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POLICY: Blue Shield dumps the realtors whereas Blue Cross dumps on Arnie

And in the kicking butt and taking names department (more great work from Lisa Girion on this), California’s big non-profit Blues plan manages to wriggle out of insuring one unprofitable group — Realtors . Whereas Wellpoint, the parent of California’s for-profit Blue’s insurer has decided that it just can’t stomach the insistence of the Governator that they spend 85% of their revenue on medical care (i.e. give up a big chunk of their profits) and is the first insurer to publicly oppose his plan. (Although I told you that was coming a while back)

Hmm….this is a deal I think they should take while it’s still on the table. They have a new CEO. I wonder how long she intends to be around? If it’s more than a couple of years I bet she’ll wish they’d not done that.

POLICY: Gratzer vs Cohn at TNR

The New Republic turned over its column to David Gratzer yesterday and today Jonathan Cohn responds. All good stuff, even if Jon yet again misses out on laying down the financial consequences of being poor and sick here. And he is a little too nice to David. Not hard because David is really nice, but all the same the positions he espouse are factually challenged and basically don’t pass the rational sniff test.

At least that’s what I thought after he and I had a more than polite agree to disagree conversation, in which I think I played Manchester United and he played Roma! Mind you they tied that first leg, so perhaps Jon is waiting till later in the week to really stick it to David!

POLICY/POLITICS: Pat Salber on gun laws

In the wake of yesterday’s massacre in Virginia, here’s Pat Salber about the gun massacre on campus.

We need to empower and fund reputable organizations to perform the research on violence and violence prevention. (It has effectively disappeared from the Center from Disease Control’s research agenda in the last six years).  We need to put the health and safety of our kids ahead any other political agenda…can we possibly value  gun ownership more than the safety of our kids at school?

If our past actions are a predictor of the future, then this is what will probably happen.  Time will pass and the rawness of our emotions, so exposed right now in the aftermass of the Virginia Tech Massacre, will dampen. We will start to waffle on any enthusiasm to pursue rational gun control…we simply won’t care as much as the folks who profit from profligate sales of firearms.   And then we will be right back to where we have been for the last twenty or thirty years, waiting for one more (short-fused) time bomb to explode onto our campuses and into our national psyches.  

How many more school kids need to get shot to death? How much more campus blood and gore do we need to see?  How many more unbearable tragedies do American families need to endure before we finally stand up and demand a change in our national firearm policy?

TECH/PHYSICIANS: Sermo starting to kick-butt and take names

Sermo, the physician community site, seems to really be on a roll. I can now tell you what CEO Daniel Palestrand told me a few weeks back.

1) They’ve got 10,000 physicians registered–and there’s a lot of use on the site. Consider that there are only 600K active physicians in the US, and the average physician survey done by market research tends to have fewer than 100 doctors in it.

2) They’re taking aim squarely at Gerson Lehman and the other physician introduction “dating-agencies” which service Wall Street.  Essentially they’re allowing their customers to get a view about what physicians are seeing and discussing, and the physicians seem to like it—and don’t seem to want much if any money for their time.

Part of the reason the physician users like it, is that the UI and web tools they’ve put together are really neat. I would love it if Six Apart could knock those off and then my blog users could see things like where they’d commented, who’d commented on their comments. what the most active posts are, etc, etc. Perhaps Sermo should go into the blog hosting business?

Just kidding—I think they have bigger fish to fry.

What really surprises me is that although there are patient social networking sites popping up daily, I see no one else seriously going after physicians. Given how valuable physicians are, and the huge amounts dropped on researching into what they think by pharma, investors, health plans, et al, I cannot imagine why there aren’t more competitors.

TECH: Things hotting up as Revolution’s official launch coming up

The prospect of Revolution Health’s official launch (it’s actually up already but is relaunching this Thursday) has generated favorable press in the NY Times for Steve Case and crew. Milt Freudenheim’s done his homework, mostly. He essentially says that the pack of contenders includes Revolution, WebMD, Google (although nothing official announced from them yet–stay tuned), Yahoo, About.com (a sop I think to the NYTimes corporate sister) and the big health plans. He talks a bit about the limited use thus far of PHRs (no surprise there other than not mentioning why they might grow). The only surprising thing is that there’s another potential competitor of Google, Revolution et al that has plenty of money, a decent track record in software, a significant online network, and has just bought a health care search engine—But Milt never mentions the boys (and girls) from Redmond. Methinks that there’ll be some shouting from them before the large lady chants.

My only complaint is that Revolution’s board is made up of a bunch of rich people who haven’t exactly covered themselves in glory in their recent business (or political) ventures including it must be said Steve Case himself—(other than the brilliant move of selling AOL at a hugely inflated price to the buffoons at Time Warner). But it doesn’t mention their management team which is pretty steeped in health care and technology and pretty smart. If I was interested in gauging Revolution’s success I’d think that they’re more important than what, say, Carly Fiorina thinks. But she’s got $21m more than most of us…

POLICY: My last word at TPM–competition within social insurance

So the book club at TPM is drawing to a close. Here’s my first piece trying to explain that social insurance whether voucher/competition-based or fee-schedule-based is pretty similar compared to what we have now. In fact it’s a Distinction without a Difference. But that just seemed to confuse everyone, so I tried again with a larger explanation with a longer title called Social insurance is the key–but it can handle competition, just not the type you’re used to!

THCB Sponsorship announcement

I’m pleased to announce that THCB has lined up a number of long term sponsorship deals this week. We’ve signed CDW-Healthcare up as a silver sponsor, in a deal which sees them sponsor the site for the next year. If you want to support the site take a few minutes to go browse their extensive collection of IT products for your healthcare business. We’ve also reached a similar agreement with Orion Health, which brings them on board as our gold sponsor. If you’re not familiar with them, Orion makes some very cool  clinical workflow and integration products, including the Rhapsody integration engine, the Concerto Medical Applications suite and the Soprano Clinical Workflow suite.  They’re based in New Zealand with offices in Los Angeles and the UK. They’ll also be sponsoring our up and coming technology section, which will be going live later this month. If you’re in the healthcare field and you’d like to reach a monthly audience of 35,000+ smart, tech-focused visitors on the cutting edge of the business, you may want to consider becoming a corporate sponsor. Contact john for details.

POLICY: HSAs–The master speaks

Uwe skewers the HSA as a regressive tax shelter that impacts only the poor over at Health Affairs Blog. This time the cracks are at Bloomberg readers rather than certain crank health policy shops in Dallas, TX but it’s still a beautiful read.

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