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Category: Health And Fitness

Regulations & Guidance

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| Health And Fitness

The researchers concluded that this was a statistically significant” increase over the two-in-1,000 birth-defect rate in the general population. The cause of death was hanging.

human services.gov.au/medicare card

Health insurance is an insurance that pays for medical expenses, which also covers disability or long term nursing needs. Live discharges are not uncommon — sometimes patients get healthier — but they are also seen as evidence of hospices trying to game the system. sciencefile Federal rules require that the average patient stay at any given hospice not exceed six months, so some institutions seek to manipulate stay lengths in order to get as close to that number as possible without going over, hospice experts say. Providers excluded for fraud had the largest percentage of non-white and Medicaid dual-eligible patients, at 29.5 percent and 44.1 percent, respectively. Providers excluded for patient harm or revoked licenses were more likely to have patients under … Read the rest

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Digital Therapeutics, Megan & Me!

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| Global Health, Health And Fitness, Health News, Healthcare, Healthcare Insurance, Healthcare Partner, Human Health, Men's Health, Mental Health, News, Women's Health

Anyone who follows me knows that I’ve been questioning whether digital therapeutics are real and more importantly whether the people building and trying to sell them are simply trying to replicate the American drug pricing model–patent, protect, prescribe & price gouge. So who better to have this conversation with than the person in charge of explaining and selling the notion of digital therapeutics to the world? Megan Coder is Executive Director of the Digital Therapeutics Alliance. She graciously and bravely agreed to talk to me. Who won the argument? You’ll have to watch to decide, but I found our discussion to be a lot of fun and very interesting and I hope you will too – Matthew Holt

The transcript is below

Matthew Holt:

Hi, it’s Matthew Holt with a  THCB spotlight. I’m here with Megan Coder. Megan is the executive director of the Digital Therapeutics Alliance. And we’re here … Read the rest

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Playing Poker With the Devil: “Prior Authorizations” are Paralyzing Patients and Burning out Providers

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| Global Health, Health And Fitness, Health News, Healthcare, Healthcare Insurance, Healthcare Partner, Human Health, Men's Health, Mental Health, News, Women's Health

By HANS DUVEFELT

The faxes keep coming in, sometimes several at a time. “Your (Medicare) patient has received a temporary supply, but the drug you prescribed is not on our formulary or the dose is exceeding our limits.”

Well, which is it? Nine times out of ten, the fax doesn’t say. They don’t explain what their dosage limits are. And if it isn’t a covered drug, the covered alternatives are usually not listed.

So the insurance company is hoping for one of a few possible reactions to their fax: The patient gives up, the doctor tries but fails in getting approval, or the doctor doesn’t even try. In either case, the insurance company doesn’t pay for the drug, keeps their premium and pays their CEO a bigger bonus.

First problem: This may be in regards to a medication that costs less than a medium sized pizza. And the pharmacy generally doesn’t even … Read the rest

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The Medicaid Plan of the Future: Sean Lane on Building Circulo on Top of Olive’s AI Platform

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| Global Health, Health And Fitness, Health News, Healthcare, Healthcare Insurance, Healthcare Partner, Human Health, Men's Health, Mental Health, News, Women's Health

By JESSICA DaMASSA, WTF HEALTH

What’s better than being the CEO of one blazing-hot disruptive health tech company that’s raised $450M to build “the internet of healthcare”? How about becoming the CEO of a second company – a new managed Medicaid health plan company – that’s to be built on top of your first company’s machine learning platform, which is chock-full of hospital data and learning how to automate healthcare admin expertise? So is the fate of Sean Lane, CEO of Olive and now, also CEO of Circulo.

What does a built-from-scratch, tech-first Medicaid plan look like? Sean talks through the strategy behind the new health insurance co, which is aiming to use Olive’s tech to automate every aspect of the way a payer functions in effort to 1) strip away health plan admin costs and 2) create a never-before-seen relationship between patient, payer, and provider. On this latter point, … Read the rest

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The Effects Of Drinking Milk That Contains Growth Hormones

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| Health And Fitness

The 24-month period is measured from the date that an individual is determined to be eligible for SSDI payments, not necessarily when the first payment is actually received.

unitedhealthcare phone number

Healthcare costs are rising every year. phytolyft In the U.S., 77.8% of people with diabetes get regular care from at least one health care professional, according to the CDC. The OB who nearly killed the baby and mutilated the child’s Mother went on to hurt other patients before he was disciplined by the Medical Board (the case is public record). He ultimately lost his license for a time. But he got it back. He’s working in NC today. To aid in the effort, President Biden has recruited a host of former Obama administration aides. His picks for top jobs at the Centers for Medicare and Medicaid Services, the Office of Management and Budget, as well as key deputies at … Read the rest

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We Are the Ever Given

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| Global Health, Health And Fitness, Health News, Healthcare, Healthcare Insurance, Healthcare Partner, Human Health, Men's Health, Mental Health, News, Women's Health

By KIM BELLARD

The Ever Given is free! 

Admit it: you’ve been following the story about the huge container ship stuck in the Suez Canal.  It’s about the size of the Empire State building laid flat, and somehow ended up blocking one of the busiest waterways in the world. 

As serious as this was for global shipping and all of us who depend on it, much hilarity ensued.  Memes exploded, using this as a metaphor for almost everything, healthcare included.  Once there started to be hope for getting the Ever Given free, people started new memes that it should be “put back.” 

Well, I’m a sucker for a funny meme and a good metaphor too.  Our healthcare system is that canal, and we’re the unfortunate ship.  Only it doesn’t look like we’re getting unstuck anytime soon.

The Ever Given got stuck a week ago.  It is one of the world’s … Read the rest

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“I Don’t Do Windows” Says the Maid. “I Don’t Do Machines” Says this Doctor – “But I Do Nudge Therapy”

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| Global Health, Health And Fitness, Health News, Healthcare, Healthcare Insurance, Healthcare Partner, Human Health, Men's Health, Mental Health, News, Women's Health

By HANS DUVEFELT

The hackneyed windows phrase, about what a domestic employee will and will not do for an employer, represents a concept that applies to the life of a doctor, too.

Personally, I have to do Windows, the default computer system of corporate America, even though I despise it. But in my personal life I use iOS on my iPad and iPhone and very rarely use even my slick looking MacBook Pro. I use “tech” and machines as little as possible and I prefer that they work invisibly and intuitively.

In medicine, even in what used to be called “general practice”, you can’t very reasonably do everything for everybody. Setting those limits requires introspection, honesty and diplomacy.

In my case, I have always stayed away from dealing with machine treatments of disease. But I do much more than just prescribe medication. Since the beginning of my career, and more … Read the rest

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The Drive To Standardize Records: Progress or Chaos?

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| Global Health, Health And Fitness, Health News, Healthcare, Healthcare Insurance, Healthcare Partner, Human Health, Men's Health, Mental Health, News, Women's Health

By MERLE BUSHKIN

I recently asked my Primary Care Physician’s Medical Records Department for copies of my records covering the last eight months during which I had four office visits, five blood draws, and nine brief email exchanges. I should add that my PCP uses one of the two most popular EMR systems.

To my astonishment, I received 274 pages of digital records (PDFs).  I’ve heard of “record bloat” but this was an explosion!

When I analyzed their contents, I found that 59 pages were legitimate documents containing “original” information and data.  22 Pages were Office Notes — or what are often called Progress Notes —applicable to my four visits; 14 were reports of my five blood draws; 23 included my nine email exchanges. In short, they were “normal” — what you’d expect from the number of contacts I had with my doctor and his lab.

But the remaining 212 pages shocked … Read the rest

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What The New Health Care Overhaul Means To You

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| Health And Fitness

The combination of a Health Savings Account and a High Deductible Health Plan (HDHP) is supposed to encourage individuals to become thoughtful, wise consumers of health care.

global health news of the day

While investigating healthcare options, many people will have noticed that there is a great variety of health insurance options. Now, when the majority of the population are faced with the uncertainty of their future amidst a global health crisis, the ineptness of the Trump Administration and Congress proves just how dysfunctional our political system is. What his writer is afraid of is that the Democratic Party has been all along setting the stage, beguiling the public and creating the illusion that Joe Biden will some how miraculously recreate the publics perception of the Obama years. The Obama Administration caused repercussions that have only continued the adverse conditions millions the world over still face. mylifescoop What the public … Read the rest

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Maximizing the Long Term Value of Virtual Care

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| Global Health, Health And Fitness, Health News, Healthcare, Healthcare Insurance, Healthcare Partner, Human Health, Men's Health, Mental Health, News, Women's Health

By JON BLOOM

The rate of adoption for virtual care and remote monitoring solutions has skyrocketed over the last year as access to in-person appointments has been limited, but despite the uptick, we’re still drastically underutilizing their potential. These solutions often focus on treating a singular episode or chronic condition, when in fact they can open the door to more wide-ranging proactive monitoring and care that can have huge benefits in the long term. 

By simply offering a touchpoint for patients to interact with the health care system through solutions like remote monitoring, providers can detect and address all sorts of problems before they escalate and require more intense, expensive interventions, even if the problem isn’t related to the primary purpose of the solution. 

The downstream effects of these solutions are significant, both in terms of reducing the financial strain by eliminating unnecessary ER visits and hospitalizations, and in the … Read the rest

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