October 4th, 2010 by Bryan Vartabedian, M.D. in Better Health Network, Health Policy, Opinion
Tags: 33 Charts, Consumer Drug Marketing, Cybercelebs, Direct To e-Patient Marketing, Dr. Bryan Vartabedian, FTC, General Medicine, Medical Manufacturers, Medical Marketing, Medical-Industrial Complex, Pharmaceutical Industry, Social Health
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Patients are the new darling of the medical-industrial complex. If you look around you will see patients advocating for one another. If you click a little closer you’ll find some with relationships to industry.
It makes perfect sense that the manufacturer of a drug or medical device would want the blessings of our nascent cybercelebs. Some want genuine patient input. Some, however, want to curry their favor. Chock up influence of the patient population as evidence of social health’s evolving maturity.
A couple of questions:
- Will industry be required to publicly list monies used for sponsorship, travel and swag support of high profile patients in the social sphere?
- Should high visibility patients who serve as stewards and advocates disavow themselves of contact with pharma just as many academic medical centers have begun?
As is often the case, I don’t have an answer. I’m just raising the questions. Read more »
*This blog post was originally published at 33 Charts*
October 4th, 2010 by DavidHarlow in Better Health Network, Health Policy, News, Opinion
Tags: Accountable Care Organizations, ACO, David Harlow, Fee For Service, Global Healthcare Payments, HealthBlawg, Healthcare Payment Plan, Healthcare Plan Providers, Healthcare Policy, Healthcare Politics, Healthcare reform, Healthcare Regulators, Massachusetts, MassHealth, medicaid, Medicare
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Federal health reform and Massachusetts health reform may find a point of convergence in the development of ACOs (accountable care organizations) and the payment mechanisms that will make them tick (or hum, or do whatever it is that we want them to do). The Federales will be holding a listening session next week on the issues raised by ACOs across the HHS and FTC landscapes. Meanwhile, back in Boston, the inner circle of health care regulators and the regulated community are busy hashing out an approach to global payments that could be ready for prime time by January 1.
The need for payment reform in Massachusetts has been well-documented — see the health care market report from the AG’s office, as well as an earlier report on the imperative to keep insurance risk on insurers and place performance, or quality, risk on providers. Now, this may be easier said than done, but we’ve got some of the best and brightest working away at the issue.
Unfortunately, the Massachusetts legislature blinked, and has not mandated the approach across the board — at least not yet. Initially, the global, or bundled, payment for episodes of health care approach is being tentatively applied to just a couple of types of episodes of care. (See Section 64 of Chapter 288 of the Acts of 2010 – the small group market reform legislation enacted this summer.) Read more »
*This blog post was originally published at HealthBlawg :: David Harlow's Health Care Law Blog*
October 3rd, 2010 by John Mandrola, M.D. in Better Health Network, Health Policy, News, Opinion
Tags: Dr. John Mandrola, Electrophysiology, Healthcare reform, HHS, Kathleen Sebelius, McDonald's Corporation, Mini-Med Plans, Patient Protection and Affordable Care Act, PPACA, Rules of the Neighborhood Playground, U.S. Department of Health and Human Services, Wall Street Journal, WSJ
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Could understanding the tacit rules which govern play on a neighborhood playground help us explain why some aspects of implementing healthcare reform are unlikely to succeed? Recent news involving McDonald’s Corporation suggests so.
On the playground, there are some simple precepts — like the fact that older and stronger kids get to make up the game, and the rules. That’s understood and mostly okay. As if these leaders are considered modestly benevolent and the rules are workable, the game is good and all benefit. And all players on the playground know this basic tenet of fairness: That the rules of the game shouldn’t change in the midst of the competition, and, taking it one step further, if the rules have to be changed they weren’t very good in the first place. Soon, if those in power become too controlling, too conflicted, or too self-serving, kids stop showing up, and the games cease.
In enacting this, our government gave us a very complicated game, with oodles of rules. (For the record, the PPACA of 2010 is 475 pages and 393,000 words.) But then, on further consideration of the rules, important players (McDonald’s) decided that they could not play. They were pulling out of the game, and they had many friends (Home Depot, CVS, Staples, etc.) who may not have spoke outwardly, but surely felt the same way. Read more »
*This blog post was originally published at Dr John M*
October 3rd, 2010 by DrRob in Better Health Network, Health Policy, Opinion
Tags: Balanced Budget Act, Dr. Rob Lamberts, Fixing American Healthcare, Healthcare Policy, Healthcare Politics, Healthcare reform, Lame-Duck Congress, Medicare Payment Fix, Medicare Reimbursement, Medicare SGR Cut, Musings of a Distractible Mind, Proposed SGR Fix
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“It will never happen.”
“They know better than to do it.”
“They realize the disaster it would be if they let it pass.”
That’s what I hear. I hear that the upcoming SGR adjustment, the one that will cut Medicare reimbursement by 23 percent, won’t go through.
In case you missed it, the SGR is a formula coming from the Balanced Budget Act of 1997 that does automatic cuts to Medicare reimbursement. This year we witnessed a legislative game of chicken in congress, with both sides agreeing that it was a bad idea to screw physicians in a time that they are trying to fix healthcare. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
October 3rd, 2010 by DrWes in Better Health Network, Health Policy, News, Opinion, Research
Tags: Doctors Retire Early, Dr. Wes Fisher, Family Medicine, Forced Retirement For Doctors, General Medicine, Internal Medicine, Lack of Primary Care, Medical Education, Medical School Graduates, Medical Specialties, North Carolina, Out-Of-State Medical Training, Physician Burnout, Primary Care Crisis, Primary Care Incentives, Primary Care Residency, Retaining Doctors, Shortage of Primary Care Doctors, U.S. Medical Schools, Virginia
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Some states are finding it tough to retain physicians. Take Virginia for instance:
A recent study found Virginia retains only 35 percent of its medical school graduates and ranks 31st among other states in retaining doctors.
In 2008, Virginia spent more than $50 million from the general fund to support medical education and had nearly 600 new physicians graduate from Virginia’s four medical schools.
Despite this, Virginia still struggles to retain medical graduates, with less than 25 percent of Virginia’s physicians graduating from medical schools in the Commonwealth.
Some feel incentives might work:
Dr. Greenawald says other states including North Carolina have incentives to keep medical students in state. He hopes Virginia considers following suit. Dr. Greenawald also said the over burden of paperwork and insurance company oversight have taken doctors away from what they love doing which is providing care to patients. He said that’s prompted many doctors to retire early.
I’m not so sure. Until more medical students feel primary care is worth the effort, the mass exodus to specialties (and the out-of-state training that is often required) will continue.
-WesMusings of a cardiologist and cardiac electrophysiologist.
*This blog post was originally published at Dr. Wes*
