A must read on telemedicine and telehealth cost. One of our Readers, Bruce Judson, commented on our earlier coverage of RAND Health’s new study published in Health Affairs [TTA 8 Mar] finding that telemedicine virtual visits (here called telehealth) drove up utilization of care by 88 percent and cost by $45 per year for respiratory illnesses that typically resolved on their own. He has written his own analysis based on the full study. Telehealth Costs: RAND’s Questionable Rant (Huffington Post), considers the full study and compares it to a 2014 RAND study by the same authors. Mr Judson notes inconsistencies... Continue Reading
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Telemedicine may drive up medical utilization, increase cost for respiratory illness: RAND Health
Bruce Judson This new RAND study suffers from many disturbing issues associated with its basic methodology and underlying assumptions. My detailed critique of the study appears in The Huffington Post”, as Telehealth Costs: RAND’s Questionable Rant. Donna Cusano For our Readers: highly recommended. Plan to sit down with a cup, maybe two, of coffee or tea for this one. I'd recommend this analysis to anyone seriously interested in telemedicine cost. Mr Judson had accessed this full study and compared it to other research, including RAND's in 2014. I could detect some of the faults but not to the extent he... Continue Reading
Unnerving mergers (US-UK); DoD’s EHR picked; EHRs & AMA
...non-Blue brand, Amerigroup, primarily for Medicare and Medicaid (state low-income coverage). Many of the Blues are non-profit or mutual insurers; many are partial or single-state, like Independence, Capital and Highmark (PA/DE/WV) in Pennsylvania and Horizon Blue Cross of New Jersey. Their stand-alone future, not bright since the ACA, now seem ever dimmer in this Editor’s long-time consideration and that of Bruce Japsen writing in Forbes. Also Morningstar considers Anthem’s overpaying and the LA Times overviews. Walgreens Boots Alliance, another recent merger of quintessentially American and British drug store institutions, named as its interim CEO Stefano Pessina. He previously ran Alliance... Continue Reading
Recent developments in digital health – RSM event report
...Ali Parsa, CEO of Babylon health; Bruce Hellman, CEO of uMotif; Elaine Warburton, CEO of QuantuMDx; and Dr Rob Beardall, Chief Medical Officer of NantHealth. Supporting these exciting presentations were several talks discussing more long-term opportunities. Insights from Professor Marco Viceconti, University of Sheffield, on the creation of a virtual physiological human were supplemented by engaging presentations delivered by Dr David Clifton, Oxford University, on the next generation of tools for health informatics and Professor Kazem Rahimi, Oxford University, on how to integrate digital health technologies to prevent and improve the management of chronic disease. Overall, the event provided a... Continue Reading
A tale of two chessboards
...apps and smart devices.” (Only two in ten – clearly not Telehealth & Telecare Aware readers.). No wonder Sir Bruce Keogh is saying that “the NHS we have <is> not fit for <the> future”, before going on, thankfully, to argue that “wearable technology plays a crucial part in <the> NHS future”. Sadly the message still has to get through to the authors of worthy documents in the NHS too – for example Mike Clark (whose excellent monthly newsletter is just out) kindly pointed us to the recent NHS England/Age UK booklet on healthy ageing that makes no mention of assistive... Continue Reading
TSA Conference a great success (UK)
The two day 2014 TSA conference held at the Celtic Manor proved to be a great success for their new Chief Executive Alyson Bell who masterminded the event. That this was to be a conference like no other was very apparent from the start when a solo performance from Gracie of the Zimmers opened the conference, followed by a performance by the whole group. Plenary sessions by luminaries in the digital health and care world followed, interspersed by refreshment breaks and a breakout session. Sir Bruce Keogh was sadly unable to attend in person though gave a hugely inspiring talk... Continue Reading
TSA appoints new chair
...in Wales. The event, including the prestigious Crystal Awards, focuses on “21st Century Solutions for 21st Century Care” and showcases a new emphasis on combining technology with individualised support services. Sir Bruce Keogh, National Medical Director of NHS England, headlines an array of high-ranking speakers from health, housing and social care and national-level Government, with special guests Esther Rantzen CBE and Olympic medallist Colin Jackson CBE. Delegates will be able to find out more about Andrew’s role and TSA’s plans, prioritising support for the provision of high quality TECS services and a commitment to leading, representing and promoting TECS, being... Continue Reading
Smartphones, wearables are the future says NHS England
...Cameron), was reviewed last year resulting in the change of focus to “address the demand for support and practical tools to commission, procure, implement and evaluate technology enabled care services” according to Sir Bruce’s letter as reported on the NHS England website. The TECS Stakeholder Forum‘s views and proposals now form the TECS Improvement Plan for 2014-17. This is a broader group following the failure of the 3ML Stakeholder Forum, which consisted mainly big industry organisations, to achieve anything of substance. According to the NHS England website posting, Sir Bruce explains: “To ensure continued progress, we have brought together a... Continue Reading
Rock Health opens new HQ to wonder, sums up 2013
[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/01/RockHealth_Photo©BruceDamonte_02.jpg” thumb_width=”175″ /]As seems to be the way in the West Coast Digital Health scene, the opening of accelerator/funder Rock Health’s new HQ in the Mission Bay district of San Francisco gained more heavy-breathing hype than its mostly positive 2013 digital health investment report. The soireé during last week’s JP Morgan Healthcare Conference, glowingly reported in Xconomy with plenty of pics of the achingly trendy interior design and Health Digerati/D3Hers (Digital Health Hypester/Hipster Horde) at play also was a demo of a different type–how insular interests interlock and circle in Fog City. Star guest San Francisco Mayor Ed Lee... Continue Reading
‘Candy Crushing’ stroke rehab
...one for the shoulder. A fifth one is in early development to improve gait post-stroke. Also in test is coupling this with trans-cranial direct current stimulation. mHealthNews. Feinstein Institute and researcher (Bruce Volpe) website. Drug manufacturer Pfizer is also testing gamification for a different sort of rehabilitation–using Evo Challenge from Akili Interactive Labs in determining the status of and improving the abilities of those with cognitive impairments, Alzheimer’s disease (with and without amyloid in the brain) and ADHD. The game, which involves navigation around obstacles and rewards, is designed to improve the impaired processing of cognitive interference, a/k/a distractions. MedCityNews... Continue Reading
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