Medicare Maneuvers, Part 1: The Problem
July 2, 2008
Payment cuts for doctors who treat Medicare patients - which have been looming for about a year - finally went into effect yesterday. The payment cuts of 10.6% will affect the 600,000 doctors who treat Medicare patients, and thus millions of elderly and disabled Medicare enrollees who rely on them.
Maybe if you’re under 65 and/or not relying on government health care benefits you think this isn’t your problem. You’re wrong.
A little history (based on the writings of Jonathan Cohn):
Diabetes: Drugs, Diet and Data
May 27, 2008
Picnic season is upon us – a time for cookouts and gatherings around the grill or at the park. This means burgers and hot dogs, potato salad and chips, ice cream and lemonade. This means we’ll be tempted to pack on pounds even as we’re trying to cram ourselves into shorts and bikinis.
For those Americans with diabetes, all the starch and sugar that come with summertime meals and outings are a serious hazard not just for their waistline but also for their health.
Have a Heart
April 9, 2008
Have you heard the flak that began early this year over the now infamous ad for the cholesterol drug Lipitor? In the world of marketing nothing beats celebrity.
In the view of Pfizer, apparently, nothing beats a celebrity doctor to convince folks that the science behind a medicine is sound. Thus began the 2-year ad campaign in 2006 in which the famous inventor Dr. Robert Jarvik touts what became the world’s best selling medication, Lipitor, with billions in sales. Except that, even though Robert Jarvik got his M.D. and created the artificial heart, he is not licensed to practice medicine. (He tells his side of the story here.)
Costs of Cancer Care?
March 31, 2008
Part of the heartache of cancer is that surviving it is ultimately a game of statistics. There are no assurances - except in the worst case scenarios where they are grim.
Even determining the best treatment is a matter of weighing likelihoods rather than having clear-cut solutions. On top of all that, patients must deal with the cost of various treatments.
Fortunately, cancer death rates have been falling in recent years - for several reasons:
- There is more and more information available on how to prevent cancer.
- Regular screening can catch the disease in early stages when it’s more treatable.
The Last Frontier in Outsourcing?
March 12, 2008
With the costs of US health care rising along with growing awareness of its oftentimes comparatively poor quality, more and more Americans are going abroad for health treatment - half a million in 2005 - mostly to Mexico and other Latin American countries.
The loss of American manufacturing jobs was the first casualty of the global economy. Many thought service jobs would be safe: you can’t have your latte poured or your office cleaned by someone in another country. But as American telecommunications and technology jobs have drifted to India and elsewhere, health care jobs seem to be following suit.
The Benefits of Telehealth
March 11, 2008
If necessity is the mother of invention, then it should be no surprise the innovative world of computer science and technology is being harnessed to help bring down health care costs.
Telehealth - or remote patient monitoring - refers to when medical experts use a digital network (like the internet or telephone lines) to provide automated monitoring and treatment delivery to a patient who is in a different physical location. This can range from email messages of basic care instructions to remote robotic surgery.
Beware Drug Reps Bearing Gifts
February 21, 2008
Only 1 in 3 medical schools have policies to prevent conflicts of interest between their academic departments and the drug or medical device companies that may fund individual researchers. Only 6 U.S. medical schools are completely free from the “influence” of pharmaceutical kickbacks. While universities as private institutions set their own rules on ethics and proprieties, government can regulate medical professionals and health care.
Now Minnesota is leading the way in banning drug company gifts to doctors. In 2005, a state official decided that current law allowed the state to forbid drug makers from giving doctors more than $50 worth of food or other gifts per year. Since then, this kind of direct-to-doctor marketing has decreased, with the number of visits from drug reps declining twice as fast as the rate nationwide.
Better Website for Medicare RX Plans
October 18, 2007
The Federal Government has launched a more user-friendly website that lets Medicare enrollees compare the various prescription drug plans and benefits options offered in their communities. A new five-star rating system lets users compare Medicare prescription drug plans based on access to care, quality of care, customer satisfaction and other measures. Website users can also compare and sort plans by annual costs - including prescriptions, monthly premiums, coverage levels in the so-called “doughnut hole” and other factors - and view the information in one chart.
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