Tuesday, December 10, 2019

LifeSpan blames Medicare for its troubles. David Williams is quoted in the Boston Globe

Rhode Island’s hospital industry is troubled. The largest system, Lifespan is losing a key executive and just announced a major financial loss. When the company, which is also the state’s largest private employer, blamed its losses on Medicare cuts, the Boston Globe (R.I. Hospital president to leave as Lifespan announces losses, offers early retirements) called on David Williams for insight.

David E. Williams, president of Health Business Group, a Boston consulting firm, said he was struck by Lifespan’s remarks that its operating losses were due, in part, to “a dramatic and unexpected reduction in Medicare rates.”

Last month, about 600 hospitals filed lawsuits against the US Department of Health and Human Services, claiming they’ve been shortchanged on Medicare payments. Inpatient hospital reimbursements were reduced 0.7 percent, an adjustment that’s been in place since 2011 and is extended by Congress to recover overpayments.

The hospitals are suing over reductions in 2018 and 2019, which is estimated at about $200,000 per hospital, per year.

“If that’s what [Lifespan] is referring to, it was certainly unwelcome by providers, but whether you can say it was unexpected or dramatic, I wouldn’t agree with it,” Williams said.

 

The post LifeSpan blames Medicare for its troubles. David Williams is quoted in the Boston Globe appeared first on Health Business Group.



* This article was originally published here

Monday, December 9, 2019

Dr. Chris Hobson
Dr. Chris Hobson

Orion Health has been the Health Information Exchange (HIE) business around the world for more than 15 years. In this podcast, Chief Medical Officer Chris Hobson and I discuss the past, present and future of health IT.

Topics include:

  • (0:12) There are a lot of buzzwords in health IT: interoperability, population health, precision medicine. What is their relevance?
  • (3:07) What new buzzwords will we encounter as we head into the new decade?
  • (8:07) Health Information Exchanges have been around for 15 years. Have they succeeded? How will they evolve?
  • (12:05) You operate around the world. What are some differences and similarities you see with the US system? What can we learn from abroad?
  • (17:00) How do the priorities of payers and providers differ?
  • (20:16) What are the implications of new legislation focusing on interoperability? TEFCA? 21st Century Cures?

 

 

The post appeared first on Health Business Group.



* This article was originally published here

Sunday, December 8, 2019

Meet The Womanikin, The Breasted Vest Working To Close The CPR Gender Gap

Students in Alice Henshaw

Studies show women are less likely to receive CPR in public than men. A manikin sleeve with silicone breasts might be part of the solution.

(Image credit: Alice Henshaw)



* This article was originally published here

Saturday, December 7, 2019

Electronic map reveals 'rules of the road' in superconductor

Using a clever technique that causes unruly crystals of iron selenide to snap into alignment, physicists have drawn a road map that reveals the quantum ''rules of the road'' that electrons must follow in the enigmatic superconductor.

* This article was originally published here

Friday, December 6, 2019

A Daughter Talks With Her Father About Coping With Her Mother's Suicide

Sylvia Grosvold with her mom Kari Grosvold, in March 2008.

Sylvia Grosvold was 5 years old when her mother died by suicide. At StoryCorps, Sylvia, now 16, tells her dad how she's processed the loss. "I guess I'm stronger than I think I am," she says.

(Image credit: Courtesy of the Grosvold and Weiner family)



* This article was originally published here

Thursday, December 5, 2019

Partners dissolves into Mass General Brigham. I’m quoted in the Boston Globe

Massachusetts General Hospital and the Brigham and Women’s Hospital joined together as Partners HealthCare 25 years ago. Now they’re changing the name to Mass General Brigham, spending up to $100 million in the process. I’m quoted on the subject in a recent front page Boston Globe article (In major rebranding, Partners HealthCare to change name to Mass General Brigham).

What’s in a name, you may ask? In this case it’s worth parsing the change and exploring the history.

What does Partners mean anyway?

Partners HealthCare never had much brand equity. The word “partners” really described the decision of the two hospitals to partner with one another to offset the power of managed care organizations to play them off against one another. All HMOs needed one of those hospitals in their network, but not both. With Partners it was all or nothing. Partners had no problem playing “take it or leave it” right from the get go, nearly bringing Tufts Health Plan to its knees in the late 90s.

So unlike your typical business combination, which relies on elimination of duplication and other efficiencies to be successful, Partners succeeded right away by virtue of its enhanced market power and high pricing. Duplication remained –and remains to this day. MGH and the Brigham continued to move forward on their own while a new Partners overhead was introduced. No one –not patients, not doctors, not nurses– developed any attachment to Partners as an entity.

Why keep General?

Massachusetts General Hospital has kept the same name since its charter was granted by the Commonwealth of Massachusetts in 1811. It’s a proud name, and maybe sometimes a little too proud. (Some say MGH stands for Man’s Greatest Hospital.)

“Massachusetts” is shortened and “Hospital” is omitted from the new name. Of all the words to keep, why was “General” left intact? It seems so… generic. But it also reminds us of the grand era of American industry. General Motors. General Electric. General Atomics. (Remember that one.) The idea was that the one General company could dominate the industry and we’d all be the better for it.

Outside of this state, errr… Commonwealth, “Mass” doesn’t necessarily mean Massachusetts. It could mean a Catholic Mass or a big pile of something. But MGH is so often referred to here and abroad as Mass General that it must have seemed safe to trim it down officially, since the whole name is long anyway.

Where did the Women go?

How did Brigham and Women’s Hospital (BWH) get its name? Unlike MGH, BWH went through some name changes, although none recently. The Boston Lying in Hospital was founded in 1832 and the Free Hospital for Women came about in 1875. They merged in 1966 to become the Boston Hospital for Women. (Apparently that name didn’t stick right away, since I was always told I was born in the Lying in Hospital –even though I was born after the merger.)

In 1980, the Peter Bent Brigham Hospital, Robert Breck Brigham Hospital and Boston Hospital for Women merged (not partnered) to become BWH.

If they had called it the Women’s and Brigham the Women’s name might have survived the latest consolidation rather than being unceremoniously lopped off.

GSK not G SK

Back in the 1980s and 1990s a lot of big pharmaceutical companies merged. It was typical for them to drop the last name of their multiword names when they did. For example, SmithKline & French became SmithKline Beckman after merging with Beckman and then SmithKline Beecham after merging with Beecham.

When Glaxo Wellcome and SmithKline Beecham came together they followed a similar path. But you may notice they went with GlaxoSmithKline rather than Glaxo SmithKline, because the SmithKline people thought that would make it harder to get rid of their name later on. That’s a true story. I was there.

The stratagem has worked so far.

I wonder whether the BWH folks lobbied for MassGeneralBrigham to avoid a similar fate down the road.

When did Hospital become a bad word?

Remember when there were doctors and hospitals? Now it’s providers, medical centers and health systems. Hospitals still dominate economically and politically, but there is a general (and welcome) shift to lower acuity settings of care. Meanwhile Partners has vacuumed up so many other hospitals, physicians and other players that “hospital” no longer belongs in the name.

An interesting marker of the new company’s brand equity and name recognition is that unlike virtually every other new healthcare organization or company, it omits the word “health” from its name. People already understand it’s a healthcare organization.

What about Harvard?

MGH and BWH are both Harvard hospitals. So why not just call it the Harvard Hospital System or Harvard Health System? The use of the Harvard name could be a topic for its own post (Harvard Pilgrim –originally Harvard Community Health Plan and soon to merge with Tufts but with no name announced yet– is a great example) but the simple answer is that while MGH and BWH are Harvard hospitals, there are others like Beth Israel Deaconess and Boston Children’s that are also affiliated with the University.

——

By healthcare business consultant David E. Williams, president of Health Business Group.

The post Partners dissolves into Mass General Brigham. I’m quoted in the Boston Globe appeared first on Health Business Group.



* This article was originally published here

Wednesday, December 4, 2019

For HIV-Positive Babies, New Evidence Favors Starting Drug Treatment Just After Birth

Babies in their cribs at Lambano Sanctuary, a hospice for orphaned children with HIV in Gauteng, South Africa.

Doctors used to worry that antiretroviral drugs were too powerful for HIV-positive newborns. More evidence is emerging that, in fact, early treatment can be safe and effective.

(Image credit: Andrew Aitchison/Pictures Ltd./Corbis/Getty Images)



* This article was originally published here

Tuesday, December 3, 2019

Making higher-energy light to fight cancer

Researchers have achieved photon up-conversion, the emission of light with energy higher than the one that excites the material, using carefully designed structures containing silicon nanocrystals and specialized organic molecules. The accomplishment brings scientists one step closer to developing minimally invasive photodynamic treatments for cancer. The advance could also hasten new technologies for solar-energy conversion, quantum information, and near-infrared driven photocatalysis.

* This article was originally published here

Monday, December 2, 2019

What Happens After Quartz Countertops Leave The Factory

Some workers are sick — some even died — after cutting stone countertops for kitchens and bathrooms. The material is cut to order in thousands of shops that may not understand the dangers.



* This article was originally published here

Sunday, December 1, 2019

Cheesy and Buttery Green Beans Almondine

Ready in under 10 minutes, these Vegan Cheesy and Buttery Green Beans Almondine are so rich and scrumptious, they’re the perfect side dish for any occasion, from the casual get together to the most elaborate of dinners…

Ready in under 10 minutes, these Vegan Cheesy and Buttery Green Beans Almondine are so rich and scrumptious, they're the perfect side dish for any occasion, from the casual get together to the most elaborate of dinners

Are you all green-beaned out yet? Of course not… that’s a silly question. For I mean, seriously… is it even possible to ever have your quota of green beans?

Not for me, anyway… I love green beans that much (although that hasn’t always been the case but hey, things change, right?). They are pretty fantastic on their own, if you ask me, with just a little bit of evoo, salt and pepper. But something definitely has to be said for combining them with toasted almonds, lemon and butter. Add a little bit of cheesiness to that, in the form of nutritional yeast, and you get a dish that tastes like it was elaborated for royalty. Except it’s so easy to make, even kids could very easily whip it up!

I’m telling you, there’s nothing not to like about this dish! Me, I could totally sit myself down with this entire plate and wolf the whole thing down, no help required!

Hey, who says you can’t have only green beans for dinner?

(more…)

The post Cheesy and Buttery Green Beans Almondine appeared first on The Healthy Foodie.



* This article was originally published here