Payers, providers, patients – even politicians – attacking Gilead over $1,000/day hepatitis C pill

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Payers, providers, patients – even politicians – attacking Gilead over $1,000/day hepatitis C pill

April 13, 2014 8:19 am by | 3 Comments

The nation may have finally met a drug it cannot afford.
Sovaldi is a long-awaited breakthrough for the 3 million Americans suffering from the hepatitis C virus. And at $1,000 a daily pill, or $84,000 over 12 weeks of treatment, the medication could ge…


Four old meds leading the price spike among generics: doxycycline, albuterol, clomipramine, and captopril

Four old meds leading the price spike among generics: doxycycline, albuterol, clomipramine, and captopril

April 21, 2014 4:00 am by | 0 Comments

Pharmacist Larry Cowan can flip through his records and spot the generic drugs that have taken big price jumps in the past year or so.
There’s digoxin, a heart medicine that he used to buy for pennies a pill.
“Now the price is close to 10 times that,” …


Washington state hoping that Medicaid expansion will cover more inmate health costs

Washington state hoping that Medicaid expansion will cover more inmate health costs

April 13, 2014 9:19 am by | 0 Comments

The state’s prison system anticipates saving more than $1 million this year on inmates’ medical bills because of the federal Affordable Care Act.
Now, state lawmakers want to see if Washington’s home for violent sex offenders can find similar ways to b…



More Texas doctors drop insurance and move to cash only

More Texas doctors drop insurance and move to cash only

April 12, 2014 4:26 pm by | 0 Comments

LAREDO — For 12 hours a day, the waiting room at Dr. Gustavo Villarreal’s family practice is often packed with patients, people who will pay a flat $50 fee for…


Cancer doctor glad that Medicare data dump is causing consumer outrage

Cancer doctor glad that Medicare data dump is causing consumer outrage

April 10, 2014 11:25 am by | 0 Comments

When Dr. Minh Nguyen got a phone call from a reporter telling him he’d been paid $11 million from Medicare in 2012, he was shocked.
“I didn’t make $11 million in 2012. I’d be ecstatic if I made $11 million. I’d be ecstatic if I made a million dollars i…


Maine Pharmacy Association claims Canadian company sells prescriptions filled in India

Maine Pharmacy Association claims Canadian company sells prescriptions filled in India

April 9, 2014 2:39 pm by | 0 Comments

The president of the Maine Pharmacy Association has filed a complaint with state regulators alleging that a Canadian company broke state law by selling him generic drugs from prescriptions that were filled in India, Turkey and Mauritius.
In a complaint…


Premera Blue Cross fights nurse legislator’s push for price database in Washington state

Premera Blue Cross fights nurse legislator’s push for price database in Washington state

March 16, 2014 1:16 pm by | 0 Comments

As Washington’s Legislature wrangled its way to adjournment, Gov. Jay Inslee and other advocates for health care reform declared themselves to be more or less pleased. It took a fight, but lawmakers passed bills to start increasing price transparency, improving care in rural areas, and improving mental health care.


What healthcare should NOT learn from Amazon

What healthcare should NOT learn from Amazon

March 4, 2014 6:20 am by | 3 Comments

Ed Park Presentation at HIMSS from Brian Ahier A few months ago I spoke with the CEO who ran several nursing homes. We were having lunch in Cincinnati and I…



Comparison shopping for healthcare makes payers and providers look bad

Comparison shopping for healthcare makes payers and providers look bad

February 16, 2014 4:12 pm by | 10 Comments

When patients get bills from different hospitals for the same care, the insanity of hospital bills and payer reimbursement system quickly becomes obvious.


Obamacare customers need quality data to go with narrow networks

Obamacare customers need quality data to go with narrow networks

January 21, 2014 11:45 am by | 0 Comments

I have heard rumblings about narrow networks since early 2013. Mostly the discussion was framed in terms of “one more thing everyone will hate about the Affordable Care Act.” Sarah…


Three healthcare trends that will become painfully obvious to patients in 2014

Three healthcare trends that will become painfully obvious to patients in 2014

December 30, 2013 7:50 am by | 10 Comments

As we enter the New Year, I like to reflect on where we’ve been and where we’re heading in medicine. By far and away, this is the most tumultuous time I have ever experienced in health care.  Doctors and nurses appear stressed and downtrodden, administrators are running scared, desperate to seem “value-added,” and patients are scrambling to get seen in these last two days of 2013.

It’s strange


NEJM: To take cost out of care, make medical school cheaper

NEJM: To take cost out of care, make medical school cheaper

October 31, 2013 11:29 am by | 0 Comments

Two authors pose a new theory about lowering the cost of care: Make medical school more affordable. A new editorial up at the ┬áNew England Journal of Medicine, suggests we…


Hospital or hotel? Take this quiz to see if you can tell the difference in design

Hospital or hotel? Take this quiz to see if you can tell the difference in design

September 27, 2013 1:10 pm by | 0 Comments

Whether it’s just expensive healthcare marketing or design to improve life, hospital construction has kicked it up a notch. In the NYTimes, Elizabeth Rosenthal discusses the pros and cons of…


Only six cents of every healthcare investing dollar goes to medical devices + diagnostics

Only six cents of every healthcare investing dollar goes to medical devices + diagnostics

September 25, 2013 6:15 pm by | 0 Comments

Though the medical device industry supports two million U.S. jobs and prices have increased below the rate of inflation, medical devices and diagnostics take up less than a dime of…


Keckley predicts Occupy Healthcare and more painful change in “reform 2.0″ in his last Deloitte memo

Keckley predicts Occupy Healthcare and more painful change in “reform 2.0″ in his last Deloitte memo

September 3, 2013 6:35 pm by | 0 Comments

Paul Keckley said goodbye to the Deloitte Center for Health Solutions today. In his 243rd memo about healthcare reform, he critiqued the Affordable Care Act and the industry’s reaction to it. He also predicted that tight economic times mean the second round of reform will be even more wrenching.


How much does it cost to replace the battery in a defibrillator? Super patient Hugo Campos knows

How much does it cost to replace the battery in a defibrillator? Super patient Hugo Campos knows

August 19, 2013 4:45 pm by | 0 Comments

If you don’t follow Hugo Campos (@HugoOC) on Twitter, you probably should. He’s changing the way at least one of the big medical device companies–Medtronic (MDT)–thinks about sharing data with…