Malcolm Gladwell on Fixing the US Healthcare Mess

http://www.medscape.com/viewarticle/847495#vp_1

Image result for Malcolm Gladwell on Fixing the US Healthcare Mess

In this edition of One-on-One, Medscape Editor-in-Chief Eric J. Topol, MD, sits down with best-selling author and journalist Malcolm Gladwell, who shares his unique perspective on healthcare and the practice of medicine. Mr. Gladwell believes that reform in healthcare might begin if, at its most basic level, the practice functions as a cash economy. He also notes the frustration clinicians feel after being saddled with technology that has become more of a hindrance than a help, and believes that ultimately providers need to be allowed more time to spend with patients, and fewer mandates, if healthcare is to prosper.

Medicine’s Future, From a Leader in Genome Editing and Stem Cells

http://www.medscape.com/viewarticle/862921

Image result for Medicine's Future, From a Leader in Genome Editing and Stem Cells

Hello. I’m Eric Topol, editor-in-chief of Medscape. Welcome to One-on-One. We’re thrilled to have Chad Cowan, an associate professor at Harvard University who is at the Harvard Stem Cell Institute. Chad and I have both been principal investigators on the induced pluripotent stem cell (IPSC) grant. I have looked to Chad as a leader in this field and he has been prolific in recent years.

Without Medicaid expansion, Texas hospitals left holding the bag

http://www.fiercehealthcare.com/finance/without-medicaid-expansion-texas-hospitals-left-holding-bag

AustinAustin

Should Texas ever decide to expand Medicaid eligibility under the Affordable Care Act, its hospitals would be spared about $358 million a year in costs tied to uncompensated care, a new study has found.

The research was conducted by the Florida-based consulting firm Health Management Associates on behalf of the Texas Health and Human Services Commission, The Dallas Morning News has reported. The report was not immediately available online.

If Medicaid were expanded, about 9 percent of the approximately $4 billion a year Texas’ hospitals spend on uncompensated care could be saved, the newspaper reported. Health Management Associates (HMA) predicted about 668,000 Texans out of the 1.1 million eligible for Medicaid coverage would enroll if eligibility were expanded.

But, quoting the report, the newspaper said that Texas lawmakers are not inclined to expand Medicaid anytime soon.

Micro-hospitals could prove financial boon and salvation to healthcare systems

http://www.fiercehealthcare.com/finance/micro-hospitals-could-prove-financial-boom-and-salvation-to-healthcare-systems?utm_medium=nl&utm_source=internal&mrkid=959610&mkt_tok=eyJpIjoiT0RFMVpXTmtZV1F5TURJNSIsInQiOiJvZEFnVmQrcVlVZXdHNlZuTkxTc1ZmVGVJNlNtTld6QTNtUWd4aG90RjI0dGpueEpZRCtUUHVnMUs5cFNUbnA5blFhOVdCTUFRenh3M1h2VGZSaDBZdkR2U1ZLNzQ2c0daY0FJSm9cL0F5VmM9In0%3D

hospitalhospital

So-called “micro-hospitals”–acute care facilities with six to 10 beds–could actually prove to be big moneymakers for healthcare systems.

The Indianapolis Business Journal has reported that such hospitals can allow healthcare systems to bypass site neutrality rules that prohibit billing at inpatient rates if a facility is located more than 250 feet from an acute care facilty. Moreover, their construction costs, at between $7 million and $30 million, are a fraction of what it costs to build a full-size hospital.

Most micro-hospitals are open around the clock like a typical acute care facility, but they tend to offer limited services, such as observation care and short stay inpatient admissions.

A “Volatile Marketplace”: Second Quarter Earnings Calls Offer Glimpse of How Insurers Are Faring on ACA Marketplaces—and What 2017 Might Bring

http://www.commonwealthfund.org/publications/blog/2016/sep/volatile-marketplace?omnicid=EALERT1094761&mid=henrykotula@yahoo.com

This has been a turbulent year for the Affordable Care Act (ACA) marketplaces. As part of our ongoing efforts to better understand how the post-ACA insurance markets are evolving, we reviewed the 2016 second-quarter (Q2) earnings calls and financial filings of several large, publicly traded insurers that participate on the marketplaces: Aetna, Anthem, Centene, Cigna, Humana, Molina, and United.1  While the picture provided by these calls and financial reports is limited – dozens of other participating insurers are not required to report to investors because of their nonprofit or private status – they can help us better understand some of the trends affecting the marketplaces’ stability, including insurer exits from some health insurance marketplaces and increases in 2017 premiums.

 

Kaiser CEO Bernard Tyson on Balancing Technology and Human Touch

http://www.medscape.com/viewarticle/867711#vp_1

Image result for Kaiser CEO Bernard Tyson on Balancing Technology and Human Touch

In this One-on-One with Medscape Editor-in-Chief Eric Topol, Bernard Tyson outlines his remarkable career at Kaiser Permanente, where he advanced from a position in the medical records department to become CEO of the $60 billion-a-year company. He also talks about why the human touch will always be at the center of healthcare, even as technology revolutionizes patient care.

http://www.fiercehealthcare.com/it/how-kaiser-permenente-aims-to-boost-cool-factor-health?utm_medium=nl&utm_source=internal&mrkid=959610&mkt_tok=eyJpIjoiTURka05USTVOV1V5TWpBeSIsInQiOiJSR3lDRUVFXC83UUZQbklYNkpoXC85cUpLWE1FdThtSlhudzFVY2hOWEFSZWVsbnEzTWxRWTdPSDdiRXBpY3BTSDdldG5CazMrZlh3YmU4a3hQOFVkcStGQ2xlR0RsM29tNkZrRHp0UGd1NmdZPSJ9

 

Chris Van Gorder on Scripps Health’s “no lay-off” philosophy

Image result for Chris Van Gorder on Scripps Health’s “no lay-off” philosophy

Scripps Health CEO Chris Van Gorder talks about their “no lay-off philosophy.