Thứ Tư, 31 tháng 7, 2019

[Question-Other]

By    22:52 // No comments

I am so confused at the moderates’ plans to fix health care. I need scenarios and then how it would play out. For example, if you are disabled but can work part time. Or if you get cancer, can’t work but your spouse has income. I am concerned that being able to buy in to Medicaid or Medicare isn’t enough because it still means these folks take a huge financial hit because they are sick.



https://ift.tt/eA8V8J Submitted July 31, 2019 at 10:26PM by Alphacatpower https://ift.tt/2Zmhkmo

[News] Top Healthcare News from the month of July - Trump loses big to Big Pharma, the Transformation of the Dialysis Industry, the Primary Care Shortage, Digital IPOs rock Wall Street, and Everything Policy you need to know!

By    22:17 // No comments

1. What you might have missed in July:

Now, onto this week's big healthcare stories:

2. Digital Health IPOs Rock Wall Street

Big ROI.

How are all of the recent digital health IPOs faring? Let’s take a peek:

–Livongo surged 48% from its $28.00 offering price.

–Health Catalyst boomed 59% from its $26.00 offering price.

–Phreesia is up 46% over its $18.00 offering price.

–Change Healthcare is up just a meager 11% over its $13.00 offering price.

​

Needless to say, the digital health IPO wave that just hit was…pretty successful for the companies taking place. Considering that digital health was previously in a 3-year drought without an IPO, I’d call that a pretty good run. And you could argue that the market in general is in an IPO frenzy as companies rush to raise money before any recession hits.

​

Digital health IPOs – an emerging trend?

The IPO success could pave the way for future digital health IPOs, too – like 23andme or SmileDirectClub – as private investors get more friendly with exit strategies through the public markets.

3. Tenet Spins Off Conifer and the Desert Healthcare Network play

Spun off to the masses.

After trying to sell its revenue cycle management arm, Conifer Health Solutions, Tenet is now looking to spin off its subsidiary to the public markets, creating a separately traded public company.

Tenet’s stock shot up on the news since Conifer is pretty profitable (23% margins on adjusted EBITDA) and investors want a piece of the Conifer pie. That demand could signify the hot market for healthcare data and payment management software.

Interestingly, CommonSpirit Health owns a small stake in Conifer, which is something I didn’t know before this story broke.

The transaction is supposed to take place by the second quarter of 2021, so still a decent ways away. Tenet wants to make sure that the spin-off transitions well and is tax-free for all parties involved.

​

In other Tenet news…

The hospital operator is looking to make a large investment in their Desert Health Network by offering to purchase Desert Regional Medical Center in Palm Springs for $320 – $380 million.

4. Policy Corner

I'm adding this section as a standalone for everything going on with healthcare policy - because there's a lot, and I got tired of covering it in the 'stories' section above :)

​

Let’s get to the policy, already.

Sheesh. Fine.

This fall will be quite the busy affair for Congress and healthcare policies. Votes are expected on drug pricing bills, surprise billing, and the beefy bipartisan health costs bill since none of them were finalized before recess.

​

On to the White House.

The Trump admin has been busy with an executive order on drug pricing that would cap Medicare beneficiary payments for drugs.

​

Meanwhile…

Not to be outdone, the Dems are expecting to release a ‘bombshell’ drug pricing bill in September. The bill might include some component where Medicare directly negotiates with drug-makers on price. Here’s some background on how that might look.

The Cadillac Tax, which taxes high-cost employer-sponsored health insurance plans, is not too popular in Congress. The House recently voted to overwhelmingly repeal the ACA provision.

Quick Hits

Biz Hits

​

State Hits

Other Hits

​

My favorite (non-healthcare) reads this week:

Okay listen…this is a 30 minute read minimum…but it is incredible.

  • The Battle of Grace Church. What happened when Brooklyn’s oldest nursery school decided to become less old-fashioned? A riot among the one percent.
  • This college dropout was bedridden for 11 years. Then he invented a surgery and cured himself

I’m linking this here just for the headline. Wild:

​

Thanks for reading!! As always, you can read past editions here.



https://ift.tt/eA8V8J Submitted July 31, 2019 at 10:13PM by Passit2Madden https://ift.tt/319U3Vo

[Discussion] Do Others Feel This Way?

By    20:22 // No comments

One Guy's View of The American Healthcare System

​

I'm 53 and i've never been to the doctor much. Generally the only reason I sought out any medical service was because I had to.. for work or whatever.

​

A couple of weeks ago I went to the eye dr. for an exam and they took my blood pressure. It was way high - like scary high. I had a follow up appointment a couple of weeks later, so I layed off of the salt and started eating better. They took my pressure again at the followup and it was even higher.

​

This scared me enough that I went and bought a BP cuff and started checking twice a day. My pressure is indeed consistently to high, so I thought I would go see a Dr. Problem is, what doctor?

​

Last time I went to the Dr was about 6 years ago and it was the Dr that delivered my kids. Only one I knew. Since then we have moved, so i had no idea. Finally I hit upon my insurance companies web site list of in network providers. looked up an internal medicine Dr that was taking patients, called, and was told that I had to go through another Dr. Looked for a GP that was accepting patients and called. They told me that Dr may or not be taking patients and they would call me back to let me know.

​

Four days later they call me back and said that Dr wasn't accepting patients.

​

I'm done. I have made the sobering decision that I would rather take my chances than deal with this healthcare system. I know a number of people will say that I haven't tried nearly hard enough, but that just makes the point that we are more the victims of the American healthcare system than the beneficiaries. I pay $23k/year for healthcare that sucks and I still can't get an appointment in a reasonable time with a reasonable amount of effort.

​

Everything in our healthcare system is designed to gate-keep and fleece you rather than provide healthcare. Yes, healthcare is given, but that is secondary to making money. I've prepaid for the healthcare buffet, and as with real buffets, they have an incentive to make it hard to get what you payed for.



https://ift.tt/eA8V8J Submitted July 31, 2019 at 01:29AM by OldFatSloth https://ift.tt/335iEwm

My Go to skincare routine to reduce inflammation & acne

By    17:37 // No comments

So I made this video to talk about my go to skin care routine that works really well for me: https://www.youtube.com/watch?v=RefE__W3wMA&feature=youtu.be

Products used:

- Botanics hot cloth cleansing balm & cleanser & rose water spray

- Antipodes Manuka Honey mask & Kiwi seed oil eye cream

- Garnier rose moisturiser

- Sunday Riley UFO oil

- Lanolips lemon infused lip balm

I talk in depth about each product and it's properties in the video. :) Btw this is not sponsored, just me sharing what I've found to be working really well. Let me know your thoughts! :))



https://ift.tt/eA8V8J Submitted July 31, 2019 at 05:10PM by ivyskai https://ift.tt/2SWiyCr

My Go to skincare routine to reduce inflammation & acne

By    17:37 // No comments

So I made this video to talk about my go to skin care routine that works really well for me: https://www.youtube.com/watch?v=RefE__W3wMA&feature=youtu.be

Products used:

- Botanics hot cloth cleansing balm & cleanser & rose water spray

- Antipodes Manuka Honey mask & Kiwi seed oil eye cream

- Garnier rose moisturiser

- Sunday Riley UFO oil

- Lanolips lemon infused lip balm

I talk in depth about each product and it's properties in the video. :) Btw this is not sponsored, just me sharing what I've found to be working really well. Let me know your thoughts! :))



https://ift.tt/eA8V8J Submitted July 31, 2019 at 05:22PM by ivyskai https://ift.tt/2YGDoew

NPR News: Trump Team's Bid To Make Hospital Costs More Transparent Is Data-Heavy

By    16:03 // No comments
Trump Team's Bid To Make Hospital Costs More Transparent Is Data-Heavy
The administration's rules would require hospitals to provide far more detail about the actual prices they charge insurers for medical care. Would patients welcome the data, or feel overwhelmed?

Read more on NPR

Bipolar, missed enrollment, professional. [Question - Insurance]

By    13:07 // No comments

Hi I tried posting this elsewhere first...

I’m 26. I’m bipolar. I have a full time gig. Two kids. And no benefits. I missed open enrollment. I’m finally moving up in my career. Things are looking bright but I’m suffering from my illness every day. While I put on my straight face for the job and the wife when she falls asleep I drink about 5 shots of whatever I have in the freezer to keep myself from the effects of depression and mania. This isn’t a long term solution obviously but I’m just holding on until January. I’m curious if this is my only option. Because I’m very concerned if I’ll be able to keep my emotions stable anymore. Tbh I’m starting to slip for the first time since I got diagnosed 6 years ago.

I live in Massachusetts but have only lived here for 2 months. I have worked in Massachusetts for 4 years. I’m originally from Rhode Island and have lived there for my entire until 2 months ago.



https://ift.tt/eA8V8J Submitted July 31, 2019 at 12:59PM by lilroadie401 https://ift.tt/2ynNxh5

Woodstock At 50: The Unheard Recordings

By    06:39 // No comments

Woodstock At 50: The Unheard Recordings
For the past 14 years, producer Andy Zax has been digging into the music and sounds of Woodstock, that culture-shifting music festival that unfolded in August of 1969. Now, 50 years later, all 32 performances — the audio announcements, the entirety of this three-day festival in upstate New York — is about to be released.

July 31, 2019 at 06:31AM
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Dark mode isn't as good for your eyes as you believe

By    02:28 // No comments

Dark mode isn't as good for your eyes as you believe
The shadowy display mode has leagues of fans claiming it helps reduce eye strain, lengthen battery time and improve sleep. But dark mode isn't quite the screen savior it's made out to be.

July 31, 2019 at 02:26AM
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NPR News: Plastics Or People? At Least 1 Of Them Has To Change To Clean Up Our Mess

By    00:50 // No comments
Plastics Or People? At Least 1 Of Them Has To Change To Clean Up Our Mess
As consumers rebel against plastic waste, there's a growing question: Do we invent something people can toss without harming the environment or do we change people by giving them a chance to reuse?

Read more on NPR

Pimple popping

By    00:01 // No comments

I love to pop pimples I could do it for hours and not just mine, ANYBODIES!!!!! Unfortunately this has become an obsession and bad habit being that I pick over and over and have created scabs and now scars all over. Can anyone relate? I have nice skin other than the unwanted memories of my sick obsession. Does anyone know the best way to lighten or minimize these scars? Please advise!!



https://ift.tt/eA8V8J Submitted July 30, 2019 at 11:49PM by Mrbra2non https://ift.tt/330nUB4

Thứ Ba, 30 tháng 7, 2019

I Played Trump in Hillary Clinton’s 2016 Debate Prep. Here’s What It Takes to Beat Him.

By    22:21 // No comments

I Played Trump in Hillary Clinton’s 2016 Debate Prep. Here’s What It Takes to Beat Him.
Before any of them takes the debate stage on Tuesday and Wednesday, the 2020 Democratic candidates will already have put in dozens of hours each preparing. But here's what they need to understand: Nothing they do to prepare for the primary debates will feel remotely similar to when the nominee faces Donald Trump in a debate.

July 30, 2019 at 10:18PM
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[Question - Insurance] Worried about mental health and transition from military to civilian market

By    21:08 // No comments

Hi there, thanks for your time upfront.

I am in the military and am in need of some mental health attention.

I have a wife and 3 kids. I am looking at getting out in the next 2 years. My kids are healthy, my wife is on multiple medicines for BPD, PTSD, and a number of other diagnosed issues. She relies on her talk therapy, physical therapy, and psychologist. None of this is to say that this is a problem, only that I have only ever had to deal with the insurance side of things from the military's perspective.

I have never had to deal with medical insurance on the civilian side and the idea of finding coverage that will work with the expensive prescriptions and appointments for my wife is already stressing me out.

Now I definitely need attention, my wife has brought that to my attention, and I agree. Nothing life threatening, just need to get on a prescription.

My questions are:
(1): Is mental health, anxiety on my part, BPD, PTSD etc on my wife's considered "preexisting conditions" and how difficult will it be for me to find a decent insurance package when I am out? I will be making close to if not just at 6 figures, for what it's worth.
(2): Is it in my best interest to wait to get attention for my issues until I am out and with a new insurer?

Thank you all very much for your time.



https://ift.tt/eA8V8J Submitted July 30, 2019 at 09:01PM by SwampFink https://ift.tt/31azPLb

The Clever Use Of Forced Perspective In Disney's Theme Parks

By    03:59 // No comments

The Clever Use Of Forced Perspective In Disney's Theme Parks
As an optical illusion technique, it can be deployed to make structures seem bigger and smaller than they really are. Sometimes it works perfectly in Disney's theme parks; sometimes it doesn't.

July 30, 2019 at 03:56AM
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NPR News: Doctors In The U.S. Use CRISPR Technique To Treat A Genetic Disorder For The 1st Time

By    03:50 // No comments
Doctors In The U.S. Use CRISPR Technique To Treat A Genetic Disorder For The 1st Time
For the first time, doctors have used the gene-editing technique CRISPR to treat a genetic disorder in the U.S. The patient, who has sickle cell disease, spoke with NPR about her treatment.

Read more on NPR

NPR News: Doctors In The U.S. Use CRISPR Technique To Treat A Genetic Disorder For The 1st Time

By    03:50 // No comments
Doctors In The U.S. Use CRISPR Technique To Treat A Genetic Disorder For The 1st Time
For the first time, doctors have used the gene-editing technique CRISPR to treat a genetic disorder in the U.S. The patient, who has sickle cell disease, spoke with NPR about her treatment.

Read more on NPR

NPR News: With An Eye Toward Lower Emissions, Clean Air Travel Gets Off The Ground

By    03:35 // No comments
With An Eye Toward Lower Emissions, Clean Air Travel Gets Off The Ground
Air travel is set to grow dramatically. It will be a while before electric planes truly take off, but people are trying to reduce their carbon footprint now with offsets and "flight shaming."

Read more on NPR

NPR News: Bugged By Insects? 'Buzz, Sting, Bite' Makes The Case For 6-Legged Friends

By    01:25 // No comments
Bugged By Insects? 'Buzz, Sting, Bite' Makes The Case For 6-Legged Friends
The decline of Earth's insect population may have serious consequences for humans, says scientist Anne Sverdrup-Thygeson. Insects are the world's janitors, as well as pollinators and a food source.

Read more on NPR

Thứ Hai, 29 tháng 7, 2019

The Business Of Sleep

By    23:53 // No comments

The Business Of Sleep
The Western world is currently undergoing an epidemic of poor slumber — fuelled by everything from auto-play streaming services to the rise in millennial anxiety.

July 29, 2019 at 11:51PM
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[Question - Insurance] How do I stop all the sales calls?

By    22:38 // No comments

I just turned 26 recently and so I don't have health insurance. Also, since I have been studying for the bar exam I don't have a job yet, so I can't afford health insurance. I went onto healthcare websites for NY and for affordable healthcare, and immediately after entering basic information on these websites, I was called by salespeople. I didn't choose anything online as I still couldn't afford it at the moment. I told the salesman that I currently cannot afford anything so he hung up. This was over a week ago, and every day I receive 4-10 calls from salespeople trying to sell me health insurance.

I try telling them I'm not interested. I try blocking the numbers but many are restricted numbers I can't block. I even lost my temper and yelled at them to stop calling me. I tried lying to them saying I purchased health insurance already. Nothing works. The only thing I won't try is being an absolute asshole to them because these aren't scammers that deserve being treated like crap, they are just salespeople

Is there any way to stop this plague of sales calls for good?



https://ift.tt/eA8V8J Submitted July 29, 2019 at 10:10PM by Khorvog https://ift.tt/2KcANzs

How Atkins Became Keto

By    21:08 // No comments

How Atkins Became Keto
There's a reason the ketogenic diet has staying power, and it's not ketosis.

July 29, 2019 at 09:06PM
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Did you know that Olive oil prevents the WRINKLES come in early age !

By    21:02 // No comments

Olive Oil helps your skin looks younger and healthier starting the next morning of use. This is not guesswork, Ask history. When it comes to beauty, much can be learned from Cleopatra, The Egyptian queen who used Olive Oil for her Beauty.

Please Do Google the benefits of OLIVE OIL for your face.

You will find out that Olive oil cream is your Face BEST FRIEND.



https://ift.tt/eA8V8J Submitted July 29, 2019 at 09:01PM by tamyez https://ift.tt/32YXrE8

NPR News: Kamala Harris Releases 'Medicare For All' Plan With A Role For Private Insurers

By    17:10 // No comments
Kamala Harris Releases 'Medicare For All' Plan With A Role For Private Insurers
The plan clears up confusion over Harris's position, allowing private Medicare plans that follow certain standards. New taxes would be added on stock trades and households earning over $100,000.

Read more on NPR

NPR News: Sickle Cell Patient Reveals Why She Is Volunteering For Landmark Gene-Editing Study

By    16:25 // No comments
Sickle Cell Patient Reveals Why She Is Volunteering For Landmark Gene-Editing Study
Victoria Gray, 34, of Forest, Miss., hopes the gene-editing technique CRISPR will relieve her lifelong suffering caused by the genetic blood disorder that affects millions of people around the world.

Read more on NPR

The Obscene Cost Of Being A Woman With A Chronic Health Problem

By    07:43 // No comments

The Obscene Cost Of Being A Woman With A Chronic Health Problem
To date, Edwards said, she has seen roughly 30 doctors for medical complications across California, Arizona and Louisiana. "Most of them just shrugged their shoulders. One blatantly called me a liar," she said.

July 29, 2019 at 07:34AM
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Chủ Nhật, 28 tháng 7, 2019

Dialysis Firm Cancels $524,600.17 Medical Bill After Journalists Investigate

By    06:44 // No comments

Dialysis Firm Cancels $524,600.17 Medical Bill After Journalists Investigate
Fresenius, one of the two largest dialysis providers in the U.S., has agreed to waive a $524,600.17 bill for a man who received 14 weeks of dialysis at a clinic in Montana.

July 28, 2019 at 06:37AM
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[Question - Other] I'm thinking of developing a new EMR system, thoughts?

By    06:13 // No comments

Alright, so this might end up being a wall of text. If there's a better place to post this please let me know.

Background

I'm currently working on a medical billing platform for Ontario Canada doctors and their billing agents (if you know one we're looking for user feedback and early adopters).

What I want to develop

What I want to develop is an open interface standard for EMRs. This standard would give details on splitting the database that runs an EMR system and the front end applications. This enables custom development for specific use cases, that can be done by my company or any other company. No vendor lock in.

This would also mean places like the reception desk at a clinic can have a different, tailored user interface and the doctor in the room can have a different one for them.

I want to start at a clinic level and grow to apply this to the hospital and health information region levels.

To start I want to find a couple of clinics to partner with for initial feedback and development.

What I'd like to know

Does this sound like a decent idea?

Is this something you would recommend or buy for your work?

What features would you need and what features would be great to have?

What do current systems cost?

Thanks for your time!



https://ift.tt/eA8V8J Submitted July 28, 2019 at 05:48AM by DoPeopleEvenLookHere https://ift.tt/32UlkN3

The Painful Truth Of Passing As White

By    01:07 // No comments

The Painful Truth Of Passing As White
When I was 12, my Aunt Margaret told me, "You got straight hair, you got pale skin. If people don't know you're colored, don't tell them."

July 27, 2019 at 11:25PM
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Thứ Bảy, 27 tháng 7, 2019

Americans Are Not Getting The Message About Exercising More And Sitting Less

By    23:59 // No comments

Americans Are Not Getting The Message About Exercising More And Sitting Less
Doctors and public health officials have been urging Americans to get more active and try to exercise at least 150 minutes per week at a moderate level, or 75 minutes weekly at a vigorous level.

July 27, 2019 at 11:55PM
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One Night Wonder

By    22:31 // No comments

One Night Wonder
They got their shot on Broadway—and they blew it. Ten years later, Nick Blaemire and James Gardiner look back at what it means to fail so publicly, and whether their dream was really all it was cracked up to be.

July 27, 2019 at 10:30PM
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The FDA Knows E-Cigarettes Could Save Millions Of Lives But Are Worried About Promoting Them To Kids

By    20:14 // No comments

The FDA Knows E-Cigarettes Could Save Millions Of Lives But Are Worried About Promoting Them To Kids
Tobacco use is still the leading cause of preventable death in the United States — but the public policy challenges

July 27, 2019 at 08:11PM
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NPR News: Opinion: Is Anything More Urgent Than The Temperature Of Our Planet?

By    19:06 // No comments
Opinion: Is Anything More Urgent Than The Temperature Of Our Planet?
Our earth is in the middle of what may be the hottest summer on record. Scorching new records were set all over Europe this week. What could be more urgent news than the temperature of our planet?

Read more on NPR

NPR News: Genetic Counselors Of Color Tackle Racial, Ethnic Disparities In Health Care

By    18:08 // No comments
Genetic Counselors Of Color Tackle Racial, Ethnic Disparities In Health Care
They work with patients to decide when genetic testing is appropriate, interpret test results and counsel families on the ways hereditary diseases might impact them. A trusting relationship is key.

Read more on NPR

NPR News: Genetic Counselors Of Color Tackle Racial, Ethnic Disparities In Health Care

By    18:06 // No comments
Genetic Counselors Of Color Tackle Racial, Ethnic Disparities In Health Care
They work with patients to decide when genetic testing is appropriate, interpret test results and counsel families on the ways hereditary diseases might impact them. A trusting relationship is key.

Read more on NPR

[Question - other] NHA vs PCHA

By    00:49 // No comments

I’ve been doing research but can’t seem to find anything clear. Can someone explain the difference between a nursing home administrator license and a personal care home administrator license in terms of jobs prospects/opportunities. Also can you become an assisted living administrator with either of these licenses? I’m in Pennsylvania for reference.



https://ift.tt/eA8V8J Submitted July 27, 2019 at 12:12AM by Juldan0118 https://ift.tt/2YwjW3I

vitamin c packets?

By    00:39 // No comments

(I hope this is allowed)

This might be a ridiculous question, but you know those little vitamin c dissolvable packets you get during cold season? You dissolve them in water and then drink the fizzy concoction?

​

Could you dissolve them in water or oil or something and use them as a cheap vitamin c treatment for your skin?

​

Sincerely,

Someone who is broke but has a billion of those little packets



https://ift.tt/eA8V8J Submitted July 27, 2019 at 12:25AM by the-tacktelneck https://ift.tt/2MgAaaN
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