Legislative | Regulatory
By Wayne Caswell
The rapid and accelerating pace of tech innovation has profound implications for healthcare delivery & payment, aging, and disability employment, but regulations that support that are spotty or nonexistent.
The good news
“Durable medical equipment” is a class of assistive technology that can be paid for by Medicare, Medicaid and many private insurance plans. Motorized wheel chairs most often fall into this category. Read the rest of this entry »
The PCMH and Home Care Data: An Interview with Melissa McCormack is a byline article by Melody Wilding
The Patient-Centered Medical Home (PCMH) Model is a new approach which seeks to enhance care coordination and community-based care.
To learn more about how health care data fits into the PCMH model and how the new approach will helps seniors, we spoke with PCMH specialist Melissa McCormack of Software Advice, a source for medical systems reviews.
How does home care fit into the PCMH model?
The PCMH model is all about putting the patient at the center of care. Under traditional fee-for-service models, doctors have no incentive to follow their patient’s health outside of the office, because they receive no compensation for doing so. But the PCMH model rewards doctors for keeping their patients healthy, which incentivizes them to monitor their patients’ health not just in the office, but at home, too.
Comedian commentator Jon Stewart aired a segment about corporate malfeasance on The Daily Show last night and joked about the relative lack of accountability, comparing the Corporation to People but showing how people are punished much more severely. Besides several Wall Street examples, there was Johnson & Johnson. Read the rest of this entry »
FierceHealthPayer.com recently published an article that looked at successful strategies to improve health care and lower costs. It mentioned
- bundled payments,
- global payments, and
- accountable care organizations.
But that’s as far as it went, so I added the following response to show other ways that the ACA and changes to the healthcare Payment system can disrupt the Deliver system. Read the rest of this entry »
As a member of the American Telehealth Association (Austin chapter), I too support the Telehealth Enhancement Act, however I see it as just a baby step and think much more is needed. Still, it’s a step in the right direction.
The proposed bill would modernize the Medicare program by allowing Medicare patients to be cared for remotely by a licensed healthcare provider from any state. That way, if you need medical help while on vacation, you could connect online or by phone with your own doctor back home without requiring that they be licensed in the state you traveled to. I urge Congress to adopt this bill and expand it beyond Medicare, to other federal agencies and health benefit programs.
What’s the REAL reason people oppose universal healthcare? The fear of helping “LOSERS”
That was the title of an article by MedCity News, and I couldn’t help but comment.
The article said FEAR was a dominant reason some Americans find it so hard to support universal healthcare. The dark side of this belief is that “Anyone who doesn’t work hard enough, or doesn’t have enough determination, is a Loser, and nobody wants to pay for free healthcare for those losers.”
It doesn’t seem to matter whether these ‘losers’ are old people or little kids or bankrupt people or people who’ve lost their job or people who have serious health problems through no fault of their own. People who are afraid of helping ‘losers’ talk about impeachment or defunding the government or killing Obamacare. Read the rest of this entry »
The FDA final guidance lists several types of apps that may meet the definition of a medical device, but that pose lower risk to the public and will not be regulated. That should free developers to innovate and allow useful consumer products to come to market more quickly while ensuring that the mobile health apps are not only convenient, but safe.
The following list of apps (from mobihealthnews) highlights the 21 types of apps that the FDA called out in their guidance, saying it “understands that there may be other unique and innovative mobile apps that may not be covered in this list that may also constitute healthcare related mobile apps.” The agency says this list is not assumed to be or meant to be exhaustive, but rather is intended to provide some clarity. Read the rest of this entry »
Americans spend more on health care
but live sicker and die younger. Why?
We’ve published dozens of articles addressing that issue and have accumulated thousands of statistics in hundreds of Infographics. But today we include an important infographic that combines 12 charts created by Jan Diehm for The Huffington Post. Afterwards is a video description, a counter-point argument, and my own view of how Obamacare will address some of the issues.
Lowering Health Care Costs Is Hard Because Every Patient Is Unique — That’s Bull $hit.
Below is my scathing response to this recent article in The Atlantic, by Dr. David A. Shaywitx, director of strategic and commercial planning at a San Francisco based biopharmaceutical company.
I’m not surprised that this article was written by someone representing a biopharmaceutical company who sees every cure as a new drug and has a profit motive to find ways to justify high costs – in this case the “complexity of patients.”
This is exactly what’s wrong with our health care system – it’s actually a sick care or disease management system that has nothing to do with keeping people well and healthy and that treats symptoms to keep patients alive but coming back as paying customers. Read the rest of this entry »
WASHINGTON – Sept. 24, 2013 – The American Telemedicine Association (ATA) is encouraged by the Food and Drug Administration’s (FDA’s) release of guidance on mobile medical apps.
[Modern Health Talk is encouraged too.]
“The FDA has chosen wisely to target its strict regulatory efforts on mobile applications that could pose a significant risk to consumers if used improperly.” said Jonathan Linkous, chief executive officer of ATA. “Their regulation will help reassure patients and consumers that mobile health applications are not only convenient, but safe.”