December 2018 | Volume 1
MOVING INTELLIGENT CHANGE FORWARD
INNOVATION DIGEST
It’s (way past) time to ask whether we’re getting what we want and deserve from our healthcare system. Here’s my wish list: Preventive care at reasonable cost that keeps me (and my family) well, access to caring, qualified providers from cradle to grave, the ability to lead a productive life with good physical and mental well-being, and a safety net of care if my genes beget illness or when accidents happen. And yet, the evidence shows how far we are from that reality. The business of healthcare has us obsessed with profits, with consolidation and its impact on networks, with the promise of new technologies, with prices and what level of profit is acceptable. Meanwhile, talking about the fundamentals is less enthralling. And here’s evidence of failure: nursing homes that neglect their duty of care to the most vulnerable; mental illness and addiction conditions that still go undiagnosed and untreated; and startling data about mortality in "the best healthcare system in the world." Of course we can’t pay for Medicare for All, but it’s an important conversation about defining what our healthcare system should be about, first. If we all have access to the same basic services, can we then get to the (harder) conversation about how we prioritize, give access to and pay for the rest? Hope springs eternal...
Advocacy groups push back against CMS protected drugs claims
Earlier this week, the Trump administration released as part of its ongoing attempt to bring down the cost of prescription drugs a proposed rule  that would give Part D plan sponsors more tools, such as step therapy and prior authorization, to manage drugs in the protected classes. 
When Will We Solve Mental Illness?
Nothing humbles history’s great thinkers more quickly than reading their declarations on the causes of madness. Over the centuries, mental illness has been attributed to everything from a “badness of spirit” (Aristotle) and a “humoral imbalance” (Galen) to autoerotic fixation (Freud) and the weakness of the hierarchical state of the ego (Jung).
Amazon software can analyze patient medical records: WSJ  
Hospitals and physicians are interested in Big Data and what that could mean for patient care. The ability to harness clinical data could fuel predictive analytics to aid in personalized patient treatments.
Drug overdoses and suicides fuel drop in U.S. life expectancy  
Life expectancy in the United States declined again last year amid the twin scourges of opioid addiction and an unrelenting rise in suicides.
Lobbyist Documents Reveal Health Care Industry Battle Plan Against "Medicare for All"  
Now that the midterms are finally over, the battle against “Medicare for All” that has been quietly waged throughout the year is poised to take center stage.
Overdoses, bedsores, broken bones: What happened when a private-equity firm sought to care for society’s most vulnerable  
To the state inspectors visiting the HCR Manor­Care nursing home here last year, the signs of neglect were conspicuous. A disabled man who had long, dirty fingernails told them he was tended to “once in a blue moon.”

Passion + Quality = Change That Matters
  
I embrace the powerful opportunities in our evolving health care landscape. I founded Momentum Health Strategies to be a catalyst for change through continuous learning, diverse engagement and thoughtful policy and practice initiatives. I deliver innovative, strategic thinking and a passion for improving the patient experience. My personal drive and dedication to high-quality results will help you navigate the competitive terrain you face and convert your vision to action.

Momentum Health Strategies

Jennifer L Bright, MPA
(703) 628 - 0534
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