Posts Tagged ‘legislative’

101 MiniTrends in Health Care

Watch for Trends Ahead

This image is from MiniTrends, a book by John Vanston that I strongly endorse. I’ve known John for years and did consulting work for his company, Technology Futures. His book inspired my Modern Health Talk vision. (Click image to see book. Go to end to hear about the MiniTrends conference.)

“What the Hell is happening to health care?”

“And is it an Opportunity or a Threat?”

Insights by Wayne Caswell, Founder of Modern Health Talk.

An awful lot has changed in just the last few years and even more will change in the near future, with the aim of reducing (or at least containing) our health care costs. What’s behind these MiniTrends, and what is their implication for providers, payers and consumers? That’s the $1.5 trillion question. Here I talk about many, many MiniTrends–surely you can find 101 of them if you look! (I suggest attending MiniTrends 2014  (Sept. 26) to learn how to find even more.)

“It is not the strongest or the most intelligent who will survive but those who can best manage change.” – Charles Darwin

That quote is important, because 429 of the original Fortune 500 companies [1955] are no longer in business today. That’s a scary thought for those sitting at the top of the healthcare mountain, because they know they must adapt to the megatrend of health reform and Obamacare (the Patient Protection and Affordable Care Act) or die. And they are looking down with fear at the hungry competitors who are already exploiting the many related minitrends, because for them these are times of great opportunity.

Read the rest of this entry »

Telehealth is Shaping Healthcare for the Better

Game ChangerBy Karen R. Thomas, President of Advanced TeleHealth Solutions (original article here)

As incredibly innovative and efficient as telehealth is at providing greater access to care for consumers, lowering healthcare costs for both patients and healthcare systems, and improving outcomes, barriers have always existed that hinder the widespread adoption of telehealth. Yet recently, issues such as state requirement hurdles, reimbursement limitations, and a general resistance from physicians to learn and integrate new technologies into their care routines are quickly evaporating in the wake of the overwhelming proof of telemedicine’s many benefits. Read the rest of this entry »

Managing My Costs of Care [ESSAY]

MedicaidDollarsManaging My Costs of Care is a well-written essay by Jay Warner.

I recommend it, because this one example shows just how easy it “should” be to cut healthcare costs in half to get down to what the rest of the world pays — for better care and outcomes — and save $1.5 trillion/year. It all comes down to getting the incentives right, because with employer-provided health insurance, Jay had no incentive (or ability) to comparison shop. Now he does.

The healthcare landscape is changing as payers pressure providers for more price transparency and seek other ways to contain costs and maintain profitability now that they can no longer cherry-pick the healthiest customers or cut them off when care gets too expensive.

Other disruptive changes include remote sensor monitoring (telemedicine) that can follow trends and identify problems earlier, remote consultations (telehealth) that can replace in-person office visits, medical tourism when it’s less expensive and has better outcomes than local surgeries, and an overall shift away from the fee-for-service insurance model. That model once served as pre-paid medical care, but now payers are starting to view insurance as protection against catastrophic illness and injury with consumers paying for the small stuff out of pocket. With that trend comes two others: (1) increased competition and (2) an increased focus on overall health and wellness, including nutrition, exercise, and sleep as it’s pillars.

A side benefit of wellness, beyond dramatic reductions in health care costs, is improved safety and performance. Restorative sleep, for example, is associated with improved alertness, attention, creativity, decision-making, focus, learning ability, mood, reaction & recovery times, and working memory, all of which contribute to better grades at school, better productivity at work and in sports, and fewer motor vehicle accidents and deaths.

Hyper Growth of Private Insurance Exchanges

Shared with permission from MEDCITY News, by Dan Verel, 7/25/2015

Accenture Figure 1

While much attention has been heaped on the public health insurance exchanges over the year, private health insurance exchanges “are experiencing hyper-growth” and enrollment could exceed that of public exchanges by 2017, “if not sooner,” according to Accenture. Read the rest of this entry »

Poverty in America — living below The Line

The Line is an important documentary that covers the stories of people across the country living at or below the poverty line. They have goals. They have children. They work hard. They are people like you and me. Across America, millions are struggling every day to make it above The Line.

As shown in the Stats below and the accompanying infographic, poverty is a drag on the economy that also affects the cost of healthcare, as I’ve written before in this blog. Read the rest of this entry »

Austin Requires New Homes to be Accessible

Wheelchair Lady doing Laundry

Austin city council passes accessibility,
ramp ordinances for new homes

AUSTIN, TX (1/30/2014) — After two years of working on an ordinance amendment, the Austin City Council passed changes Thursday that will require all new homes be more accessible and visitable to people with mobility disabilities.

The idea to require changes to make housing more accessible first came up inside City Hall back in 1998. That’s when Austin adopted the changes for homes built with city funds. The intention was that it would lead to an across the board policy, but that never came to be.

City staff and council members have spent the last two years working with stakeholders to draft an ordinance amendment.

After much debate, and several postponements, the council passed the ordinance amendment 6-1 with Mayor Lee Leffingwell voting against the measure. Read the rest of this entry »

We Endorse Telehealth Across State Lines

Medicine Unplugged: Your phone, your DNA, your data

By Wayne Caswell

Modern Health Talk strongly endorses telehealth and efforts to break down barriers to wider adoption nationwide. The TELE-MED Act of 2013 (HR 3077) is still not out of committee but is intended to start breaking down barriers related to licensure and payment when medical care is given online across state lines, starting with Medicare providers. Hopefully Congress will pass this bill and then start extending telehealth to all insurance carriers. Read the rest of this entry »

Regulations Not Keeping Up with Technology

Health ReformBy 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 »

Telehealth Enhancement Act takes Important Step

Telehealth KioskAs 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.

Read the rest of this entry »

Opposition to Universal Health Care

Obamacare Protest SignWhat’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 »

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