News

Posted on March 15, 2016

Bristol-Myers Bucks Trend Toward Precision Medicine: By JONATHAN D. ROCKOFF and PETER LOFTUS- Wall Street Journal. March 13 2016

Bristol-Myers Squibb Co. has sprinted to an early lead in the race to sell a new class of cancer treatment by bucking the trend toward precision medicine. For years, drug companies tried to sell medicines to as many patients as possible. More recently, under pressure from health insurers aiming to improve the odds a costly […] Read More

Posted on March 13, 2016

BETTER HEALTHCARE AT ONE TENTH OF THE COST OF U.S. CARE: John C. Goodman THE GOODMAN INSTITUTE

There is nothing in American medicine that costs less than it did 26 years ago. Dr. Devi Shetty, a world renowned heart surgeon who owns and manages about 32 hospitals in India, says “The problem with Obamacare is that it is focused on finding the money to pay for what good healthcare costs; instead the […] Read More

Posted on March 9, 2016

Patient Engagement and Behavioral Insights—What People Want Is Health; Kevin Volpp at The Perelman School of Medicine and the Wharton School at the University of Pennsylvania

In 2004, Blockbuster Video had a market capitalization of more than $5 billion, with 9,000 stores nationwide staffed by 60,000 employees. In 2010, the company declared bankruptcy before being dissolved. Like many once-proud firms before it, Blockbuster was a victim of its inability to recognize that emerging technologies had enabled a seismic shift in what […] Read More

Posted on March 4, 2016

DIRECT PRIMARY CARE IS KILLING EMRs IN THE US MARKETPLACE: Dr. John Halamka

The new face of primary care medicine, the Direct Primary Care movement, has no use for EMRs. This growing field of revolutionaries is estimated at roughly 15,000 doctors (including both DPC doctors and their first-cousins, concierge docs) has a shockingly-novel focus: get patients healthy, and keep them that way. Given that these practices operate outside […] Read More

Posted on March 3, 2016

PET Imaging of Tau Deposition in the Aging Human Brain for prognosis:

Highlights •AV-1451 PET imaging allows in vivo Braak tau staging based on tracer uptake •Age and β-amyloid are associated with different patterns of tau tracer retention •Medial temporal tau tracer retention relates to episodic memory decline in aging Summary Tau pathology is a hallmark of Alzheimer’s disease (AD) but also occurs in normal cognitive aging. Using […] Read More

Posted on March 2, 2016

Uber’s DISRUPTIVE Message for Health Care; Allan S. Detsky, M.D., Ph.D., and Alan M. Garber, M.D., Ph.D. New Engl J Med 2016; 374:806-809   March 3, 2016

Unreliable service, inconvenience, uncomfortable surroundings, and high prices make customers unhappy, and given the opportunity, they will go elsewhere. Uber, Silicon Valley’s response to the shortcomings of urban taxi and limousine services, has managed to upend an established industry by offering an appealing alternative. Uber’s technology-enabled incursion into a highly regulated market suggests that if […] Read More

Posted on February 29, 2016

THE IMPACT OF HIGH DEDUCTIBLES & THE EMERGENCE OF VALUE BASED BENEFIT DESIGN: New York Times with comments by Dr. Raymond Rupert

Deductibles and co-payments are intended to make patients behave more like consumers in other parts of the economy. People who have to pay the full cost of magnetic resonance imaging on their knee, for example, might be more likely to shop around and pick the $500 one instead of the $3,000 one. Perhaps, they’ll decide […] Read More

Posted on February 26, 2016

STOP LOSS POOLS ARE UNDER PRESSURE TO INCREASE PREMIUMS BY 30% to 50% – Bob Carter

Bob Carter | January 4, 2016 Stop-loss pools are under continued pressure to accommodate the ever-increasing number of claims for high-cost drugs. The explosion of claims for drugs to treat the Hepatitis C Virus (HCV), for instance, has hit all drug plans and carriers alike – and hard. While the debate rages on as to […] Read More

Posted on February 26, 2016

Technology is Driving Value in the Insurance Industry: from ClaimVantage.

The insurance industry in the US is leading the way for insurers globally. 2015 was the year where technology took over, with insurers focusing on implementing cloud-based claim processing solutions, mobile applications, big data and analytics. These technology trends are expanding globally, but insurers in Africa are especially keen to get on board. With a […] Read More

Posted on February 21, 2016

BUSINESS CASE MODELLING FOR START UPS: Raymond Rupert MD. MBA.

If a start up is to succeed in the marketplace, it must create and deliver value for healthcare consumers and it must have a business model that is economically sustainable. Biopmedical is a start up in Israel that has developed an optical wand that helps to diagnose cervical cancer. The back story is interesting. The […] Read More

Posted on February 20, 2016

Men Rate HEALTH Above Money and Careers And Do Nothing About HEALTH: Emily Perryman

Three quarters (74%) of men in England aged between 40 and 60 years old place their health in the top three most important things in their life. This compares with only 32% who selected leisure time, 31% who chose wealth and 23% who stated their career. Despite this, 64% of men identify themselves as being […] Read More

Posted on February 18, 2016

DIGITAL HEALTH GOES MAINSTREAM: Raymond Rupert MD. MBA. Rupert Case Management Inc.

On Feb 18 2016, over 500 persons converged at Tel Aviv University from across the globe to talk about digital health. This topic is an obsession with many startups attempting to become the uber of healthcare. There were a number of start ups that had the opportunity to describe their accomplishments and their business models. […] Read More

Posted on February 15, 2016

New Ways Into the Brain’s ‘Music Room’ By Natalie Angier NEW YORK TIMES FEB. 8, 2016

Whether to enliven a commute, relax in the evening or drown out the buzz of a neighbor’s recreational drone, Americans listen to music nearly four hours a day. In international surveys, people consistently rank music as one of life’s supreme sources of pleasure and emotional power. We marry to music, graduate to music, mourn to […] Read More

Posted on February 15, 2016

To Reduce the Risk of Alzheimer’s by 47% EAT FISH By Nicholas Bakalar NEW WORK TIMES FEBRUARY 10, 2016

Eating seafood is linked to a reduced risk of dementia-associated brain changes in people who carry the ApoE4 gene variation, which increases the risk for Alzheimer’s disease. Eating seafood was not linked to similar changes in those who carried other forms of the ApoE gene. The study, published in JAMA, looked at 286 autopsied brains […] Read More

Posted on February 6, 2016

The Problem With Contradictory Performance Measures in Medicine : Susan Devore- president and CEO of Premier Inc.

Research has found significant variation in health-care outcomes and costs. To address this, health-care providers, consumer groups, payers, and the government have created measures to assess individual provider and health system performance. The goals of these measures are to provide the public with data they can use to make better choices, to measure and reward […] Read More

Posted on February 4, 2016

DOCTOR BURN OUT IS A SERIOUS PROBLEM: American Medical Association Publication: Posted by Dr Raymond Rupert

Work-related burnout is a pervasive problem among physicians—and it’s worsening across all specialties, according to a recent national study. Learn how burnout has increased in just three years and which specialties reported the highest rates of burnout. Where does yours fall on the list? The rise of burnout in medicine Physician burnout experts at the […] Read More

Posted on January 30, 2016

SUGGESTIONS FOR YOUR CLIENTS ABOUT IMPROVING BENEFITS PLANS: Raymond Rupert MD. MBA. Rupert Case Management Inc.

A recent client was referred to us by a benefits advisor because the employee’s son had an urgent need for healthcare services that were not available. CASE STUDY: The employee’s son is 15 years of age. He has a very severe mental health condition that requires specialized grief counselling and adolescent psychological support services. He […] Read More

Posted on January 28, 2016

Canada comes up short in international survey of family doctors ELIZABETH CHURCH The Globe and Mail Thursday, Jan. 28, 2016

A new international survey of family doctors gives Canada poor marks, finding patients face longer waits than in nine other industrialized countries, and there is less co-ordination of care and use of electronic records. The study, based on responses from primary-care physicians in 10 countries, shows Canada comes up short on the majority of measures, […] Read More

Posted on January 23, 2016

THE EVOLUTION OF HEALTH SYSTEMS: Learning From Matt Ridley in the Evolution of Everything.

Matt Ridley makes the argument in The Evolution Of Everything that change in human institutions is incremental, inexorable, unplanned and inevitable. Change follows a narrative going from one stage to the next. It creeps rather than jumps. It has it own spontaneous momentum. It happens by trial and error- a version of natural selection. The […] Read More

Posted on January 20, 2016

How Sleep’s WASH CYCLE Cleans the Brain: NIH Research posted by Raymond Rupert MD, MBA.

Cerebrospinal fluid (blue) flows through the brain and clears out toxins through a series of channels that expand during sleep. Maiken Nedergaard A mouse study suggests that sleep helps restore the brain by flushing out toxins that build up during waking hours. The brain has a “WASH CYCLE” during sleep. The results point to a potential […] Read More

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