healthcare
lborkowski | December 5, 2012This is a bonus addition to a series exploring the intersections between effectively caring for people living with chronic pain and the rise in unintentional poisoning deaths due to prescription painkillers. To read the three-part series, which explores the science of pain management as well as physicians' and public health workers' roles in preventing opioid abuse and overdose, click here, here and here.
by Kim Krisberg
"If you really look at how pain affects people and what it means to have pain...you start to view it more as a social phenomenon."
These are words from Dr. Daniel Carr, a…
lborkowski | November 30, 2012This is the last in a series exploring the intersections between effectively caring for people living with chronic pain and the rise in unintentional poisoning deaths due to prescription painkillers. This week's story looks at the role of public health in curbing the opioid abuse and overdose problem. Read the previous stories in the series here and here. (We'll be publishing a bonus addition to the series next week — a discussion with Dr. Daniel Carr, director of the Pain Research, Education and Policy Program at Tufts University.)
by Kim Krisberg
A decade ago, only about 10 percent of the…
lborkowski | November 29, 2012At the New York Times Well blog, Anahad O'Connor writes about a new study, published in the journal Obesity Surgery, is a caution against recent optimism about gastric bypass surgery's ability to combat Type 2 diabetes. David E. Arterburn and his coauthors conducted a retrospective cohort study of 4,434 adults with Type 2 diabetes who underwent gastric bypass surgery between 1995 and 2008. Within five years after surgery, 68.2% of the subjects experienced "an initial complete diabetes remission" -- but then 35.1% of those "remitters" redeveloped diabetes within another five years.
The study…
lborkowski | November 16, 2012This is the second in a series exploring the intersections between effectively caring for people living with chronic pain and the rise in unintentional poisoning deaths due to prescription painkillers. (The first post is here.) The series will explore the science and policy of balancing the need for treatment as well as the need to prevent abuse and diversion. This week's story looks at clinical efforts to reduce the risk of opioid abuse and overdose while still caring for patients; the next story will explore the role of public health officials in curbing opioid abuse.
by Kim Krisberg
Since…
lborkowski | November 14, 2012This week is Get Smart About Antibiotics Week, and CDC is promoting awareness about when these important drugs should and shouldn't be used. Overuse of antibiotics speeds the development of antibiotic-resistant bacteria, and infections from these bacteria are much harder to treat.
Many of our readers are probably already familiar with CDC's message, which boils down to the fact that antibiotics don't cure viral infections (colds, flu, most bronchitis) and the reminder that when you are prescribed antibiotics, you need take the entire course of drugs rather than stopping once you feel better.…
gregladen | November 13, 2012Several restaurants are laying off employees, needlessly, as a form of passive aggressive snit in objection to Obamacare. They don't want to have to give their employees health insurance. I think some of these companies are also known for having opposed Obama in the election, which is their right (corporations are people too, after all!) but this is actually, in my view, a form of voter intimidation large scale. If the mainly fast and medium-speed food industry collaborates tacitly or not to make a certain voting pattern hurt all of their employees, they are creating a class of people who…
lborkowski | November 9, 2012by Kim Krisberg
This is the first in a series exploring the intersections between effectively caring for people living with chronic pain and the rise in unintentional poisoning deaths due to prescription painkillers. The series will explore the science and policy of balancing the need for treatment as well as the need to prevent abuse and diversion. This week's story provides a look at the field of pain medicine and the patients it cares for; next week's story will look at the educational and risk reduction approaches physicians are employing to address opioid addiction and overdose.
It took…
lborkowski | October 31, 2012Things are mostly back to normal in DC today: Schools and government offices are open, trains and buses are running on their usual schedules, and there are few outward signs that Hurricane (or Superstorm) Sandy passed through here less than 48 hours ago. The situation is apparently far worse in New York and New Jersey, where flooding damaged millions of homes and hundreds of miles of subway tunnels. Millions of people from the Carolinas to Maine lost power, and many are still without it. The US death toll has reached 40.
With Election Day less than a week away, Hurricane Sandy reminds us how…
lborkowski | October 26, 2012by Kim Krisberg
Earlier this year, federal officials put their foot down: New Hampshire could no longer use federal preparedness money to supports its poison control efforts. The directive sent state lawmakers scrambling to find extra funds so New Hampshire residents would still have access to the life-saving service. Without new money, New Hampshire callers to the Northern New England Poison Center would get a recording telling them to call 911 or go to the emergency room.
Fortunately, New Hampshire officials found enough funds to keep the service up and running for state residents this year…
lborkowski | October 19, 2012by Kim Krisberg
At Palm Beach Groves in Lantana, Fla., a small, seasonal business that ships fresh citrus nationwide, employees have regularly voted between getting a raise or keeping their employer-based health insurance. Health coverage always wins, as many employees' ages and pre-existing conditions would have made it nearly impossible to get coverage on their own.
In her 12 years with Palm Beach Groves, general manager Louisa McQueeney has seen insurance premiums go up anywhere from 12 percent to 32 percent a year. Coverage for her family alone — herself, her husband and daughter — was $1…
lborkowski | October 12, 2012by Kim Krisberg
Researchers studying workers’ compensation claims have found that almost one in 12 injured workers who begin using opioids were still using the prescription drugs three to six months later. It's a trend that, not surprisingly, can lead to addiction, increased disability and more work loss – but few doctors are acting to prevent it, explains a new report from the Massachusetts-based Workers Compensation Research Institute (WCRI).
Report researchers looked at longer-term opioid use in 21 states and how often doctors followed recommended treatment guidelines for monitoring…
lborkowski | October 11, 2012A new Health Wonk Review compiled by David E. Williams is now up at the Health Business Blog. It's got links and descriptions for a great collection of post about healthcare issues in the first presidential debate, efforts to contain US healthcare spending, and other topics (including my recent post on hospital readmissions).
One of the featured posts that gets a big "hear, hear!" from me is a suggestion from Louise at Colorado Health Insurance Insider that political debates include non-partisan fact checkers sitting off to the side and holding up "pants on fire" signs when appropriate. She…
lborkowski | October 5, 2012by Kim Krisberg
In the west Texas city of San Angelo, Planned Parenthood has been serving local women since 1938. It was one of the very first places in Texas to have a family planning clinic.
"We have grandmas bringing their granddaughters in," Carla Holeva, interim CEO of Planned Parenthood of West Texas, told me. "We're very much part of the community."
Today, the San Angelo clinic is preparing for some big, and unfortunate, changes. Last year, Texas lawmakers voted to exclude Planned Parenthood and other organizations affiliated with abortion providers from the state's Women's Health…
lborkowski | October 4, 2012Monday was the start date for an Affordable Care Act provision aimed at reducing high rates of hospital readmission among Medicare patients. This year, hospitals determined to have excess readmissions for patients with acute myocardial infarctions, heart failure, and pneumonia can lose up to one percent of their Medicare reimbursements for the year -- and in future years, the list of applicable conditions will get longer and the percentage of payments at risk will rise to three percent. But to what extent are readmissions under hospitals' control?
First, a bit of background: Readmissions are…
cmonforton | September 17, 2012When the James Zadroga 9/11 Health and Compensation Act (P.L. 111-347) was signed into law in January 2011, among its aims was providing screening and medical treatment for the fire fighters, police officers, emergency responders and certain other survivors. More than $4 billion was authorized by Congress for the program. The adverse health conditions covered by the program for eligible participants were limited primarily to respiratory and mental health disorders. The list included the conditions that the responders and survivors were already suffering due to exposures at the World Trade…
gregladen | September 9, 2012Romney would replace Obamacare with a law that would require insurers to do what they were already doing before Obamacare, but makes it sound better than it is:
The key phrase here is "continuously insured."
As pointed out by Jonathan Cohn via Think Progress:
the federal government already forbids insurers from denying coverage to the continuously covered through the 1996 Health Insurance Portability and Accountability Act (HIPAA). But the measure has been seen as a failure because “there is no limit on what insurers can charge under HIPAA” and the law does “little to regulate the content…
lborkowski | September 7, 2012by Kim Krisberg
Another study, another support beam in the argument that access to insurance coverage matters — a lot.
In a study published this month in the journal Health Affairs, researchers took a look at rates of amenable mortality deaths — in other words, deaths that shouldn't happen in the presence of timely and effective care — between the United States, France, Germany and the United Kingdom. Their conclusion? The U.S. — home to the world's highest rate of health care spending — is lagging behind.
Between 1999 and 2007, amenable mortality rates among men fell by 18.5 percent in the U…
cmonforton | September 7, 2012"Going to work sick or losing pay" is not a choice that Seattle workers should be forced to make. That's how Seattle City Council member Nick Licata why he sponsored the City's paid sick leave legislation. The new law took effect September 1. It is just one of the new State and local laws profiled in our new report The Year in U.S. Occupational Health & Safety: Fall 2011 - Summer 2012.
Earlier this week, Liz wrote about the report's first section on new research on worker health and safety, and I wrote about the accomplishments and setbacks on the federal scene. The report's final…
lborkowski | August 24, 2012The extent to which the Affordable Care Act succeeds in making affordable health insurance more widely available depends to a great degree on the success of the state-based health insurance exchanges that are currently being developed. A piece by Ewout van Ginneken and Katherine Schwartz in the latest New England Journal of Medicine offers some advice and cautions about the exchanges, based on the experiences of the Netherlands and Switzerland. Both those countries rely extensively on private insurers plus substantial government involvement.
Risk adjustment is one key to exchanges' success.…
lborkowski | August 20, 2012Recent investigative reports in the New York Times and Washington Post delve into some of the profit-maximizing practices among healthcare providers that are can put patients' lives at risk. Polls have found that people have high levels of trust in their doctors, but these pieces show how financial pressures and incentives can lead to decisions that aren't in patients' best interests.
Last week, Julie Creswell and Reed Abelson reported in the New York Times on hospital giant HCA, which was bought by private equity firms (including Bain Capital) in 2006 and has since generated impressive…