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Marshall Allen on how to contest hospital bills and avoid treatment you don’t need
"It’s rare for anyone to try and tally the precise cost of unnecessary care. But when they do, the estimates are staggering. The Washington Health Alliance, a nonprofit dedicated to making care safe and affordable, analyzed insurance claims from 1.3 million patients who received one of 47 tests or services that are considered overused or unnecessary. What they found should make patients and doctors rethink that next referral. In a single year, more than 600,000 patients underwent a treatment they didn’t need, costing an estimated $282 million. More than a third of the money spent on the tests went to unnecessary care, their study found. Unnecessary medical care has 'become so normalized that I don’t think people in the system see it,' Dr. Vikas Saini told me. Saini is president of The Lown Institute, a Boston think tank focused on making health care more effective, affordable and just. Lown researchers have shown how overtreatment happens across the spectrum of medical care. Doctors may push for Caesarean sections for their own convenience, not so moms and babies can be healthy. Breast cancer, prostate cancer and thyroid cancer get over-diagnosed, leading to harmful and costly treatment. Around a third of colonoscopies are unnecessary, research has shown. That’s not just wasting our money. It’s also putting us at risk of harm." Marshall Allen is a journalist and author of Never Pay the First Bill: And Other Ways to Fight the Health Care System and Win. He shares his story and discusses his KevinMD article, "How to avoid treatment you don’t need." (https://www.kevinmd.com/blog/2021/06/how-to-avoid-treatment-you-dont-need.html)
July 24, 2021
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The Future of Healthcare in a Post Pandemic World with Andrew Botham, Chief Scientific Officer at TestCard
In this podcast, we are excited to host Dr. Andrew Botham, the Chief Scientific Officer, and Co-Founder at TestCard. Andrew discusses how his company is leveraging the power of technology and cameras in smartphones to offer immediate results related to medical tests. He talks about challenges healthcare scientists face and how TestCard's home testing solution, with the help of a phone's camera (or clinical grade scanner), helps people get accurate and faster results, which they can then take to their doctor. He talks about providing easier access to health care, low-cost solutions, reducing contaminations, and more. This interview is packed with learnings and insights, so please tune in!
Click this link to the show notes, transcript, and resources: outcomesrocket.health
July 23, 2021
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Top Stories for 7/23
Direct contracting reimbursement model proving popular among payers and providers; Mass General teams with YouTube to tackle medical disinformation. Also: Gamified strategies show only modest success in changing people's health behaviors.Links to the stories: Providers, payers see direct contracting's capitation as an important move to value-based careYouTube tapped to support access to accurate medical infoGamification boosts physical activity, healthy behaviors in new study
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HIMSSCast
July 23, 2021
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Hospital lessons learned from COVID-19 — with Paul Coyne, Joe Fisne, and Bill Siwicki
For the past several months, Healthcare IT News Features Editor Bill Siwicki has been writing a series on lessons learned from the COVID-19 pandemic for hospitals throughout the US. For this installment of HIMSSCast, Bill and host Jonah Comstock are joined by Paul Coyne, NP, clinical practice and chief nursing informatics officer at the Hospital for Special Surgery, and Joe Fisne, associate chief information officer at Geisinger Health System, to discuss some of the biggest learnings to come out of the series.This podcast is brought to you by Zoom and is a companion to 'Telehealth is here to stay', episode 1 of our Workplace Re-entry series.Talking pointsHow COVID taught us how fast we can innovateThe importance of video conferencing, internally as well as externallyPhysician collaboration and rapid prototypingHow COVID-19 aligned priorities within hospitalsAn unexpected lesson: Hospital HR systems need improvementComfortable vs uncomfortable innovationThe future of telehealth utilizationMore about this episodeHealth IT Lessons Learned During the COVID-19 Era (Bill's series)Hospital IT leaders talk lessons learned from a tough pandemic yearWhat does the 'after COVID-19' business look like? IT leaders weigh inCIOs plan on refined telehealth, faster deployments, more collaborative toolsHow IT leaders are reimagining and repurposing technologies to handle new challengesBurnout in the Age of COVID-19 (Bill's previous series)
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HIMSSCast
July 23, 2021
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How physicians can be better medical leaders
"A sad truth is this: Most everywhere, health care is a low-margin industry that lacks resources to invest in leadership development. Although our business’s central, sacred function is caring for our fellow human beings, many who move up in the health care hierarchy do so without possessing the so-called 'soft skills' that facilitate one’s ability to lead groups and motivate others. 'Soft skills,' a military term that arose in the 1960s, refers to the interpersonal savvy that it takes for organizational stakeholders to succeed. Soft skills are about more than the weaponry and the machinery; they’re about the people. Whether it’s academic medicine, corporate medicine, or public sector medicine, we are simply not taking enough time to focus our leaders’ attention on the interpersonal dimension of their work. Excellent training and supervision enhance essential managerial skills, but most health care organizations choose not to invest in that which is 'soft.'" Steve Adelman is a psychiatrist and can be reached at his self-titled site, AdelMED. He shares his story and discusses his KevinMD article, "The joylessness of harried medical leaders." (https://www.kevinmd.com/blog/2021/07/the-joylessness-of-harried-medical-leaders.html)
July 23, 2021
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Becoming a Nurse Informaticist Extraordinaire | The Nurse Keith Show, EPS 332
On episode 332 of The Nurse Keith Show nursing and healthcare career podcast, Keith interviews nurse informaticist extraordinaire Lisa Jenkins Brooks about her journey from the bedside to nursing informatics, as well as becoming an author and a sought-after influencer in the healthcare informatics space.
Nurse Keith is a holistic career coach for nurses, professional podcaster, published author, award-winning blogger, inspiring keynote speaker, and successful nurse entrepreneur.
July 23, 2021
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Behind the Pages: July 2021 Issue on Borders, Immigrants & Health
In July, Health Affairs published an issue dedicated to borders, immigrants, and health. A public health crisis is unfolding along and inside the US-Mexico border. Immigrants arriving at the US border are likely to have experienced political, economic, or interpersonal violence prior to their arrival, leading to unmet mental health and physical health needs. Immigrants detained at the border may face crime and violence in border towns as they await trial in the US, or prolonged stays in detention centers and family separations if they are able to cross the border. Immigrants in the US face health challenges that extend well beyond the border.Health policy issues are impacted by the continuously shifting demography of US immigrants. The July 2021 journal issue of Health Affairs and related content focuses on immigrants and borders and the impact on health policy. The issue examines recent trends in immigrant health and health care after the Great Recession and the nationwide implementation of the Affordable Care Act (ACA).In today's episode of Health Affairs This Week, Senior Editors Leslie Erdelack and Jessica Bylander discuss the publication process and highlight research insights from the issue.Order your copy of the July 2021 issue of Health Affairs.Related Links:
Borders, Immigrants & Health July 2021 Issue (Health Affairs)
Health Policy Challenges Posed By Shifting Demographics And Health Trends Among Immigrants To The United States (Health Affairs)
Immigrant Essential Workers Likely Avoided Medicaid And SNAP Because Of A Change To The Public Charge Rule (Health Affairs)
Podcast: Many US Immigrants May Defer Health Care to Avoid ICE (A Health Podyssey)
Health Care Has Few Plans To Address The Aging Immigrant Population (Axios)
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July 23, 2021
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Dale Sanders on Data Quality, Standards and Collection Through the Pandemic
July 23, 2021: Our quality measure strategy in the US is NOT working. We need to shift from a process-oriented focus to focusing on eliminating low value care and easing clinical data entry burden. Dale Sanders, Chief Strategy Officer at IMO brings his military, technology strategist and data expertise to the subject. A recent IMO and HIMSS survey reported issues with inconsistent data due to subjective documentation from providers. Despite these issues, organizations are using patient data for quality measurement and reporting (81%), revenue cycle management (60%), and clinical decision support (55%). Is there no silver bullet for improving the quality of data? Will we continue to struggle applying AI until we get a higher quality? There was a lot of confusion around data during the pandemic. What would a much better scenario look like for US healthcare if we see another global pandemic in our lifetime?Key Points:Why is hiring someone from the military such a good idea for employers? [00:09:59] Most patients have an inherent trust in their physician [00:16:40] Orders and results have to be harmonized to national standards [00:37:25] For the terrible tragedy that was COVID, I think it's going to have a big, positive impact on society [00:46:55] The separation between public health and population health that we see in the US does not exist in other countries [00:49:10] IMO
July 23, 2021
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Celebrating the Extraordinary Minds of Health & Medicine: Marc Hodosh, Co-Creator, TEDMED & Founder & Co-Host, LIFE ITSELF with Dr. Sanjay Gupta
Co-Creator of TEDMED and Founder & Co-Host, LIFE ITSELF, with Dr. Sanjay Gupta, Marc Hodosh, joins the show to discuss his upcoming health conference and the genesis of TEDMED. Plus, he shares why he'd bring a CD with him on a deserted island.
July 23, 2021
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Announcing Outcomes Rocket Pharma Podcast with Kyle Wildnauer-Haigney
In this episode, we welcome Kyle Wildnauer-Haigney as the host of Outcomes Rocket Pharma Podcast, a podcast designed to introduce you to thought leaders in the various health plans. PBMs, pharmaceutical manufacturers. Kyle will cover problems, solutions, innovations, and the latest news in the pharmaceutical space. Each episode will run for 20 to 30 minutes, ensuring plenty of time to do a deep dive in pharma, so please tune in!
July 23, 2021
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Lenovo Presents: Securing Care Anywhere: Managing Security and Privacy Compliance in a Distributed Healthcare Workforce
Security is not just a hardware or software issue. Privacy is not a static filter and safety is not just about signage. Our world has changed, along with the working environment, threat landscape, and the lines between work and life. Today’s IT Leaders need tools to address compliance. Technology partners can help IT Leaders address privacy, security, and safety compliance issues. In this podcast, we will discuss these 3 compliance focus areas and give real world advice on how IT Leaders address these areas with support from their technology partners.
by
HIMSSCast
July 22, 2021
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Practical Advice for Those Seeking Direct Primary Care Options with Jamie Lagarde and Michael Garrett
Today, we will focus on direct primary care, its benefits, and how it adds value to healthcare.
In this episode, we are privileged to host two outstanding guests, Jamie Lagarde and Dr. Michael Garrett. We've had Jamie on the podcast previously and we've really enjoyed our conversation with him. Dr. Michael Garrett has a private medical practice in Austin. He is the founder of Direct MD Astin and a founding member of the DPC Alliance.
Dr. Garrett dives deep into direct primary care, shares amazing stories of how DPC changes patients' perspectives on health care, and how it adds value to the ecosystem. Michael shares the importance of utilizing both cost-sharing and DPC to really enjoy primary care. They also talk about price transparency, telemedicine, having more time with patients, and many other ways of thinking outside the box. If you're looking for better access, better healthcare experience, and lower cost, this is an interview you MUST listen to!
Click this link to the show notes, transcript, and resources: outcomesrocket.health
July 22, 2021
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Leadership Lessons for Physicians from Ted Lasso
Apple TV+ launched “Ted Lasso” in the fall of 2020. The series focuses on an American football coach (played by Jason Sudeikis) who is hired to coach an English soccer team. But Ted Lasso is less about sports and more about leadership. A Golden Globe, a Screen Actors Guild, and a Critics Choice Award later, along with charming an ever growing audience, we are ready for the second season. In this episode of SoundPractice we will talk with Gary Schwartz, MD, MHA, President, Associated Eye Care, about his LinkedIn article, “Leadership Lessons from Season One of Ted Lasso.” Dr. Schwartz found ten crucial leadership lessons woven into the Ted Lasso series. This episode serves proof that SoundPractice can be hip, socially relevant, and educational -- simultaneously.
Gary Schwartz, MD, MHA
President, Associated Eye Care
Stillwater, MN
https://www.linkedin.com/posts/gary-schwartz-md-mha-775b51_leadership-lessons-from-ted-lasso-activity-6789711939418279937-qlti
Learn more about the American Association for Physician Leadership at www.physicianleaders.org
July 22, 2021
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Deep Dive Into Our Values: Positivity with Molly Ramsay
Today we are diving deep into another of our values: Positivity.
This core value is across the MedMan staff and is a criterion for being hired in the organization. Positivity isn’t being a ball of sunshine 24/7; it means always taking into account an optimistic approach to outcomes. Molly explains how she knows about someone’s positivity through the hiring experience. They also chat about how some feelings may be overwhelming sometimes and need moderation.
For the full transcript, show notes, and resources to help you level up your practice, visit us at medman.com.
July 22, 2021
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Episode 092 – Enabling Rare Disease Treatments with Sanath Kumar Ramesh – Founder & CEO of OpenTreatments
ONCE UPON A GENE - EPISODE 092
Enabling Rare Disease Treatments with Sanath Kumar Ramesh - Founder & CEO of OpenTreatments
Sanath Kumar Ramesh’s son is one of only nine kids worldwide with an ultra-rare genetic disease called Sedaghatian Type Spondylometaphyseal Dysplasia (SSMD). He has a podcast called Raising Rare where he and his wife talk about their journey, finding a treatment for their son and they feature stories of others in the rare disease community. Sanath is joining me on this episode to talk about his new software platform called OpenTreatments, a nonprofit organization with a mission to enable treatments for all genetic diseases.
EPISODE HIGHLIGHTS
Can you tell us about yourself and your family?
I have a 2 1/2 year old boy named Raghav who was born with challenges and he continued to miss milestones through his first year of life. On his first birthday, we learned he has an ultra-rare condition caused by a mutation in the gene GPX4. When Raghav was diagnosed with SSMD, we thought he was the only patient, but we've since found 8 other patients worldwide.
Can you tell us about OpenTreatments?
My idea is to collaborate the knowledge and experience of biotech companies and academic researchers to help patient foundations build and run their gene therapies. We are starting with a pilot program of four diseases to understand how well the software program is working and identify any challenges the programs are experiencing. Our mission is to enable treatments for all genetic diseases regardless of rarity or geography.
How can parents or patient groups work with OpenTreatments?
There's a lot of risk in the drug development process and the amount of risk we take on is not like any investment any one of us has ever done in our lives. Even wealthy venture capitalists don't invest in drug developments because there's a high risk of losing money. For parents who have just received a diagnosis, they're struggling to understand what life has in store for them and embarking on drug development isn't well aligned. We focus mainly on patient groups who have a foundation started, have raised money and have a scientific advisory board.
Do you think biotech and pharma companies will eventually take interest in rare disease treatment missions?
It's a challenging problem and I think the bottom line is risk. Pharma isn't interested in rare diseases with such a limited number of patients, like my son's disease, because the risk to treat a patient where a potentially adverse reaction can happen is a risky unknown. The decision becomes whether or not the risk is worth the benefit and what the benefit is when treating such a small number of patients. When there is a larger group of patients, there's also a bigger commercial upside and it's likely worth the risk to explore treatments. Several ideas have been proposed for getting ultra-rare diseases an alternate path to drug therapy, including getting more regulatory support or building collective treatment for ultra-rare diseases. Insurance providers could also potentially pay for the research and development of drug therapies because their spend burden is high over the lifetime of a patient. I don't know what the future holds, but I do know that we need more people in drug development so ideas can be tried and tested.
RESOURCES MENTIONED
Raising Rare Podcast
https://www.raisingrare.fm/
OpenTreatments
https://www.opentreatments.org/
Cure Raghav
https://www.curegpx4.org/
CONNECT WITH EFFIE PARKS
Website
https://effieparks.com/
Twitter
https://twitter.com/OnceUponAGene
Instagram
https://www.instagram.com/onceuponagene.podcast/?hl=en
Built Ford Tough Facebook Group
https://www.facebook.com/groups/1877643259173346/
July 22, 2021
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Mayo Clinic Q&A: On the Verge of Predicted COVID-19 Surge with Delta Variant
This episode is shared from Mayo Clinic Q&A and was recorded July, 2021
Guest: Gregory A. Poland, M.D. (@drgregpoland)
Host: Halena M. Gazelka, M.D. (@hmgazelkamd)
The delta variant is being blamed for hot spots in the U.S. where cases of COVID-19 are on the rise. These hot spots account for most cases in the U.S. They are also the geographical areas that tend to have the lowest vaccination rates.
"It's no surprise that the two go together," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group.
"This (delta variant) is the bad actor that we predicted it would be," adds Dr. Poland. "Our seven-day average is getting up to 19,000 cases a day in the U.S. We were down to 3,000. So we're starting to see, just as we predicted, a surge as people took masks off and as restrictions were lifted before we had achieved high rates of immunization."
In this Mayo Clinic Q&A podcast, Dr. Poland expands on how the highly transmissible delta variant continues to spread. He also talks about the possibility of COVID-19 vaccine boosters, explains how the Vaccine Adverse Event Reporting System works, and much more as he answers listener questions.
AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
July 22, 2021
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