November 22nd, 2010 by Stanley Feld, M.D. in Better Health Network, Health Policy, News, Research
Tags: American Recovery and Reinvestment Act of 2009, ARRA, Cost-Effective Medical Care, Dr. Stanley Feld, Federal Coordinating Council for Comparative Effectiveness Research, HHS, National Coordinator for Health Information Technology, NCFHIT, Practicing Physicians, Repairing The Healthcare System, U.S. Department of Health and Human Services
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What is the Federal Coordinating Council for Comparative Effectiveness Research?
The mission of the Federal Coordinating Council for Comparative Effectiveness Research will be to decide on best practices and most cost effective practices. The council will recommend cost effective treatments for diseases to the National Coordinator for Health Information Technology (NCFHIT). The NCFHIT will determine treatment at the time and place of care. It is charged with deciding the course of treatment for the diagnosis given by the doctor.
The U.S. Department of Health and Human Services (HHS) announced the formation and membership of the Federal Coordinating Council for Comparative Effectiveness Research that will be funded by President Obama’s stimulus program the American Recovery and Reinvestment Act (ARRA). The council was allocated $1.1 billion to set up comparative effectiveness of medical practice.
Why was this $1.1 billion funded from the economic stimulus package?
Unknown. The missions are based on the premise that practicing physicians do not have the ability to recommend the most cost-effective medical treatment for their patients. (See executive summary.)
Who are the members?
The members of the committee were picked without congressional approval immediately after the economic stimulus bill was passed. They are all bureaucrats working for the government in one capacity or another. There are no practicing physicians on the panel.
*This blog post was originally published at Repairing the Healthcare System*
November 22nd, 2010 by RamonaBatesMD in Better Health Network, Health Policy, News, Opinion
Tags: AHCCCS, Arizona Health Care Cost Containment System, Dr. Ramona Bates, Evidence-Based, General Medicine, Health Insurance Companies, Health Insurance Coverage, Healthcare Economics, Healthcare Policy, Healthcare reform, medicaid, Medically Necessary Care, New U.S. Healthcare System, Not Covered By Insurance, Organ Transplants, Rationing of Healthcare, Suture For A Living
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Do you recall the severe rationing of food and water the Chilean miners had to endure to survive? The rationing was done to stretch their limited resources. I would argue the state of Arizona’s new policy to not cover organ transplants for patients on Arizona Health Care Cost Containment System (AHCCCS) or their version of Medicaid is a similar form of rationing.
AHCCCS, as many Medicaid programs, is underfunded. They are trying to operate on a limited budget. Something has to give. Sadly in this case, many (NPR reports 98) had already been granted approval for organ transplants which they may not receive.
Francisco Felix, 32, who due to hepatitis-C needs a liver transplant, is reported to have made it to the operating room, prepped and ready for his life-saving liver transplant when doctors told him the state’s Medicaid plan wouldn’t cover the procedure. The liver he was to receive went to someone else. Read more »
*This blog post was originally published at Suture for a Living*
November 22nd, 2010 by Shadowfax in Better Health Network, Health Policy, News, Opinion
Tags: Anesthesiologist, Anti-Obamacare, COBRA, Congressman Andy Harris, Dr. Liam Yore, Government-Provided Health Insurance, Government-run Healthcare, Health Insurance Crisis, Healthcare Policy, Healthcare Politics, Healthcare reform, Jon Chait, Movin' Meat, New U.S. Healthcare System, Patient Protection and Affordable Care Act, Politico, PPACA, Private Health Insurance, Shadowfax
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Freshman Republican Congressman Andy Harris, who was elected on a promise to repeal the Patient Protection and Affordable Care Act (PPACA), is outraged that he’s going to go a whole month before his government-provided health insurance kicks in. From Politico:
A conservative Maryland physician elected to Congress on an anti-Obamacare platform surprised fellow freshmen at a Monday orientation session by demanding to know why his government-subsidized health care plan takes a month to kick in.
Republican Andy Harris, an anesthesiologist who defeated freshman Democrat Frank Kratovil on Maryland’s Eastern Shore, reacted incredulously when informed that federal law mandated that his government-subsidized health care policy would take effect on Feb. 1st –- 28 days after his Jan. 3rd swearing-in.
“He stood up and asked the two ladies who were answering questions why it had to take so long, what he would do without 28 days of health care,” said a congressional staffer who saw the exchange. The benefits session, held behind closed doors, drew about 250 freshman members, staffers and family members to the Capitol Visitors Center auditorium late Monday morning.”
All the more embarassing because he’s a doctor, for Pete’s sake. You’d think he’d have a better idea of how insurance works. Guess the dude’s never heard of COBRA. Also, it’s pretty standard that this is how enrollment happens. And it’s idiots like this that want to repeal the PPACA. Read more »
*This blog post was originally published at Movin' Meat*
November 22nd, 2010 by Bryan Vartabedian, M.D. in Better Health Network, Health Policy, News
Tags: 33 Charts, AMA, American Medical Association, Doctor Patient Relationship, Doctor-Patient Communication, Doctors and Social Media, Dr. Bryan Vartabedian, Healthcare Social Media, Interacting With Patients Online, Internet-Based Healthcare, Medical Ethics, Medical Professionalism, Medicine and Healthcare Online, Patient Confidentiality, Patient Privacy, Patients and Social Media, Professional Boundaries, Social Media and Health Communication, Social Media In Medicine, Social Networking and Healthcare
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A new policy on professionalism in the use of social media was [recently] adopted by the American Medical Association (AMA). The AMA Office of Media Relations was kind enough to share a copy of the policy:
The Internet has created the ability for medical students and physicians to communicate and share information quickly and to reach millions of people easily. Participating in social networking and other similar Internet opportunities can support physicians’ personal expression, enable individual physicians to have a professional presence online, foster collegiality and camaraderie within the profession, provide opportunity to widely disseminate public health messages and other health communication. Social networks, blogs, and other forms of communication online also create new challenges to the patient-physician relationship. Physicians should weigh a number of considerations when maintaining a presence online:
(a) Physicians should be cognizant of standards of patient privacy and confidentiality that must be maintained in all environments, including online, and must refrain from posting identifiable patient information online.
(b) When using the Internet for social networking, physicians should use privacy settings to safeguard personal information and content to the extent possible, but should realize that privacy settings are not absolute and that once on the Internet, content is likely there permanently. Thus, physicians should routinely monitor their own Internet presence to ensure that the personal and professional information on their own sites and, to the extent possible, content posted about them by others, is accurate and appropriate. Read more »
*This blog post was originally published at 33 Charts*
November 22nd, 2010 by BobDoherty in Better Health Network, Health Policy, News, Opinion
Tags: ACP Advocate, American College Of Physicians, Bob Doherty, Compete and Succeed, Ezra Klein, Healthcare Politics, Healthcare reform, Patient Protection and Affordable Care Act, PPACA, Repeal or Replace, Senator Bernie Sanders, Senator Ron Wyden, Senator Scott Brown, Washington Post
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Senator Scott Brown (R-MA) thinks so. So does Senator Ron Wyden (D-OR). And Senator Bernie Sanders (I-VT). Senators Brown, Wyden and Sanders have introduced the “Empowering States to Innovate Act.” Ezra Klein blogs that the Senators may have found a way forward on health reform.
“If a state can think of a plan that covers as many people, with as comprehensive insurance, at as low a cost, without adding to the deficit, the state can get the money the federal government would’ve given it for health-care reform but be freed from the individual mandate, the exchanges, the insurance requirements, the subsidy scheme and pretty much everything else in the bill,” Ezra Klein writes. “If conservative solutions are more efficient, that will be clear when their beneficiaries save money. If liberal ideas really work better, it’s time we found out. Forget repeal and replace, or even reform and replace. How about compete and succeed?”
The Wonk Room reports that Wyden, Brown, Sanders, who co-sponsored the original innovative waivers amendment, believe that their home states of Oregon, Massachusetts, and Vermont are leading the pack in adopting innovative approaches. These include the well-known Massachusetts program that Brown voted for as a state legislator, and single payer bills that have been introduced in Vermont and Oregon. The bill, though, also could appeal to states seeking a more conservative, less regulatory solution, since they would be able to decide how they wanted to provide comprehensive coverage to the uninsured, free of most of the mandates of the Affordable Care Act (ACA). Read more »
*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*
