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EMR systems and Mass Marketing
March 23, 2009
Wal-Mart Plans to Market System for Digital Health Records - NYTimes.com | www.nytimes.com
EMR's are certainly desirable but the use of automated informatics systems in the healthcare industry has lagged far behind all other industries. What is not recognized here is the reliability of the partner company E Clinical Works and the use of an offsite software.
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December 28, 2008
Budget Office Highlights Health IT as Promising Proposal | www.ihealthbeat.org
IT as a cost saving measure is only a small token of the savings to be realized if the government were to mandate the use of technology. There are significant long term savings that the article fails to recognize. However, in order for this to occur, the primary stake holders need to accept their fiscal responsibility to the providers of the information.
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April 10, 2008
FDA Approves ROTARIX(R) Rotavirus Vaccine | www.pipelinereview.com
Another option -in light of the constant battle for payments from the managed care industry, vaccines have become the largest cost center for primary care medicine. Over the past 2 years, there has been a constant barrage of cost increases in the vaccine market spear headed by both Merck and Aventis. This has created much discontent with the current suppliers of vaccines in the marketplace and Glaxo has been stepping forward to fill the void left behind.
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March 27, 2008
Health insurers take a dive on WellPoint's warning | www.marketwatch.com
multiple shareholders in the healthcare marketplace with divergent interests will prevent the insurance industry from continuing its constant pressure on the consumer and employer. There will be a point of no return when the healthcare providers can no longer provide services to the beneficiaries without some of the risk being transferrred back to the insurance industry. When the costs of providing care to prevent litigation exceed a threshold, the pool of funds must be increased by an increase in the revenue stream. Thus, the constant increase in premiums along with the pressures from stock holders to see an increase in profit. Consequently, fees paid have been steadily eroding but are now at a point where providers are simply refusing to take on the care of the beneficiary and absorb the risk of financial loss.
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February 5, 2008
Blue Cross proposes fix for uninsured Americans | news.yahoo.com
the proposal by Blue Cross of Mass is nothing more than shifting risk to the physicians who to date have never had proper access to the financial costs of this risk. When a fixed dollar amount is tied to a patient in any capitation program, it must be tied into a true cost based on the cost of that illness as well as the quality of the care. to date, the insurance industry has that information as well as the outcome data but has never shared it and the provider is forced to accept a dollar amount without knowledge of the true costs or the quality of that care given the financial payment for the care.
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January 21, 2008
Insurers Stop Paying for Care Linked to Errors | online.wsj.com
while the cost savings to the insurance industry are significant, the primary benefactors are not the insured but rather than the insurance industry. Now you have a significant decrease in expenditures but when will the premiums decrease or the benefits be shifted to preventive medicine.
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January 18, 2008
WellPoint patients to review doctors online | www.healthcarefinancenews.com
the issue is not whether to report doctors online but whether to analyze true quality of care measures. To date, all efforts by the insurance industry have focused on presumed quality but this factious.
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November 5, 2007
The Quality of Ambulatory Care Delivered to Children in the United States | content.nejm.org
It appears that children do not receive appropriate care according to this study but it fails to address the basic issues of documentation and access to care.
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Lessons learned from practioners
July 16, 2007
"Hybrid" medical records an option for some hospitals | www.healthcareitnews.com
The need exists for a smooth and transparent shift to an electronic data system throughout healthcare. Most physicians who have made this transition have already been forced to adapt to this methodology and have done so with success. The issue is not new nor should it be looked at as an option but rather a necessity for most providers.
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March 2, 2007
Can Corporate America Fix Health Care? | biz.yahoo.com
Private insurers feel similar financial pressures, but they can cope "by raising cost-sharing amounts, by cutting benefits and by charging higher prices," said Stephen Davidson, a professor of health care management and policy at Boston University.
Nearly all U.S. employers with 500 or more workers offer some kind of coverage, but the companies and employees often complain about what it costs. Small businesses often cannot afford to offer health care, and coupled with the tremendous mobility of the American work force, the private sector can't keep up, said Grace-Marie Turner, president of the Galen Institute in Alexandria, Va., an advocate for greater competition in the health care sector.
As is obvious the employers and the insured beneficiaries are both loosing out in the current healthcare structure. Until medical informatics is fully adopted and the true cost of care is available, no one knows it truly should cost for a particular condition. Furthermore, the insurance industry is creating the wrong goals in shifting to beneficiary responsibility for 1st dollar expenditures. -
December 14, 2006
Advancis Pharmaceutical Reports Positive Results for Amoxicillin PULSYS Phase III Trial | www.advancispharm.com
While a single daily dose has its clear advantages, the current recommendations of Amoxicillin and indications for its useage are currently in doubt. The only clear indication currently for the use of Amoxicilllin is with group A Beta-Hemolytic Streptococcus (GABS).
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December 14, 2006
Pay-for-Performance Plans Now Common Among HMOs | www.nlm.nih.gov
Pay for Performance may be a reality in certain sectors but the pediatric market is probably the most amenable to this and has seen far less than the adult medicine market. Furthermore p4p is best suited in the non-capitated marketplace.
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October 2, 2006
Reimbursements to drop 5.1% in 2007, not 4.6% | www.hemonctoday.com
decrease in reimbursement will ultimately affect access to care and lead to a dearth of primary care physicians
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EMR in the small physician practice
October 2, 2006
Goal Is Electronic Health Records. Path Is State by State. | www.nytimes.com
This article is one of many that brings to light the lag in adoption of informatics to the healthcare industry. It also highlights the issues surrounding interoperability between hospitals and physicians.
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August 23, 2006
Retail Medical Clinics Draw Patients & Payers | www.managedcaremag.com
fast service, poor quality, no oversight
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August 23, 2006
Doctors to Get 5 Percent Cut in Medicare | www.washingtonpost.com
loss of physicians in primary care, increase in hospital utilization, increased overall costs
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July 28, 2006
FDA Announces Approval Of HPV Vaccine Gardasil | www.medicalnewstoday.com
although there is no doubt as to the usefulness of such a vaccine, the pragmatics and public health issues differ. Is it truly cost effective to vaccinate when cervical cancer is easily detected and treated with good outcomes with frequent pap smears which are far less expensive? Also, it remains to be seen if the insurance industry will provide coverage for this expensive vaccine.
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July 25, 2006
CDHP's and the market trend in NJ, NY & PA | www.hctproject.com
While the growth of CDHP's continues to rise, it is still a new commodity in the NY metro region. Members still have not learned the ramifications of 1st dollar coverage being removed and the obvious risks with large copays and coinsurance once the deductibles have been reached.
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