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Is Patient Engagement the Solution…or a Healthcare Urban Legend? | The Health...

Al is ooohh so right that we have seen this “engagement” movie before.  Our approach to health care is basically the medical equivalent of the movie Groundhog Day. I would love to see us find a way to...

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Avivia Health: Patients and, Apparently, Benefits Consultants Are Responding...

An Intelligent Design Award from the Disease Management Purchasing Consortium goes to Aviva Health.  Read the DMPC release and laudatory analysis by clicking on the link below.  It’s news worth...

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CV Screening Fails to Prevent Disease Over Long Term

Another punch to the gut for the screen-now, screen-tomorrow, screen-forever wellness industry.  Screening not only does not work to move the population health needle, it is impossible to do it...

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A brilliant opportunity: cash for chiropractors!

Great news!  Chiropractors are being urged to get in and feed at the ACA wellness trough.  Why don’t we just tell employers to bring in shamans or magicians? A brilliant opportunity. See also:...

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Health care inflation slows: Health Affairs

In its most recent issue, Health Affairs presents a series of papers looking at the slowdown in health care inflation over the past few years.  You can access the Table of Contents using the link...

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One Strategy for Health-Law Costs: Self Insure – WSJ.com

The surest mechanism for a business to extricate itself from ACA dictates is to self-insure.  This article nicely describes how smaller firms, typically the ones that don’t self-insure, are starting to...

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JAMA Network | JAMA | Personalized Medicine vs Guideline-Based...

A thoughtful essay on the conflict between following guidelines based on the results of clinical trials and the need to tailor therapies or diagnostic approaches to the needs of specific patients. JAMA...

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The Wellness Game:The Employer as the New Parent | The Health Care Blog

Who’s your daddy?  Well, more and more, it’s your employer.  But, is that really a good thing?  Maybe yes, but probably not. The Wellness Game:The Employer as the New Parent | The Health Care Blog....

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Dental duplicity

Finally, someone in the dental industry has seen fit to complete and publish a study on whether the recommendation that people see their dentist twice yearly is based on any credible evidence.  The...

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RAND Shrugged | The Health Care Blog

Al Lewis and I write our unique take on the meaning of the RAND report on workplace wellness programs… RAND Shrugged | The Health Care Blog. Filed under: corporate wellness, health policy, population...

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JAMA Network | JAMA | First, Do No Financial Harm

A necessary and appropriate conversation, framed in a very adult way by physicians from UCSF, Harvard, and the University of Chicago.  It’s nice to see doctors tell their peers not only that they can...

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RSA Animate – Drive: The surprising truth about what motivates us – YouTube

This is a great 10-minute video about incentives and what motivates people to succeed.  It’s definitely not what wellness vendors and benefits consultants are telling everyone will motivate people to...

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Intel offers employees narrow network of health insurance | Modern Healthcare

It’s refreshing to see a major employer acknowledge that the conventional approach to wellness will not reduce spending on medical care.  Intel goes a different route on cost containment. Intel offers...

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A Systematic Review of the Evidence Concerning the Economic… : Journal of...

A little noted recent review of the economic impact of workplace wellness programs, published earlier this year by Lerner and colleagues from Tufts.  The overall impact: negligible, which is exactly...

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National Health Expenditure Projections, 2012–22: Slow Growth Until Coverage...

Health Affairs has just published the official federal projections of health care spending for the next decade.  These people, who actually understand health economics, don’t even use the word...

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JAMA Network | JAMA | The Elusive Path to Health Care Sustainability

An excellent essay on how to achieve policy sustainability.  Jack Lewin is a long-time health policy insider and expert.  The consensus amongst major policy think tanks is quite striking. One note and...

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Costliest 1 Percent Of Patients Account For 21 Percent Of U.S. Health...

Just more evidence that entire wellness construct is a complete and utter fraud.  Reading this Kaiser Health News Report, with data from the Agency for Healthcare Research and Quality is a powerful...

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Companies Prepare to Pass More Health Costs to Workers – WSJ.com

This is what will hold down medical care spending by an employer, not workplace wellness. Companies Prepare to Pass More Health Costs to Workers – WSJ.com.Filed under: health insurance, health policy,...

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Health Care Spending — A Giant Slain or Sleeping? — NEJM

Excellent article on healthcare spending trends that touches on important themes and facts.  Yet another paper on healthcare spending that doesn’t use the phrase “workplace wellness,” not even in...

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New Oregon Data: Expanding Medicaid Increases Usage Of Emergency Rooms,...

Surprise! Increasing coverage increases cost and inappropriate utilization, even of the most expensive healthcare service (use of an emergency department for non-emergent care) that was supposed to get...

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