The Affordable Care Act As New-Business Creator

Jane Sarasohn-Kahn

The following post ran yesterday, March 19 on Health Populi.

While there’s little evidence that the short-term impact of the Affordable Care Act has limited job growth or driven most employers to drop health insurance plans, the ACA has spawned a “cottage industry” of health companies since 2010, according to PwC.

PwC-Cottage-Industry-due-to-ACA-300x226As the ACA turned five years of age, the PwC Health Research Institute led by Ceci Connolly identified at least 90 newcos addressing opportunities inspired by the ACA:

  • Supporting telehealth platforms between patients and providers, such as Vivre Health
  • Educating consumers, such as the transparency provider HealthSparq does
  • Streamlining operations to enhance efficiency, the business of Cureate among others
  • Connecting patients and physicians, like SmartPatients and Doximity do
  • Offering health and wellness benefits that complement health plans on the marketplaces, like the novel health plan Oscar does
  • Developing new payment and care delivery models, including Iora Health
  • Performing big data analytics, such as Human API does. (more…)


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Digital health love – older people who use tech like health-tech, too

Jane Sarasohn-Kahn

The following post ran on March 4th on Health Populi.

As people take on self-service across all aspects of daily living, self-care in health is growing beyond the use of vitamins/minerals/supplements, over-the-counter meds, and trying out the blood-pressure cuff in the pharmacy waiting for a prescription to be filled. Today, health consumers the world over have begun to engage in self-care using digital technologies. And this isn’t just a phenomenon among people in the Millennial generationMost seniors who regularly use technology (e.g., using computers and mobile phones) are also active in digitally tracking their weight, for example, learned in a survey by Accenture.Seniors18

Older people who use technology in daily living (say, for entertainment or financial management) are keen to use tech for health, too. Specifically, illustrated in the infographic, Accenture found that:

  • 2 in 3 older people want to use self-care technology to manage their health
  • 3 in 5 older people are willing to track vital signs like heart rate and blood pressure via a digital device (more…)


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What Do Women Know About Obamacare That Men Don’t?

Susan-DentzerThe post below originally ran on The Health Care Blog. Susan Dentzer is one of Disruptive Women’s 2015 Women to Watch, read the post and you will see why!

For the second year running, more women than men have signed up for coverage in health insurance marketplaces during open enrollment under the Affordable Care Act. According to the Department of Health and Human Services, enrollment ran 56 percent female, 44 percent male, during last year’s open enrollment season; preliminary data from this year shows enrollment at 55 percent female, 45 percent male – a 10 percentage point difference.

What gives? An HHS spokeswoman says the department can’t explain most of the differential. Females make up about 51 percent of the U.S. population, but there is no real evidence that, prior to ACA implementation, they were disproportionately more likely to be uninsured than men – and in fact, some evidence indicates that they were less likely to be uninsured than males. (more…)

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Disruptive Women & Service join forces: Care for Military & Veteran Women Series

stodder headshot DCWe are grateful to Disruptive Women in Health Care for giving us a platform to present solutions to the range of obstacles faced by women who serve. In the posts we will introduce highly informed contributors with an eye toward solutions. The writers will be military and veteran women as well as all those who care about them and for them.

Patricia Lee Stotter, a multiple award winning composer, addresses all issues of health care, and has created the opportunity for this collaboration. As co-producer of the Emmy award-winning film, “Service: When Women Come Marching Home”, Stotter threw herself into creating social media bridging many gaps and bringing women together. Whether working on Sesame Street or suicide prevention, Stotter is all about the right voice at the right time, creating strategic partnerships to lift the voices of the disenfranchised. (more…)

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  • January 13th, 2015 Filming in the ER: A Policymaker Perspective
    By Glenna Crooks
  • Congress Passes ABLE Act: Major Victory for Persons with Disabilities and Their Families

    Congratulations to one of our 2015 Disruptive Women to Watch Madeleine Will for all her work on this legislation and on behalf of persons with disabilities. 

    (Washington, D.C. – Dec. 17, 2014) – Last night, the U.S. Senate overwhelmingly passed the Achieving a Better Life Experience (ABLE) Act of 2014 by a vote of 76 to 16. First introduced in 2006, and subsequent sessions of Congress, the ABLE Act will allow people with disabilities (with an age of onset up to 26 years old) and their families the opportunity to create a tax-exempt savings account that can be used for maintaining health, independence and quality of life.

    “Today marks a new day in our country’s understanding and support of people with disabilities and their families,” Michael Morris, National Disability Institute (NDI) Executive Director, said. “A major victory for the disability community, ABLE, for the very first time in our country’s policy on disability, recognizes that there are added costs to living with a disability.” He continued. “For far too long, federally imposed asset limits to remain eligible for critical public benefits have served as a roadblock toward greater financial independence for the millions of individuals living with a disability.”  (more…)

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    Kaiser Family Foundation Understanding Health Insurance & Open Enrollment Resources

    The Kaiser Family Foundation recently released the resources below to help people understand insurance and the Affordable Care Act’s marketplaces. We found them helpful and hope you do too.

     Understanding Health Insurance: Consumer Resources

    • Understanding Health Insurance: Consumer Resources (Updated Web Page)
    • Health Insurance Marketplace Calculator (Interactive)
    • Health Insurance Explained: The YouToons Have It Covered (Video)
    • Health Reform Frequently Asked Questions (FAQs)
    • Health Insurance Quiz (Quiz)
    • Health Coverage, HIV & You (Web Portal) (more…)


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    A Week of Music and Health Quality

    Cyndy Nayer

    Highlights from Stevie Wonder and the meetings of Boston and DC.

    albumsIt was a week of meetings, concert, new ideas, gorgeous weather, and finding new friends–a week of quality, indeed.  Here are some findings, some musings, and some encouragement to all who are seeking to build quality and safety into health outcomes.

    Boston:  No surprise that this beautiful city is accelerating some of the changes we want to see in health care and health outcomes. Meetings with new folks have fueled my energy in advancing the agenda in the all-important Rx development and access.  What’s missing is the value of new and developing treatments in improving the total value proposition:  what’s the worth in a family (quality of life during treatment), a worksite (lower absenteeism and lowering income loss), and to a person (less side effects, easier adherence, getting to cure [where possible]).  Of course I’ve written about this before (Framework for Outcomes-Based ContractingSovaldi Value of a CureSovaldi OBC Contract–Kiss is Still a Kiss), providing the business and outcomes models for using a high-cost drug that gets the person to goal. (more…)

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    Lift Every Voice: Listen to Women Veterans

    Janice Lynch Schuster

    During last week’s Veteran’s Day inspired concerts and tributes to veterans, a Hill-gathering of Disruptive Women (and our man of the month, Rep. Tim Walz, MN) spoke truth with power. Gathered to discuss challenges faced by women veterans, the group included veterans, members of Congress and their spouses, congressional staff, state leaders, and filmmakers. The group had had enough of platitudes and promises. We were ready for disruption, and Rep. Walz delivered just that, saying he was done with “incremental change” (Washington’s latest, favorite buzz-word) and prepared to lead “seismic change.”

    walz panelWalz speaks from a place of experience, knowledge, and passion: He is a retired soldier, and the highest rank ranking enlisted man to serve in Congress. During a 24 year stint in the Army National Guard, including a tour of duty in Operation Enduring Freedom, he also taught high school. The latter tour provided him some insight into chaos and disruption. In the 113th Congress, he will serve in leadership roles that include the National Guard and Reserves Caucus, and the Congressional Veterans Jobs.

    In his remarks, Walz noted that “it doesn’t take much to offer health care that people can’t access.” He added that although the VA has made some progress since the days when “the best thing the VA could say for what it had done for women was that the exam tables no longer  that face the door.” Later, he added that the VA system—staffed by dedicated people—still has far to go to really offer care for all, noting that, “it is much easier to put up a yellow ribbon then it is to step up care.” (more…)

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    November Man of the Month: Congressman Tim Walz

    Congressman Tim Walz (MN-01) is Disruptive Women’s November Man of the Month. Yesterday at our Disparities and Disservice: Women Veterans Deserve Better Health Care briefing we were pleased to present him with this honor and a t-shirt. As a 24-year veteran of the Army National Guard, Congressman Walz works to assure the safety and security of those who serve and have served in our armed forces. He also works tirelessly to ensure they have access to the benefits they deserve. Because of this and his commitment to providing the men and women who return from service with the opportunity to achieve success, happiness and good health in civilian life we are proud to name him November’s Man of the Month.

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    DWVets_02

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    Am I a Veteran?

    alfie

    This post is part of a new series, Disparities & Disservice: Women Veterans Deserve Better Health Care. The series will culminate with a briefing on Thursday, November 13 at noon.

    A very personal story illustrates why we continue to have disparities, especially in health care, among women who served in the military.

    I was at an event a number of years ago and towards the end of the program, the master of ceremonies, a retired Admiral, called on veterans by war service to stand and be recognized.  Ten WWII veterans stood and took a bow; four Korean War veterans came to their feet and were honored.  The Admiral then asked for Vietnam War veterans to stand and a third of all in attendance stood and the room went crazy in applause.  At that moment I realized that I was still sitting!  There I was, a 22 year Army veteran who served during the Vietnam and Gulf wars and I was still sitting…it was like a kick in the stomach and then I got angry at myself and the fact that I, who knows better, got distracted by the relationship that the word veteran has to serving in a war which correlates to deployment and combat.

    All this all happened in a matter of seconds and once I snapped out of it, I stood up to receive the recognition I was due among my wartime peers.  I did not serve in the war, but I was part of the Vietnam War as I cared for our wounded and their families in military hospitals.  (more…)

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    The demoralizing care women veterans receive…I have solutions

    diana dThis post is part of a new series, Disparities & Disservice: Women Veterans Deserve Better Health Care. The series will culminate with a briefing on Thursday, November 13 at noon.

    Out here, the sunrises and sunsets are breath taking. You can feel the calm and quiet, perfected by the chirping of birds and the rhythm of insects.  Reflection is mandatory.  Rural life is slower.  The night skies are darker, shimmering brightly with millions of stars.  The few sirens we hear sound for a few seconds in the morning, midday and early evening… a sort of alarm clock for farmers.

    The isolation is peaceful, centering, inviting…. and dangerous for aging disabled veterans far removed from their Community Based Outpatient Centers (CBOC’s) and VA hospitals and lacking community services.

    The average person who suffers an injury goes to the closest ER or clinic. The rural veteran weighs the distance to the VA – mine is a couple of hours away – versus my personal assessment of how badly I am injured or how ill I feel. (more…)

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    How the VA can better service Women Veterans

    Digital StillCamera

    This post is part of a new series, Disparities & Disservice: Women Veterans Deserve Better Health Care. The series will culminate with a briefing on Thursday, November 13 at noon.

    I am an Army veteran who was disabled during military service, a health policy advocate for my fellow women veterans, and a long-time patient of the VA health care system. As a patient, I have personally received excellent care through VA for more than two decades, and continue to see progress made in the overall delivery of health care to women. As an advocate, I know there are still many policy, program and cultural changes that must be implemented to ensure federal agencies, including the VA, are providing equitable services to women veterans and fully meeting their unique health care and transition needs.

    The goal of VA provided care and services should be to recognize military service and sacrifice and assist veterans – all veterans – in successfully transitioning from the military to civilian life. But just to illustrate the severity of the gender-gap, nearly one in four VA hospitals do not have a full-time gynecologist on staff. This is a major shortfall in providing unique, necessary care to women veterans, and it must be fixed. (more…)

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    Free the Data Announces New Partnership with Rep.Wasserman Schultz

    Sharon Terry

    FTD_logo3WASHINGTON, DC (October 8, 2014)—Free the Data, a national coalition of organizations dedicated to freeing genetic information, announced that U.S. Rep. Debbie Wasserman Schultz (FL-23) was named its Honorary Chair.

    “The time for hoarding data as a commodity is over,” said Sharon Terry, President and CEO of Genetic Alliance, the nonprofit health advocacy organization that coordinates Free the Data. “The Coalition is thrilled to have a powerful partnership with Congresswoman Wasserman Schultz. In Breast Cancer Awareness Month, we are confident that the Congresswoman adds strength and momentum to the Free the Data movement, particularly as we work to free data associated with breast and ovarian cancer!” (more…)

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    The Rise of Consumer Centricity: Comments on the Gamechanging Opportunities

    Cyndy Nayer

    In commenting on the new IMS Pharma Letter, we highlight the emergence and widespread build up of the consumer’s role in prevention, care and outcomes. Consumer centricity is being driven by the rise of CDHP (consumer directed health plans), but it’s quite different from these insurance products, with their high deductibles and variable co-pays.

    Consumers are learning and experiencing more about consumer-directed health plans (CDHP) as they enter the exchanges, even though CDHP has been around for fifteen years or more.  Most new health insurance products have a deductible that must be met, so consumers must pay for services and treatments until they reach that goal.  NOTE:  the ACA (Obamacare) mandates that no individual pay more than $6350 in total out-of-pocket costs in Y2014).  If they have not paid the sum, they will pay more of their own money for the care.

    Consumer centricity in health care means that control for choice of service and for outcomes will shift to the  consumers and they will become the ultimate arbiters in their health and health care.  It’s a value-based concept that drives this shift in decision-making. IT supports the data so that the consumer can decide where, when, why and who to choose for care based upon personal preferences and goals, total costs, incentives to engage and time to get to the outcome preferred. (more…)

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