Volume III, Issue 20

May 16, 2016
ProPublica's Database Exploited by Drug Abusers 
WH 
Ayla Ellison, reporting for Becker's Hospital Review on May 13, 2016:
 
ProPublica's database that details the prescribing habits of hundreds of thousands of physicians has led to several important findings and is a useful tool for physician comparison. However, it appears some readers are taking advantage of the database to find physicians likely to prescribe widely abused drugs.
 
WIM
Prince's recent death put opioid abuse back in the spotlight. It's a shame, but hardly a surprise, that ProPublica's database is being misused by addicts.
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Republicans win Obamacare legal challenge, add to insurer concerns 
WH
A Reuters report by Lawrence Hurley posted on Thursday, May 12, 2016:
 
A U.S. judge on Thursday handed a victory to congressional Republicans who challenged President Barack Obama's signature healthcare law...
 
U.S. District Judge Rosemary Collyer, based in Washington <D.C.>, ruled that the administration cannot spend billions of dollars in federal funds to provide subsidies under the law known as Obamacare to private insurers without the approval of Congress.
 
At issue in the case, brought by the Republican-led House of Representatives, are reimbursements to insurance companies to compensate them for reductions that the law requires them to make to customers' out-of-pocket medical payments.
 
WIM
According to Mr. Hurley:

The ruling will not have an immediate effect on the law because the judge put the decision on hold pending an expected appeal by the administration. But it adds to uncertainty over the future of Obama's signature domestic policy achievement ahead of the Nov. 8 presidential and congressional elections, including whether enough health insurers will continue to participate in the program.
 
Insurers have sustained losses from their Obamacare business, saying they have not attracted enough healthy customers to offset the costs of sicker members. Two of the largest players, UnitedHealth Group and Humana Inc, had already said they would not offer plans in many markets next year.
End-of-life care: New MA survey shows deep chasm between what we know and what we do
WH
According to a new statewide survey by the Massachusetts Coalition for Serious Illness Care and published on PR Newswire May 12, 2016:
 
Eighty-five percent of Massachusetts residents believe that physicians and their patients should talk about end-of-life care - but only 15 percent have actually had such conversations...
 
Strikingly, even those respondents facing serious illness are reluctant to plan ahead with their care team. Only 25 percent of respondents facing such afflictions reported talking with their physician about end-of-life care.
 
WIM
"These findings are a wake-up call for all of us, clinicians and patients alike," said Atul Gawande, MD, MPH, Co-chair of the Coalition, Executive Director of Ariadne Labs, a joint center of Brigham and Women's Hospital and Harvard T.H. Chan School of Public Health, and author of the New York Times bestseller, Being Mortal: Medicine and What Matters in the End...
 
"This is about how you want to live, not just about how you want to die," Gawande said. "When clinicians don't talk to people about their priorities for serious illness care, care can become misaligned with what matters to them. And the result is suffering."

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Florida Health Industry Week in Review is published every Monday by FHIcommunications

Each Monday morning we share the top healthcare headlines of the previous week and summarize What Happened (WH) and Why It Matters (WIM).

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