is failing to deliver results. This piece recently: America Ranks No. 1 for Over-Priced, Inefficient Health Care featured the chart from the Commonwealth fund That ranks the US last in a group of 11 industrialized countries. As he puts […]

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This is not news for many in the healthcare profession as they face the challenges of billing rules and regulations and the sometimes obscure idiosyncrasy – but as you can see form this piece on NBC for many patients this is a surprise and a costly one at that Visit NBCNews.com for breaking news, world […]

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Patients deserve the same standard and car that doctors receive when they need treatment. But as I have said before (Doctors Die Differently and more recently Treatment Creep in Medicine – sucking Decency out of Patients) we remain challenged especially when it comes to dying. This piece by Dan Gorenstein, How Doctors Die: Showing Others the […]

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This recent post on the Atlantic: How CPR Became So Popular reminded me of a piece I wrote some time back – Doctors Die Differently. As I said then: Its not that doctors don’t want to die, its just that they knwo they know enough about modern medicine to know its limits, importantly they have […]

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A new study from the Centers for Disease Control and Prevention finds no link between the number of vaccinations a young child receives and the risk of developing autism spectrum disorders. Jeff J. Mitchell/Getty Images A large new government study should reassure parents who are afraid that kids are getting autism because they receive too […]

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Brian Klepper Brian Klepper, Health Care Analyst and TDWI Writers’ Group Glen Tullman Recently-fired Allscripts CEO Glen Tullman waxed progressive in a self-promotional Forbes article last week, describing the ways past and forward for electronic health records (EHRs) and health information technology (HIT). It may have been a way of trying to recover from a damning New York Times […]

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via healthland.time.com THere is something fundamentally wrong and flawed with a system that bills patients at highly variable rates, the highest to those with no “insurance” or poor “insurance”. Insurance in this instance seems like a poor term to describe a system that even with full standard coverage still costs patients thousands if not tens […]

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The approach came in 2009, in a presentation to doctors by Allscripts Healthcare Solutions of Chicago, a well-connected player in the lucrative business of digital medical records. That February, after years of behind-the-scenes lobbying by Allscripts and others, legislation to promote the use of electronic records was signed into law as part of President Obama’s […]

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here via thedoctorweighsin.com Great article on the potential for social media in healthcare and highlighting the phenomenal job the Salaman Khan has done (of the Khan Academy,/a>) with education online. There are some nice examples of use of video and social media to help in patient engagement and education and as David Chase points out […]

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CHELMSFORD, Mass. — It’s hard work being one of Dr. Damian Folch’s diabetic patients. If a lab test shows high cholesterol, Folch is quick to call or email. No patient can leave the office without scheduling an annual eye exam, a key preventive test. A missed exam or an appointment leads to another call. “We […]

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via fedtechmagazine.com Dr Robert walker among a growing band of physicians finding benefit in dictating in front of his patients. As he puts it: Before I started dictating in front of patients, I would have said I don’t make many mistakes. But now once or twice a week they correct me — they say it […]

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via online.wsj.com The latest book exposing the healthcare system and how broken it is from Dr Makary a surgeon from Johns Hopkins. As he says Meet ‘Shrek,’ a doctor who insists on surgery in every case—and has a surgical-incision infection rate of 20%. and more troubling He quotes a recent Hopkins survey of employees of […]

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