A survey of 3000 American physicians reveals frustration and a widespread and strong disbelief in the supposed positive effects of the reform law on either health care for patients or physicians.
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On we go into the New Year, already on our fourth Potpourri, this one rich with information on state Medicaid program issues; what makes for a successful wellness program; what makes for a well-run hospital; pushing back on too much medical care; the value of colonoscopy and walking faster to live longer.
Whether the fear is justified or not, physicians and other providers are often motivated by avoiding malpractice claims. An essay in the NEJM discusses how EHRs and other health IT advances my affect malpractice liability.
CSC put out a report giving its vision of the future of health care, with a particular focus on how emerging technologies may reshape wellness, prevention, early disease detection, treatment and how care is delivered.
We have reported several times on geographic variation in health spending, primarily in regard to Medicare beneficiaries, MEdPAC released a new brief that focuses on variation in use as opposed to raw spending, showing variation but to a smaller degree.
MedPAC weighs in unasked on some proposed changes to the Medicare Advantage program; objecting to CMS’ intent to limit benefit design flexibility on home health care and to CMS’s proposed quality incentive “demonstration.”
Once more into the Potpourri breach, this week covering CBO’s scoring of a repeal of PPACA; a global wellness survey; Medicare’s failure to use its data to identify abusive providers; Canadians’ view of their health system; Walmart’s preventive care package; and use of electronic messages to improve cancer screening rates.
The initial report on 2009 national health expenditures is profiled in Health Affairs. The recession had a notable impact in slowing utilization and overall spending, particularly for consumers paying out-of-pocket, but spending continues to increase at rates that probably can’t be sustained.
An incredibly useful paper has been issued by the mHealth Regulatory Coalition on issues surrounding potential FDA regulation of communications technology used for health-related purposes. The paper provides background and a discussion of the significant issues upon which the industry, patients and providers need guidance.
Cost-sharing by consumers is an issue of the greatest importance in an era of increasing premium share, high deductibles, and coinsurance. A new report looks at the potential health consequences but is not without its biases.
About this Blog
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at [email protected].
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