“Professional sport has been criticised for its role as a vehicle to market addictive products or services. Despite the harmful health effects on society, football audiences are inured to seeing sponsors of such products not only on pitch-side hoardings and shirts, but also embedded in television rights, competition names, prematch build-up, corporate hospitality, and social media. Tobacco’s successful movement into sports sponsorship established the template on which other addictive sponsors, notably the alcohol and gambling industries, built their strategies. The integration of sports and addictive commodities highlights strategies to influence consumption by those within the unhealthy commodities industry. [..] historically … Read More
All posts by Anupam
“There are 3 main takeaways from the existing research on the rule. First, the compliance rates have been low. In March 2021, a random sample of 100 hospitals indicated that only 33% reported the negotiated commercial prices for some services. [..] In response to the low compliance, the CMS raised the penalty for noncompliant hospitals to $300 per day for small hospitals and up to $5500 per day for large hospitals beginning from January 1, 2022. Despite the steeper penalties, the compliance rate remains low. For example, Gul et al note that as of March 2022, only 29% to 56% … Read More
Excerpt – Amazon will stop offering its Amazon Care primary health-care services at the end of this year, according to an internal memo, after determining that it wasn’t “the right long-term solution for our enterprise customers.” The surprise move Wednesday is a major course correction in Amazon’s broader foray into healthcare. Amazon says the decision impacts only Amazon Care, and not its other health-care initiatives. “This decision wasn’t made lightly and only became clear after many months of careful consideration,” said Neil Lindsay, Amazon Health Services senior vice president, in the email to Amazon Health Services employees. “Although our enrolled … Read More
“At a time when patients require whole-person care to improve their overall health and well-being, efforts to improve the quality of narrow processes in the primary care setting may instead lead to fragmentation of care and clinician burnout. We believe that truly patient-centered, integrated, whole-person care in the primary care setting would comprehensively address patient concerns during any given office visit, whether those concerns include chronic disease management, acute issues, or preventive health care. [..] The annual wellness visit exemplifies a piecemeal initiative focused on specific components of care that fails to meet patient expectations of comprehensive care. [..] Widely … Read More
“Having analyzed health outcomes data from the independent National Committee for Quality Assurance, health plan member satisfaction surveys from J.D. Power, and internal data from our own organizations, we are confident that full implementation of five opportunities would improve clinical quality nationwide by 20%, increase access to care by 20%, and reduce health care spending by 15% to 20%. Reduce expensive and unnecessary trips to the ER – [..] Kaiser Permanente members in Virginia, Maryland, and Washington, DC [..] can access a 24/7 video health center that connects them with a doctor who can quickly assess the problem and offer … Read More
“In the observational study [published in the European Heart Journal on 2022.8.7], researchers analyzed health data from 3,680 people with chronic kidney disease for nearly 10 years. Those with elevated levels of aldosterone, a crucial, salt-conserving hormone made by the adrenal glands, which sit atop the kidneys, had a higher risk of serious kidney disease progression during the study period: they are more likely to lose half their kidney function, start dialysis, or develop end-stage kidney disease. [Excerpts of an interview with Ashish Verma, kidney specialist and assistant professor of medicine at Boston University School of Medicine:] [Verma:] We found … Read More
“[Nir] Barzilai, the head of the Institute for Aging Research at the Albert Einstein College of Medicine, and scientific director for AFAR — the American Federation for Aging Research — has for more than a decade been leading the charge to test the idea of using drugs to extend human healthspan. In 2013, he and two other researchers got a grant from the National Institutes of Aging to develop a roadmap to conduct, for the first time in history, a clinical trial that targets aging. They planned to test metformin, a drug that had been approved in the ’90s for … Read More
“Other industries, like travel, banking, entertainment, publishing, retail et al have built successful business models on the premise that their consumers—armed with needed information—engage directly in decisions and actions consonant with their self-interests. In so doing, fewer workers are required, replaced by technologies and online tools that are customized to their individual needs and preferences. In healthcare delivery circles, self-care is dismissed because diseases and treatments are deemed too complicated thus “consult your doctor” or “visit the ED” are the default. That’s the problem: the health system is staffed to the presumption that most consumers are incapable of acting rationally … Read More
“The concept of value-based payment became widespread among U.S. health policymakers and analysts during the 2000s. It collectively refers to interventions that offer doctors and hospitals financial incentives that, in theory, induce them to improve both components of health-care value — cost and quality — without generating the hostility provoked by managed care insurance companies during the HMO [health maintenance organization] backlash of the late 1990s. [The Center for Medicare and Medicaid Innovation reviewed 54 models of value-based payment. Only four were certified to be expanded:] The Home Health Value-based Purchasing Model demonstration cut Medicare spending by 1% with mixed … Read More
“recent research demonstrates that hospital mortality rates can vary by a factor of 3 to 1 and health plans by 4 to 1, and publicly available quality ratings of health care plans and services do not correlate well with outcomes. What is more, lack of transparency among health plans and provider organizations prevents purchasers from making informed choices based on relative quality of provider organizations and health plan networks. Currently available outcomes data are limited to Medicare fee-for-service. [..] For at least five decades, the public health care conversation has focused primarily on rising costs, while the US has lagged … Read More