"Health & Medical News"

Washington — Medicare’s first run at incorporating chronic care management techniques into the program is closing at the end of this year, with most observers already describing the effort as a false start.

The Centers for Medicare & Medicaid Services launched the Medicare Health Support pilot project three years ago with high hopes. By hiring eight private disease management firms to set up voluntary chronic care improvement programs for beneficiaries, CMS aimed to improve health care quality while lowering costs. At one point more than 150,000 seniors were enrolled in the programs.

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Washington — An electronic medical records system connecting patients in New York is one step closer to reality after Gov. David A. Paterson awarded $105 million in grants on March 28 to 19 community-based health information technology projects.

The grants are part of a statewide effort to implement health IT and improve health care, said New York State Health Commissioner Richard F. Daines, MD. “For the first time, thousands of patients in New York will have access to their own complete electronic medical records, and their doctors will be able to access medical information through a few clicks of a mouse,” he said.

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The pace of health care quality improvement appears to be slowing, according to the Agency for Healthcare Research and Quality’s fifth annual report compiling federal and state data on more than 200 quality metrics.

A composite measure of health care quality improved at a 2.3% average annualized rate between 1994 and 2005, with the rate falling to 1.5% from 2000 to 2005. And in a first stab at examining the cost efficiency of the American health care system, AHRQ noted that costs, as estimated by the Centers for Medicare & Medicaid Services, jumped 6.7% from 1994 to 2005.

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This is an interesting story GE redesigning an EKG machine (the last one of which they made in 1999) for a place like India. The have also been advertising a lot on TV - I was able to find the ad on YouTube which is pretty cool. Four things immediately struck me:

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Washington — A bipartisan bill to delay Medicaid rules that would cut billions in federal funding for hospitals and physician training has attracted support in the House.

A House Energy and Commerce subcommittee approved the legislation unanimously on April 9. The measure would prevent until April 1, 2009, the implementation of seven Medicaid rules introduced since 2007 by the Centers for Medicare & Medicaid Services. One of the regulations would eliminate on May 25 Medicaid funding for graduate medical education — an estimated $1.78 billion over five years.

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Washington — Doctors who want to go paperless when ordering drugs for their Medicare patients now have a set of federal standards on how to do it. Those who are prescribing electronically already have a year in which to become compliant with the rules.

The Centers for Medicare & Medicaid Services on April 2 released final e-prescribing regulations for Medicare Part D. Under the rules, physicians and pharmacies will not be required to use electronic prescriptions but must follow the new standards if they do.

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Samanthan Ronson, Lindsay Lohan??™s gal pal, has practically moved in with her on the straight and narrow in order to keep Lindsay away from drugs and alcohol, Ronson has taken to spending every night at Lindsay??™s place. Really?
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Better vigilance is needed to ensure medical research on human subjects is not flawed by financial conflicts of interest, according to the Assn. of American Medical Colleges and the Assn. of American Universities.

In March, the two organizations issued a report that calls on medical schools and research universities to put into place conflict-of-interest policies within two years. Such policies should cover how to identify, evaluate and manage financial conflicts, the report said.

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Washington — Nearly 1,000 physicians convened in Washington, D.C., earlier this month to help lobby lawmakers on Medicare payment reform in the face of a tight timeline and an even tighter budget.

Although the American Medical Association’s National Advocacy Conference covered a range of health policy issues, its main focus was on patching the Medicare payment system that otherwise will cause a 10.6% reduction in doctor pay starting July 1. The event featured congressional speakers and an opportunity for more than 100 physician and medical student attendees to meet with lawmakers following an April 2 rally on Capitol Hill.

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Better vigilance is needed to ensure medical research on human subjects is not flawed by financial conflicts of interest, according to the Assn. of American Medical Colleges and the Assn. of American Universities.

In March, the two organizations issued a report that calls on medical schools and research universities to put into place conflict-of-interest policies within two years. Such policies should cover how to identify, evaluate and manage financial conflicts, the report said.

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