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POLICY: What the lumenati are saying may surprise you

Forbes has one of those “pics and words” articles about healthcare, with quotes from lots of smart and not-so-smart commenters. But I just thought it would be fun for you to read the quotes and then play the “who really said that” game.  Here are some quotes I picked, not quite at random. After the jump, I reveal who said them with a little commentary

1) We want to get to 100% insurance coverage so the whole country is in the risk pool, which eliminates cherry picking.

2) The old managed competition idea from the Clinton years is still a pretty good one. The idea was to have some entity–employer, private or possibly a public sponsor–set up a menu of choices for people and give them a lot of information about each choice. Then give people a set of choices that range from basic coverage to highly generous, expensive coverage and let them decide how much money they want to spend. Subsidize lower-income people in some way, like refundable tax credits, to ensure people have money to buy good basic coverage, but then they’d have to add their own money if they wanted something more extravagant.

3) We have turned over $2.2 trillion of our money to those who manage our health care, without holding them accountable. Not surprisingly, these folks–hospitals, insurers, governments–used the money to benefit themselves

4) All of the incentives are pointed in the wrong direction.

5) The Medicare program needs to focus on being a more active purchaser. We need to consider an entire episode of care from start to finish to ensure a patient gets care in the most appropriate location … We don’t, at the moment, have a rational reimbursement structure for health care. You may pay more for a procedure at one location, and the quality of care may not be higher. Part of fixing that will take legislation.

6) Spend money on an information infrastructure. Then it would technically be quite possible to track what different hospitals actually spend on health care and what happens to these patients that get treated. Put that information on the web and let people see it to hold doctors and hospitals accountable for how they practice.

7) You need to have a private marketplace rather than have government control in the health care sector, and that means fixing the federal tax code.

You want to know who really said that? Read on:

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HEALTH2.0: Billing and administrative technologies get some publicity

In yesterday’s WSJ article about billing and admin systems Christopher Parks’ MedBillingManager, RevolutionHealth’s Expense Manager and Intuit’s new Quicken Health got some publicity. As did a service I’d never heard of called Smart Medical Consumer which seems to help you beat up providers and insurers who aren’t playing fair. (If you can’t get into that WSJ site, and it should be free, there’s a summary here)

Of course (plug plug) two weeks from tomorrow Revolution & Quicken are on the "Consumer Tools" panel at Health2.0: User-Generated Healthcare, and Christopher from MedBillingManager will be in the  crowd and we’ll try to remember to give him a shout-out!

HEALTH2.0: Facebook as a platform

Unless you really haven’t been online for the past few months, you’re bound to have noticed all your contacts moving onto Facebook. No longer just for college kids, Facebook is opening up to everyone and seems to be taking off amongst professionals in a way MySpace never did. And just to prove it, we created a Health2.0 group on Facebook. Soon we’ll even add something to it!

Additionally Facebook is becoming a development platform for other applications. One example is this health quiz created by search engine Healia, that is on FaceBook. So go take the Healia Health Quiz.

HEALTH2.0: Sermo & PatientsLikeMe–getting very famous!

Both Sermo and PatientsLikeMe are getting increasingly famous. Ben Heywood from PatientsLikeMe was featured in Business2.0 last month, and Sermo was featured in the WSJ last week, in a column about Social Networking Goes Professional

You can also see both Sermo’s Daniel Palestrant and Ben Heywood in this short video from Business 2.0

And of course you can see both of them and many, many more at the Health2.0 Conference on September 20th. Sermo’s actually buying the drinks sponsoring the post-conference cocktails. Meanwhile, you might want to check out the incredible movie So Much So Fast about Ben’s brother—who inspired the idea of PaientsLikeMe and whole lot more.

And yes, they were on THCB last year and in this article I wrote for Digital Healthcare & Productivity in February. So we’re still ahead of the MSM here…just!

 

BEST OF: Interview with Shawn Jenkins, CEO BenefitFocus

When I was contacted by the PR folks representing BenefitFocus I found out that they’d quietly put into place the original 1995 business plan of Healtheon–connecting employers and health plans electronically around enrollment and billing. (Remember The New New Thing?) Ironically enough some of the plans that announced that Healtheon was going to do that with them in 1996 are just getting online with BenefitFocus now! So I thought that it would be pretty interesting to talk with Shawn Jenkins, BenefitFocus’ CEO about their core business, which has been growing like crazy in the last couple of years.

Then I found out that they were also launching a Web2.0 media group including a new health care YouTube-type video site called ICYou (get it?), hiring a star local news anchor from Charleston SC, Nina Sossaman-Pogue, and creating a PHR, and that they also wanted to come sponsor and video the Health2.0 Conference. So then I really wanted to talk with Shawn!

Here’s the interview. (We had a slight technical hitch in the middle but I think my editing skills have overcome it!).

HEALTH 2.0 UPDATE

We’re pleased to announce a number of new additions to the roster of speakers at Health 2.0. First, we welcome Dr. David Brailer, formerly the Bush administration’s National Coordinator for Healthcare Information Technology and now the head of Health Evolution Partners. David has been busy since leaving Washington. For background, see this piece in the New York Times. Take a look at the Health Evolution Partners site for a bit more about his investment focus. David will be adding his special perspective to the Consumer Aggregators panel. He’ll be joining Google’s Adam Bosworth, WebMD’s Ann Mond Johnson, Microsoft’s Peter Neupert and Yahoo’s Bonnie Becker, along with moderator and  friend of THCB Jane Sarasohn-Kahn. UPDATES: The votes are pouring in the contest to nominate the final speaker for our social media for patients panel. If you haven’t had a look yet, we have a very interesting collection of nominees. Note: To prevent potential fraud our system tracks the IP address of every submission. Unfortunately, for some corporate networks this can cause problems. If you’d like to vote and have been unable to please email in**@********on.com.

APPLAUSE FOR:  Health 2.0’s latest charter sponsorsHealthline and Destination Rx. Welcome guys! ADDITIONAL UPDATES: Interested in exhibiting at Health 2.0? A limited number of tables are still available for sponsors. Contact  jo**@********on.com for pricing and other details.

You can also go over and have a look at the latest version of the Health 2.0 agenda here.

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POLICY: The DEA continue their sorry role

In raiding like Gestapo officers and then shutting down all the medical marijuana dispensaries in San Mateo county Thursday, the DEA confirmed the sensible opinion that it’s ana gency filled with total scumbags. I guess we can blame the cowardly Democrats who did not vote to suspend DEA raids on medical marijuana dispensaries even when they had the chance to do so last month.

But what’s worse is that for the first time that I can recall local law enforcement in California joined in, with both the City of San Mateo PD and the San Mateo County Narcotics Task Force taking part. That’s just shameful behavior from those local cops, presumably incited by the DEA offering them a share of the take—as usually happens in these situations. Are they unaware of the local support for Proposition 215 and medical marijuana?

Clearly we need Federal resolution of this ridiculous waste of taxpayers money, and the consequent suffering of patients—but the local cops need to get a clue first. I sincerely hope that the citya nd county elected officials let them know about this.

PHARMA: Why Stretch? by Maggie Mahar

Why does the
pharmaceutical industry pour billions into direct-to-consumer (DTC)
ads? One explanation is that drugmakers need a way to market new
products that they are having a hard time selling to doctors—at
least this is what one medical ethicist suggests in the May 2007
issue of The Oncologist.

Noting that more and more
pharmaceutical companies are peddling their products directly to
cancer patients, he writes:

"I have a
hypothesis about which types of oncology drugs are most likely to be
advertised directly to the consumer. I think they are less likely to
be those drugs that have been proven to have benefits, have no
competitors, or are known to be cost-effective. There would be no
reason to promote them, as they are going to be used anyway. In
contrast, it’s those drugs in competitive markets, at the margins of
evidence-based medicine, where pressure from patients resulting from
direct-to-consumer advertising might lead to more prescribing. I
suspect that these marginal drugs will be the very ones that are
advertised most, which is worrisome."

A recent report in The
New England Journal of Medicine confirms that drugmakers tend
to promote their newest drugs DTC: “Notably, nearly all
(17 of 20) advertising campaigns for the most heavily advertised
drugs began within a year after FDA approval of the drug. . .
.which raises questions about the extent to which
advertising increases the use of drugs with unknown safety
profiles.”

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