David E. Williams

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Daily

Pharma gets it, why don’t you? Cheap drugs are un-American!

When Americans talk, pharmaceutical companies listen. And what they’ve heard is that initiatives to contain or regulate medical costs get labeled as “rationing,” a word with very un-American connotations. While politicians wring their hands, pricing strategists at pharma and biotech companies take action by charging high and rising prices for products for life-threatening illnesses. Cancer is Exhibit A, with […]

Daily

Why one online billing company’s win is an even bigger victory for healthcare

  Back in the good old days patients’ out-of-pocket responsibility for healthcare costs was negligible. Remember the $5 office visit co-pay, just as an example? As a result hospitals and physician offices set their billing and collection systems up to work with health plans and government payers. Consumer billing was an afterthought, bills were hard to […]

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Whole Foods wants to go Whole Health. How will it look?

Whole Foods founder and CEO John Mackey is nothing if not outspoken. Among other things he called Obama fascist. So it’s interesting that he seems to be maneuvering Whole Foods into the health care space. For a start, he’s inviting Whole Foods employees to a “Total Health Immersion” program that emphasizes weight loss. Next there may be plans in […]

Daily

Wake up! High-deductible health plans are the ultimate barriers to healthcare

They used to call high deductible health plans “consumer-directed” plans. That was before people realized there is nothing particularly consumer driven about them. A recent poll –not the first of its kind– shows that people with high deductible plans tend to forego care. In fact they skip both unneeded and needed care. Most people don’t like the […]

Daily

The GOP’s latest attempt to weaken Obamacare is a swing and a miss

The Cato Institute’s Michael F. Cannon is a foe of the Affordable Care Act, which means I disagree with him most of the time. But he’s right on the money with his ten-point teardown of the Republican Congress’ first salvo against Obamacare. The bill would redefine a full-time worker as someone who works 40 hours […]

Hospitals

Would you get lower medical bills if health insurance didn’t exist?

Dr. Richard Amerling, president of the Association of American Physicians and Surgeons, writing from New York, had this to say in yesterday’s Wall Street Journal: A patient recently asked, “What would happen if there was no health insurance?” I responded, “The prices for all medical goods and services would immediately plummet.” I would direct his attention […]

Hospitals

Physician ratings edge closer to the mainstream

Doctor ratings and reviews have gotten a bad name, especially from doctors. There are concerns about their validity and usefulness. And while I share these worries I also believe ratings and reviews are important and have the potential to become much more prominent and useful over time. I’m encouraged that some healthcare providers are reversing course […]

MedCity Influencers

Obamacare signups: More than just the exchange numbers

All that hyperbole for nothing! President Obama just announced that 8 million people signed up for coverage on federal and state health insurance exchanges during the initial open enrollment period for the Affordable Care Act, aka ObamaCare. That’s higher than originally projected, and much higher than how things looked when the glitch-filled healthcare.gov sputtered out […]

Hospitals

Zohydro ban: Disagreeing with Governor Patrick

Massachusetts Governor Deval Patrick is trying to ban Zohydro ER, a new prescription painkiller, under a state of emergency he’s declared to combat opiate abuse. I agree with the Governor that opiate addiction is a huge problem in Massachusetts (and many other places) but the attempt to ban sales of Zohydro is a bad idea […]

Hospitals

Should step therapy and prior authorization be outlawed?

In ‘Fail first’ fails patients in the Boston Sunday Globe, a patient with depression decries his health plan’s use of “step therapy,” which requires members to try less expensive drugs before switching to pricier products.  This is a brave article –the author is going public as a transgender man and as someone who suffers with depression– and I […]

Hospitals

Give Boomer Esiason a break on early birth comments

Retired football star and current radio host Boomer Esiason has opened the floodgates of righteous indignation by suggesting that the Mets second baseman should have encouraged his wife to have a scheduled C-section before opening day. That would have prevented him from missing the first two games of the season when he flew home to be with her. […]