Malcolm Gladwell on Fixing the US Healthcare Mess

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

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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.

Emocha Mobile Health lands new contracts for its medication monitoring app

http://www.baltimoresun.com/business/bs-bz-emocha-contracts-20160829-story.html?utm_campaign=CHL%3A+Daily+Edition&utm_source=hs_email&utm_medium=email&utm_content=33586521&_hsenc=p2ANqtz-9fC7aLhg5_GcJJO6qm8Oof0qVI8KVz0v2Lp3T6QViSPrYsMJAw0uhEocF3ulEviVltoIj59P6-iRxinF1gpEab2qmApw&_hsmi=33586521

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A Baltimore startup with a mobile application to keep tuberculosis patients on track with their medication regimen is expanding with new contracts in California and big ideas for how the technology can improve oversight of medications for other illnesses.

Emocha Mobile Health, founded in 2013 on technology licensed from the Johns Hopkins University, has recently landed contracts with Fresno, Merced and Contra Costa counties in California. Those communities have some of the country’s highest concentrations of latent tuberculosis, a form of the lung bacteria that does not have symptoms and puts patients with weakened immune systems at greater risk for developing the potentially deadly disease.

The new contracts represent a vote of confidence for emocha’s mobile app as a tool to both improve medication adherence among patients and efficiency within the public health departments responsible for overseeing their care. The app is already in use in Baltimore and several other counties in Maryland, as well as in Texas and Australia.

“Maryland, Texas and California have strong advocates who are customers, and they’re the type of customers who are going to improve the product,” said Sebastian Seiguer, emocha’s co-founder and CEO.

U.S. Health Care from a Global Perspective

http://www.commonwealthfund.org/publications/issue-briefs/2015/oct/us-health-care-from-a-global-perspective

Cross-national comparisons allow us to track the performance of the U.S. health care system, highlight areas of strength and weakness, and identify factors that may impede or accelerate improvement. This analysis is the latest in a series of Commonwealth Fund cross-national comparisons that use health data from the Organization for Economic Cooperation and Development (OECD), as well as from other sources, to assess U.S. health care system spending, supply, utilization, and prices relative to other countries, as well as a limited set of health outcomes.1,2 Thirteen high-income countries are included: Australia, Canada, Denmark, France, Germany, Japan, Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States. On measures where data are widely available, the value for the median OECD country is also shown. Almost all data are for years prior to the major insurance provisions of the Affordable Care Act; most are for 2013.

Health care spending in the U.S. far exceeds that of other high-income countries, though spending growth has slowed in the U.S. and in most other countries in recent years.3 Even though the U.S. is the only country without a publicly financed universal health system, it still spends more public dollars on health care than all but two of the other countries. Americans have relatively few hospital admissions and physician visits, but are greater users of expensive technologies like magnetic resonance imaging (MRI) machines. Available cross-national pricing data suggest that prices for health care are notably higher in the U.S., potentially explaining a large part of the higher health spending. In contrast, the U.S. devotes a relatively small share of its economy to social services, such as housing assistance, employment programs, disability benefits, and food security.4 Finally, despite its heavy investment in health care, the U.S. sees poorer results on several key health outcome measures such as life expectancy and the prevalence of chronic conditions. Mortality rates from cancer are low and have fallen more quickly in the U.S. than in other countries, but the reverse is true for mortality from ischemic heart disease.