THCB

Categories

Above the Fold

POLICY: Underfunded? By Eric Novack

• 14

Governors from around the country are in Washington D.C.this week for the annual meeting of the National Governors Association. One of
the main bones of contention at this years’ meetings has been the expansion of
federal funding for state SCHIP programs. The governors want more, and lots of it. THCB’s own Eric Novack has been following this story like a hawk. And, as usual, he’s got a question.

The State Children’s Health Insurance Program was designed
by Congress to help states have money to provide Medicaid services to, well,
kids. The intent of Congress was clear,
given the “C” in the program’s name. Now
governors are screaming that SCHIP funding proposals by the federal government
are woefully inadequate.

Except for one thing—many states use SCHIP dollars to pay
for Medicaid for adults! Using 2005 data: In Minnesota, 87% of total SCHIP
enrollees in 2005 were adults, and 66% in Wisconsin. In Arizona, 56% of those enrolled
in SCHIP were adults.

Perhaps the states ought to use the funds for what they were
intended before complaining that they are being underfunded. If a child spent his ‘snack bar’ allowance on going to the movies, and then complained he was short, we would be likely to
require guarantees that the money would be spent properly in the future before
handing over the cash.

TECH: HIMSS–Balmer, MSFT and some early thoughts

• 2

So I caught the bus outside the Ritz-Carlton (no I wasn’t staying there but a few government employees were!) which took a long roundabout route to the convention center. After the nice people in the press room gave me a tote bag I don’t want.

I staggered to the overflow room to see the video screen. Microsoft says Connect, Collaborate, Informed Decisions. We heard it from Steve Ballmer a lot. Not too sure where he was going with the talk beyond that other than to say that Microsoft rally really cares about health care, but he did have one really cool futuristic video about the future of health care technology…very reminiscent of the great AT&T “You Will” videos—not that they did the company any good!

Then he brought in some guys from Scripps to show us a very cool app for drug development. I think it lost the health care service audience totally, (including me) but it looked cool. I just had no idea why it was in his talk and why he couldn’t show a health care services app? Especially as Ballmer then said that Azyxxi (or whatever it’s spelt) is the most exciting piece of software in all of Microsoft. Not sure whether that’s a reflection of how good Azyxxi is, or of the rest of what his shops putting out!

Two announcements. First  MSFT has announced its Connected Health Framework (a software tool set for SOA in health care) One major gripe. Kaiser, Cisco, Partners, the UK NHS, now Microsoft. Can someone please come up with a name not including Connect and Health?

More interestingly for the Health2.0 crowd Ballmer also announced that they’re buying Medstory. Guess that’s why Alain Rappaport never wanted to talk to me! That’ll certainly shake up the search market in health care.

Then the lieutenant-governor of Louisiana, Mitch Landrieu came to offer his fairly genuine thanks that we actually showed up & that things are getting better—at least the tourist area of the French Quarter and the Convention Center. But he also laid into the emergency response system, and the fact that we haven’t rebuilt New Orleans. And he got a big hand when he said we don’t have the moral authority to build other nations if we don’t have the commitment to do it here.

UPDATE #1: Via Silicon Valley.com. Snip:

"Redmond’s intent regarding the booming health care industry
is reflected in the resources it’s throwing that way. The company had
six health care-focused staff members in 2000; now, its Health
Solutions Group numbers more than 600."

HEALTH PLANS: Glasscock names female successor at Wellpoint

• 2

Larry Glasscock at Wellpoint is stepping down this summer and has named a woman, Angela Braly, as his successor. Braly, 45, is an executive vice president, with responsibility for WellPoint’s Medicare claims processing business, federal employees’ health benefits business, and public policy development, among other areas.

Is this the first major health care company with a female CEO? It’ll certainly be the biggest US Corporation with one. At any rate, I wonder if we’ll start to see some slightly “gentler” behavior from the for-profit Blues conglomerate?

As for Glasscock? Well he probably never imagined quite how well he’d do when he got into health care 10 years or so ago. Or how little he’d get criticized for the things his company’s done!

BLOGS: What’s a Blog?

• 2

The Boston Globe reports that other executives in town are
less than thrilled with Beth Israel Deconess CEO Paul Levy’s new blog, Running
a Hospital. Levy has been blogging on industry issues for the past few months,
offering a rare glimpse at the decision-making process inside a major teaching hospital, posting on topics ranging from the size of his own salary ("Do I get paid too much?") to negotiations with labor organizers.

Recently, he took the unusual step of posting data Beth Israel’s monthly hospital acquired infection rates on his site and publicly
challenged his competitors at Mass General to do the same. Under Massachusetts law, hospitals are not yet required to make the information public – and most have hesitated to do so, fearing negative publicity. 

Picking up from the Globe’s report:

"There are some things that Boston hospital executives generally believe are
best kept quiet. Gripes about competitors are one. The rates of
hospital-acquired infections among patients are another, at least at this
point. Then came Paul Levy’s blog. In his blog, Levy also has needled Partners HealthCare, the parent
organization of Mass. General and Brigham and Women’s, about their formidable
market share of patients, saying they get paid more from insurers because of
their size." 

Partner’s CEO Dr. Peter Slavin responds in an interview on White Coat Notes, the Globe’s new health care blog, with the CEO’s PR department-blessed version of "Oh yeah, buddy? You and your ‘blog’ want to step outside?"

"There are at least two ways to compete in health care, provide great
care, do great research and excel at teaching — that’s the way we
choose to do it," Slavin said. "The other way is to criticize one’s
competitors. That’s not the method we choose to employ."

Indeed!! 

BLOGS: A very big thank you

Finally before I go off to get bathed in the glow/spittle of Steve Balmer this a.m, a huge thanks to Eric Novack, Michael Millenson and Maggie Mahar for their just excellent guest posting while I was away. And also thanks to John Irvine for keeping the buses running on time here at THCB.

I note that the NY Times today does not agree with Maggie about the HPV vaccine Gardasil. But on reading it last night I thought that Maggie’s piece and the very intelligent comments were some of the best uses of blogging that I’ve seen anywhere.

POLICY: Perry Unhappy

Quote_leftGov_perry_v2When a company comes to me and says we have a cure for cancer, for me
not to
say, ‘Please come into my office and let’s hear your story for
the people of the state of Texas, for young ladies who are dying of
cancer,’ would be the height of irresponsibility. Whether
or not they contributed to my campaign, I would suggest to you, are
some of those weeds that we are trying to cut our way through. Quote_right_1

Texas Governor Rick Perry (R) expresses anger over widespread criticism of the executive order he issued earlier this month requiring that all girls entering the sixth grade in the state receive Merck’s new HPV vaccine. (Houston Chronicle). See Maggie Mahar:  "Merck’s miracle vaccine: What is this story really about?"

POLICY: Free Market Healthcare – Fact or Fiction?By Eric Novack

• 58

THCB thanks guest poster Dr. Eric Novack for a great series of posts this week on the big issues facing the health care system.  Together with Mike Millenson and Maggie Mahar, Eric did a fantastic job of filling in for Matthew.  If you’d like to hear more from Eric, go have a listen to the Eric Novack show, which airs every weekend on KKNT 960 AM in Phoenix. Stay tuned for more from Eric in the weeks to come …

This week, in Matthew’s absence, we have debunked the low overhead of Medicare and engaged in an ongoing discussion about whether a society based upon freedoms ought to be able to compel its citizens to participate in government programs.  I am somewhat surprised to find few people have been tackling the ‘opt-out’ provision of my previous post.  My sense is that it is tough to argue on paper (electronic, of course) that the government can force everyone to join in, with no option of getting out.  Interestingly, this is at the heart of so many discussions about public education, where a growing segment of the population is demanding more choices, not fewer, for their children.

An issue we have tackled before, but is worth doing again, given the repeated references in the comments sections, relates to another of the great myths of American health care:  our ‘free market’ system. 

Fact: $2 trillion in total health care spending in 2006 Fact: direct government payments for Medicare and Medicaid in 2006 accounted for about $700 billion in 2006  Fact:  government spending on VA health care in 2006 exceeded $31 billion Fact: Department of Defense spending on healthcare in 2005 was $37 billion, though the number now is about 8% of the total defense budget for 2007 Fact:  The value of the ‘tax exclusion’ for employer sponsored benefits was nearly $190 billion in 2004 Fact: private insurers peg their reimbursement—no matter how much they would claim to the contrary—to the medicare fee schedule

And we have a ‘free-market’ healthcare system?  Like the editorial I posted previously says, “the least we can ask for is an honest comparison” of the different options for reform.

assetto corsa mods