Monthly Archives: August 2016

Predicting whether cancer patients will respond to chemo: GENOMIC INSTABILITY is the indicator. STAT News. Raymond Rupert MD, MBA.

BREAST CANCER CELLS UP CLOSE. (NATIONAL CANCER INSTITUTE/MASSEY CANCER CENTER AT VIRGINIA COMMONWEALTH UNIV.) Determining whether a particular cancer patient is likely to respond to radiation or chemotherapy is an exceedingly difficult business, and scientists are working to make the … Continue reading

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Functional MRI- Data Analysis Shows Brain Activity In A Dead Salmon- Raymond Rupert MD, MBA

Functional MRI has been used to show which part of the brain lights up and is functioning when we do certain things like talk, imagine, speak etc. Functional MRI has been the basis for thousands of scientific articles. There is … Continue reading

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GUT MICROBIOME HELPS IMMUNE SYSTEMS CELLS MATURE: Raymond Rupert MD, MBA.

The interactions between T cells and the microbiome (gut bacteria) seemed to influence the fate of the T cells which are an important component of the immune system. The gut microbiome plays a key role in helping the immune system’s … Continue reading

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WHEN ACCESS TO CARE IS URGENTLY NEEDED: Raymond Rupert MD, MBA. Rupert Case Management Inc.

What should a patient do when he/she, possibly, needs a lung transplant and can’t get access? CASE STUDY: Terry is a 65 year old male, living in Charlottetown PEI. He was diagnosed with progressive interstitial lung disease. A recent CT … Continue reading

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HOW DIGITAL TRANSFORMATION CAN HELP HEALTHCARE SYSTEMS: McKinsey & Company Aug 2016

Health systems in developed countries face a twofold challenge: ensuring financial sustainability and improving quality. Digital strategies and digital transformation can help health systems achieve both these objectives and unlock substantial value through lower spending and superior healthcare delivery. Rising … Continue reading

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COST RELATED NON-ADHERENCE HURTS PATIENTS: U.S. Value Based Insurance Design to the Rescue- Raymond Rupert MD, MBA.

A robust and growing body of peer-reviewed evidence demonstrates that cost related non-adherence (CRN) exists among Medicare beneficiaries for high-value medical services across the spectrum of clinical care, including preventive screenings, clinician visits, and prescription medication use. This sub-optimal use … Continue reading

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CROSS BORDER SHOPPING FOR HEALTHCARE SERVICES: Raymond Rupert MD, MBA.

The rumour is that Canadians are purchasing about $700,000,000 of healthcare services in the US. A small percentage of the $200B spent each year on healthcare services in Canada. But the number is material and growing. Furthermore, many Canadians are … Continue reading

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Employers scramble over skyrocketing specialty drug costs: Nick Otto Employee Benefit News Aug 2016

Large employers are expecting healthcare costs to remain steady going into 2017, but many are looking to take a number of cost-controlling measures to combat increasing specialty pharma costs. “Controlling health benefits costs remain a high priority for large employers,” … Continue reading

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EROSION OF HOSPITAL INFRASTRUCTURE : Raymond Rupert MD, MBA. (source McKinsey 2016)

The need to renew existing healthcare infrastructure is acute, and doing so will be expensive. Once an asset—whether it is a road, a bridge or a hospital—degrades beyond a certain point, it enters the “failure zone” in its life cycle … Continue reading

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STUDENT MENTAL HEALTH IN THE ATLANTIC PROVINCES IS IN CRISIS: Raymond Rupert MD, MBA.

Students in Colleges or Universities in Atlantic Canada are confronting mental health crises on a daily basis. The students entering now are younger and seem to lack psychological resilience. This lack of resilience is resulting in an increased number of … Continue reading

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