Happy New Year and Welcome to 2005! Every year I put out an email to my friends and family about what I’ve been up to, and what charities and causes I’m supporting. If you’d like to read it, it’s posted on my personal blog here.
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THCBs Greatest Hits
THIS IS A BRIEF COLLECTION of twenty-five posts written for THCB in the nearly two years since I started this project . You’ll find essays on a wide range of topics in health care policy and health care economics. You may want to try reading them through end to end (probably ambitious) or you may want to dip in for a quick browse around and then come back later for more. I’ll update this list with more later when I get a chance. If there is a post you’d particularly like to see here, you can add a comment with your suggestion at the bottom of the page. Cheers! — Matthew
Oh Canada
http://matthewholt.typepad.com/the_health_care_blog/2003/11/policy_oh_canad_1.html
Letter from England
http://matthewholt.typepad.com/the_health_care_blog/2004/01/quality_quickie.htmlIt’s a good year for the Rowe(s)
http://matthewholt.typepad.com/the_health_care_blog/2004/03/health_plans_it.htmlWhy is the individual market such a mess?
http://matthewholt.typepad.com/the_health_care_blog/2003/12/health_planspol_1.html
Michael Porter sinking into the Healthcare Quaqmire
http://matthewholt.typepad.com/the_health_care_blog/2004/09/policyhealth_pl_1.html
As you may have guessed CDHP = cost shifting
http://matthewholt.typepad.com/the_health_care_blog/2004/04/health_plans_as.html
For Profits cost more but that’s not the point
http://matthewholt.typepad.com/the_health_care_blog/2004/06/hospitalspolicy.html
The value of healthcare–interesting issue but appalling analysis
http://matthewholt.typepad.com/the_health_care_blog/2004/01/policyindustry_.html
Why Wall Street hates health care services but doesn’t know it
http://matthewholt.typepad.com/the_health_care_blog/2003/09/why_wall_street.html
PHARMA: The New Yorker, Industry Veteran and Atlas on pharma pricing and
where the industry goes next.
http://matthewholt.typepad.com/the_health_care_blog/2004/10/pharma_the_emne.html
The Real Debate behind Reimportation
http://matthewholt.typepad.com/the_health_care_blog/2004/09/pharma_the_real.html
Drug prices here and there
http://matthewholt.typepad.com/the_health_care_blog/2004/03/pharma_drug_pri.htmlAre Cox-2s over used? http://matthewholt.typepad.com/the_health_care_blog/2003/11/pharmapbms_are_.html
Online detailing and perscribing–taking off at last?
http://matthewholt.typepad.com/the_health_care_blog/2003/08/online_detailin.html
Sorry! Got it all wrong–PBMs save money.
http://matthewholt.typepad.com/the_health_care_blog/2004/07/pbms_sorry_got_.html As I’ve always suspected, Health Care = Communism + Frappuccinos
http://matthewholt.typepad.com/the_health_care_blog/2005/01/policy_as_ive_a.html
Prop 72- Sorry couldn’t help myself
http://matthewholt.typepad.com/the_health_care_blog/2004/11/policypolitics_.html
Why dishonesty rules in our health care "debate"
http://matthewholt.typepad.com/the_health_care_blog/2004/10/policy_why_dish.html
"Producers" comment on how much we should spend on health care.
http://matthewholt.typepad.com/the_health_care_blog/2004/09/policypharma_pr.html International comparisons, or "How does Japan do it?" revisited
http://matthewholt.typepad.com/the_health_care_blog/2004/09/policy_internat.html
Toto, we’re back in Kansas and it’s 1991 again.
http://matthewholt.typepad.com/the_health_care_blog/2004/07/policy_toto_wer.html
Reggie’s back and the intellectual slop goes on
http://matthewholt.typepad.com/the_health_care_blog/2004/04/consumersindust.html
Health Care Costs 101 http://matthewholt.typepad.com/the_health_care_blog/2003/12/policy_health_c.html
User fees, employer-based insurance and why it won’t go away
http://matthewholt.typepad.com/the_health_care_blog/2003/10/policy_user_fee.html
Medicaid–a bleak picture gets bleaker
http://matthewholt.typepad.com/the_health_care_blog/2003/09/medicaida_bleak.html
Jeanne Scott looks at Single payer, MSAs and what employees want: I
editorialize back
http://matthewholt.typepad.com/the_health_care_blog/2003/09/jeanne_scott_lo.html
Featured Posts
This post includes links to featured posts worth a close look.
Contact This Blog
To contact Matthew Holt at THCB please email ma*****@*********lt.netFor more information see my consulting site www.matthewholt.net
About THCB
The Health Care Blog (THCB) has acquired a
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Web MD calls us “a free-wheeling discussion of the latest healthcare developments."
Started in August 2003, for most of the first five years of its existence THCB was the mostly exclusive domain of Matthew Holt, who still owns and runs THCB. But a mix of increased consulting work and the growth of the Health 2.0 Conference that
Matthew co-founded with Indu Subaiya in 2007 limited Matthew's time to write every day. And the growth of readership (from a few each day to over 80,000 visits in October 2008) and the interest of other people in writing on THCB has all meant that there's been less of Matthew and much more of
many great authors on the site. And so in March 2008 THCB officially became a group blog, in which all authors (including Matthew) started to use their own byline. (For posts prior to March 2008, no byline means Matthew was the author)
THCB prints original material from many contributors (some regular, some not so regular) and reprints (by permission) great posts from other bloggers. If you are interest in writing something for us, take a look at our writer's guidelines.
John Irvine is the managing editor and handles business development. Requests for information about advertising should go to him.
And Matthew is not sure whether he should be happy or chagrined but since the change to the group blog status, readership has more than doubled!
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Matthew Holt
Musings about the goings-on in American health care from a general health care consultant. Topics can include policy, health insurers, technology and eHealth, physicians, pharma and anything else that grips my fancy. Although my opinions shine through, this blog tries to concentrate on what I think is happening and will happen, rather than what I’d like to happen. Feel free to email me, and to send tips, opinions and requests for work my way.
The Blogs Insiders Read to Stay Current
November 16, 2005; Page D1
The music industry has one, Wall Street bankers have several and even CPAs have come around.
No self-respecting industry these days is without a
must-read blog. Although they vary wildly on fine points like accuracy,
they are now so widely read that it’s assumed anybody in the business
is up to speed on the latest postings. For outsiders, they are also a
window into the inner workings, preoccupations and gossip of fields
ranging from real estate to mergers and acquisitions.
People who follow electronics got an early peek at a key new product when Engadget posted photos of Microsoft Corp.’s
XBox 360 videogame console a week ahead of its debut. TV executives
keep tabs on which networks are ordering and canceling shows. Doctors
and others in health care can link to the latest news and commentary on
drug marketing. Reporters and media watchers turn to Jim Romenesko, who
runs a blog on the Poynter Institute’s Web site.
Here are some of the most influential blogs across
industries ranging from publishing and finance tonhealth care and
Hollywood, put together by The Wall Street Journal’s beat reporters in
these areas.
Healthcare:
This blog, billed as "Everything You Always Wanted to
Know About the Health Care System, But Were Afraid to Ask," is
published by Matthew Holt, a consultant and publisher of an email
digest of health-care news for executives and hospital administrators.
Mr. Holt uses his blog to draw attention to health-policy articles in
other publications and on other blogs, and share his thoughts about
Medicare policy, health insurers, electronic medical records and
doctors. There have been frequent posts dissecting the new Medicare law
and highlighting waste and fraud in the system. The site is currently
running a contest for readers to come up with solutions for fixing the
health-care system — in 250 words or less.
Real Estate
This blog attempts to deflate real-estate hype.
Updated roughly a half dozen times a day, the site, run by former
magazine editor Lockhart Steele, takes on overpriced condo listings,
pokes fun at the language brokers use to pump up properties, and links
to the relevant news from mainstream press and other blogs. A running
feature called PriceChopper highlights grossly overpriced apartments
and takes credit when the asking price drops. Another fixture called
BubbleWatch links to optimistic market forecasts. Curbed’s major
drawback is its New York-centric coverage and its obsession with
celebrity and luxury properties. Recent posts on projects in Los
Angeles and Boston, however, indicate the site’s willingness to
acknowledge there is a real estate world outside the Big Apple.
A sober alternative to Curbed, the Slatin Report
delivers all-original commentary and analysis on the world of
commercial real estate. The brainchild of veteran real-estate
journalist Peter Slatin, the site weighs in on real-estate investment
trusts, industry dealmakers, and design and architecture. A recent
article pointed out how Donald Trump could get locked out of profits
for decades in a complicated transfer of a property he’s involved in.
Mr. Trump disputed the characterization as "totally false." One issue
with the site is that the posts are sporadic and irregular. But users
can sign up for an email alert when new items appear.
Advertising
This blog is one of the best ways to keep up on
Madison Avenue’s ups and downs. Published by Steve Hall, a former
ad-agency employee, adrants covers topics ranging from urinal
advertising to the news of the day, all with a bemused tone. The site
also provides links to breaking-news stories featured by other Web
publications. John Osborn, president and chief executive of the New
York office of Omnicom Group‘s BBDO Worldwide, is a fan.
Wall Street
This site systematically takes apart proxy statements,
quarterlies and news releases, offering opinions and asking questions
about management compensation and other items tucked away in the small
print. Free-lance journalist Michelle Leder, who runs the site, hands
out gold stars on Fridays to companies with clear disclosures and
points out oddities buried in the footnotes, like sudden changes to
stock-option plans, or when loan issuer Dollar Financial Corp. recently
forgave the interest on a loan to its own chief executive. (Dollar
Financial didn’t return calls seeking comment.) Newer entries have
included one about Lisa Marie Presley’s evolving stake in a company
called CKX Inc.
jeffmatthewsisnotmakingthisup.blogspot.com
A popular opinion and news-analysis blog among traders
and institutional investors written by Jeff Matthews, head of the hedge
fund Ram Partners in Greenwich, Conn. Mr. Matthews, a mostly
value-oriented investor, isn’t afraid to rile up the vocal trading
community by commenting on closely watched stocks such as Overstock.com
Inc., dissecting the chief executives latest public comments on his
blog. While he occasionally makes grand market pronouncements — he
recently declared that the real-estate market had peaked — he is
admired for also supporting any such prophetic dictums. The blog
skewers boilerplate financial filings, and features analysis on
everything from Google Inc. (he’s a fan) to the Hawaiian Public Utilities Commission.
This blog from deallawyers.com, an educational group
that offers research on legal issues surrounding deal activity,
dissects M&A flow based on both obscure and widely known legal
issues. It evaluates private-equity involvement, recent arbitrations,
cross-border transactions and other issues for companies like Toys ‘R’
Us Inc. and Six Flags Inc. It also examines deal technicalities
like lock-ups, stapled financings and M&A accounting. Downsides to
the blog, though, are that it’s written with a lot of jargon and
postings can be a little sparse.
Health Care
The site focuses on how drug companies can get
accurate and trustworthy information to doctors and consumers. John
Mack, publisher of the monthly online newsletter Pharma Marketing News,
started his blog in January 2005. He offers commentary on news events
and is often critical of the industry’s focus on blockbuster drugs and
what Mr. Mack views as unethical or misguided marketing. Among his pet
peeves is erectile-dysfunction advertising, which he believes focuses
too heavily on younger men and libido-enhancing promises while failing
to educate consumers about the disease. The site lambastes pharma
companies for ads that foster a "magic pill solution preference among
Americans," while rarely mentioning changes in lifestyle or diet that
will help reduce risks such as cardiovascular disease. But he’s quick
to praise efforts that address the industry’s credibility problem with
consumers, such as Johnson & Johnson‘s new TV and print campaigns that he says put drug risks on more-equal footing with drug benefits.
Music
The Lefsetz Letter started in 1986 as a photocopied
tip sheet for music-industry executives. Today Bob Lefsetz, a former
artist-management executive, posts his opinions on everything to do
with the music business. Mr. Lefsetz offers wide-ranging,
stream-of-consciousness rants — often blasted out multiple times
daily. They include ruminations on everything from the industry’s
strategy of suing peer-to-peer network users (futile), to U2’s recent
guest appearance on HBO’s "Entourage" (like a married man flaunting a
girlfriend on the side, "just to be able to impress his buddies") to
Rod Stewart fans ("so old and so out of it that they’ll buy ANYTHING
with his name on it. As long as it doesn’t disrupt their cocktail
parties.") Sign up for email list at http://lefsetz.com12, or on the Web at: rhino.com/rzine/columnists/lefsetz/index.lasso13
Hollywood
This blog compiles entertainment news and adds a heavy
dose of snarky opinion. Agents, producers, studio executives and other
power players in Hollywood read it religiously — largely because it
lavishes attention on them. (The site’s motto is: "LA is the world’s
cultural capital. Defamer is the gossip rag it deserves.") A recent
entry on CBS Chairman Leslie Moonves describes him as "a future
galactic despot who will one day use his humble position as head of a
successful network to hold the entire universe in his incredibly
charismatic sway." (CBS declined to respond to the quote.) The site,
launched last year by Gawker Media, keeps tabs on which networks have
ordered or canceled which shows and closely monitors movie box-office
tallies, along with the latest peccadilloes of major stars.
Television
Focused on TV news, the blog presents snippets from
top stories of the day and is constantly updated with items ranging
from major network decisions — NBC’s recent move to make its entire
flagship "Nightly News" broadcast free on the Internet, for example —
to gossip about behind-the-scenes fighting at the morning news shows.
TV Newser, which is hosted by the journalism-related Web site Media
Bistro, also includes job listings and detailed parsing of ratings with
a heavy focus on cable news channels. Towson University student Brian
Stelter says he founded the site last year after being inspired by the
blanket coverage the cable networks gave the start of the 2003 Iraq war.
Publishing
Run by Michael Cader, a former book packager, this
paid site (cost: $20 a month) contains a selection of print and
Web-based book-publishing stories, as well as first-person
editorializing. Mr. Calder gets information from sources including
agents, editors, publicists, authors, and licensees. The site lists the
latest book proposals to be sold, including in some cases a sense of
what price they fetched. It’s also widely used to get in touch with
people in the industry — the agent who represents a particular author,
for example. Mr. Cader has an arch tone, and is quick to jump on news
involving Internet companies such as Google Inc. or Amazon.com Inc. But
he sometimes is too reliant on industry handouts, such as this recent
posting: "Hyperion Plans ‘Lost’ Book."
This daily blog provides links to reviews and news,
along with sharp commentary. A recent posting noted that the New
Orleans Public Library had reopened — but only after firing 90% of its
staff. Elsewhere, after romance publisher Harlequin Enterprises Ltd.
said it plans to add novels with Nascar storylines, the site posted
this prediction: "Look for ‘Naked Came the Pit Crew’ early next
spring." The site is published by Jessa Crispin, a former nonprofit
fund-raiser.
Theater
A lot of fan sites and trade publications operate Web
sites dedicated to theater news, but the big gun is BroadwayStars.
Filled with an exhaustive list of daily theater news — some stories
are culled from obscure regional alternative publications — the site
also contains links to various discussion boards. (Things can get catty
in a hurry.) A popular feature here is a list of Broadway shows that
have been discussed by producers in news articles but haven’t been
formally announced, such as a stage production of Walt Disney
Co.’s "The Little Mermaid." On the downside, the site, operated by a
company called 2die4 Productions of Irvington, N.Y., is cluttered —
there’s even a five-day weather forecast for top theater cities.
Taxes
This site, run by Tax Analysts, a nonprofit publisher
based in Arlington, Va., offers a handy way to catch up on breaking
news. The site also has interesting historical material, such as copies
of actual federal income-tax returns filed by presidents from Franklin
D. Roosevelt to George W. Bush. (Look under "Tax History.") There also
are transcripts of conferences organized by Tax Analysts, such as one
last month on the subject: "Can or should you have tax reform without
increasing taxes?" Tax Analysts also offers several subscription-only
publications, such as Tax Notes, an influential weekly.
Economics
This blog from Barry Ritholtz, chief market strategist
at money-management firm Maxim Group LLC, mixes straight market
commentary with Mr. Ritholtz’s musings on the inner workings of
glamorous industries such as music, film and technology. Mr. Ritholtz
mulls over interest rates, gross domestic product and bond markets,
complete with charts and links to news sites. Then, on separate pages,
he ruminates on movie box-office slumps, TiVo and music file-sharing.
Contemplation takes many forms, including quotes and essays. He
evaluates news like the latest on the avian flu and inserts
eye-catching charts and graphics to make his point.
Accounting
www.accountingobserver.com/blog/22
This opinion and news analysis blog is run by Jack
Ciesielski, a certified public accountant who owns the
investment-research firm R.G. Associates in Baltimore. Mr. Ciesielski
has served on several accounting rule-making and policy advisory
boards. He uses his blog, which he updates roughly once a week, to rant
about the latest corporate troubles, such as Delphi Corp.’s recent
accounting mess. Other frequent topics include stock-option expensing,
Sarbanes-Oxley compliance and lease restatements. Recently, Mr.
Ciesielski has taken up troubled auto companies as discussion fodder,
with a posting last month called "Dana in the Dumps," referring to
auto-parts maker Dana Corp.’s latest restatements.
Insurance
This blog spells out legal issues affecting
property-casualty insurers, and keeps editorializing to a minimum. The
person behind the site is Marc Mayerson, a Harvard Law School-trained
lawyer with Spriggs & Hollingsworth in Washington, D.C. Unlike
other more light-hearted blogs, these postings are written with some
wonky weight — recent entries dissected court decisions against State
Farm Insurance Cos. and the nuances of liability issues in certain
insurance policies. Mr. Mayerson keeps up with hurricane-related
insurance issues, sometimes even discussing his own insurance policy as
a reference point.
Digital Content
This blog tracks the latest developments from a range
of businesses interested in delivering entertainment, news and other
services to consumers in new ways (through mobile phones, for example).
It reports its own news, offers commentary and draws attention to
articles in other publications. The site is run by Rafat Ali and Staci
Kramer. This month, Mr. Ali wrote that pricing the new Sanyo Mobile
ESPN phone at $500 was "suicide, pure and simple." (ESPN said the price
listed for the phone was incorrect on the blog site, omitting a $100
rebate, and that the blog entry didn’t describe the phone’s range of
features.) The blog regularly breaks news, in September scooping
mainstream media outlets including The Wall Street Journal on Viacom
Inc.’s deal to acquire IFilm. Fans include Jim Bankoff, executive vice
president for programming at AOL, and Liz Schimel, senior vice
president for content development at Comcast Corp.
Currencies
www.rgemonitor.com/blog/roubini25
This blog tracks monetary issues, among others,
through a macroeconomic lens. It offers the views of Nouriel Roubini
and is affiliated with the subscription-based site, Roubini Global
Economics Service, a New York-based economics research group. Entries
take a global view on currency swings and appear every few days. Recent
meditations have included postings on Brazil issuing long-term
local-currency-denominated bonds in the international market. Mr.
Roubini also recently examined asset bubbles.
BLOGGING: Christmas & Holiday blogging
I’m still in the UK and I may get to another post before Christmas, but then again I may not, and next week will be beyond spotty…there are a couple of articles in the queue but they may not make it out of the computer in time for 2005.
I will be writing my by now traditional end of year letter usually going out sometime next week, but that’s about personal charity and politics rather than health care, but I’ll put it up elsewhere on the web and link over to it from here.
In any event thanks for reading in 2004, and definitely check back in for 2005 on January 3rd (or the 4th if I haven’t recovered for the 3rd) and have a fun, and safe end of 2004. Happy christmas, holidays, channukah, kwanza, turkey day…..and here’s to Chelsea being top of the league on January 1! (That’s a clue as to where I’m spending December 26!)
PHARMA: Industry Veteran on Don Johnson’s ideas on saving Merck
Don Johnson at the BusinessWord blog had a long piece on how Merck might be turned around. I personally think that the cause is pretty hopeless, and that like many other once great companies, Merck will just have to accept its future shotgun marriage–although I think that the price needs to get a little cheaper before that happens. However, the Industry Veteran has a few ideas of his own about Don’s view of Merck, and as a Christmas treat to THCB readers, I serve them up for you, written in an open posting to Don:
Don–Your suggestions to Merck are provocative, wholly unrealistic, but at least amusing.
* You make some suggestions that do appeal to my libertarian side because their objective consists of evening up the asymmetry of information that exists between the Pharma manufacturers on one side and practicing physicians and patients on the other. It’s actually amusing when you advise Merck to sponsor a "prime-time consumer-oriented health and medicine talk show on MSNBC or CNBC. Allow physicians and consumers to ask questions and comment on blogs and message boards. No holds barred. Docs will watch and learn". That will be must-see TV when pigs fly. Some of your other suggestions actually seem biblical: Merck should cut its marketing budget and drug prices in half, help institutional buyers reduce inappropriate uses of expensive drugs and put easy-to-comprehend product comparisons on the Internet. And the last shall be as first and the meek shall inherit the earth.
My own suggestions to the Merck board are substantially more modest, less apocalytptic, but more likely to deal with the world as it is.
* Hire one of the usual suspects from outside the company as the next CEO. The Dutchman who ran Warner-Lambert and Don Hayden at BMS are two likely candidates. Have the new guy bring in his own R&D man and together they should go up and down the halls of MRI, West Point and Upper Gwynedd the way the Russians went through Berlin: house to house carnage, taking no prisoners, looting, pillaging, raping and humiliating along the way. Ooo, Ooo, "the delicate flowers" in R&D, as Richard Sykes once called them, may be offended and leave. Tell them not to let the door hit them in the ass. Confiscate their notes, hold on to the intellectual property rights, and after the security marshalls lead them out the door, hire other scientists to replace them. In case you hadn’t noticed, it’s buyer’s market out there.
* Eject from business departments the ignoramus, Ivy League MBAs who know nothing about the industry but feel they can comprehend the universe with spreadsheets. These people are holdovers from Vagelos’s era, abetted in politically correct fashion by Gilmartin and David Anstice. And while we’re at it, stop the kickback arrangements with outside suppliers that has made Merck’s self-righteous hypocrisy well known inside the industry years before Vioxx.
Hey, that’s just for starters. For anything more specific, Merck will have to pay. Of course the idea of Merck paying me to tell them that they’re such dumbf—s is also in the realm of biblical prophecy.