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Five Reasons Why Physicians Will Love mHealth January 18, 2012

Posted by David Scher, MD, FHRS in Allied Health Professionals, Education, EP Physicians, Health Policy.
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1. Mobile health technology will increase patient engagement. Most patients do not take the responsibility they should for their own health. They are likely preoccupied with all the stresses of everyday life and might therefore take the ‘I feel good, so I must be’ approach. They possibly mutter these words after wiping their faces, hurriedly walking out of McDonald’s for lunch. Or is it because of mistrust of their physician who they get to see for a big 15 minutes that the electronic record time slot permits? Or that they are caregivers to others and sacrifice their own well-being for that higher purpose? (more…)

Business Models of Mobile mHealth January 12, 2012

Posted by David Scher, MD, FHRS in Allied Health Professionals, Education, EP Physicians, Health Policy.
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PriceWaterhouse Coopers’ Health Research Institute released a comprehensive report (free registration required) describing business models and opportunities for the mobile health industry.

In the operational/business model, providers see mHealth as more efficient and beneficial to the patient. According to the study, one-third of physicians make decisions based on incomplete information and mHealth can result in better care by providing more robust and timely information from the patient or device. (more…)

Your Integration Can Mean My Disintegration October 4, 2011

Posted by Sanjay Deshpande, MD, FHRS in Health Policy.
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As a sub-specialist, I am painfully reminded on a daily basis that healthcare for many patients is fragmented. The historical source of fragmentation appears to be the free choice that patients had in selecting their few available physicians and hospitals, based on perceptions of quality, geographic proximity, and short-term relationships with insurance plans. (more…)

The Aging, Sacred Cow August 18, 2011

Posted by Amit J. Shanker, MD, FHRS, FACC in Health Policy.
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With Standard & Poor’s recent downgrade of our nation’s creditworthiness, Congress’ new Joint Select Committee on Deficit Reduction will be under significant pressure to cut the deficit not by $1.5 trillion but at least $4 trillion to prevent another downgrade.

As our country attempts to uncouple our economic growth from decades of dependence on credit markets and public debt, massive cuts in both discretionary and nondiscretionary spending will be expected.  This will include health care expenditures.  The Centers for Medicare and Medicaid Services (CMS) recently reported that, the Affordable Care Act notwithstanding, total healthcare expenditures will nearly double by 2020 ($2.6 to $4.6 trillion dollars), accounting for 20% of the country’s GDP. (more…)

The Changing Global Landscape for Medical Health Care: Part IV March 15, 2011

Posted by Amit J. Shanker, MD, FHRS, FACC in Health Policy, Scientific Sessions.
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Part IV: The World is Armed as it was Never Armed Before

Over the coming decades, there will be a paradigm shift in how medicine is practiced. Techniques in both genetic and stem cell therapies will provide the foundation for this transformed landscape. 

As an increasing number of developed countries continue to reform their healthcare systems, one thing appears likely: The sources for funding innovative therapies will come from multiple sources throughout the globe, relying less on U.S. funding alone…the race has begun.   (more…)

Health Care Quality Improvement: How Can It Be Achieved? February 21, 2011

Posted by Joshua M. Cooper, MD, FACC in Health Policy.
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Improvement in the quality of health care delivery will not only improve patient well-being, but it should also result in a major reduction in costs. Imagine the savings that would come from fewer repeated procedures, fewer complications, fewer duplicate imaging studies, better patient evaluation, and better outcomes. But how can health care quality be skillfully evaluated, given the great spectrum of specialties and expanding medical knowledge?  (more…)

The Changing Global Landscape for Health Care, Part III: The New Old World November 12, 2010

Posted by Amit J. Shanker, MD, FHRS, FACC in Health Policy.
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Nothing that results from human progress is achieved with unanimous consent. And those who are enlightened before the others are condemned to pursue that light in spite of others.” -Christopher Columbus

There was a time when the New World didn’t exist. Columbus changed that on October 12, 1492 when he landed on Guanahani Island. His courageous pursuit transformed Spain from a realm to an empire. He sought to sail to Asia to pioneer a new westward route by sea – at a time when many thought that the ocean was impassable. (more…)

The Changing Global Landscape for Health Care, Part II: Regulation in the Developed Countries October 30, 2010

Posted by Amit J. Shanker, MD, FHRS, FACC in Health Policy.
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The End of the Cottage Industry in US Medicine. Earlier this summer, the Centers for Medicare & Medicaid Services (CMS) issued a prospective payment system final rule for fiscal year 2011 for acute-care and long-term care hospitals which would decrease average inpatient payments by 0.4 percent compared with the fiscal year of 2010. Such reductions in reimbursements will necessarily have an impact on hospital operating margins.  (more…)

The Changing Global Landscape for Health Care, Part I: The Developed Countries October 22, 2010

Posted by Amit J. Shanker, MD, FHRS, FACC in Health Policy.
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Medical innovation in the mature economies of North America and Europe has largely been linked with enormous research and development (R&D) spending, requiring collaborative efforts between medical service providers, universities and industry. (more…)

The New Rules of Engagement, Part II: Tennis Anyone? August 12, 2010

Posted by Amit J. Shanker, MD, FHRS, FACC in Health Policy.
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Back when I played competitive tennis, I learned that there were two distinct strategies between playing on grass and clay. On grass (a quick surface with lower ball bounces), a player needs to think at least one or two shots ahead– even though, despite the best efforts, most shots will be reflexive. To be successful on clay (a slower surface with higher, more unpredictable ball bounces), a player needs to think three to four shots ahead to win the point. We will need to use the clay court strategy with healthcare reform: Patient, but deliberately placed aggressive initiatives that ultimately build the foundation for self-sustaining policies. (more…)

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