Kip Piper's Health Care Blog
Medicare, Medicaid, Health Reform

As policymakers in Washington argue over the best way to reform America's health care system, a compelling new book by Eric Topol, MD, suggests that the advance of technology is going to change how health care services are delivered in more profound and unpredictable ways than most people can...
The practice of behavioral healthcare is being transformed by technological innovations in mobile health and a growing understanding of the role patient behavior, behavioral health conditions, and dual physical/behavioral health diagnoses play in health outcomes and costs.  This transformation has in turn given rise to a profusion of fascinating and...
While mountains of raw health care data continue to grow, the challenge of turning that data into usable, actionable information is largely being unmet. There are certainly tremendous new opportunities to use information to improve health care decisions at the purchaser, plan, provider, and patient levels and thereby improve...
The basis for medical treatment of heart disease is the belief that interventions like coronary angioplasty and bypass surgery are effective, and that their benefits outweigh the risks. Does this conviction stem from a solid scientific foundation, or might it be an illusion? Is it conceivable that both physicians and...
The practice of medicine in the age of generic pharmaceuticals is built upon the premise that these chemically identical medications have the same therapeutic effect as the brand-name ones. But do they? Generic: The Unbranding of Modern Medicine by Jeremy A. Greene, MD, PhD, of John Hopkins University is...
The rise of social media has undeniably changed the way we communicate, conduct business, and go about our daily lives.  Social media services such as Twitter, Facebook, blogs, and YouTube offer rapid, easy, and efficient ways to communicate with large numbers of people.  Recognizing this, Congressmen and Senators (or...
Primary care delivery through patient-centered medical homes (PCMHs) and other coordinated-care models have improved care and reduced costs. Health plans have a strategic opportunity to promote better care at a lower cost by embracing medical homes and encouraging their development as a core component of provider networks. PCMHs will also...
The Affordable Care Act (ACA) health reform law is apparently here to stay, thanks to the Supreme Court decision in NFIB v. Sebelius and the reelection of President Barack Obama. But health care is not a bygone subject. States this year must determine how they want to handle Health...
Medicare and Medicaid spending will exceed $1 trillion in FY 2013.  Together, the two programs now serve about 113 million Americans - over a third of the population.  Policymakers in Washington and the states face a daunting challenge to containing costs in Medicare and Medicaid – both health programs are...
Members of Congress and retired Members are eligible for health insurance coverage under the same system as other federal employees – the Federal Employees Health Benefits Program (FEHBP).  Under the Affordable Care Act, Congressmen and Senators, as well as Congressional staff, must receive their health coverage through the Health...

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