http://www.arktimes.com/ArkansasBlog/archives/2012/12/10/new-dhs-projections-on-impact-of-medicaid-expansion-could-see-more-light-as-legislative-session-approaches Comments On: New DHS projections on impact of Medicaid expansion could see more light as legislative session approaches by David Ramsey en-us Copyright 2013 Arkansas Times. All rights reserved. This RSS file is offered to individuals, Arkansas Times readers, and non-commercial organizations only. Any commercial websites wishing to use this RSS file, please contact Arkansas Times. robert@arktimes.com (Arkansas Times Webmaster) Thu, 20 Jun 2013 00:00:01 -0500 Thu, 20 Jun 2013 05:45:00 -0500 Foundation http://blogs.law.harvard.edu/tech/rss
1) Establish health care as a human right.
2) Copy /establish a system from the very best of over thirty five countries existing templates who do it with far better health stats and far less costs than we.

do you not understand?

We don't need to shuffle ponzi costs... we need to cut health GDP by at least half to begin to get out of the most expensive least healthy slot in the developed world.

Right now the only framing/purpose in cutting costs is to enhance profit for a few. (See the wal mart link in my comment above)

No excuses. no negotiating with failed neoliberal vs conservative pricing of everything, valuing only profit.
Posted by Eureka Springs]]> Mon, 10 Dec 2012 14:09:28 -0600 Arkansas Times
Medicaid/Medicare-AAMC/BCBS payment initiatives, EHR (Electronic Health Record)-Meaningful Use incentives' objectives, Physician Quality Reporting incentive/adjustment measures (PQRS), E-prescribing incentives/adjustments, Patient Centered Medical Home requirements-certification, and Accountable Care Organizations (ACO) are all changing our healthcare system as we speak and for years to come. Provider incentives distributed based on improved outcomes or health measurements in patient populations and payment adjustments related to poor patient and measurement outcomes will be changing the behavior of hospitals, physicians, and provider organizations throughout Arkansas and the U.S.

So, have you heard of any of these? Do you know how much the incentives or payment adjustments are?

e-prescribing: http://www.ama-assn.org/resources/doc/hit/… e-prescribing and computerized physician order entry also help physicians treat their patients because the program watches out for conflicts with a patient's allergies, other medical conditions, and other medications. When a physician goes to send a prescription electronically straight to the pharmacy (no more problems with illegible scripts), generics to the drug or alternatives with pricing are also shown before the Rx is sent.

EHR-Meaningful Use: https://www.cms.gov/Regulations-and-Guidan…

Meaningful use measures for stage 1: https://www.cms.gov/Regulations-and-Guidan…

PQRS: http://www.outcome.com/pqrs.htm

PCMH: http://www.ncqa.org/Programs/Recognition/P…
http://www.workforce.com/article/20121205/…

ACO: http://www.ama-assn.org/amednews/2012/12/1…

Payment initiative: http://www.paymentinitiative.org/howItWork…

Health Information exchanges: http://ohit.arkansas.gov/Pages/default.asp…

one way to leverage technology reduce costs, healthcare kiosks: http://www.npr.org/2012/07/31/157678604/se…

Does all of these fit into your narrative, ES? Will we not see any cost savings from any of these? Will our fellow Americans get any health benefits from these? I don't necessarily like how this seems to be trending towards an overindulgence in computer centered care with all of the data entry, analysis, and tracking. I'm going to watch to see how it pans out. Docs and other providers will need to be aware when they might be spending too much attention towards patient data and not enough time focused, hands-on, talking and interacting with the patient. But for now, more technology for more docs is better than less computerized charts for the handful of docs that may be going overboard.
Posted by imjustsaying]]> Mon, 10 Dec 2012 13:39:17 -0600 Arkansas Times
http://www.emptywheel.net/2012/12/05/walma…
Posted by Eureka Springs]]> Mon, 10 Dec 2012 10:11:20 -0600 Arkansas Times
Too ignore this while playing the ponzi's D vs R / State vs Fed / Profit vs more profit rather than establishing health care as a human right as a nation... a state might spend less here, but the private insured folks and feds spend far more... is an inhumane lose lose scenario which promises to keep us at or below the defining third world line of health care.
Posted by Eureka Springs]]> Mon, 10 Dec 2012 09:42:59 -0600 Arkansas Times
I think they will be able to see the need and the sense it makes to fulfill it.
Posted by eLwood]]> Mon, 10 Dec 2012 09:23:58 -0600 Arkansas Times