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WRITE FOR US
Write for Us. We want you to write for us! We don’t care if you are a newcomer to the industry or a long-time health expert, so long as it’s punchy, intelligent, and interesting, we are interested in publishing you on THCB. We ask that pieces be between 1000-1500 words and feature outside resources to validate arguments within the piece. THE “RIGHT” TO HEALTH CARE IN AMERICA The “Right” to Health Care in America. I’ve been working on a Spring lecture for President’s College at the University of Hartford titled, “The Constitution and Your ‘Right to Health Care’ in America.”. My description reads, “This lecture explores the recent SMART HEALTHCARE PLATFORMS SHINE A LIGHT ON PRICE Platform technology is the answer. The ideal solution is a single, comprehensive platform for consumers to review all procedure prices across hospitals around them. This might sound like a fantasy, but my company Point Health has created a Smart Healthcare Platform that allows consumers to shop for thousands of healthcare services. HOW CAN PATIENTS GET MEDICAL RECORDS FROM A CLOSED MEDICAL Texas law requires physicians to keep records for a minimum of seven years after the date of last treatment, and physicians leaving a practice are required to notify patients. During the record retention period, these records are considered to be still “available” and subject to the HIPAA right of access. Consult the medical board or the THE TOP FIVE RECOMMENDATIONS FOR IMPROVING THE PATIENT By KATHLEEN MERKLEY and ANNE MARIE-BERKMORE Healthcare organizations are working diligently to improve patient satisfaction and the patient experience of care. After all, patient experience of care is a critical quality domain used to evaluate hospital performance under the 2016 CMS Hospital Value-Based Purchasing (VBP) Program (accounts for 25 percent of a hospital’s VBP WHY IS THE USA ONLY THE 35TH HEALTHIEST COUNTRY IN THE The two leading causes of U.S. deaths are heart diseases (614,000 in 2017) and cancer (592,000). Respiratory diseases come next (147,000), with strokes representing 133,000 deaths. This is fairly typical among developed nations, although our rate of heart diseases is much higher than average—caused by the diet issues we saw above. HOW TO DISCOURAGE A DOCTOR How To Discourage a Doctor. Sep 18, 2014• 142. By RICHARD GUNDERMAN, MD. Not accustomed to visiting hospital executive suites, I took my seat in the waiting room somewhat warily. Seated across from me was a handsome man in a well-tailored three-piece suit, whose thoroughly professional appearance made me – in my rumpled white coat, sheaves ARE RADIOLOGISTS PREPARED FOR THE FUTURE? In a year those numbers if focused on can be met. As current radiologists in training we need to be prepared for our mid to late careers and currently we are totally underprepared for that. Radiology is not alone. Mid-levels, new technology and millennials’ perception of health care will decrease the need for many physicians. IS UNIVERSAL HEALTH CARE SOCIALISM? Is Universal Health Care Socialism? Only if we believe that every other developed market-based economy in the world is socialist since the U.S. is the only one without universal coverage. We spend almost $10,000 per year per capita on health care, about twice as much as most developed countries. However, in terms of major health outcomes,such
THE VERDICT IS IN: ALL THREE OF CMS’S “MEDICAL HOME By KIP SULLIVAN Between September of 2016 and last month, CMS released “final evaluations” of all three of its “medical home” demonstrations. All three demos failed. This spells bad news not just for the “patient-centered medical home” (PCMH) project, but for MACRA. The PCMH, along with the ACO and the bundled payment (BP), isone
WRITE FOR US
Write for Us. We want you to write for us! We don’t care if you are a newcomer to the industry or a long-time health expert, so long as it’s punchy, intelligent, and interesting, we are interested in publishing you on THCB. We ask that pieces be between 1000-1500 words and feature outside resources to validate arguments within the piece. THE “RIGHT” TO HEALTH CARE IN AMERICA The “Right” to Health Care in America. I’ve been working on a Spring lecture for President’s College at the University of Hartford titled, “The Constitution and Your ‘Right to Health Care’ in America.”. My description reads, “This lecture explores the recent SMART HEALTHCARE PLATFORMS SHINE A LIGHT ON PRICE Platform technology is the answer. The ideal solution is a single, comprehensive platform for consumers to review all procedure prices across hospitals around them. This might sound like a fantasy, but my company Point Health has created a Smart Healthcare Platform that allows consumers to shop for thousands of healthcare services. HOW CAN PATIENTS GET MEDICAL RECORDS FROM A CLOSED MEDICAL Texas law requires physicians to keep records for a minimum of seven years after the date of last treatment, and physicians leaving a practice are required to notify patients. During the record retention period, these records are considered to be still “available” and subject to the HIPAA right of access. Consult the medical board or the THE TOP FIVE RECOMMENDATIONS FOR IMPROVING THE PATIENT By KATHLEEN MERKLEY and ANNE MARIE-BERKMORE Healthcare organizations are working diligently to improve patient satisfaction and the patient experience of care. After all, patient experience of care is a critical quality domain used to evaluate hospital performance under the 2016 CMS Hospital Value-Based Purchasing (VBP) Program (accounts for 25 percent of a hospital’s VBP WHY IS THE USA ONLY THE 35TH HEALTHIEST COUNTRY IN THE The two leading causes of U.S. deaths are heart diseases (614,000 in 2017) and cancer (592,000). Respiratory diseases come next (147,000), with strokes representing 133,000 deaths. This is fairly typical among developed nations, although our rate of heart diseases is much higher than average—caused by the diet issues we saw above. HOW TO DISCOURAGE A DOCTOR How To Discourage a Doctor. Sep 18, 2014• 142. By RICHARD GUNDERMAN, MD. Not accustomed to visiting hospital executive suites, I took my seat in the waiting room somewhat warily. Seated across from me was a handsome man in a well-tailored three-piece suit, whose thoroughly professional appearance made me – in my rumpled white coat, sheaves ARE RADIOLOGISTS PREPARED FOR THE FUTURE? In a year those numbers if focused on can be met. As current radiologists in training we need to be prepared for our mid to late careers and currently we are totally underprepared for that. Radiology is not alone. Mid-levels, new technology and millennials’ perception of health care will decrease the need for many physicians. IS UNIVERSAL HEALTH CARE SOCIALISM? Is Universal Health Care Socialism? Only if we believe that every other developed market-based economy in the world is socialist since the U.S. is the only one without universal coverage. We spend almost $10,000 per year per capita on health care, about twice as much as most developed countries. However, in terms of major health outcomes,such
THE VERDICT IS IN: ALL THREE OF CMS’S “MEDICAL HOME By KIP SULLIVAN Between September of 2016 and last month, CMS released “final evaluations” of all three of its “medical home” demonstrations. All three demos failed. This spells bad news not just for the “patient-centered medical home” (PCMH) project, but for MACRA. The PCMH, along with the ACO and the bundled payment (BP), isone
SMART HEALTHCARE PLATFORMS SHINE A LIGHT ON PRICE Platform technology is the answer. The ideal solution is a single, comprehensive platform for consumers to review all procedure prices across hospitals around them. This might sound like a fantasy, but my company Point Health has created a Smart Healthcare Platform that allows consumers to shop for thousands of healthcare services. UPHEALTH HITS THE NYSE: CEO & PRESIDENT ON SPAC MERGER Everything you always wanted to know about the Health Care system. Butwere afraid to ask.
#HEALTHIN2POINT00, EPISODE 215 Amazon Cares already has customers, Clover has become a meme stock, Transcarent has got a Series B that they closed already, and OneDrop has hit 25 billion biometric data points - what the hell is going on in digital health? Today on Health in 2 Point 00, we still have lotsof deals to cover.
THCB GANG EPISODE 57 Episode 57 of “The THCB Gang” will be live on Thursday, June 10, 1pm PT 4pm ET. Matthew Holt (@boltyboy) will joined by regulars: medical historian Mike Magee (@drmikemagee), THCB regular writer Kim Bellard (@kimbbellard) and futurist Ian Morrison (@seccurve). And we have a special guest, health care equity analyst at Hedgeye, Emily Evans (@HedgeyeEEvans) You HEY, HOW ABOUT STARSHIP EARTH? By KIM BELLARD. I missed the job announcement on the company website.I missed it again when the company posted the job on Linkedin.I missed it when Eric Ralph tweeted that the posting was “probably the coolest job posting I’ve read in years.” Fortunately, though, I follow Isaac Kohne (MD, PhD), and I did see his tweet:. Yes, I’m talking about SpaceX. TESTED AZ-600 EXAM DUMPS Tested AZ-600 Exam Dumps - AZ-600 PDF Dumps Ultimate AZ-600 PDF Dumps - Get AZ-600 Exam Dumps to Cover All AZ-600 Topics. Properly preparing and passing the Microsoft AZ-600 questions is as hard as youthought.
WHY IS THE USA ONLY THE 35TH HEALTHIEST COUNTRY IN THE The two leading causes of U.S. deaths are heart diseases (614,000 in 2017) and cancer (592,000). Respiratory diseases come next (147,000), with strokes representing 133,000 deaths. This is fairly typical among developed nations, although our rate of heart diseases is much higher than average—caused by the diet issues we saw above. THE HEALTH CARE BLOG Everything you always wanted to know about the Health Care system. Butwere afraid to ask.
SEARCH RESULTS FOR “MEETING QUALITY MEASURES” By TIM WILLIAMS & DAVID INTROCASO PhD. This past October CMS Administrator Seema Verma announced the agency’s “Meaningful Measures” initiative. Ms. PREFERRED 1Z0-1076-20 EXAM DUMPS Preferred 1Z0-1076-20 Exam Dumps - 1Z0-1076-20 PDF Dumps Unique 1Z0-1076-20 PDF Dumps - Get 1Z0-1076-20 Exam Dumps to Practice All1Z0-1076-20 Topics
WRITE FOR US
Write for Us. We want you to write for us! We don’t care if you are a newcomer to the industry or a long-time health expert, so long as it’s punchy, intelligent, and interesting, we are interested in publishing you on THCB. We ask that pieces be between 1000-1500 words and feature outside resources to validate arguments within the piece. THE “RIGHT” TO HEALTH CARE IN AMERICA The “Right” to Health Care in America. I’ve been working on a Spring lecture for President’s College at the University of Hartford titled, “The Constitution and Your ‘Right to Health Care’ in America.”. My description reads, “This lecture explores the recent POST PANDEMIC RE-ENTRY Health care and public health leaders need to start discussing and planning for these additional post-pandemic behavioral health challenges and be prepared to proactively and adequately respond. The time, then – is now – that we think about re-entry and the hard work ahead. Preparing for this gradual re-entry will be an “allhands on deck
SMART HEALTHCARE PLATFORMS SHINE A LIGHT ON PRICE Platform technology is the answer. The ideal solution is a single, comprehensive platform for consumers to review all procedure prices across hospitals around them. This might sound like a fantasy, but my company Point Health has created a Smart Healthcare Platform that allows consumers to shop for thousands of healthcare services. HOW CAN PATIENTS GET MEDICAL RECORDS FROM A CLOSED MEDICAL Texas law requires physicians to keep records for a minimum of seven years after the date of last treatment, and physicians leaving a practice are required to notify patients. During the record retention period, these records are considered to be still “available” and subject to the HIPAA right of access. Consult the medical board or the THE TOP FIVE RECOMMENDATIONS FOR IMPROVING THE PATIENT By KATHLEEN MERKLEY and ANNE MARIE-BERKMORE Healthcare organizations are working diligently to improve patient satisfaction and the patient experience of care. After all, patient experience of care is a critical quality domain used to evaluate hospital performance under the 2016 CMS Hospital Value-Based Purchasing (VBP) Program (accounts for 25 percent of a hospital’s VBP IS UNIVERSAL HEALTH CARE SOCIALISM? Is Universal Health Care Socialism? Only if we believe that every other developed market-based economy in the world is socialist since the U.S. is the only one without universal coverage. We spend almost $10,000 per year per capita on health care, about twice as much as most developed countries. However, in terms of major health outcomes,such
ARE RADIOLOGISTS PREPARED FOR THE FUTURE? In a year those numbers if focused on can be met. As current radiologists in training we need to be prepared for our mid to late careers and currently we are totally underprepared for that. Radiology is not alone. Mid-levels, new technology and millennials’ perception of health care will decrease the need for many physicians. THE (GREAT) COLONOSCOPY EXPERIENCE The (Great) Colonoscopy Experience. Aug 1, 2012• 16. By John Halamka, MD. Today, as Kathy finished her last radiation therapy appointment, I had my first screening colonoscopy – a rite of passage for new 50 year olds. Although a bit of a personal issue, I’m known for my transparency and I’m happy to share the experience so that others THE VERDICT IS IN: ALL THREE OF CMS’S “MEDICAL HOME By KIP SULLIVAN Between September of 2016 and last month, CMS released “final evaluations” of all three of its “medical home” demonstrations. All three demos failed. This spells bad news not just for the “patient-centered medical home” (PCMH) project, but for MACRA. The PCMH, along with the ACO and the bundled payment (BP), isone
WRITE FOR US
Write for Us. We want you to write for us! We don’t care if you are a newcomer to the industry or a long-time health expert, so long as it’s punchy, intelligent, and interesting, we are interested in publishing you on THCB. We ask that pieces be between 1000-1500 words and feature outside resources to validate arguments within the piece. THE “RIGHT” TO HEALTH CARE IN AMERICA The “Right” to Health Care in America. I’ve been working on a Spring lecture for President’s College at the University of Hartford titled, “The Constitution and Your ‘Right to Health Care’ in America.”. My description reads, “This lecture explores the recent POST PANDEMIC RE-ENTRY Health care and public health leaders need to start discussing and planning for these additional post-pandemic behavioral health challenges and be prepared to proactively and adequately respond. The time, then – is now – that we think about re-entry and the hard work ahead. Preparing for this gradual re-entry will be an “allhands on deck
SMART HEALTHCARE PLATFORMS SHINE A LIGHT ON PRICE Platform technology is the answer. The ideal solution is a single, comprehensive platform for consumers to review all procedure prices across hospitals around them. This might sound like a fantasy, but my company Point Health has created a Smart Healthcare Platform that allows consumers to shop for thousands of healthcare services. HOW CAN PATIENTS GET MEDICAL RECORDS FROM A CLOSED MEDICAL Texas law requires physicians to keep records for a minimum of seven years after the date of last treatment, and physicians leaving a practice are required to notify patients. During the record retention period, these records are considered to be still “available” and subject to the HIPAA right of access. Consult the medical board or the THE TOP FIVE RECOMMENDATIONS FOR IMPROVING THE PATIENT By KATHLEEN MERKLEY and ANNE MARIE-BERKMORE Healthcare organizations are working diligently to improve patient satisfaction and the patient experience of care. After all, patient experience of care is a critical quality domain used to evaluate hospital performance under the 2016 CMS Hospital Value-Based Purchasing (VBP) Program (accounts for 25 percent of a hospital’s VBP IS UNIVERSAL HEALTH CARE SOCIALISM? Is Universal Health Care Socialism? Only if we believe that every other developed market-based economy in the world is socialist since the U.S. is the only one without universal coverage. We spend almost $10,000 per year per capita on health care, about twice as much as most developed countries. However, in terms of major health outcomes,such
ARE RADIOLOGISTS PREPARED FOR THE FUTURE? In a year those numbers if focused on can be met. As current radiologists in training we need to be prepared for our mid to late careers and currently we are totally underprepared for that. Radiology is not alone. Mid-levels, new technology and millennials’ perception of health care will decrease the need for many physicians. THE (GREAT) COLONOSCOPY EXPERIENCE The (Great) Colonoscopy Experience. Aug 1, 2012• 16. By John Halamka, MD. Today, as Kathy finished her last radiation therapy appointment, I had my first screening colonoscopy – a rite of passage for new 50 year olds. Although a bit of a personal issue, I’m known for my transparency and I’m happy to share the experience so that others THE VERDICT IS IN: ALL THREE OF CMS’S “MEDICAL HOME By KIP SULLIVAN Between September of 2016 and last month, CMS released “final evaluations” of all three of its “medical home” demonstrations. All three demos failed. This spells bad news not just for the “patient-centered medical home” (PCMH) project, but for MACRA. The PCMH, along with the ACO and the bundled payment (BP), isone
INFECTION CONTROL FOR COVID-19 IMAGING Infection Control for COVID-19 Imaging. Mar 26, 2020• 1. By STEPHEN BORSTELMANN, MD. Occasionally, you get handed a question you know little about, but it’s clear you need to know more. Like most of us these days, I was chatting with my colleagues about the novel coronavirus. It goes by several names: SARS-CoV-2, 2019-nCoV orCOVID-19 but I
FLIPPING THE STACK: CAN NEW TECHNOLOGY DRIVE HEALTH CARE’S SMART on FHIR is a protocol that allows applications to be launched from within other applications (usually an EMR) so that a user (e.g. a clinician) can launch a new tool bringing the data from the EMR with them. One example we’ve shown at Health 2.0 is a pharmacist launching the Meducation app within the Cerner EMR.PL-400 EXAM DUMPS
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PL-100 Exam Dumps - PL-100 PDF Dumps. Top Demanded PL-100 Exam Dumps - Get PL-100 PDF Dumps Forget the Failure. For anyone who is attempting your hard to prepare for the Microsoft PL-100 exam questions but sadly can’t locate the proper time to prepare for the PL-100 questions then you should not must get worried about your preparation for the Microsoft Power Platform App Maker exam PREFERRED AZ-303 EXAM DUMPS Preferred AZ-303 Exam Dumps - AZ-303 PDF Dumps Ultimate AZ-303 PDF Dumps - Get AZ-303 Exam Dumps to Prepare All AZ-303 Topics. Properly preparing and passing the Microsoft AZ-303 questions is as difficult as you believed. PARDOT-SPECIALIST EXAM DUMPS Pardot-Specialist Exam Dumps - Pardot-Specialist PDF Dumps. Top Recommended Pardot-Specialist Exam Dumps - Get Pardot-Specialist PDF Dumps Forget the Failure* About THCB
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THCB GANG: EPISODE 56, LIVE 1PM PT/4PM ET, 03/06Video Player
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MATTHEW’S HEALTH CARE TIDBITS, WEEK ENDING JUN 5Jun 5, 2021• 1
_Each week I’ve been adding a brief tidbits section to the THCB Reader, our weekly newsletter that summarizes the best of THCB thatweek (Sign up here!
).
Then I had the brainwave to add them to the blog. They’re short and usually not too sweet!–MATTHEW HOLT_ In this week’s health care tidbits, I can’t quite leave the $3.5bn Babylon Health SPAC investor document alone. Yes, it’s crazy but not as crazy as you might think. Essentially it’s saying that it’s going to be a better tech enabled version of Oak Street or Agilon. Babylon has put less effort into the medical group management side of the puzzle than Oak Street or Agilon but it hasn’t done nothing. It’s been running GP clinics in the UK for years and now has two Medicare Advantage networks in California w 52k lives. It only did $79m in rev in 2020 but that was presumably mostly in software. They’re aiming for $320m in rev in 2021 (presumably mostly from the medical groups) & $710m in 2022. In comparison Oak Street’s forecast is $1.3bn in 2021 and $2bn in 2022. So Babylon is shooting to be 25% of its size. Today’s Oak Street market cap is ~$14,5bn, so 25% of that is close to the $3.5bn Babylon is trying to get investors to pay. Then there’s the story, which is that the bot tech can reduce all types of patient health spend which will increase the margin. Of course their actual mileage may vary. I do love the chart from their investor prez, which not only assumes that they can reduce medical spend abut also that they get to keep those savings long term. I’m not sure the “Partner” in the chart below will be as convinced. This was the cause of much hilarity on this week’s #THCBGang.
As I said crazy but not completely crazy. And you never know, maybebetter care?
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U.S. SCIENCE EMBRACE OF WUHAN “GAIN-OF-FUNCTION” VIRAL RESEARCH PROVED A SLIPPERY SLOPEJun 4, 2021• 0
By MIKE MAGEE
The truth hurts.
Eighteen months into a disaster that has claimed 3.5 million lives around the globe, the truth is seeping out. Human error likely caused the Covid pandemic, and America’s Medical-Industrial Complex was right in the middle of it. Signs of a “great awakening” have emerged from various corners inthe month of May.
On May 14, UNC’s top virologist, Ralph Baric, who worked closely with Wuhan chief virologist and batwoman extraordinare, Shi Zhengli, signed on with 17 other scientists to a Science editorial that
demanded a reexamination of Covid’s causality writing “theories of accidental release from a lab and zoonotic spillover both remainviable.”
On May 26, Francis Collins,
head of the NIH, which funded in part Zhengli’s risky bat virus research (more on that in a moment), admitted to Congressional investigators that “we cannot exclude the possibility of some kind of a lab accident.” And on June 3rd, on MSNBC’s Morning Joe, the ever-present TonyFauci
advised
all who would listen “to keep an open mind.” What he would like us to open our minds to is not a Chinese run weaponized microbe conspiracy, but simply scientific recklessness and human error. It’s now well established that three Wuhan virology scientists were hospitalized in the Fall of 2019 with Covid. But the initial report from the Wuhan Municipal Health Commission, China, of this cluster of cases of pneumoniawas
only released on the last day of 2019. It took only 50 more days for the tight knit group of global research virologists to get their act together and pen a Lancet editorialin
which they stated “We stand together to strongly condemn conspiracy theories suggesting that COVID-19 does not have a natural origin,” and that they “overwhelmingly conclude that this coronavirus originated in wildlife.” Their coordinator-in-chief was one Peter Daszak, chartered
power broker within the U.S. Medical Industrial Complex and president of New York based EcoHealth Alliance which was a major funder of Shi Zhengli’s work in Wuhan. Daszak is known for adopting militarized terms in the battle against global infectious diseases. In 2020 he wrote in the New York Times,
“Pandemics are like terrorist attacks: We know roughly where they originate and what’s responsible for them, but we don’t know exactly when the next one will happen. They need to be handled the same way — by identifying all possible sources and dismantling those before the next pandemic strikes.” Daszak’s argument that risks involved in Shi Zhengli’s Wuhan bat viruses were justified as defensive and preventive was convincing enough to the NIH and the Department of Defense that his EcoHealth Alliance was funded from 2013 to 2020(contracts,
grants, subgrants) to the tune of well over $100 million – $39 million from Pentagon /DOD funds, $65 million from USAID/State Dept., and $20 million from HHS/NIH/CDC. As veteran Science reporter Nicholas Wadedeciphered
in a classic article in Science – The Wire, “For 20 years, mostly beneath the public’s attention, they had been playing a dangerous game. In their laboratories they routinely created viruses more dangerous than those that exist in nature. They argued they could do so safely, and that by getting ahead of nature they could predict and prevent natural “spillovers,” the cross-over of viruses from an animal host to people. If SARS2 had indeed escaped from such a laboratory experiment, a savage blowback could be expected, and the storm of public indignation would affect virologists everywhere, notjust in China.”
Continue reading…
#HEALTHIN2POINT00, EPISODE 213 | BABYLON’S SPAC IPO, PLUS BIG RAISES FOR THIRTY MADISON & INTRINSICJun 4, 2021• 0
_Today on Health in 2 Point 00, we’re talking about our new conference in September: Policies, Techies, & VCs: What’s Next for Health Care. On Episode 213, Jess ask me about some massive deals. Thirty Madison gets $140 million – they are now a unicorn. Babylon Health is going public via a SPAC – $575 million expected to be raised during this with a $3.6 billion valuation. Coming out of stealth, Intrinsic raises $113 million in the eCommerce space — and Dr. Oz is in this one._ _—MATTHEW HOLT_ THCB GANG EPISODE 56 – THURS JUNE 3Jun 3, 2021• 0
Episode 56 of “THE THCB GANG” was recorded live on Thursday, June 3. Matthew Holt (@boltyboy ) was joined by regulars: medical historian Mike Magee (@drmikemagee ), THCB regular writer Kim Bellard (@kimbbellard ) and health futurist Jeff Goldsmith; WTF Health host & Health IT girl Jessica DaMassa (@jessdamassa ) snuck in later after she finished up at the _Going Digital: Behavioral Health Conference _across the virtual street. We really got into it on two issues — the Wuhan lab “leak” issue and Babylon Health’s IPO — lots of fun and no little disagreement! Then video is below. If you’d rather listen, the audio is preserved as a weekly podcast available on Fridays on our iTunes& Spotify
channels.
#HEALTHIN2POINT00, EPISODE 212 | DAYTWO, HELLO HEART, PACK4U, ANDCUREBASE
Jun 3, 2021• 0
_Today at Health in 2 Point 00, Jess and I are presenting at the Going Digital: Behavioral Health conference today — tune in later for that. On Episode 212, our buddies at DayTwo get $37 million for the gut microbiome. Hello Heart raises $45 million, bringing their total to $68.2 million – this is for high blood pressure management. Pack4U, which is like the knockoff version of Pill Pack, raises $20 million. Swedish telemedicine company Doktor.se raises $50 million, and Curebase raises $15 million for decentralized clinical trials.—MATTHEW HOLT_
VOICEMAIL, REPEAT REQUESTS AND MULTITASKING: INEFFICIENCIES IN TODAY’S HEALTHCAREJun 3, 2021• 0
By HANS DUVEFELT
My nurse regularly gets at least 50 voicemails every day, many saying “please call me back”. I have one patient who frequently tests the patience of our clinic staff by calling multiple times for the same thing. He is the most dramatic example of what seems to be a widely held belief that physicians, nurses and medical assistants sit at their desks and answer phone calls all or most of their time. But when we do, we are often hampered by busy signals, phone tag or “voice mail not set up”. Electronic messaging isn’t a panacea, because patients don’t necessarily know what we need to know in order to answer their questions correctly and efficiently at first contact. Pharmacies, too, create duplicate requests that bog down our workdays. In my EMR, if an electronic refill request doesn’t get a response the day it comes in, the “system” sends a repeat request every day until it gets done. This is one reason I look like I am further behind on “tasks” than I really am. To top it off, every single refill request generated by the “system” comes with a red exclamation point next to it. This happens even when a patient has just picked up their last 90 day refill – a case where I theoretically should have 89 days to respond. Meanwhile, my system has no way of flagging truly urgent refill requests. This “alarm fatigue” is
common in EMRs today. The business model in today’s healthcare is that reimbursable activities (seeing patients in person or via telemedicine) are scheduled back to back, all day long. There is a universal assumption that this will still provide enough slack to deal with prescription refills, phone calls, incoming reports and the further ordering and feedback to patients prompted by them. And did I mention EMR documentation? Multitasking,
or rather, constantly switching between different kinds of tasks, is not a sane or efficient way to work.Continue reading…
BIAS, BEFORE FIRST BREATHJun 2, 2021• 3
_HOW STRUCTURAL RACISM AND IMPLICIT BIAS IMPACT AMERICA’S BABIES, EVEN PRIOR TO BIRTH_By ELLIE STANG
Becoming a new mother in America is more dangerous for some mothers than it should be. Each year, 700 women die in childbirth or from pregnancy-related causes in the United States, the highest number of any developed nation. Health inequities in America mean that overwhelmingly, Black women and their infants are the ones impacted: Black mothers are 243% morelikely
to die from pregnancy than white ones. These discrepancies are wide ranging: American Indian and Alaska Native women are also 2x morelikely
to experience an adverse outcome as compared to their white counterparts. Too many of our mothers are dying of preventable causes. The CDC estimates that 70% of maternal deaths are avoidable–
which helps underscore the urgent need to create tangible change.Recent forces
have helped shine a long overdue spotlight on the Black maternal mortality crisis in America. In April, the Biden Administration released a proclamation during Black Maternal Health Week, and planned legislative changes to address implicit bias in healthcare and apply funding where it is truly needed. Congress is fielding the “Momnibus” bill,
which would fund grassroots organizations at the community level, actively establish bias training programs, and fill gaps created by social determinants of health (SDOH). Late last year, the HHS releasedan action plan
to reduce maternal mortality and adverse outcomes by 50% in fiveyears.
It is heartening to see action finally being taken: our mothers deserve more. At the same time, while we champion standardized and equal access to care for all of our mothers, we cannot overlook the newest cry in the room: the infant’s. Even before drawing her first breath, a baby girl’s future will be irrevocably shaped by structural racism and socioeconomic factors way beyond her control. That’s why, to address health inequities, we must begin with ourbabies
.
Despite great advances in NICU technology and managed healthcare, infant mortality is on the rise – and it disproportionately affects Black babies. Today, black infants are twice as likely to die as theirwhite counterparts
.
Continue reading…
MAKE SOME MICROBE FRIENDSJun 1, 2021• 0
By KIM BELLARD
It’s the coolest story I’ve seen in the past few days: _The New York Times_ reported how an Italian museum cleaned its priceless Michelangelo sculptures with an army of bacteria. As Jason Horowitz wrote, “restorers and scientists quietly unleashed microbes with good taste and an enormous appetite on the marbles, intentionally turning the chapel into a bacterial smorgasbord.” And you just want to kill them all with your hand sanitizers and anti-bacterial soaps. The Medici Chapel in Florence had the good fortune to be blessed with an abundance of works by Michelangelo, but the bad fortune to have had centuries of various kinds of grime building up on them. In particular, over time the corpse of one Medici “…seeped into Michelangelo’s marble, the chapel’s experts said, creating deep stains, button-shaped deformations…” This is, I assume, why they tell you not to touch the art. Scientists picked a bacteria — Serratia ficaria SH7, in case you’re taking notes – that ate the undesired grime without also eating the underlying marble. It wasn’t hazardous to humans either and didn’t create spores that might go elsewhere. “It’s better for our health,” one of the art restorers told _NYT_. “For the environment, and the works of art.” The technique was a success, allowing the sculptures to look like theydid centuries ago.
Using such bacteria to clean art has been around for at a decade, and
not just for sculptures.
Perhaps more surprising is bacteria isn’t just cleaning art, it’salso creating it
;
the American Society for Microbiology hosts an annual Agar Art Contest.
If you’re impressed by that, researchers are teaching bacteria to read, or at least to recognize letters. That’s not all they might learn to do. “For example, the framework and algorithm in our study can be used to facilitate the design of living therapeutics, such as targeted drug release systems based on engineered probiotic bacteria systems,” the researchers say.
The thing is, we not only don’t know what microbes do, or could do, but we have only a vague understanding how they surround us. That’s starting to change. We’ve known for some time that each of us has a unique microbiome (including mycobiome!). What we
didn’t realize until recently was that each urban area has its ownmicrobiome as well.
Continue reading…
MATTHEW’S HEALTH CARE TIDBITSMay 30, 2021• 0
_Each week I’ve been adding a brief tidbits section to the THCB Reader, our weekly newsletter that summarizes the best of THCB thatweek (Sign up here!
).
Then I had the brainwave to add them to the blog. They’re short and usually not too sweet!–MATTHEW HOLT_ In this week’s health care tidbits, we’re discussing hedge funds. Not those small private equity funds that are defunding small safety net hospitals and being exposed by Propublica&
PBS Frontline . (Did you catch #TCHBGangster Jeff Goldsmith on the latter?). No, I’m talking about big non-profit hedge funds that also provide some health care services. This week two of them reported results. Famed regional hedge fund Mayo Clinic’s health services business reported $243m profit on $3.7bn revenue for Q1 2021. Not exactly
Apple margins, but a respectable 6.5%. While catholic national hedge fund Ascension eeked a $700m profit on $20bn of revenue in the nine months June 2020 to March 2021. The good
news is that Mayo has $15bn in its main trading account while in those nine months Ascension made $4.3 Billion on Wall Street bringing its balance to a healthy $25.6 Bn. And if you were concerned that these hedge funds were in trouble because of the pandemic, well not only do they avoid property, income tax and more they also got plenty of help from the taxpayer. CMS prepaid $2billion of Medicare payments to Ascension; presumably they made a tad more playing the markets with that. Then there’s the non-refundable CARES Act grants. Yes Ascension has been paid $900m since June 2020 ($1.1billion in all) and Mayo received $356m, although they were nice enough to pay $138m back.
I’m sure those Americans who lost their jobs, their houses and waited for months for government help are glad that–despite the pandemic–these hedge funds weren’t having to dip into their main reserves to keep their health services subsidiaries going….. PUBLIC HEALTH NURSES ONCE AGAIN ASKING, “WHAT ARE THEY THINKING?”May 28, 2021• 2
Whitney Thurman
Karen Johnson
By KAREN JOHNSON and WHITNEY THURMAN One recent Friday night, we huddled with our colleagues in the pouring rain at a movie theater parking lot– our cars packed with supplies for our mobile vaccine clinic—
trying to find someone who wanted an extra dose of Pfizer’s COVID-19 vaccine before it expired. Five months ago, we would have been inundated with people desperate for that extra dose. But that has changed now that the most willingand
able
segments of the population have largely been vaccinated. Amidst this backdrop of slowing vaccination rates in the U.S. and many miles to go before reaching all of those willing to be vaccinated, the CDC has released updated recommendations for mask wearing that we believe to be premature and contrary to the ethic and mindset of public health. Buoyed by mounting evidence supporting the effectiveness of vaccines, the CDC— cheered by the Biden administration— gave fully vaccinated Americans the green light to ditch their masks. As fully vaccinated public health nurses who are as excited as anyone about the vaccines’ real-world effectiveness, we nonetheless find ourselves again asking: what arethey thinking?
To be clear, we do not question the evidence showing that all COVID-19 vaccines currently approved in the U.S. are safe and effective. We also crave good news, hope, and allowing the bottom half of our faces to see the light of day. We have also appreciated the Biden administration’s commitment to “following the science” in pandemic policymaking. Our concerns lie with the timing of the recommendation; the lack of regard for social science demonstrating the importance of public policy in influencing community norms and human behavior; and the blatant disregard for health equity. That the nation’s preeminent public health institution has fallen prey to the individualistic mindset that typifies American society, as CDC director Dr. Rochelle Walensky stated herself on Sunday regarding this “science-driven individual assessment”
of risk, is frustrating, to say the least. Currently, only one-thirdof the
U.S. has been fully vaccinated. The news media has been full of accounts of many sub-groups who stubbornly defend their right to refuse a COVID vaccine, but the majority of those in the U.S. who remain unvaccinated belong to communities that have been unable to access a vaccine due to difficulty navigating online appointment scheduling, inability to take time off of work,
poorly translated informational resources,
or being ineligible due to age restrictions or other medical contraindications. Universal mask-wearing has been a critical stopgap measure to protect these at-risk populations until the majority of Americans are vaccinated. The CDC’s recommendation is therefore not only premature: it sends the message to individuals and other governmental entities alike that we don’t need to care about ourneighbors.
Continue reading…
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