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Matthew Holt

Cool Technology of the Week

In my experience, social networking applications gain marketshare by being first to innovate and then spreading virally.

I
was an early adopter of Facebook but delayed joining Twitter, a
microblog that enables me to post instant blog entries via SMS from my
Blackberry.

Over the past 60 days, I have seen an incredible
rise in Twitter use among my colleagues and have now joined the ranks
of folks who "Tweet" their blogs. You’ll find me at http://twitter.com/jhalamka   

Here’s what I do to use Twitter :

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Conservatives Need to be Part of Health Care Reform

Stuart Butler, Vice President of Domestic Policy at the conservative Heritage Foundation has an op-ed in Thursday’s Washington Times, “Four Steps Can Heal Health Care.”He makes some very valuable points and proposes four steps toward reforming the health care system most people—liberals and conservatives —could agree on:

  1. Making sure every working family has access to an affordable private health plan
    that could include state-based default plans with agreed upon minimum
    benefits and premiums subsidized through reinsurance pools that spread
    any adverse risk over the broad private market.
  2. Encouraging insurance exchanges not unlike those envisioned by Democrats but at the state level where Stuart sees these exchanges avoiding “endless Congressional micromanagement.”
  3. Reforming the existing federal tax preferences for health insurance by capping the value of these tax breaks as a means to encourage more efficient plans and raise revenue to help pay for premium subsidies
  4. Redesigning the Medicaid and SCHIP programs
    by giving states the ability to streamline these programs and free-up
    funds to expand the help the low-income people get for health
    insurance—including vouchers to purchase private coverage.

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Interview with Fred Goldstein, US Preventive Medicine

Last year US Preventive  Medicine (USPM) caused a little splash with some full page ads in the Wall Street Journal proclaiming itself the future of preventative care. Since then the company, which has raised a significant chunk of private capital, has been diversifying into various aspects of prevention–including what looks more like disease management.

About a year ago USPM acquired Fred Goldstein’s company Specialty Disease Management Services. And since then it’s been marketing The Prevention Plan to employers–including a recent deal with AON–and also putting out a very neat online service that was shown at Health 2.0 in October.

Prevention is getting some lofty rhetoric, including Prez2Be Obama suggesting that it’s a major key to cutting health care costs. But many people in health care think that it doesn’t have an ROI. Fred disagrees and told me why in a wide-ranging conversation about the company, the concept of prevention and whether it’s really the wave of the future. Click here to listen

California transplant surgeon acquitted

A jury acquitted a San Francisco transplant surgeon Thursday of criminal charges
related to his alleged actions during an attempted organ harvest nearly three years ago in a small town on California’s central coast.

In what’s thought to be the first case of its kind in the United States, prosecutors accused surgeon Hootan Roozrokh of ordering excessive amounts of painkillers to hasten the death of a potential organ donor.

The not-guilty verdict relieved the
transplant community, which feared the case would have chilling effects
on the public’s willingness to donate organs and surgeons’ willingness
to participate in the rarer type of donation done in this case, called
donation after cardiac death or DCD.

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The Medicare Ponzi Scheme

Just today, our next President spoke out against the largest investment swindle in US history.  The alleged behavior of Bernard Madoff may have cost investors up to $50 billion.

“In the last few days, the alleged scandal at Madoff Investment Securities has reminded us yet again of how badly reform is needed when it comes to the rules and regulations that govern our markets. … And if the financial crisis has taught us anything, it’s that this failure of oversight and accountability doesn’t just harm the individuals involved, it has the potential to devastate our entire economy. That’s a failure we cannot afford.” — Barack Obama Dec. 18, 2008

What did Madoff do?  He lured investors with big returns, and used the “profits” as a means to encourage additional investment by investors, while luring new ones.

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Washington, Please Don’t Bail Out the Health Care Industry

A health care Marshall Plan — $50 Billion stimulus to get electronic health records (EHRs) in every doctor’s hands or $50,000 to each physician -– what an incredible marketing job.

Detroit, are you listening? Stop whining to Congress that you need a bailout. Tell them you want to be the new alternative energy Manhattan Project, get the money, and then keep building SUVs and flying around in corporate jets.

To Congress, Daschle, and Obama, please don’t do this. Our industry, health care, combines the worst of the Big Three automakers with the worst of the hubris, dishonesty, and failure of the public trust of Wall Street. Please do not bail us out.

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An Open Letter to the Obama Health Team

It seems likely that the Obama administration and Congress will spend a significant amount on health IT by attaching it as a first-order priority to the fiscal stimulus package. We take the President-elect at his word when he recently said:

“…we must also ensure that our hospitals are connected to each other through the Internet. That is why the economic recovery plan I’m proposing will help modernize our health care system – and that won’t just save jobs, it will save lives. We will make sure that every doctor’s office and hospital in this country is using cutting edge technology and electronic medical records so that we can cut red tape, prevent medical mistakes, and help save billions of dollars each year.” (December, 6, 2008)

Whether the health IT money is well spent will depend on how it is distributed and what it buys. Most observers suppose that federal health IT investment dollars will be used to help doctors’ offices and hospitals acquire and implement electronic health record systems (EHRs or EMRs). These are commercial software suites for entering, storing and managing patient health data within a practice or health organization.

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Jack says cover the uninsured & spend less!

It’s no secret what the Dartmouth group’s solution for the health care system has been — reduce practice variation, get surgery and physician resource use rates similar to the Mayo Clinics’ of the world, and take the huge savings that would be generated to cover the uninsured. In fact Wennberg, Skinner, Fisher & Weinstein, now joined by “gone native” journalist Shannon Brownlee, have a new White Paper out—their own open letter to Obama’s mob.

Along the way that requires demand-side reductions (achieved by shared decision making) and supply side changes.

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Health 2.0 Conference is hiring

As the conference grows up and does more, Matthew & Indu are looking to get some help!

We are looking for a Conference Project and Production Manager and also a Registration, Customer Service & Sales Manager. These are great opportunities to dive into a small team that’s trying to make a big difference in health care — and have fun and an interesting time while we doing it. These are full time roles based in the Health 2.0 offices in San Francisco and/or Los Angeles.

If you’re interested or know some bright sparks who might be interested, please click or forward the links above!

 

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