'Biggest Loser' workouts drop fat without losing muscle mass – USATODAY.com“The grueling boot-camp workouts on NBC's The Biggest Loser help contestants lose large amounts of body fat while preserving their muscle mass, a new study shows.”(USA Today)
Insurers Denied Coverage to 1 in 7 – WSJ.com “The four largest U.S. for-profit health insurers on average denied policies to one out of every seven applicants based on their prior medical history, according to a congressional investigation released Tuesday.” (Wall Street Journal)
The myth of CSI – The Boston Globe “The quality of American crime scene forensics is wildly inconsistent: many labs have poorly trained investigators, antiquated equipment, and cases backed up for weeks. In some labs, investigators have purposely altered test results in order to get findings that favor the prosecution.” (Boston Globe)
Hospitals Lure Doctors Away From Private Practice : NPR “Last year, half of new doctors were hired by hospitals, according to the Medical Group Management Association, a professional organization for physician practices. According to a 2009 report by the American Medical Association, 1 in 6 doctors works for a hospital, and the number is quickly growing.” (npr.org)
Supreme Court Hears Arguments in Vaccine Case Against Wyeth – NYTimes.com “Much of the argument concerned the meaning of the word ‘unavoidable.’” (The New York Times)
Paul Levy, the perpetually newsworthy CEO of Beth Israel Deaconess Medical Center, makes a crisp argument today blogging about the rising cost of health care.
Levy says while insurers often whine about the “underlying rise in medical costs” as the key driver of higher health insurance premiums, there is, in fact, another critical culprit: outsized administrative expenses racked up by the major health insurers, on average about 9.3 percent annually.
Levy’s Exhibit A is a February 2010 report issued by the state Division of Health Care Finance and Policy on premium levels and trends in the private insurance market:
“How can this be the case?” Levy wonders. “In other financial services industries, unit costs of transactions have gone down, not up. What is it about health care that suggests the opposite should be the case?”
Not to be outdone, the Massachusetts Association of Health Plans gave me a fairly lengthy response. Touche:
Reducing administrative expenses in health care is important and efforts are underway, but those costs are not what is driving health plan premiums. More to the point, talking about administrative costs distracts from focusing on the the major cost driver, which is escalating medical expense. Continue reading
Even here in Massachusetts, in the state with the most insured people bar none, there are still at least 20,000 children who are not covered. Why, oh, why, with all the help available, are there still children without health insurance?
“We ask ourselves this question every day,” said Dayanne Leal of the advocacy group Health Care For All. Today, Leal and a team of 13 volunteers are trying a new tactic to get children signed up: A “got coverage?” phone-a-thon, from 9 a.m. to 9 p.m., inviting anyone who still has uninsured children or teens to call 1-800-272-4232 and get help signing up. More than 40 children have already been enrolled, Leal said at noonish today, and about a hundred messages are still pending.
“It’s going crazy, which is good,” she said.
So why is it? Why haven’t these children been signed up already? Continue reading
Kaiser Health News has a great big roundup of stories today, marking the day that the first set of consumer protections take effect, six months after the enactment of national health care reform.
We want to know how the new law is affecting you. Are you now able to get insurance even though you have pre-existing conditions? Are your twenty-something kids now covered under your policy? Have you started getting preventative care without co-pays? Tell us if the law is filtering into your lives, and how.
You may not feel yourself overflowing with love and appreciation as you pay your premium, but the fact is that several Massachusetts insurance plans are considered excellent — in fact, tops. (Our premiums also tend to be higher than elsewhere, by the way.) Massachusetts dominated the top ten in the latest national rankings that the non-profit National Committee for Quality Assurance issued. The top of the rankings looked like this:
1. Harvard Pilgrim Health Care
2. Tufts Associated Health Maintenance Organization
3. Harvard Pilgrim Health Care of New England
4. Capital Health Plan
5. Geisinger Health Plan
6. Grand Valley Health Plan
7. Group Health Cooperative of South Central Wisconsin
8. Fallon Community Health Plan
9. Kaiser Foundation Health Plan of Colorado
10. Health New England
11. Blue Cross and Blue Shield of Massachusetts
All the top-rated Massachusetts plans are non-profits. And just a bit of inside baseball: If you look at the complete list here, you’ll see that Harvard Pilgrim edged out Tufts for the top spot by just a hair: an overall ranking of 90.5 vs. 90.4. Last year’s scores followed a similar pattern, and the two plans have been neck-and-neck at the top for five years now. Readers, what do you think is up?
This from Kaiser Health News:
According to a Census Bureau announcement this morning, the number of people without health insurance coverage increased from 46.3 million in 2008 to 50.7 million in 2009. Read the Census Bureau’s summary of key findings or gain access to the full report here.
'Connector' Chief Glen Shor
Anything you’re burning to ask the new executive director of the “Commonwealth Health Insurance Connector Authority Board,” better known as The Connector? It’s the independent state agency that acts as an insurance broker of sorts in the post health care reform era here in Massachusetts, and we’re slated to meet with its new chief, Glen Shor, late this afternoon for his first in-depth interview since taking the job. Post your question as a comment on this post, and we’ll do our best to get an answer and write it up tomorrow.
- Costs of Care founder Neel Shah
Wanted: Hair-raising or heartbreaking tales about health care costs.
Say you’re a doctor. Your patient asks you how much the surgery you’re recommending will run him, and you have to confess that you don’t have the faintest idea. Or another patient says, “I’m still feeling a little tired. I think I”ll wait until tomorrow to go home from the hospital,” and you think but do not say, “Do you understand that this will cost you $2,500??”
Or say you’re the patient. You assume your health insurance will cover the procedure you need, and find out only weeks later that you’re facing thousands of dollars in bills. Or you go into the emergency room after a fender bender and find yourself undergoing head-to-toe body scans that will leave you deep in debt.
A Boston non-profit group, Costs of Care, has just announced a national contest aimed at gathering “the best anecdotes from patients and clinicians illustrating the importance of cost-awareness in medical decision-making.” The judges include former Gov. Michael Dukakis; Jeffrey Flier, the dean of Harvard Medical School; and surgeon/New Yorker writer Atul Gawande. The deadline is Nov. 1, and details are here.
Dr. Neel Shah, the founder of Costs of Care and a resident in obstetrics and gynecology at Brigham and Women’s Hospital, says the contest stemmed from “my belief that one compelling story is worth 100 academic papers on a subject.” Continue reading
Healthcare lawsuit: States opposed to healthcare overhaul pin hopes on Florida court hearing – latimes.com Conservative legal challenge to federal reform comes to court this week. (Los Angeles Times)
Patient Money – Health Insurance Brokers Can Guide Individual Buyers – NYTimes.com Brokers are busier than ever as individuals explore their new options. (The New York Times)
A brash change-agent, Baker rose fast – The Boston Globe [Gubernatorial candidate Charlie] Baker “made a variety of radical moves in state government. Some would come back to haunt him, including his decision to approve the hospital merger that created Partners HealthCare, the powerful consortium some blame for helping push up health care costs.” (Boston Globe)
Yale Alumni Magazine: Light & Verity Surgeon told patient ‘We got it all’ when in fact she never had cancer and he knew it. $12 million and 15 years of legal proceedings later, she says she might not have sued if doctors had been honest and apologized. (yalealumnimagazine.com)
“I live here. I already know all this. I feel it in my own medical care and insurance bills.”
That was my first reaction when I saw that the Center for Studying Health Systems Change had just put out a new report on how health care reform has affected Massachusetts, funded by the Robert Wood Johnson Foundation.
I was wrong. I found a motherlode of interesting nuggets in the overview, some little reported before, others the kinds of things that everybody knows but nobody much says. They come from a team of health care researchers who visited the Boston area in March and spoke with more than 50 health care leaders across the board, from doctors to benefits consultants to state officials, then followed up through the summer. Sometimes, I’m thinking, people say things when they’re speaking anonymously to a researcher that they might never say in public…Herewith some excerpts:
1.Doctors who own imaging centers are trying to sell them to hospitals, which can charge more Continue reading