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3 guaranteed ways to improve patient satisfaction

3 guaranteed ways to improve patient satisfaction | Apropos health care | Scoop.it

Here are 3 key strategies I have seen measurably improve patient experience.

Greg Judd's insight:

To paraphase a controversial humorist, "80% of health care success is showing up"

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3 Most Important Factors in Specialty Rx Cost Management... | PBM’s specialty Rx costs soar despite lower trend (EBN 5/19/17)

3 Most Important Factors in Specialty Rx Cost Management... | PBM’s specialty Rx costs soar despite lower trend (EBN 5/19/17) | Apropos health care | Scoop.it

...Large commercial payers and PBMs are starting to recognize that specialty drug costs depend on the site of care, according to Rujul Desai, a VP at Avalere Health, an Inovalon Company. For example, a hospital’s outpatient department typically costs more than a physician’s office, which also is more expensive than home infusion. His research shows that significant savings are possible when closer scrutiny of where these scripts are administered is applied to areas such as rheumatoid arthritis.

Greg Judd's insight:
...location, location, location....
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Stairway to Haven...? | Urgent Care Sites Cater To Cancer Patients, Letting Them Check Some Worries At Door

Stairway to Haven...? | Urgent Care Sites Cater To Cancer Patients, Letting Them Check Some Worries At Door | Apropos health care | Scoop.it

...A small but growing number of hospitals and oncology practices are incorporating urgent care aimed specifically at cancer patients, in which specialists are available for same-day appointments, often with extended hours, sometimes 24/7. Keeping cancer patients out of the emergency department makes sense not only because many of them have compromised immune systems that put them at risk in a waiting room full of sick people, but to provide the most efficient and appropriate care....

Greg Judd's insight:
The move by innovating enterprises up the business service value chain is a long-observed, time-honored phenomenon...Christensen or any other student of innovation would recognize the process....
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The key is having several keys...? | The key to making virtual visits a digital success

The key is having several keys...? | The key to making virtual visits a digital success | Apropos health care | Scoop.it
Telemedicine made a splash in the consumer space via services that let people consult with doctors other than their own from their smartphones. Now poised to sweep through major healthcare systems.

While few private practice doctors are doing virtual visits with their patients yet, it is a trend they should be aware of, because the competition from hospital-employed doctors is about to get a lot more intense in some areas as the latter start using telemedicine.
Greg Judd's insight:
So the key is integrating teleclinician visits with established/ongoing patient relationships? And this is a revelation to....who?
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No, but that's a silly question anyway | Will retail take over primary care?

No, but that's a silly question anyway | Will retail take over primary care? | Apropos health care | Scoop.it
Walgreens and CVS pharmacy chains are aggressively developing primary care venues within their stores. Their approaches are similar yet different, although the underlying strategy is the same for both.
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Behavior>Laws | When it comes to health care reform, innovation will matter more than politics

Behavior>Laws | When it comes to health care reform, innovation will matter more than politics | Apropos health care | Scoop.it
The irony is that health care is great at developing timely new therapies but terrible at operationalizing them.
Greg Judd's insight:
The irony, and the reality....
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Dr-ugh... | Pharmacies Often Fail To Warn Customers About Dangerous Drug Interactions

Dr-ugh... | Pharmacies Often Fail To Warn Customers About Dangerous Drug Interactions | Apropos health care | Scoop.it

...Independent pharmacies fared the worst, failing 72% of the time. But national chains were not far behind: CVS missed interactions 63% of the time, Target 62% of the time, and Kmart 60% of the time....

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Self-Monitoring Utilization Patterns Among Individuals in an Incentivized Program for Healthy Behaviors

Self-Monitoring Utilization Patterns Among Individuals in an Incentivized Program for Healthy Behaviors | Apropos health care | Scoop.it

....Thirty-four percent of users quit participating after a single entry of an activity....The majority of users (77%; 243,774/315,744) recorded activities through manual data entry alone....Individuals who entered activities automatically through supported devices or apps participated roughly four times longer than their manual activity-entering counterparts (average 20 and 5 weeks, respectively; P<.001)....

Greg Judd's insight:
Sharing this report now, a November 2016 summary of results from Walgreens' Balance Rewards for Healthy Choices program, because a Walgreens exec is enthusiastically presenting these results at HIMSS in Orlando this week:
  http://bit.ly/Walgreens_balance_rewards_results

Some of his enthusiasm seems warranted; some is probably not.
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Health coverage smarts while you wait | We All Want Healthcare To Cost Much Less — But We Are Asking The Wrong Question (Joe Flower)

Health coverage smarts while you wait | We All Want Healthcare To Cost Much Less — But We Are Asking The Wrong Question (Joe Flower) | Apropos health care | Scoop.it

Imagine this: Healthcare — the whole system — for half as much. Better, more effective. No rationing. Everybody in.... 

Greg Judd's insight:
If you're looking for a strong analysis of the strategic environment for health care/health costs solutions, but only have 15 minutes to absorb it, this is your lucky day. You may need to supply your own last-mile responses to specific questions but hey, what do you want in 15 minutes?
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Convenience is Vital to Beating the Minute Clinics | Physicians Practice

Convenience is Vital to Beating the Minute Clinics | Physicians Practice | Apropos health care | Scoop.it
We must understand and accept that society has changed.  Good care is good enough unless a patient is very sick, and good care is convenient care. 
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Cost cunning | What is the actual cost of an employee’s doctor visit?

"The health insurance we normally discuss is more appropriately considered as pre-negotiated access to healthcare at set pricing levels. This gives us a base to begin the cost calculations, but it is only a single component of a complex equation. So, what does it cost when an employer’s team member needs to visit the doctor? And for a second question, WHO does it cost?"
Greg Judd's insight:
OK, so the author of the article has a commercial agenda, but it's easy to set that aside, because the thrust of his health cost evaluation approach is worth understanding - and employing...
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GoodRx moving up the value chain? | Tests or Treatments You Don't Need (The GoodRx Prescription Savings Blog)

GoodRx moving up the value chain? | Tests or Treatments You Don't Need (The GoodRx Prescription Savings Blog) | Apropos health care | Scoop.it
More is not always better. More tests, more treatments and more visits to the doctor may not always be the way to go. Unnecessary tests or medications can
Greg Judd's insight:
This advice certainly goes beyond pill pricing....
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Another health care costs thing that's hard to believe | Out-of-pocket spending represents a smaller portion of total expenditures than it did in 1970

Another health care costs thing that's hard to believe | Out-of-pocket spending represents a smaller portion of total expenditures than it did in 1970 | Apropos health care | Scoop.it

Although out-of-pocket costs have been rising on a per person basis, insurance coverage spending has grown even faster. As a result, out-of-pocket spending, though higher per person than it was in 1970, is now a smaller portion of total health expenditures.

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Bonus: price opacity! | Lilly to Sell Insulin at 40% Discount to Cash-Paying Patients

Bonus: price opacity! | Lilly to Sell Insulin at 40% Discount to Cash-Paying Patients | Apropos health care | Scoop.it
Lilly to Sell Insulin at 40% Discount to Cash-Paying Patients
Greg Judd's insight:
BlinkHealth is apparently abetting this...behavior
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Health Care Is Reforming, Just Not in Washington

Health Care Is Reforming, Just Not in Washington | Apropos health care | Scoop.it

....in the coming years, changes in how health-care payments are made are expected to be the most important form of innovation, though scientific breakthroughs will also play a critical role.

Greg Judd's insight:
Obama budget director Orzag opines that HOW we pay what we pay for may be as important as what we pay for - and that that won't depend principally on federal law or policy
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The Business Case for Providing Health Insurance to Low-Income Employees

The Business Case for Providing Health Insurance to Low-Income Employees | Apropos health care | Scoop.it
Workers are more productive when they have more peace of mind.
Greg Judd's insight:
Health benefits might have a business purpose - who knew. Could be stronger, but nice to see someone's even trying to do so anymore....
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Study: Care by NPs, PAs Equal Doctors in Community Health | Physicians Practice

Study: Care by NPs, PAs Equal Doctors in Community Health | Physicians Practice | Apropos health care | Scoop.it
What did your study find regarding care administered by NPs, PAs, and physicians?

The study is a comparison between the practice of NPs, PAs, and primary-care physicians in a particular setting of care….community health centers. In comparing these practitioners, I looked specifically at nine outcomes, three quality of care indicators [smoking cessation counseling, depression treatment, ordering/prescribing of statins for hyperlipidemia], four measures of service utilization [physical exams, total number of health education/counseling services, imaging services, total number of medications], and two measures of referral pattern [return visits, physician referrals].

We were able to take secondary data compiled by the federal government and compare these practitioners over a five -year period, from 2006 to 2010. The general overall finding is that the care and practice of these practitioners is very similar across the nine outcomes that we studied. This is not the first study on this topic, but it is the first study [on this topic], in this setting.
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Probably unhealthy, too | No Health Insurance Is Hard. No Phone? Unthinkable.

Probably unhealthy, too | No Health Insurance Is Hard. No Phone? Unthinkable. | Apropos health care | Scoop.it

..."The couple  spoke as they waited for an appointment at a free health clinic run by volunteer nurses and doctors two nights a week in Provo. Not surprisingly, smartphones abounded in the waiting room.....

Greg Judd's insight:
[Fill in your favorite large number] percent of health care management is effective information sharing. 

Most observers realize this often entails remote or "asynchronous" communication of information about the who-what-when-where-why of care, among clinical support staff and or family members of patients. Policymakers should already understand this, and apparently many of the policymakers we're currently stuck with need to be made aware of it.
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Here's the thing - your own stats suggest they already do  |  Will patients and caregivers embrace technology-enabled health care?

Here's the thing - your own stats suggest they already do  |  Will patients and caregivers embrace technology-enabled health care? | Apropos health care | Scoop.it

....care technology use still lags use of technology for other purposes (see figure 1) and the annual increase was smaller than it will likely be in upcoming years....

Greg Judd's insight:
My feeling is Deloitte is misreading its own survey results. Health care use is not like, say, bank account use.

The percentage of people who are sufficiently "patients" to warrant use of monitoring tech is small - I'd guess smaller than the percentage of people who happen to have a bank account and reasons to use tech to manage it.

In other words, the "low" percentages checking costs of care online, or receiving medication alerts, are quite likely reasonably HIGH percentages of all people who might reasonably be adjudged to be able to benefit from those services.

So, in other OTHER words, I'd advise not expecting usage rates to rise in any dramatic fashion in the future, near or any other wise.
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Too Soon? | This billionaire's cancer moonshot is falling far short of the hype

Too Soon? | This billionaire's cancer moonshot is falling far short of the hype | Apropos health care | Scoop.it

....Soon-Shiong’s statements...said that global pharma companies Pfizer and Merck KGaA had joined the moonshot — which, if true, would be a big step in building a worldwide coalition. But spokespeople for those companies said they’re not aware of any involvement.

The moonshot’s website also lists Johns Hopkins as a collaborator; neither the university or its affiliated hospital was aware of any such involvement....

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Midas Touch? | The Drug Lobby Is Getting Touchy About Drug Prices

Midas Touch? | The Drug Lobby Is Getting Touchy About Drug Prices | Apropos health care | Scoop.it

....The drug lobby has concluded that to restore pharma’s reputation — and keep both government investigators and public anger at bay — it needs to join with the public in condemning companies like Turing and Marathon. It wants people to focus on all the amazing new drugs that companies are developing — and, implicitly, all the money they are spending in their research labs to create these medicines. Those are the drugs, in other words, that are worth their high prices....

...All of which is well and good. But there is another tactic that might work even better. Find a way to make drug prices reasonable.

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No; no here it is NOT | Here's the Average American's Annual Medicare Bill (The Motley Fool)

No; no here it is NOT | Here's the Average American's Annual Medicare Bill (The Motley Fool) | Apropos health care | Scoop.it

The average senior citizen will pay over $7,600 for healthcare in 2017, but ***THESES COSTS CAN VARY TREMENDOUSLY.***

Greg Judd's insight:
I mean, it may be the average, but it is NOT t he norm; it is not the modal annual Medicare bill. It is not a bill that most Medicare beneficiaries, or even, relatively, MANY Medicare beneficiaries, incur in a year. 

The Single Most Important Chart in All of US Healthcare explains why; http://i.imgur.com/j47Mcuz.jpg


Kaiser Family Foundation explains why; http://bit.ly/coconcentratedMedicarecosts

and only Fools insist otherwise. Even Mr. Frankel's editors understand; "...these costs can vary tremendously". Oh, my yes. And they DO.
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Updated: Discussion of health spending often focus on averages, but spending varies considerably across the population

Updated: Discussion of health spending often focus on averages, but spending varies considerably across the population | Apropos health care | Scoop.it
Empty description
Greg Judd's insight:
There is nothing truer, and more critical to health policy formation - AND more ignored! - than the information expressed in this graph.
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Site for sore Rx budgets | nfographic: Employers act to control pharmacy trend (WTW)

Site for sore Rx budgets | nfographic: Employers act to control pharmacy trend (WTW) | Apropos health care | Scoop.it
A surge in specialty pharmacy requires companies to employ a host of approaches, emphasizing specialty pharmacy utilization in order to be a best performer.
Greg Judd's insight:
62% of employers looking at site of care management as part of their specialty Rx solution for next year, vs under19% in 2016. Hmmm.....
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2017 drugs take | 2016 Year in Review: Good News, Bad News, and Looking Ahead to 2017 (The GoodRx Prescription Savings Blog)

2017 drugs take | 2016 Year in Review: Good News, Bad News, and Looking Ahead to 2017 (The GoodRx Prescription Savings Blog) | Apropos health care | Scoop.it

....As we exit 2016, we can only be certain about one fact regarding the future of health care coverage in America: big changes are ahead....

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You didn't guess this one right | On average, insurance covers a larger share of retail prescription drug spending than a decade ago

You didn't guess this one right | On average, insurance covers a larger share of retail prescription drug spending than a decade ago | Apropos health care | Scoop.it
Kaiser Family Foundation analysis finds that average annual out-of-pocket prescription drug spending for workers and family members decreased from a recent high of $167 in 2009 to $144 in 2014. Most of the decline in out-of-pocket spending occurred between 2009 and 2012 and is likely due to generic substitution for popular drugs that lost patent protection. The decline in out-of-pocket-spending continued from 2012 to 2014 with nearly two-thirds of the decline during this period attributable to the Affordable Care Act provision requiring most plans to cover contraception without cost sharing. At the same time, the relatively small share of people spending more than $1,000 a year out-of-pocket on prescription drugs rose in the past decade, from 1 percent in 2004 to 2.8 percent in 2014, and their spending accounted for a third (33%) of all out-of-pocket drug spending by enrollees in large-employer plans in 2014, the study finds.
Greg Judd's insight:
You could - and maybe your should - reflect on the implications of the information contained in this one chart for half your business day. And you would have spent that portion of your day profitably.
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