Minggu, 18 September 2011

Steward Healthcare Outlines New Insurance Plan Called the Community Choice Plan Limiting Most Care to Their Owned Hospitals

It’s all turning out to be about contracts as to where consumers can get care today and we have this here in Massachusetts and there’s a bit of this too in California with the HMO managed programs.  The pricing is quoted as being 30% less than other policies so we have a hospital system now selling insurance.  We have seen quite a bit of this with Prime Healthcare in California relative to “contracts” and they run Cadillac ER rooms for the most part.  In addition, Steward, owned by Cerberus bought a hospitals in Florida and recently they stated they intend to go national.

Caritas Hospital Owner Steward States They Aim to Go National Under Management from Private Equity Firm Cerberus Capital

What I found interesting too is the name of the administrator of the plan, Tenet Health Plans?  Is this part of Tenet Healthcare hospital systems, a good guess might say there’s a very familiar ring here.   The insured will also be able to go to Mass General or Brigham & Woman’s for more complicated care if the services needed are beyond those offered in the Steward System.  Now if you go back to January of this year, Blue Cross has their offering which encourages consumers to avoid what they determined to be 15 high costs hospitals and their agreement left out Mass General and Brigham and Woman’s as they were part of the 15 member group high priced hospitals. 

Blue Cross Launching New Health Coverage Option in Massachusetts-Encourages Consumers Via Employer Plans to Avoid 15 Named High Cost Hospitals

When you are sick, you want care so again who knows how this will end up shaking out as all are marketing and contending for business.  Contracts get signed and it’s tossed out to consumers to make heads or tails of what each plan offered and which would be the best choice…complicated and getting more so every day. 

So the next step here for consumers, someone is going to make some money writing another algorithm on a website to make the complication easier for you to wade and select the plan that may work best for you.   Software just works this way and keeps building on itself. 

HHS has their hospital compare website for looking at both prices and quality of care and I might guess they are challenged as well to keep up with the the formulas and prices.  I read somewhere on the web that someone from Steward said they are happy to be the “Filene’s” of hospitals.  BD 

Right now, health insurers and hospitals are separate entities. This is something different: a hospital selling coverage, with the restriction that  you only seek care at its locations. The hospital chain is Steward, a Massachusetts-based business that has been buying up community-based hospitals for more than a year now. And the gamble it made was rolling out a health insurance plan that almost-exclusively serve its hospitals (there are a few exceptions). The plan, administered through Tenet Health Plans, is called Steward Community Choice.

The Community Choice plan, as outlined Friday, is targeted at small businesses in Massachusetts. It offers them a trade-off. Premiums will be 20 to 30 percent less than what other Massachusetts insurers charge. In return, subscribers will by-and-large be limited to treatment at Steward locations (there are some exceptions to this, helpfully outlined in this report from WBUR’s Martha Bebinger).

“A lot of what health reform is is a public finance problem,” he told me. “As we’ve done health reform in Massachusetts, it’s been a lot about how do we pay for coverage. A lot of these small businesses are really struggling as premiums keep going up. This is about making insurance affordable for them.”

That could create more of a space for a less expensive, more limited insurance product. As de la Torre described Steward’s strategy to investors recently, “In a world of Neiman Marcuses, we’re OK being Filene’s. “ Now that we have a hospital that wants to be the Filene’s of health insurance, we’re about to find out whether Americans are willing to shop there.

http://www.washingtonpost.com/blogs/ezra-klein/post/when-the-hospital-becomes-the-health-insurer/2011/09/16/gIQAUYXLYK_blog.html

D.C. police arrest 4 in KGB graffiti crew

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In the days of the Cold War, people used the initials KGB to refer to the much-feared Soviet espionage agency. Now, law enforcement authorities in Washington are still campaigning against the KGB. But a different one.

In the District, the KGB Crew stands for Krazy Graf Brothers, according to a D.C. police official, who said police think the group is involved in "tagging" — painting graffiti on — buildings around the city.

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Zachary A. Goldfarb 19 Sep, 2011


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How high school sports save our schools

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Education writers rarely examine high school sports, but something is happening there that might help pull our schools out of the doldrums.

In the last school year, a new national survey found that 7.7 million boys and girls took part in high school sports. This is 55.5 percent of all students, according to the report from the National Federation of State High School Associations, and the 22nd straight year that participation had increased.

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Zachary A. Goldfarb 19 Sep, 2011


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In Prince George’s race to succeed Leslie Johnson, reaching voters isn’t easy

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The candidates were ready. The moderator was ready. Voters, though, were another story.

The few who showed up at a recent Prince George's County Young Democrats debate in the race to succeed Leslie Johnson barely outnumbered the candidates themselves: the 14 Democrats and one Republican who are vying for Johnson's seat on the County Council.

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Zachary A. Goldfarb 19 Sep, 2011


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To save money, federal agencies to start buying in bulk

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The White House, eager to demonstrate that it's serious about cutting federal spending, is adopting a tactic frequently used by penny-pinching shoppers: buying in bulk.

Starting this week, several federal agencies and departments will pool their purchases of office printers, copiers and scanners in hopes of collectively saving $600 million in the next four years, administration officials said late Friday.

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Zachary A. Goldfarb 20 Sep, 2011


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Europe Gives Mesoblast Approval for Clinical Trials of “Off the Shelf” Stem Cell Treatments for Major Heart Attack Victims

To treat heart failure, Mesoblast’s Revascor treatment uses stem-cell technology to rebuild blood vessels and heart muscles. Mesoblast is located in Australia and the stem cell treatment does not use embryonic stem cells.  Revascor is based on stem cells in bone marrow and the miraculous finding here is that it does not set off any immune responses.  225 patients in Europe will be enrolled who have suffered severe heart attacks.  There have already been some other clinical trial results reported back in January.

Mesoblast's Heart Stem Cell Treatment to Rebuild Blood Vessels and Heart Muscles Has Positive Results–Regenerative Medicineimage

In addition there are US FDA trials for treating chronic back pain

Mesoblast Gets FDA Approval to Begin Advanced Clinical Trials Using Stem Cells to Treat Chronic Lower Back Pain

MPCs from unrelated donors have the unique ability of not stimulating an immune reaction when introduced into the patient. MPCs from donors can be grown in large numbers and made available for treatment in much the same way as a drug. Mesoblast’s MPCs have a strong safety profile with no cell-related adverse events to date.

This look very exciting for those who have had a major heart attack for sure.  In addition the company is also working on stem cell solutions for cancer.  BD 

An “off-the-shelf” stem cell treatment for heart attacks is now a step closer, following the go-ahead for an early-stage clinical trial in Europe, writes Jonathan Wood.

Many proposed treatments using stem cells to help repair the damaged heart are hampered by the need to use the patient’s own cells to avoid any immune reaction. Such an individual approach can be time-consuming, involving the growing of the patient’s cells, and multiple visits to the doctor.

But Australian company Mesoblast is developing adult stem cell therapies that are ready to use when needed for any patient, much as a standard drug. (It does not use embryonic stem cells, which are more controversial.)

Its Revascor product is based on a particular type of stem cell in bone marrow that does not set off an immune response. The “mesenchymal precursor cells” can be isolated from bone marrow donated by a healthy adult and grown to provide treatments for many patients without fear of rejection.

http://www.ft.com/intl/cms/s/2/0cd62b6c-de79-11e0-a2c0-00144feabdc0.html

George W. Bush has surpassed fundraising goal of $300M for presidential library

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DALLAS — George W. Bush has already surpassed his goal of raising more than $300 million to support his presidential library.

The Dallas Morning News reports that financial statements the Bush Foundation filed with the federal government show that the former president collected $313 million in donations in 2009 and 2010 (http://dallasne.ws/r8e1OM).

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Zachary A. Goldfarb 19 Sep, 2011


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