August 2nd, 2010 by Davis Liu, M.D. in Better Health Network, Health Policy, News, Opinion, Research
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The Wall Street Journal reported that overall medical use fell as patients had fewer doctor office visits, lab testing, and maintenance medications possibly due to the recession or as a result of consumer-driven healthcare in the way of higher deductibles and copays. This is very worrisome.
Certainly patients should have some financial responsibility for their care, but skimping on care will only result in Americans not becoming healthier, but sicker. Though the article cited some examples of patients saving money by not seeing their allergist for a refill of medication and simply calling for one and getting an athletic physical at a local urgent care clinic for $40 rather than $90 at the doctor’s office, these tiny behavior changes aren’t going to bend the cost curve in medical care. Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
August 1st, 2010 by AndrewSchorr in Better Health Network, Health Policy, Opinion, Research, True Stories
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I have always heard that Northwestern Mutual Life (“The Quiet Company”) was a grade-A company. And for years I have been happy to have a disability insurance policy and a term life one with them. I got those policies back in the early 1990s, and it was a good thing I did.
In 1996 my health changed. I was diagnosed with leukemia. I knew I was very lucky to have insurance in place because, as many told me: “You’ll never get insurance now.”
Now fast-forward 14 years, and 10 years after receiving treatment in a phase II clinical trial. I have no evidence of disease and have not had any evidence for nine years. The drug therapy I received in a trial has now been approved by the FDA and in Europe as the standard of care. People are living well with this leukemia and it is extending life — some people may even be cured.
So I asked the insurance company to consider giving me the ability to change my policy, to take advantage of lower rates and optimize my coverage for a longer life. Read more »
*This blog post was originally published at Andrew's Blog*
July 31st, 2010 by GarySchwitzer in Better Health Network, Health Policy, News, Research
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My friend and colleague Bill Heisel, one of our news reviewers, also works at the Institute for Health Metrics and Evaluation (IHME) at the University of Washington. He wrote to me that this group:
“… has launched a major global health survey to measure the impact of more than 300 diseases or injuries and more than 40 risk factors. This is the most ambitious global health measurement project in two decades. And when people answer the survey, they will be providing information that will directly shape the final outcome of the research because ‘disease burden’ is partly objective but partly subjective.”
And his pitch to anyone to take the 15-minute, anonymous, online survey is this:
“With unprecedented money and attention pouring into global health efforts, the need for accurate data is urgent. By taking part in the survey, you will contribute to the scientific understanding of global health problems and ultimately enable policymakers to make better decisions.”
Click HERE to begin the survey. Thanks for the news, Bill. And thanks to anyone who takes the time to complete the survey. You may help this team reach its goal of 50,000 people around the globe filling out the survey.
The research is part of the Global Burden of Diseases, Injuries, and Risk Factors Study 2010 led by the Institute for Health Metrics and Evaluation (IHME) at the University of Washington, in collaboration with Harvard University, Johns Hopkins University, the University of Queensland, and the World Health Organization (WHO).
And you can follow the project on Twitter.
*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*
July 28th, 2010 by Davis Liu, M.D. in Better Health Network, Health Policy, News, Opinion, Research
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The American College of Obstetricians and Gynecologists (ACOG) recently reiterated their position that Pap smears should be performed on healthy women starting at age 21. This is different from the past which recommended screening for cervical cancer at either three years after the time a woman became sexually active or age 21, whichever occurred first.
How will the public respond to this change?
Over the past year there have been plenty of announcements from the medical profession regarding to the appropriateness of PSA screening for prostate cancer and the timing of mammogram screening for breast cancer. Understandably, some people may view these changes in recommendations as the rationing of American healthcare. Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
July 27th, 2010 by GarySchwitzer in Better Health Network, Health Policy, News, Opinion, Quackery Exposed, Research
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Kudos to Christopher Snowbeck and the St. Paul Pioneer Press for digging into new Medicare data to report that the state the newspaper serves is out of whack with the rest of the country in how many expensive MRI scans are done on Minnesotans’ bad backs.
Snowbeck artfully captures the predictable rationalization and defensive responses coming from locals who don’t like what the data suggest. Because what they suggest is overuse leading to overtreatment. So here’s one attempt a provider makes to deflect the data:
“The Medicare billing/claims data, which this report is generated from, would not capture conversations between a patient and provider that may have addressed alternative therapies for lower back pain,” said Robert Prevost, a spokesman for North Memorial Health Care. “It’s important to recognize the limitations of this data.”
No, data don’t capture conversations. But wouldn’t it be fascinating to be a fly on the wall during those many patient-physician encounters that led to an MRI to see what level of truly informed shared decision-making (if any) took place? Read more »
*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*
