Most Minn. Dems ready to reconcile health care reform
President Barack Obama is pushing Democrats to pass a health care bill in the next few weeks. They'll have to use a budget process called reconciliation to revive legislation that stalled in January. Some critics view the process an end-run around Republican opposition, but supporters note it's the same one the Bush Administration used to pass tax cuts…
First District Rep. Tim Walz, a Democrat from Rochester, said many House members are negotiating to get guarantees before they vote on the Senate bill…
"I think Minnesota, and especially southern Minnesota at the Mayo Clinic, we've got a lot to offer to this bill that we put in on this pay for value," Walz said. "I want it to be as strong as it can possibly be especially for folks that are negotiating this final step, they understand that and they know it's there because it has to be for me."
MPR, by Elizabeth Stawicki, 3/9/2010
What Price For Medical Miracles? High Costs At End Of Life Still Part Of National Health Debate
Bioethicist Arthur Caplan is a big man with a gravelly voice and a reputation for blunt characterizations about health care conundrums. Speaking on the phone from his office at the University of Pennsylvania, he recently posed a question: "What would you do if your mother needed an expensive, painful operation that had only a one in a million chance of saving her?" Without pausing, he opined, "Most Americans would say ‘do it’…”
Hospitals that do not use fee for service, such as Mayo and the Cleveland Clinic, appear to order fewer tests and procedures at the end of life without impacting outcomes or the quality of care, according to the Dartmouth researchers.
Kaiser Health News, by David Ewing Duncan, 3/9/2010
Additional health care reform mentions: Washington Post, WBAY
Top stories
Obama Pitches Health Plan in Spirited Appearance
AP/The Washington Post
March 8, 2010
Stirring memories of his campaign for the White House, President Barack Obama made a spirited, shirt-sleeved appeal for passage of long-stalled health care changes Monday as Democratic congressional leaders worked behind the scenes on legislation they hope can quickly gain passage.
Related coverage:
Obama Turns Up the Volume in Health Care Bid, The New York Times
Obama Takes Hard-Sell Health Pitch to Pa., USA Today
Obama Launches Attack on Health Insurance Companies
The Washington Post
March 9, 2010
The White House is mounting a stinging, sustained broadside against health insurance rate increases as President Obama and his aides enter what they hope will be the final stretch of a year-long political war over health-care reform.
Insurance
State Insurance Experts See Flaw in Obama’s Plan to Curb Health Premiums
The New York Times
March 9, 2010
Experts see a serious potential problem with President Obama’s proposal for federal review and regulation of health insurance premiums: Federal officials will focus on holding down premiums while state officials focus on the solvency of insurers, the ultimate consumer protection.
Bundled Payments Might Cut Hospital Costs Without Reducing Quality of Care
The Washington Post
March 9, 2010
Manoj Jain, an infectious-disease specialist and an adjunct assistant professor at the Rollins School of Public Health at Emory University in Atlanta, writes about problems he sees with the "fee-for-service" model. “It's a design flaw of our health-care system, and one of the reasons for spiraling health-care costs. But we can patch this flaw without overhauling the entire system: We can start "bundling" payments.”
Transparency/Safety
Hoped-For Drop in Childbirth Deaths Not Happening
The Washington Post
March 9, 2010
Pregnancy-related deaths appear to have risen nationwide over the past decade, nearly tripling in the state with the most careful count - California. And while they're very rare - about 550 a year out of 4 million births nationally - they're nowhere near as rare as they should be. The maternal mortality rate is four times higher than a goal the federal government set for this year.
The New York Times
March 9, 2010
In addition to his role as medical director of the Quality and Safety Research Group at Johns Hopkins, Dr. Pronovost, travels the country, advising hospitals on innovative safety measures. He is the co-author of “Safe Patients, Smart Hospitals: How One Doctor’s Checklist Can Help Us Change Health Care from the Inside Out.”
Wellness/Chronic Care
Group Appointments Give Patients Better Access to Physicians
The Washington Post
March 9, 2010
Caring for multiple patients simultaneously has gotten a boost as the nation searches for sustainable models of health care.
State news
FL: Miami's Jackson CEO Playing Dangerous Game
CBS 4
March 8, 2010
An overview of the “game of chicken” Jackson President and CEO Eneida Roldan has decided to play with Jackson's 12,000 employees. She is threatening a doomsday scenario — laying off nearly 4,500 employees and closing two hospitals — which she hopes will spur the unions to offer wage concessions. At the same time, she is attempting to blackmail the county commission to either bail out the hospital with cash or allow it to break away from the county and form its own independent taxing district. Related: Jackson South Hospital Could Be Multimillion-Dollar White Elephant, The Miami Herald
AZ: Plan for State Budget Counts on Steep Cuts
The Arizona Republic
March 9, 2010
Lawmakers are poised to vote this week on a state budget that would eliminate health-care coverage for 47,000 children, remove 310,000 Arizonans from the state's Medicaid program and shift juvenile corrections to the counties. And that's the kinder, gentler version of the fiscal 2011 budget.
Reform efforts
Stupak: Health Bill Abortion Fight Can Be Resolved
AP/WTOP
March 8, 2010
Rep. Bart Stupak said he expects to resume talks with House leaders this week in a quest for wording that would impose no new limits on abortion rights but also would not allow use of federal money for the procedure.
Lights, Camera, Reconcile!
Politico
March 9, 2010
The yearlong debate over health care reform — a titanic contest involving big ideas, passionate convictions and lofty principles — is headed toward a highly unlikely endgame: a clash between parliamentary procedure attorneys.
Foreign Health Courts Could Serve as Model for U.S.
HeathLeaders Media
March 9, 2010
In his healthcare reform proposal to Congress last week, President Obama—under fire from the GOP for failing to address tort reform—called for including up to $50 million to fund demonstration projects to test medical malpractice case alternatives such as health courts. While health courts are not well-known in the U.S., several countries have systems in place that could provide alternative models to jury trials in malpractice cases.
What Price For Medical Miracles? High Costs At End Of Life Still Part Of National Health Debate
Kaiser Health News
March 9, 2010
Science and technology could make medical miracles a common occurrence, but at what price?
Health Information Technology
Stimulus To Push Electronic Health Records Could Widen 'Digital Divide'
The Huffington Post Investigative Fund
March 8, 2010
Medical societies, both large and small, say that federal officials are pushing doctors to phase out paper charts too quickly. Some rural health organizations fear the program could exacerbate a “digital divide” by concentrating the funding in elite hospitals that already computerize their records. Even some of the elite hospital systems aren’t satisfied, seeking help from lawmakers to plead their case for more money.
Miscellaneous
Hospitals Debate the Pros, Cons of White Coats for Doctors
HealthLeaders Media
March 9, 2010
A discussion of the pros and cons of doctors wearing white coats. Includes mention of Mayo Clinic’s physician dress code.