September, 2024

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Want To Prevent Long Covid? Should You Take Metformin Or Paxlovid?

Forbes Healthcare

Paxlovid comes with a host of contraindications and costs $1561 for a 5- day course. Metformin costs $1/day and reduces viral load. Which should you take?

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The 50-year Failure of American Health Care

Sensible Medicine

Dr. Marty Makary has a powerful new book, BLIND SPOTS: When medicine gets it wrong and what it means for our health , that came out on Tuesday and instantly hit #2 bestselling book on Amazon. I loved the book and highly recommend it. In this piece, he discusses one of those blind spots of the modern medical establishment—America is getting sicker right before our eyes.

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The Ultimate Self-Care Guide for Night-Shift Nurses

Scrubs

Being a nurse means you are in one of the most demanding professions that exist today. Undoubtedly, the field is challenging, even more so for night-shift nurses. The irregular hours, lack of natural daylight, and disrupted sleep cycles make it difficult to maintain a balanced lifestyle. For night-shift nurses, finding effective strategies to care for both their physical and mental health is essential for personal well-being and to provide quality patient care.

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PBM executives decline to revise controversial testimony to House committee

Healthcare Dive - Practice Management

The leaders of Caremark, Optum Rx and Express Scripts had until Wednesday to walk back statements they made in July — or face potential legal action. However, the executives are sticking to their guns.

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The Intersection of Healthcare Economics and Digital Transformation

EvidenceCare

Healthcare executives today are at the crossroads of managing rising costs, improving patient care, and navigating digital transformation. In a recent episode of The Better Care Podcast digital health and economics expert, Adam Kaufman, currently the Interim Category Lead of Products at Baylor Scott & White Health , provided valuable insights into how these challenges overlap and how healthcare leaders can strategically address them.

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All Heart – Thinking Hearts, Health, and Love in Valencia, Spain

Health Populi

The clinical evidence base continues to grow making the case that art and creativity can be drivers for health and well-being — as it’s proven to me in my own life. Most recently, cases have been made by Emily Peters, documented in her book Remaking Medicine ; by Robin Strongin, advocate for arts, medicine, and well-being from her base in Washington, DC; and, by my Belgium-based colleague and friend Koen Kas whose book addressing themes of art and health will soon be published.

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Weak Evidence Can Hurt Important Ideas

Sensible Medicine

JAMA-IM has published an observational study that sought causal effects from stopping blood-pressure-lowering drugs in older adults who were in long-term care. The UCSF-led team asked a specific question: did deprescribing of BP-lowering meds lessen cognitive decline? They didn’t write their question that specifically; instead they wrote that their purpose was to investigate the association of deprescribing antihypertensive medication with changes in cognitive function in nursing home resi

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33% of Nurses Quit in First Two Years

Scrubs

Nursing is one of the hardest jobs in the country, and the first few years can be a wake-up call to aspiring providers trying to find their place in the healthcare industry. Many new nurses quickly realize that nursing isn’t for them, while others wind up in jobs that make them want to quit. Studies show 33% of new nurses leave the workforce within the first two years largely due to poor work-life balance, unsafe working conditions, and the emotional strain that comes with caring for patients a

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Where healthcare AI startups are raising venture capital funding

Healthcare Dive - Practice Management

Just over 5% of companies selling AI to health systems have matured beyond seed and early-stage funding rounds, according to an analysis by Flare Capital Partners.

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New Insights on Medicare Advantage Plans and The Two-Midnight Rule

EvidenceCare

The CMS Two-Midnight Rule has been in full effect for Medicare Advantage (MA) plans for about nine months as of this writing. In case you aren’t familiar, the Two-Midnight Rule mandates that a patient’s hospital stay must span at least two midnights to qualify for inpatient status, directly influencing reimbursement rates and compliance requirements.

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Empowering female doctors: How investment education can combat burnout and build wealth

KevinMD.com

In today’s financial landscape, it is imperative for women in medicine to take charge of investing their own money. Physicians face a myriad of disadvantages when it comes to wealth building. The average medical student will be saddled with an average of $200,000 in student loan debt. The nature of prolonged medical training puts physicians Read more… Empowering female doctors: How investment education can combat burnout and build wealth originally appeared in KevinMD.com.

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Anthrax Outbreak In Wyoming Sparks Health Warning—Here’s What To Know

Forbes Healthcare

Wyoming’s last reported anthrax infection in wildlife was in 1956 and the state’s last confirmed cattle outbreak was in the 1970s.

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Elle Macpherson Made a Reasonable Choice, and Naturopathic Medicine Did Not Help

Sensible Medicine

The lay media is abuzz with stories about Elle Macpherson, who admits in a new memoir to declining chemotherapy seven years ago. Although precise details are not provided, it sounds like Ms. Macpherson had localized or regional breast cancer and underwent surgery. We learned something about the risks of commenting on the health of celebrities over a decade ago when an OpEd we published in Washington Post about former president George W.

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Kapi‘olani Nurses Locked Out as Hospital Calls Union’s Bluff

Scrubs

In a bold move, Kapi‘olani Medical Center has locked out its nurses amidst a heated labor dispute. This aggressive tactic comes after the Hawaii Nurses’ Association (HNA) threatened a strike over inadequate staffing ratios and alleged unsafe working conditions. The hospital is using a legal maneuver to preemptively strike back, bringing in temporary staff to replace the locked-out nurses, signaling their readiness to maintain operations without conceding to the union’s demands.

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US is drastically behind other wealthy nations on healthcare, despite spending the most

Healthcare Dive - Practice Management

The Commonwealth Fund analyzed the healthcare systems of 10 nations and found the U.S. ranked last in access to care, health outcomes and overall. The U.S. “really is in a class by itself,” one researcher said.

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Top Clinicians to Follow in Digital Health in 2024

Doximity

As healthcare continues to evolve, digital health is playing a crucial role in transforming how we deliver and receive care. Meet some of the top clinicians who are at the forefront of this change, using technology to enhance patient care, improve access, and develop innovative solutions. These professionals are making strides in fields like oncology, mental health, and population health, while also sharing their expertise on social media.

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Streamlining Public Benefits Access is a Must to Address Poverty

The Healthcare Blog

By ALISTER MARTIN and TARA MENON If a friend were to ask you which state, Massachusetts or Texas, has a more streamlined federal benefits enrollment program, what would your guess be? Having screened over 17,000 families and helped them obtain more than $1.8M in federal and state aid through our work in both Massachusetts and Texas, our experiences doing federal benefit enrollment have led us to a surprising conclusion: Texas is leading the way.

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Will The New COVID XEC Variant Cause A Fall 2024 Surge?

Forbes Healthcare

The COVID XEC variant, a recombinant of the KS.1.1 and KP.3.3 COVID-19 variants has been been spreading and has already appeared in 27 different countries.

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Doctors Should be Political, but not Political as Doctors

Sensible Medicine

As seems to be the norm on Sensible Medicine these days, whenever John, Vinay, or I publicly disagree with one another, one of our readers chimes in to explain how all of us are off the mark. Today I am happy to post the latest comeuppance, this one by Dr. Thomas Huddle. Adam Cifu Sensible Medicine is a reader-supported publication. If you appreciate our work, consider becoming a free or paid subscriber.

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State Officials Arrested in Ongoing Kapi‘olani Strikes

Scrubs

The ongoing labor dispute at Kapi‘olani Medical Center for Women and Children in Honolulu has escalated, leading to the arrest of 10 demonstrators on September 23, 2024. The demonstrators were protesting the lockout of about 600 nurses, which followed a one-day strike earlier in the month. The protests were aimed at drawing attention to the nurses’ demands for safer staffing levels and improved patient care conditions.

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Providers say claims denials are increasing: survey

Healthcare Dive - Practice Management

Nearly three in four providers surveyed by Experian Health said the number of claims denied by payers shot up between 2022 and 2024.

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Why isn’t medical advertising regulated like other advertising?

KevinMD.com

As long as you live, you will never hear an article from news media contending that “America Runs On Duncan.” Why? Because the line is a marketing allegation created by the advertising company and designed to sell product. Yet news media repeat medical claims from drug makers found in journals like they are news––which gives Read more… Why isn’t medical advertising regulated like other advertising?

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Software Living in an Enterprise World: Why Digital Behavioral Health Can’t Gain Traction

The Healthcare Blog

By TREVOR VAN MIERLO Let’s face it: for the past 25 years, digital behavioral health has struggled. Yet, we keep reinventing (and funding) the same models over and over again. How It All Started In the beginning (mid-1990s), a handful of developers, researchers, and investors envisioned high reach, lower-cost, highly tailored, anonymous interventions reaching millions of people with limited healthcare access.

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Vandals Destroyed Italy’s First Gene-Edited Crop, But There’s Good News

Forbes Healthcare

Italy didn't allow field trials for genetically modified crops for twenty years — until this year. But anti-GMO activists destroyed it, repeating echoes of history.

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A (re)Visit to an Old-Fashioned Doctor

Sensible Medicine

A great irony of Twitter/X, a site that epitomizes 21 st century ephemerality, is that it can also engender the persistence, or rebirth, of a work. On the one hand, studies that authors worked on for years, or essays that were wrestled with for weeks, are only tweeted for a day or two before disappearing into our collective amnesia. On the other, articles will sometimes find second life on the site.

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Overcoming hurdles to value-based care adoption

Medical Economics

To transform the promise of value-based care into reality, the health care industry must truly work together and accelerate the implementation and adoption of this impactful care model

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House committee passes telehealth flexibility extension

Healthcare Dive - Practice Management

The bill would extend pandemic-era telehealth flexibilities in Medicare for another two years, averting a looming year-end deadline.

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America’s “sick” secret and the need for a primary care czar

KevinMD.com

America has a systemic and pernicious problem: health care without primary care. Just a century ago, primary care physicians were the trusted cornerstone of the U.S. health care system, providing the first point of entry into health care, addressing most ailments, and managing patients across a lifespan. This primary care “first” system has gradually eroded Read more… America’s “sick” secret and the need for a primary care czar originally appeared in KevinMD.com.

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We Should Learn to Have More Fun (or Vice-Versa)

The Healthcare Blog

By KIM BELLARD For several years now, my North Star for thinking about innovation has been Steven Johnson’s great quote (in his delightful Wonderland: How Play Made the Modern World ): “You will find the future where people are having the most fun.” No, no, no, naysayers argue, inventing the future is serious business, and certainly fun is not the point of business.

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How Scientists Made Mice Transparent Using Dye Found In Doritos

Forbes Healthcare

Researchers at Stanford University made the skin of mice transparent using the yellow no. 5 food dye otherwise known as tartrazine that's typically found on Doritos.

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Diagnostic Limitations

Sensible Medicine

Dr. Milyavsky submitted this piece in response to my most recent Friday Reflection. It looks at similar issues from a different angle -- the ground floor ER rather than the 3 rd floor medicine clinic -- and comes to subtly different conclusions. Adam Cifu Sensible Medicine is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber.