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Policy & Law

Rare Disease: Where Precision Medicine Was Born

March 5, 2015 by Wendy White

As the mother of a child with a rare disorder, I’ve watched with interest and admiration as this community has broken one barrier after another—innovating, advocating, collaborating, fundraising, organizing—all with one unwavering goal, to stop or reverse the suffering inflicted by a rare disease on someone they love.[read more]

The Supreme Court and the Subsidy in the Bathwater

March 5, 2015 by Brad Wright

Supreme Court / shutterstock

What happens if the Court makes federal health insurance subsidies illegal? Well, barring any corrective action on the part of Congress, the White House, and/or the many states with federally-run exchanges, the results are rather bleak: On average, the price of health insurance premiums would increase by 255% nationwide.[read more]

The GOP Strategy for Increasing Purchasing Power: Subsidies in Reverse

March 4, 2015 by Brad Wright

GOP's plan / shutterstock

In this section of the GOP’s ACA replacement proposal, they state that they “would provide a targeted tax credit to certain individuals that could solely be used for the purpose of helping to buy health care.” This credit would be available to any employee of a small business, which the proposal defines as an entity with 100 or fewer employees.[read more]

5 Questions with Michael James McCoy

March 3, 2015 by Chad Johnson

Dr. Michael McCoy

On January 21, the Office of the National Coordinator for Health IT announced that Michael James McCoy, MD, would be the department’s Chief Health Information Officer, a newly created position. Thanks to Dr. McCoy for answering our questions about the new position and his vision for a learning health system.[read more]

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Is Social Media Worth the Risk for Pharma?

March 2, 2015 by Paul Tunnah

It’s a question that comes up all the time in my discussions with senior industry executives – is social media actually worth the risk for a sector as heavily regulated as the pharmaceutical industry? It’s a great question and an extremely valid one. Every business decision has to consider risk versus benefit.[read more]

Are Epiphanies the Key to Fixing Healthcare?

March 2, 2015 by Michael Dermer

epiphany / shutterstock

Perhaps epiphanies are the key to fixing the healthcare system. In an ideal world consumers would engage in healthy behaviors without any need for extrinsic rewards or other engagement tools and behavioral economic levers. Unfortunately, for many reasons, most consumers simply do not.[read more]

Measles Vaccine: A Right to Refuse Treatment

February 25, 2015 by Michael Kirsch

measles

I recognize an informed individual’s right to refuse treatment. An adult with appendicitis has a right to refuse appendectomy, against the advice of the surgeon. But does a parent have a right to deny the measles vaccine for their kids? I don’t think so. Here’s why.[read more]

A New Protection for Americans with Pre-Existing Conditions?

February 25, 2015 by Brad Wright

pre-existing condition / shutterstock

“Under our plan, no one can be denied coverage based on a pre-existing condition.” Under the ACA, the phrase “no one” literally means “no one,” while in the Burr-Hatch-Upton proposal it means “no one who is continuously enrolled in a health plan offering at least catastrophic coverage following a one-time open enrollment period."[read more]

The GOP Replacement Plan: Common-Sense Consumer Protections?

February 24, 2015 by Brad Wright

GOP's plan / shutterstock

The Burr-Hatch-Upton proposal to repeal and replace the ACA leads off with a set of “common-sense consumer protections.” The narrative here is something like this: Consumers are the innocent victims of villainous insurance companies that have been emboldened by Obamacare, and it is up to us–the GOP lawmakers–to play the hero.[read more]

8 Months Until ICD-10 Implementation: What to Know

February 23, 2015 by Andy Salmen

Most medical providers are aware that October 1, 2015, is the date they must quit using the outdated ICD-9 billing codes and begin using ICD-10 codes. The implementation date has been postponed more than once and it is not expected to be postponed again (however, rumors are beginning to swirl around Congress).[read more]

The Affordable Care Act: Healthcare Marketing Friend or Foe?

February 23, 2015 by Jonathan Catley

It is estimated that up to 32 million people will receive insurance coverage through the Affordable Care Act. While a veritable flood of new patients may seem like a medical marketer’s dream come true, practices that are already stretched thin may not be able to adequately handle more patients.[read more]

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Five Ways to Lead an ACO to Failure

February 23, 2015 by Andrew Mellin

accountable care / shutterstock

Creating an ACO in a health system or network requires new organizational structures, new IT capabilities and, most importantly, new leadership skills. Learn five mistakes that experienced, successful leaders avoid when developing an ACO.[read more]