- Maps about America.
- Innovation at NHS?
- Health care costs and technology.
- Is Apple’s ResearchKit ready for prime time?
A KFF article provides some highlights of changes to Medicare Advantage for 2015:
Why doesn’t the US have a single integrated electronic medical records system for sharing patient information.
The promise from an integrated EMR is clear. In an interview for Marketplace, Dr. Neal Weinberg says:
Not having immediate, accurate information in one chart can lead to complications for the patient, they could die, they could be pretty sick and end up back in the hospital with other problems.
So it’s clear that everyone should share data, right? Not so fast.
What if you owned a business and one of your competitors said: “I would like a list of all your customers, as well as information on their demographics and health history.” You would likely say, there is no way I’m giving you a list of my customers.
Well in the case of healthcare, customers = patients.
One idea is for the patient to own their EMR rather than the provider. Dr. Ira Nash, an executive with North Shore LIJ Health System on Long Island, says:
You want the patients in the middle. They are the consumer. We exist to serve their needs. Why should we own the data.
However, patient data is valuable and providers likely won’t give it away unless either (i) patients demand it by taking their business to providers who allow them to own their data, or (ii) the government legislates that patients have a right to their data mandates what data providers must share with other providers.
Republicans likely will prefer the former solution, Democrats the latter.
A 2010 American Society of Health Economists (ASHE) newsletter provides some interesting perspectives on becoming a health economist. There are a number of interesting perspectives on non-academic careers for health economists. Some excerpts are below:
According to one former police officer, the effect of drugs themselves are not the main cause of violence:
…drug users aren’t responsible for violence–high people just want to enjoy their high. Drug violence is business violence….the largest causes of drug murders are territorial disputes over market share. If no one will help you defend your property–you can’t trademark the winning name that you’ve given your drugs; you can’t take a competing drug dealer to court when he tries to take over your corner; you can’t sue for libel if someone says your product is defective…
This comes from the book Cop in the Hood, by Peter Moskos. It is interesting throughout.
Forbes came out with its list of richest people in the world. Bill Gates tops the list, but we don’t care about that here at the Healthcare Economist. Which people in the healthcare industry are the richest? The top 5 include:
The full list is available here.
On Wednesday, the Supreme Court will begin hearing arguments in King v. Burwell. The plaintiffs argue that the Affordable Care Act (i.e., Obamacare) does not permit subsidies to individuals if they receive health insurance from a federally-run health insurance exchange.
“He had been talking about how states shouldn’t cooperate. And I responded to him with something like, ‘If they don’t create an exchange, they can’t get the tax credits,'” Adler recalls. “He said, ‘What?’ And I told him, ‘Read the statute.'”
Globally, measles is a significant killer of kids and the threat is growing in the US as vaccination rates decrease. Citing a Global Burden of Disease study published in the Lancet, Wonk Blog reports that in 2013 measles killed over 82,000 children under age 5. This puts measles as #7 on the list of the top causes of child death.