Advance Planning For Your End-Of-Life Care

Advance Planning For Your End-Of-Life Care

end-of-life-home-770

Starting in October, Medi-Cal — the state’s version of the federal Medicaid program for low-income residents — began covering advance care planning discussions between doctors (or other qualified providers) and patients (or a family member), said Tony Cava, spokesman for the state Department of Health Care Services, which administers Medi-Cal.

Any Medi-Cal recipient can use the coverage regardless of age, he said. Doctors can bill for the conversation twice a year per patient — plus an additional 30 minutes for one of the conversations — before they have to seek authorization for more coverage.

Medicare, the federal health insurance program for people 65 and older, and for people younger than 65 who have certain disabilities, started covering the discussions on Jan. 1.Medicare does not limit the number of discussions per patient each year.

For This Man, Reducing Gun Violence Is A Life’s Mission

For This Man, Reducing Gun Violence Is A Life’s Mission

Wintemute_570

As the ancient Chinese proverb says, from crisis comes opportunity. That is certainly true for Garen Wintemute, a leading gun-violence researcher and emergency room doctor who finds “teaching moments” in the grief-filled days and weeks following mass shootings in America.

He is currently seizing a window of opportunity recently opened by the recent mass shooting in Orlando, Florida.

Wintemute, once named a “hero of medicine” by Time magazine, has led the Violence Prevention Research Program at the University of California, Davis Medical Center for 25 years. Twenty years ago, the federal Centers for Disease Control and Prevention abruptly stopped funding Wintemute’s program. He has since put up $1.3 million of his own money to keep it running.

Hundreds of companies in the U.S. are selling unproven stem cell treatments, study says

http://www.latimes.com/science/sciencenow/la-sci-sn-unapproved-stem-cell-treatments-20160630-snap-story.html?utm_campaign=CHL%3A+Daily+Edition&utm_source=hs_email&utm_medium=email&utm_content=31233055&_hsenc=p2ANqtz-8svW-TMtAyJFwmvKzoDjfSTTtMgsgUedtyaYE4wt_o_C_TfMcpXDmfnnRYA2UDkrCnoabntZCBkmKkB9YYl0RLteiYnA&_hsmi=31233055

Self-described stem cell clinics in the U.S.

From coast to coast, at least 351 businesses at 570 locations are marketing stem cell therapies that have not been fully vetted by medical researchers or blessed by the U.S. Food and Drug Administration, according to a study published Thursday in the journal Cell Stem Cell.

Paul Knoepfler, a bona fide stem cell researcher at UC Davis with a doctorate in molecular pathology, and Leigh Turner, a bioethicist at the University of Minnesota who studies the ramifications of medical tourism, scoured the Internet to find companies advertising all sorts of stem cell treatments directly to patients and their families. They used nearly 100 search terms to identify as many websites as they possibly could — and turned up a lot more than they thought they would.

ProPublica: For-profit southern hospitals host to most industry payments

http://www.healthcaredive.com/news/propublica-for-profit-southern-hospitals-host-to-most-industry-payments/421832/

Cash in Hand

The subject raises debate due to studies that have identified an association between industry payments and higher rates of brand-name prescribing, ProPublica reported, with some advocates arguing for limits or transparency to allow consumers to make informed decisions about providers who may be weighing outside factors in their care.

It’s NC Hospitals vs. Koch Brothers in CON Battle

http://www.healthleadersmedia.com/community-rural/its-nc-hospitals-vs-koch-brothers-con-battle?spMailingID=9138342&spUserID=MTMyMzQyMDQxMTkyS0&spJobID=942934540&spReportId=OTQyOTM0NTQwS0

Koch Brothers

The push to eradicate certificate of need statues in several states is spearheaded by a political advocacy group that claims a repeal of the regulations would “lower healthcare costs and improve medical access for millions of citizens.”

Health policy leaders to HHS: More bundled payment models, please

http://www.healthcaredive.com/news/health-policy-leaders-to-hhs-more-bundled-payment-models-please/421562/

  • The Center for American Progress (CAP) and other health policy leaders issued a joint letter to HHS Secretary Sylvia Burwell advocating further advancement in Medicare payment reform.
  • The signatories seek additional mandatory bundled payment demonstrations, arguing they would show stakeholders — including hospitals, physicians, device manufacturers, skilled nursing facilities, and home healthcare agencies — that aggressive expansion is coming for bundled payments and other payment reforms.
  • CAP has long advocated for Medicare to expand its most successful bundled payment models, including its Acute Care Episode demonstration project.

Click to access Mandatory-bundled-payment-letter.pdf

Supreme Court strikes down Texas abortion clinic restrictions

https://www.washingtonpost.com/politics/supreme-court-strikes-down-texas-abortion-clinic-restrictions/2016/06/27/ba55d526-3c70-11e6-a66f-aa6c1883b6b1_story.html

The Supreme Court on Monday struck down Texas abortion restrictions that have been widely duplicated in other states, a resounding win for abortion rights advocates in the court’s most important consideration of the controversial issue in 25 years.

Supreme Court strikes down Texas abortion restrictions

http://thehill.com/regulation/court-battles/284974-supreme-court-strikes-down-Texas-abortion

The justices said in the majority opinion that the two parts of the Texas law under challenge create a “substantial obstacle in the path of women” who are seeking abortions and neither provision “offers medical benefits sufficient to justify the burdens upon access that each imposes.”

Two dozen other states have similar restrictions in place, requiring abortion clinics to meet the standards of hospital-style surgical centers and requiring doctors who perform abortions to have admitting privileges at hospitals within 30 miles.

The Rise of Private Equity and It’s Impact on the US Public Healthcare System

Private Equity

The private equity takeover of the U.S. economy has gone largely unnoticed. Since the 2008 financial crisis, private equity firms have gone from managing $1 trillion to managing $4.3 trillion — more than the value of Germany’s gross domestic product. And private equity is now in every corner of the economy: Blackstone is America’s largest landlord of rental houses. Fortress Investment Group is the nation’s largest bill collector. And private equity now runs all sorts of services that used to be under public control – including emergency services we all depend on.

But private equity isn’t accountable – not to the public, not even to public shareholders. It’s run by a handful of extraordinarily wealthy people who are getting richer and more powerful all the time. Today’s New York Times provides an important look.

The Tyranny of Short-Term Thinking

http://blog.academyhealth.org/the-tyranny-of-short-term-thinking/

Self-Discovery

Click to access AHPHSSRMays2014.pdf

http://www.cutshurt.org/