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Matthew Holt

POLICY/QUALITY: Uninsurance does indeed kill you quicker

I’m not going to go into the whys and wherefores of what’s wrong with cancer care in this country. But when the IOM said that people die early because of uninsurance, people scoffed. The same people (and you know who you are David Gratzer) say (pretty disingenuously) that we do cancer care much better than countries with universal insurance, and for at least partly that reason universal insurance is a bad idea.

So presumably they have a good answer for this new report from the American Cancer Society, which essentially shows that–whatever the state of American cancer care maybe overall–you’re much more more likely to have a good outcome if you’ve got insurance. Some tidbits from the release:

For all cancer sites combined, patients who
were uninsured were 1.6 times as likely to die in five years as those with
private insurance.The
relationship between access to care and cancer outcomes is particularly striking
for several cancers which can be prevented or detected earlier by screening and
for which there are effective treatments, including breast and colorectal
cancer. At every level of education, individuals with health insurance were
about twice as likely as those without health insurance to have had mammography
or colorectal cancer screening.

Continue reading…

TECH: UPDATE The British & Germans are coming…..to Disease Mangement?

Health Dialog sold itself to partial investor BUPA, a British insurance company, today. The price tag valued Health Dialog at $775m

However, this may not be the only European incursion into DM this week. Rumor has it that The Health Buddy may find itself has a new owner very shortly too.  Bosch, the German auto parts manufacturer, bought Health Hero Network, Thursday.

Finally although its off its recent highs, Healthways’ stock is still some 25% about where it was in the summer.

Hey maybe after all this time someone has decided that DM works?

POLICY: As Goes California, So Should Go the Nation, by Mary Kay Henry

Now I can’t claim to be an optimist about the future of California’s health reform bill. But at least someone is.  And that someone is SEIU Executive Vice President Mary Kay Henry. Here’s her take on the latest California news and why the SEIU is at least one union buying in.

ABx1 1: no, it’s not the holiday season’s hot new video game. It’s the bill name for historic legislation approved yesterday by the California State Assembly to make healthcare more secure and affordable for those who have insurance, and provide coverage to millions who don’t.

Months of intense negotiations drew on the collective creativity and wisdom of elected officials, consumer groups, healthcare professionals, and labor and business community leaders to generate the comprehensive plan. The measure has the potential to transform the healthcare reality for millions of Californians, and it will fundamentally change the healthcare debate nationally.

Continue reading…

THCB Sponsor Shout out

CdwA quick reminder that THCB would not be possible without the generous support of our sponsors. We’d like to give a shout out to
CDW-Healthcare, who were the first gold sponsor to sign on this year. If you haven’t been over to take a look at their site since they remodeled it’s well worth a quick look. They specialize in everything tech for the Healthcare market, from surge protectors to PACS systems to cool little gadgets with blinking red and green lights that look really useful. Your purchases help THCB continue to provide cutting edge industry analysis, commentary and discussion of the issues that matter. Tell ’em we sent you.

We’re pleased to announce CDW Healthcare have signed on again as gold sponsor for 2008. Meanwhile,if you are interested in reaching a monthly audience of 35,000 plus healthcare professionals, wonks and other healthcare observers, we are accepting sponsorship applications for the coming year. You may also want to consider a sponsorship of the Health 2.0 conference, which (unbelievably, horrifyingly) is just right around the corner. The theme of the March event in San Diego is connecting patients and providers. There will be an exclusive, tres cool healthcare crowd in attendance. For details on opportunities jo**@********on.com

Policy- vs. Market-Based Reform: RHIOs as a Case Study – Brian Klepper

BrianAs Anonymouse insightfully commented, the Harvard team’s RHIO study in Health Affairs is very telling
about the barriers facing do-gooder health care projects. That said, I wanted to add two comments.

First, while RHIOs are unquestionably good public policy, what they might accomplish can be seen as counter to their interests of many organizations expected to support them. (The same can be said for EHRs, by the way)

Second, this is why health care reform will emerge not from within health care and not from policy, but from the marketplace, driven by non-health care interests.

Read the rest over at the Health 2.0 Blog

BLOGS: Diabetes Year in Review

Our friend and colleague Amy Tenderich has a just excellent Diabetes Year in Review up at DiabetesMine. It covers Health 2.0 (of course) but also drugs devices, design, and the growth of people with diabetes as a social force.

Amy knows that she’ll always be the #1 blogger in my heart!

TECH: RHIO, RHIO, ree-ay-yo,by anonymouse

OK, the title is a take off on the Police song, but the subject has got a little more influence lately. A sometime THCB correspondent had these thoughts:

The December 11 edition of Health Affairs contains a very important article on “The State of Regional Health Information Organizations.”  At first glance, the article seems to pile on to the prevailing wisdom that RHIOs are a bad idea, because, of course, RHIOs are failing.

A more careful read, though, differentiates the issue of whether fully-functioning RHIOs (or clinical health information exchanges, more broadly) could provide value to a community and its (healthcare) stakeholders and the issue of whether the current model for funding RHIOs is sustainable – two very different issues.

The study takes no issue with the notion of the value of RHIOs: “Electronic clinical data exchange promises substantial financial and societal benefits…”

Continue reading…

TECH: Shout-out for Phil Chuang

One of my favorite ex-colleagues Phil Chuang got a nice bit of recognition last week being named as one of the ComputerWorld Top 100 CIOs for 2008. Note that this isn’t just health care CIOs, it’s among all CIOs!

Also note his quote about what his team did right

Making an aggressive go-live for an enterprise health care system in 100 days, 15% under budget — and still having everyone on the team like each other after the project.

Phil is very sharp and sensible, but always calm and good humored under pressure. We were working together in a not-too-calm start-up in 2000–2, and Phil’s team built a PHR which is still as good as many if not most on the market today—spending way way less money than most competitors.

He also kept a big score card on his cube wall on which he recorded how nasty I was being to the interns, who sat in the cubes next to us. For example if I bought cookies the score went down. After one particularly maladroit comment from me he had to add more paper above his cube to track my “nasty” quotient. Don’t worry, that intern still loves me and is inviting me over to dinner with her and her husband next week.

In any event, expect Phil to be a big star in health care IT in the future.

JOB POST: Physician Advocate: Siemens Medical Solutions

Specific requirements: Medical Degree (MD) . Excellent written, verbal, and presentation skills along with strong analytical skills required. Ability to travel 70%.

Demonstrates assigned products to prospective or existing clients in sales situations which include demo system operations in conjunction with a detailed explanation of system functionality.

Maintains current knowledge on all aspects of the assigned product, which could have sales/marketing implications. This includes product capability, utilization, technical issues and installation implications. Assists with the design and delivery of education sessions for assigned products. Participates in the design and presentation of application seminars for clients and prospective clients. This includes either new business or client renewals/”add-ons” where assigned products are included. Support activities must be targeted toward achievement of sales quota. Participates in sales calls with sales personnel for all levels of client/prospective client personnel, up to and including the CEO. Explains assigned product in terms that relate to hospital environment and to SIEMENS’ long-range plans.

Interested candidates, please apply at: www.usa.siemens.com, using Requisition Code: 61228

Please mention that you found this listing on the THCB job board in your cover letter.

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