Monday, December 5

Health

The great digital health reset – and how IT leaders should plan for what’s next
Health

The great digital health reset – and how IT leaders should plan for what’s next

Back in 2020, in the immediate wake of the pandemic, we were celebrating the coming of age of digital health – the 25X to 50X increase in telehealth visits, the explosion in VC funding for digital health startups delivering point solutions for digital engagement and access to care, the sense of the dawn of a new and exciting era in healthcare. Indeed, that sense of optimism would pervade the startup ecosystem for the next year and a half. Digital health startup investments reached a new high in 2021, closing the year with more than $30 billion in venture capital funding. VCs couldn’t get enough, plowing vast sums into unproven companies like Noom, which provided weight-loss advice and received $540 million in a mega-funding round in 2021. Unicorns to 'uni-gones'? Over the past couple of...
Brazilian Butt Lift – What You Need to Know
Health

Brazilian Butt Lift – What You Need to Know

If you're interested in having a Brazilian butt lift, there are a few factors you should consider before making an appointment. These include the recovery time, cost, and candidate qualifications. This article will provide you with an overview of the process. Read on to learn about the procedure and its benefits. We've also compiled a list of commonly asked questions. In addition to the risks, Brazilian butt lifts offer many benefits. Fat transfer The benefits of a Brazilian butt lift for fat transfer are numerous and long-lasting. Generally, the results last for several decades, although the patient may choose to undergo another procedure later in life. A Brazilian butt lift will permanently change your buttocks, waist, and pelvic structure. In fact, about 60% to 75% of the fat injected...
Demand for US Travel Nurses Plunges – Healthcare Economist
Health

Demand for US Travel Nurses Plunges – Healthcare Economist

In the past months, many hospitals and other health care providers have noted the steep rise in the cost of hiring nurses. Many providers saw double digit year-on-year growth of nurse wages. For instance, some health systems in Louisiana saw a 16% rise in labor costs between 2021 and 2020. In large part, much of the additional cost was due to the rise of travelling nurses. In recent months, however, demand for nurses–especially travel nurses–has fallen dramatically. Kaiser Health News reports that: Nationally, demand for registered nurse travelers dropped by a third in the month leading up to April 10, according to data from staffing agency Aya Healthcare, although openings have rebounded slightly in recent weeks. Consider the case from one health system in Oregon. ...
Where did the money from the Paycheck Protection Program (PPP) go? – Healthcare Economist
Health

Where did the money from the Paycheck Protection Program (PPP) go? – Healthcare Economist

That is the question answered in a paper by Autor et al. (2022). Some background on PPP: Congress enacted the Paycheck Protection Program (PPP), which provided uncollateralized, low-interest loans of up to $10 million to firms with fewer than 500 employees—loans that were forgivable on the condition that recipient firms maintained employment and wages at close to pre-crisis levels in the two to six months following loan receipt. PPP was one for three large federal initiatives to combat the impact of COVID-19 on the US economy. These three (and relevant funding) include: Paycheck Protection Program: $800 billionStimulus checks: $800 billionUnemployment benefits: $680 billion ...
The integration imperative: achieving a future vision for healthcare
Health

The integration imperative: achieving a future vision for healthcare

Dr. Kevin Vigilante is chief medical officer at Booz Allen Hamilton. This article was co-written with Angela Jones, program manager in digital health transformation at Booz Allen Hamilton. In our last article, we noted that many health systems and federal health agencies have been understandably preoccupied with addressing the immediate priorities of the COVID-19 pandemic by accelerating their adoption of telehealth capabilities to circumvent physical, in-person care limitations.  We encouraged healthcare organizations to broaden their view of how today's technological advances – not only in telehealth, but also data analytics, digital sensor technologies, 5G networks, artificial intelligence and machine learning, genomic medicine, and elsewhere – can transform healthcare as we know it....
How to Be a Fitness Instructor
Health

How to Be a Fitness Instructor

If you enjoy exercise, and you want to help others become more active and healthier, you might want to consider a career in the fitness industry. In this article, we will cover what it takes to become a fitness instructor, as well as the education and training you will need. We will also discuss the job outlook and the job duties you will have. If you are considering a career in fitness, these tips should help you make the most informed decision. Typical day of a fitness instructor A typical day in the life of a fitness instructor usually involves teaching clients how to work out efficiently and lead a healthier lifestyle. Most instructors begin their workday between eight and ten in the morning and finish between four and six in the evening. These employees work in a variety of settings...
BAyeSian Interpretation of Estimates (BASIE) – Healthcare Economist
Health

BAyeSian Interpretation of Estimates (BASIE) – Healthcare Economist

Imagine that you are a policymaker and an academic researcher shows you evidence for a new health intervention that will dramatically improve health outcomes. He shows you the study results, the estimated impact and a p-value that is less than 0.05. How much credibility should you give to this result? What quantiative approach should you take to determine if the government should recommend using this new health intervention? One approach for making this decision is the BAyeSian Interpretation of Estimates (BASIE) approach. BASIE was originally proposed in 2019 Mathematica Report (see other relevant papers at the end of this post). BASIE aims to estimate the probability that an intervention will have a meaningful effect, given the impact estimate and prior evidence regarding ...
Data center strategies are an increasingly essential for health IT
Health

Data center strategies are an increasingly essential for health IT

At a time when healthcare is increasingly dependent on digital technologies that enable and inform our providers, clinicians and care delivery systems, the invisible infrastructure framework behind the scenes becomes critically vital to ensuring a stable and predictable environment. Like a utility, we often take it for granted as it runs in the background, and we simply expect it to work. This expectation is as it should be. Our caregivers' highest priority is providing the best care possible using tools that help them navigate patient information, associated workflows, and supplement their clinical expertise. The reliance and growth of these systems requires resilient and redundant architecture that is designed to "keep those lights on", anticipate failure, and self-correct to ensure a...
Evidence from 1998-2021 – Healthcare Economist
Health

Evidence from 1998-2021 – Healthcare Economist

In the past, seniors in Medicare had to pay for all their prescription drugs out-of-pocket. For elderly individuals with multiple medical conditions, this lack of coverage was highly burdensome. To address this issue, in 2006, Medicare Part D began which provided some coverage for prescription drugs. To keep the cost of Part D down, however, it contained a coverage gap (colloquially known as the “donut hole”) in which after patients met some deductible and had some coverage, they would again be responsible for all prescription drug cost until they reached their catastrophic coverage levels. To address the donut hole’s burden on senior’s, the Affordable Care Act gradually reduced Medicare Part D beneficiaries’ coinsurance rate in the donut...
Impact of the DRG system on hospital length of stay – Healthcare Economist
Health

Impact of the DRG system on hospital length of stay – Healthcare Economist

In many countries including the US and England, hospitals are paid by payers (i.e., commercial insurers and governments) on a per-admission basis with more reimbursement for treating patients with more severe conditions and lower reimbursement for treating patients with less severe conditions. This system is known in the U.S. as the diagnosis-related group (DRG) system, since DRGs are used to assess admission severity and also hospital reimbursement levels. In England, the change in the system was implemented as described in Aragón et al. (2022): From 1989 the intention was for purchasers to enter into contractual agreements with hospitals with discretion as to exactly what form those agreements took. However, the system of setting hospital level budgets – known in the purcha...