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House Cancels AHCA Vote Print E-mail
Written by FHI's Week in Review   
Monday, 27 March 2017 17:26
Ben Mathis-Lilley reporting for Slate on 3/24/17:

A day after Donald Trump demanded that Republican House leaders hold a Friday vote on the flailing American Health Care Act (AHCA) Obamacare replacement bill-and hours after he reportedly repeated his demand in a meeting with House Speaker Paul Ryan-the AHCA has been pulled from consideration and will not be voted on.

According to a CNN opinion piece, by  Dean Obeidallah, published this morning:

Donald Trump may just have achieved another first -- but this isn't one he will like. He may be on the verge of becoming the first president to be considered a "lame duck" within the first two months of his presidency.

Even Fox News admitted the result was a major setback for Republicans, labeling Trump's compromise healthcare bill Mission Impossible

Read more in the current issue of Week in Review>>

Last Updated on Tuesday, 18 April 2017 17:10
Need to know: Chronic care management and remote monitoring companies are not created equal Print E-mail
Written by Accountable Care Options   
Wednesday, 22 March 2017 00:00

The healthcare industry is moving heavily into engaging, monitoring and empowering beneficiaries with tools to improve their health. Companies are jumping on the trend, offering telephonic chronic care management and remote patient monitoring for a fee.

All firms promise to ease the time burden on a practice’s staff. Some offer 24/7 support, including a nurse response line or web-based physician consultation. Here are tips on choosing the right provider:

1. Electronic interaction should be relevant to the disease burden of the patient, age group and individual goals, such as diet and activities.

2. Remote monitoring should be interactive, where patients can contact their care team or receive education on their condition, medications and the importance of keeping readings within expected ranges.

3. Rather than push out information, a firm’s representative should be asking questions such as “Which of your COPD inhalers is the emergency one?” and educating the patient when responses are incorrect.

4. The company should keep outreach simple and interesting, taking a few minutes but not being repetitive. If approached with the same questions and education every day, patients won’t stick with their plans.

5. The platform should be scaled to the technological comfort level of the population.  Telephonic outreach may be necessary for the less tech-savvy.

6. The platform should be measurable. Ask for before-and-after effects of a population’s hospitalization utilization.  If that’s not tracked, require measurements of patient engagement.

7. Compare the service delivered to the billing criteria.  Most companies are sub-contractors that charge a percentage. The figure varies widely from firm to firm, though it’s never 100 percent of what Medicare is billed. Make sure you know what services and documentation the company must provide in order for Medicare to accept the invoice.

Last Updated on Thursday, 23 March 2017 06:25
AI provides an urgent solution to evolving ransomware threats facing healthcare Print E-mail
Written by Evan Sweeney | Fierce Healthcare   
Wednesday, 15 March 2017 00:00

Artificial intelligence that can quickly identify patterns of risky behavior may be the only viable solution to protect health systems against an influx of ransomware attacks.

The use of AI in the clinical environment has been well-documented as more health systems are turning to machine learning to improve oncology care, fight physician burnout, boost patient engagement and even reverse diabetes. But healthcare needs to use the power of machine learning to combat cybersecurity threats, according to a report (PDF) released by the Institute for Critical Infrastructure Technology.

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Last Updated on Friday, 17 March 2017 16:00
Trump Nominates Scott Gottlieb, MD, to Head FDA Print E-mail
Written by FHI's Week in Review   
Monday, 13 March 2017 17:18

Toni Clarke reporting for Reuters on 3.10.17:

U.S. President Donald Trump has chosen Dr. Scott Gottlieb, a conservative health policy expert with deep ties to the pharmaceutical industry, to lead the U.S. Food and Drug Administration, the White House said on Friday.

Read more in the current issue of Week in Review>>

Last Updated on Monday, 10 April 2017 16:49
Increasing evidence that sugar-sweetened beverage taxes work Print E-mail
Written by Aaron E. Carroll, MD, MS | Academy Health   
Thursday, 09 March 2017 00:00

In Mexico, not only did a sugar-sweetened beverage tax work, it appears to be working more as time goes on

I have written before about soda bans, and why I think they're somewhat misguided. There were loopholes to get around them, they arbitrarily focused on some size beverages, and they were somewhat haphazardly enforced. But I left myself open to the idea of a soda tax - which seems less forceful - and a number of governments have attempted them.

In last month's Health Affairs, researchers report on the effects of a sugar-sweetened beverage tax that had been in place for two years. Mexico implemented the 1 peso per liter excise tax in the beginning of 2014. This was in response to their own obesity epidemic, where about 70% of adults and 30% of children were overweight or obese by 2012.

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Last Updated on Monday, 13 March 2017 17:28
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