Discount Plastic Surgery - You Generally Get What You Pay For
May 28, 2007
Getting a Discount on Plastic Surgery | online.wsj.com
I believe that these discount programs are an attempt by a third party to obtain financial gain while the plastic surgeons perform the work. The only benefit to the plastic surgeon is the volume the plan may provide - just like any other health insurance carrier. If you want the most qualified, credentialed, and experienced plastic surgeon - it will generally cost more.
Avandia report raises more questions than answers
May 24, 2007
Meta-Analysis Links Rosiglitazone (Avandia) to Risk of Myocardial Infarction | www.medpagetoday.com
This report raises more questions than answers. It is important because it suggests more work be done in several areas 1. A full scale study, not just a meta-analysis is needed. Also what are the risks of related drugs like Actos? 2. The Feds need to get serious about creating a robust, responsible FDA; an agency responsive to concerns, less trusting and less beholden to pharmaceutical companies. It needs to mandate more of a "trust but verify" approach 3. Another close look at the entire approval process including guidelines for R&D done overseas
May 17, 2007
Smith & Nephew (SNN) to Acquire BlueSky Medical Group | www.streetinsider.com
Blue Sky has not been able to capture significant market share. VAC, by KCI has cornered the market of negative pressure wound therapy.
For wounds, it is going to happen
May 15, 2007
Home telemonitoring works, study claims | www.healthcareitnews.com
In the Plastic Surgery literature wound care via home monitoring is advanced enough to change outcomes. See Murphy, Bain et al in the Annals of Plastic Surgery June 2005. Home telemonitoring is good for certain problems, that require regular monitoring. It has been shown to be equivalent to physical exam if a standard database is used and likely to reduce costs. There are now CPT codes for it and eventually they will be paid.
Brokering a deal for HIV drugs is a big win
May 9, 2007
Clinton Says 66 Developing Nations To Get Cheaper AIDS Drugs | www.medicalnewstoday.com
JCAHO gets in on Medical Tourism Trend
May 9, 2007
SPOTLIGHT: The risks of medical tourism | www.fiercehealthcare.com
The idea of medical tourism is not entirely new, but has become an increasing trend largely for cost reasons. Many patients equate quality of care with "US-equivalent" or even "US-associated". Interestingly the JCAHO which accredits US hospitals and programs has been expanding its scope internationally to take advantage of just such a perception. Patients may benefit from the JCAHO push, no matter what JCAHO's motives.
"Ho Hum" to Abbott's Free Style Blood Glucose Meter
April 30, 2007
Abbott Announces FDA Clearance And Launch Of New FreeStyle Lite™ Blood Glucose Monitoring System | www.medicalnewstoday.com
Abbott's new FreeStle meter does offer some good features, but it will be difficult for them to break through in a crowded market. Abbott needs to launch an adverising campaign to push the product even as it provides education as to how to best use the meter. Clinicians and Diabetes Educators need to help consumers make an informed decision.
Good news, but use Altabax judiciously
April 26, 2007
FDA Approves Antibiotic Ointment For Children And Adults - Altabax (retapamulin Ointment) | www.medicalnewstoday.com
The approval of this new drug is very good news as long as it's used per approved indications. This drug is new in a real way since it has a novel mode of action. It's exciting that it has a short course; and since it's topical it can be prescribed even to young kids who have a difficult time swallowing pills. It contributes to the arsenal in fighting a fairly common and annoying infection among kids in schools, day care centers etc.
Supreme Court is More Political than Legal
April 25, 2007
JUSTICES UPHOLD BAN ON ABORTION PROCEDURE | www.cnn.com
It was hardly surprising that this court upheld a ban on late term abortions. While it is true that the legal system reflects the values of society, it is becoming more diffuclt to separate legal decisions from political decisions. Judges increasingly tend to vote their political beliefs in favor of law or precedence. Implications: how will women, political scientsts and physicians react to this ruling?
P4P: Would doctors be more enthusiastic if they got paid more?
April 25, 2007
Medicaid bill would reward doctors for patient care | www.belleville.com
As I have written elsewhere, P4P as a concept is really a given and, practiced well, is beneficial to patients and payors equally. The entire healthcare system benefits when evidence-based medicine is practiced and patients are treated according to the best science available, rather than by the "art" of medicine which is rife with variation.
What is potential future for Sequenom in prenatal testing.
November 9, 2009
November 7, 2009
Express Scripts feeling Growing Pains
October 29, 2009
CDC Outlines H1N1 Test Guidelines
October 8, 2009
Why Health Care Costs Keep Rising—And What to Do About It
September 13, 2009