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4 posts from March 2018


Upcoming Podcast: Rev. Patricia Lyons Discusses the Administration's Proposed Protection of Religious Beliefs and Moral Convictions Rule: March 26th

During this interview with Reverend Patricia Lyons, Missioner for Evangelism and Community Engagement, Church House, Mount Saint Alban, in Washington DC, we will discuss the Trump administrations January 26th proposed rule.  The rule would allow a health care worker (broadly defined) that receives federal financial assistance (also broadly defined), to refuse to treat, for example a LGBTQ individual, for any and all medical conditions (as well as choose not to provide a referral for such care or even identify a person who would in turn provide a referral) because the health are worker believes providing such care or referring for care would violate their religious or moral belief or their conscience.  While there is a long history in this country allowing health care workers to decline providing, for example, abortions or provide family planning counseling or participate in physician-assisted suicide, the proposed rule, critics argue, effectively legitimizes discrimination.  Specifically, we will discuss to what extent Christian teaching or theology justifies what's proposed.  


Author Timothy Hoff Discusses His Latest Work: Next In Line: Lowered Care Expectations in the Age of Retail - and Value Based Health (March 14th)

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During this 29-minute interview, Professor Timothy Hoff discusses moreover what market factors explain or are driving the degradation of the therapeutic relationship between the physician and the patient, or what he terms the doctor-patient dyad, these include the "retailing" of medicine, whether "next in line" retail medicine, where we've traded relational trust for calculative trust, is economically rationale, the (negative) effect it is having on physicians and possible solutions to save the physician-patient relationship and raise care delivery expectations. 

Professor Timothy Hoff is Professor of Management, Healthcare Systems, and Health Policy in the D'Amore-McKim School of Business and School of Public Policy and Urban Affairs at Northeastern University.  He is also a Visiting Associate Fellow at Oxford University's Green-Templeton College and a Visiting Scholar at the Said Business School, Oxford University.  Prior to Hoffhis academic career, Dr. Hoff worked for a decade as a primary care practice administrator and as a healthcare consultant.  His research has been published in Pediatrics, Archives of Internal Medicine, Journal of Organizational Behavior, Academy of Management Perspectives, Health Affairs and The Milbank Quarterly.   His research has received rewards from the American Sociological Association, Academy of Management, and the Society for Applied Anthropology.  His previous work, Practice Under Pressure: Primary Care Physicians and Their Work in the 21st Century earned an Outstanding Academic Title award from Choice Magazine in 2010.  He is also co-editor of the 2016 reference volume on transformation in the health professions workforce, it's titled, The Healthcare Professional Workforce also published by Oxford University Press.  Professor Hoff received his undergraduate degree in business administration and his Ph.D. in Public Administration and Policy from the University of Albany.  

For information on Next In Line go to: https://global.oup.com/academic/product/next-in-line-9780190626341?cc=us&lang=en&.



Author Jonathan Engel Discusses His Recent Work, "Unaffordable: American Healthcare From Johnson to Trump" (March 9th)

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During this 30-minute interview Professor Engel discusses moreover why, as he notes, US healthcare is "uniquely dysfunctional," and "laden with profit taking" largely due to induced demand, provides an overview of efforts to contain spending growth via HMOs both in the commercial and the Medicare market, the success of Medicaid HMOs, and discusses his disappointments with the Affordable Care Act (ACA) actually making healthcare more affordable.    

Jonthan Engel is Professor of Health Policy and Management at the Marxe School of Public and International Affairs at Baruch College, CUNY.  He has taught previously at Seton Hall University, Mailman School of Public Health at Columbia University and the School of Public Health at the University of Massachusetts.  He has been a consultant to the White House's President's EngelJonathan-2017.165tAdvisory Committee on Human Radiation Experiments, the lead author on multiple HIV needs assessments for the City of Newark and director of research at the Local Area Board for Health Planning for Essex and Union counties in New Jersey.  His published works include: Doctors and Reformers: Discussion and Debate of Health Policy 1025-1950; Poor People's Medicine: Medicaid and the US Charity Care Since 1965; The Epidemic: A History of AIDS; American Therapy: The Rise of Psychotherapy in the US; and, Fat Nation, forthcoming.   He is currently writing a book on Cold War science and policy in the US.  Professor Engel received his BA from Harvard, an MBA from the Yale School of Management and his PhD in the history of medicine from Yale.  

For more information on "Unaffordable" go to: https://uwpress.wisc.edu/books/5682.htm.


Unpacking BPCI, CMS' New Bundled Payment Demonstration: An Interview with Dave Terry (February 28th)

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This past January 9th CMS announced Bundled Payment for Care Improvement (BPCI) Advanced.  This five-year Medicare bundled or episode-based payment demonstration, that begins this October 1st, will succeed the agency'a five-year BPCI demonstration that sunsets this September 30th.  BPCI Advanced, also voluntary, will be considerably less expansive than its predecessor in that, among other things, it will include just 32 clinical episodes (29 inpatient and three outpatient), and offer only a single, 90 day retrospective bundled payment under one risk track.

During this 28 minute interview Mr. Dave Terry briefly defines Archway's business model/s, posits what attributes describe successful bundled payment providers, summarizes the findings from a recent study, he coauthored, of BPCI reimbursed total hip arthroplasty surgeries, how CMS has improved bundled payments under BPCI Advanced, or moreover in financial benchmarking and in quality measurement, the legitimacy of criticisms regarding care fragmentation and competition with other pay for performance models and likely success of the demonstration.

Mr. Dave Terry is currently CEO of Archway Health.  Previously, at Partners Healthcare in Boston, Mr. Terry negotiated Terry  Daveglobal cap and pay for performance contracts with managed care plans.  Prior still at Harborside Healthcare, he led a home care agency that managed Medicare and commercial episodes of care within a single payment.  As a partner with The Chartis Group, Mr. Terry developed provider networks and risk sharing models for Medicare Accountable Care Organizations (ACOs).  Mr. Terry holds an MBA from the Harvard Business School and a BA from Columbia University.  He currently serves on the board of Bottom Line, a national educational non-profit, and is a past board member of the Harvard Business School Health Industry Alumni Association.

For information on BPCI Advanced to go: https://innovation.cms.gov/initiatives/bpci-advanced.