HealthCommentary

Exploring Human Potential

Lewin Report: “Uh Oh – Health Care Costs Are Skyrocketing Again!”

Jack Lewin Health care costs went up by over 5% in 2015 after a mind boggling 7-year run of relatively flat costs.  But in 2016 — and for the next few years — the annual increase is thought by CBO and others to be 8% or more. Private insurance and even the new Affordable Healthcare Act […]

Collapsing Databases in Health Care

Mike Magee Three enormous health databases are in the process of going virtual or electronic. The first of these is the Clinical Research Database or CRD. On the back end of the Vioxx withdrawal, conflict of interest concerns, and legitimate health consumer desires for early access to discovery information, major research databases moved toward open transparency. […]

Listening Roadtrip on Education: A Model for Health Care?

Marc Porter Magee Ever wonder if people in New England think differently about education than people in the South? The West vs. the Midwest? We did and the result is 50CAN’s Education Roadtrip, an interactive journey through the education views of 6,400 Americans across the eight major regions of the country. The idea for this project […]

The 62 Billion Dollar Question: Can Health Care Overcome Geography?

Mike Magee Sixty-two billion. That is what Medicare spent in 2012 on post-acute care. (1,2) “Post-Acute Care” is the term applied to various types of intermediate care provided to newly released patients from an acute care hospital. The care is provided by home health agencies in the home or by brick and mortar employees at […]

Home Health Care: Meeting The Patient Half Way.

Mike Magee In a 2013 article in JAMA, Steve Landers laid out the argument for money following the patient. Destination? Home, where family caregivers and others are increasingly doing their best to manage health care complexity. In the article Landers states: “Most older Americans want to age in place. The Medicare home health benefit is […]

Health Care Costs: “Slain or Sleeping”? Avoiding Brick & Mortar.

Mike Magee The Affordable Care Act has officially arrived. Obstructionism persists, but appears increasingly desperate and politically ill conceived. What remains in the policy backwaters is the legitimate debate over whether Accountable Care Organizations, and a host of other structural changes, are to be credited with the slowing of health cost inflation, and with maintaining […]

Personalized Health Care in 2013: A Status Report on the Impact of Genomics

Ralph Snyderman M.D. Dr. Snyderman, Chancellor Emeritus of Duke University Health System, and champion of personalized and prospective health care, updates his vision and predicts where we are heading next. “As Chancellor for Health Affairs at Duke University in the latter part of the 1990s, I recognized emerging opportunities to abandon our reactive, sporadic, ‘one […]

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