Posts Tagged ‘regulatory’

Get the Health Incentives Right

MotivationThis post is based on a comment I made when Pritpal Tamber called for “Creating a parallel system to health care” in MedCity News.

At least for consumers, Modern Health Talk (www.mHealthTalk.com) can already be called the “Institute for New Health Thinking,” with over 100 articles on Legislative, Public Policy, and Health Reform topics written for consumers.

I personally think it all comes down to getting the INCENTIVES right, as I wrote two years ago when proposing a hybrid, public/private model of health care. The goal was to exploit the different incentives of public sector organizations that measure success in business terms such as profit, ROI, and payback period, with that of the public sector, which measures success quite differently and over much longer time periods.  Read the rest of this entry »

Early-Stage Obamacare – How’s it Going?

Is your glass Half Empty, or Half Ful?EDITOR: Opinions of Obamacare, and whether it’s a glass half empty or half full, depend largely on one’s political viewpoint and sources of your information. Opponents of the law, including many in the medical industrial complex with lots to lose if health reform cuts costs, often cite articles hinting that it’s a failure, while proponents cite articles highlighting successes and progress. The mainstream media, in efforts to generate buzz and attention, seem to stoke the fires of controversy by avoiding the hard task of investigative journalism and simply publishing inflammatory stories fed to them by either political party without checking the facts. Then again, the official government numbers, which you can believe or not based on your politics, present a moving target. So, I’m more interested in the trends and the long-term implications and publish today’s byline article with some editorial comments added.

Early-Stage Obamacare:
A Checkup on the Health of the Affordable Care Act Thus Far

By Paisley Hansen

What will be the ultimate impact–for good or bad–of the Affordable Care Act on Americans? Although it’s still too early to tell, a January 13 article by the Associated Press posted on AOL sheds some light on the health status of Obamacare thus far [2.2M through December, 2013]. 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 »

Johnson & Johnson Fined, but Admits No Guilt

The Daily ShowComedian 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 »

Can Insurers Force Better Care at Lower Cost?

InsuranceFierceHealthPayer.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 »

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 »

FDA won’t regulate these mobile apps

FDA LogoThe 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 »

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