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GLG News by Managed Care Reimbursement Experts

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September 11, 2008
Psychotherapy may save money
Analysis of: National Trends in Psychotherapy by Office-Based Psychiatrists | archpsyc.ama-assn.org
Author: GLG Expert Contributor
Unfortunately, many insurance payors do not realize that allowing psychotherapy visits may save the money in the long run by reducing the need for much more costly Inpatient psychiatric treatment. I find that my patients who receive psychotherapy are much less likely to miss work and much...
August 4, 2008
FDA Restrictions on ESA's Will Have Minimal Effect of EPO Usage.
Analysis of: Amgen Told to Reword Drug Label | www.nytimes.com
Author: Joe Atkins, Chief Executive Officer, Medical Concepts & Innovations
1)  Concerns over the new FDA restrictions on ESA's is being overstated. 2)  Amgen will continue to do well in the ESA market place, in spite of these changes. 3)  J&J will receive the brunt of these changes, strictly because of their market concentration in the oncology market. 4) ...
August 4, 2008
Veterans Admininstration Sets The Standard for Electronic Medical Records: Why Re-invent The Wheel?
Analysis of: Nationwide EHR Implementation Price Tag Estimated at $150 billion | www.govhealthit.com
Author: Joe Atkins, Chief Executive Officer, Medical Concepts & Innovations
The VA has already won many awards for an electronic medical records system, which tax payers have already paid for. Adopting the VA "CPRS" program would save the taxpayers and the private sector hundreds of billions of dollars.
Richard AmerlingJuly 25, 2008
The Dark Side of Fosamax
Analysis of: Drugs to Build Bones May Weaken Them | www.nytimes.com
Author: Richard Amerling, Director of Outpatient Dialysis, BETH ISRAEL MEDICAL CENTER INC
Considering the effects of fosamax and other bisphosphonates on bone remodeling, it is not at all surprising to see problems arising with the long term use of these agents.  
Richard AmerlingJuly 10, 2008
So Much for Health "Insurance"
Analysis of: Pricey Drugs Put Squeeze on Doctors | online.wsj.com
Author: Richard Amerling, Director of Outpatient Dialysis, BETH ISRAEL MEDICAL CENTER INC
It's intresting that nowhere in this article was the topic of true insurance for catastrophic illness brought up.  The problem with our current health insurance market is that for most it is pre-paid care, not insurance against a rare, but catastrophic, event. 
Richard AmerlingJuly 10, 2008
Our Kids on Statins...........Not!
Analysis of: 8-Year-Olds on Statins? A New Plan Quickly Bites Back | www.nytimes.com
Author: Richard Amerling, Director of Outpatient Dialysis, BETH ISRAEL MEDICAL CENTER INC
With the pipeline for new drugs running dry, it is no surprise that pharmaceutical companies are looking to expand indications for existing products still under patent protection.  What better way to do this than by creating entirely new patient populations out of whole cloth?
Robert ForsterJune 16, 2008
Genetic testing initially will promote Chaos and misinformation
Analysis of: Experts see boost to genetic testing from US bill | www.reuters.com
Author: Robert Forster, Healthcare Consultant, Robert Forster, MD
As a clinician leader for some time, it is overtly obvious that comprehensive genetic testing will be fraught with misinterpretation and will lead to consumer confusion and potentially wrong life behavior. Genetic testing has been available for 2-3 decades on a very limited basis and for specific fetal...
Robert ForsterJune 16, 2008
Behavioral change aint easy for physicians regardless of data
Analysis of: Good is Never Enough for P4P | www.hhnmag.com
Author: Robert Forster, Healthcare Consultant, Robert Forster, MD
Although administrative and nursing/allied medical staff can and will respond to the Quality challenges, physicians (forgive my stereotyping) must be approached more comprehensively to elicit medical behavioral change based on evidenced based medicine or process improvement.  They will slow the...
May 27, 2008
Tekturan losers blood pressure and proteinuria simultaneously
Analysis of: New data show Tekturna HCT® is twice as effective at reducing blood pressure than the diuretic HCT alone | www.novartis.com
Author: Jack Rubin, Medical Director, Davita Los Angeles Dialysis Center
While no more would argue that control of systolic hypertension is crucial to preventing the consequences of hypertension such as congestive heart failure, MI's, left ventricular hyperthrophy, stroke and kidney failure there are other factors that are associated with these disease states. One of these...
April 30, 2008
FDA: Chinese Manufacturer of Tainted Heparin Involved in Fraud.
Analysis of: UPDATE: FDA Head Sees Economic Fraud Behind Tainted Heparin | www.reuters.com
Author: Joe Atkins, Chief Executive Officer, Medical Concepts & Innovations
First, and foremost, the only working link for this article can be found at: http://www.reuters.com/article/domesticNews/idUSWAT00934620080415?feedType=RSS&feedName=domesticNews Although there is no proof offered in the article to substantiate the suggestion of fraud, there is enough circumstantial...

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