Vital Signs

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Outcomes pioneer memorialized nearly 74 years after his death

2:30 pm, Jul. 23 |

The grave of a Boston surgeon considered by many to be a pioneering advocate for tracking patient outcomes and acknowledging medical errors was memorialized Tuesday by the American College of Surgeons.

Dr. Ernest Codman, criticized by colleagues of his time for wanting to increase transparency, died in 1940, and his grave in a Cambridge, Mass., cemetery remained unmarked for nearly 74 years.
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Lawmakers form caucus for Medicaid expansion

3:45 pm, Jul. 23 |

A group of 33 Democratic lawmakers, primarily from states that have yet to expand Medicaid, Wednesday announced a new congressional caucus to push for expansion in their states. Caucus members will be making floor speeches and videos, along with penning op-eds, to advance their cause, they said.

Rep. Hank Johnson (D-Ga.) and Rep. G.K. Butterfield (D-N.C.) will co-chair the State Medicaid Expansion Caucus, which has members from Alabama, Arizona, Maine, Florida, Pennsylvania, Texas, Tennessee, South Carolina, Virginia, Louisiana and Wisconsin.
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AMA, MGMA ask for a more flexible meaningful-use rule

The American Medical Association and the Medical Group Management Association have called on the CMS and HHS rule writers to add even more flexibility to the federal electronic health-record incentive payment program for Stage 2 and beyond.

The two groups were responding at the close of the public comment period on modifications to the program contained in a proposed rule released by the feds in May.
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Researchers affirm cancer risk of common uterine procedure

12:15 pm, Jul. 22 |

About 1 of every 370 women who underwent a minimally invasive hysterectomy using morcellation was found to have uterine cancer, a finding that is consistent with data that the Food and Drug Administration put out this month.

The use of morcellation in those cases can lead to the spread of undetected cancer, which has become a widespread concern this year among patients, regulators and physicians.

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Anti-cancer forces cheer $23B verdict against tobacco giant

Tobacco giant R.J. Reynolds Tobacco Co. suffered another legal setback last week when a Florida court awarded $23 billion in damages to the family of a man who died of lung cancer following years of smoking cigarettes.

The family's legal counsel had argued the company withheld information about the harmful health effects and addictive nature of the cigarettes.
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Big data helps unlock rare disease's secret, but cost could remain issue

Seth Mnookin has received a lot of attention, and justly so, for his article in this week's New Yorker on rare genetic diseases. The piece is an illustration of effects, some good, some not so good, that digital health will have on healthcare.

The article features a young boy, Bertrand Might, and a mutation in the NGLY1 gene. Discovering that NGLY1 was the faulty gene required gene sequencing plus data analysis comparing Bertrand's genome to others' to discover this was the likely problem.
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Bottom-line ACA gains starting to show in hospital financials, Zacks says

1:45 pm, Jul. 21 |

Happy days are here, financially, for hospitals thanks to the Patient Protection and Affordable Care Act, says Zacks Investment research in a recent blog post.

“The positive implications of these (ACA) reforms have started showing up in the financials of hospital and healthcare stocks,” Zacks says, pointing to preliminary quarterly results for HCA, which handily beat analysts' expectations.
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Despite cuts, Medicare Advantage benefits, premiums largely unchanged in New York

Four years after passage of the federal healthcare law, benefits and premiums for Medicare Advantage plans in New York are largely unchanged, according to an analysis conducted by the Medicare Rights Center.
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AAFP's Center for Health IT to focus on improving EHR use

The American Academy of Family Physicians will be shifting the focus of its Center for Health Information Technology from promoting IT adoption to refining the use of electronic health records. Roughly 80% of its almost 116,000 members now are using an EHR.

Originally established in 2003 to move family doctors from paper files to computerized information systems, the center will move toward “supporting optimization” of EHR use. This will include exploring ways to achieve better workflow efficiency and filling “gaps in needed functionality,” according to an AAFP news release.
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HHS to judge: Don't revisit the 340B lawsuit we lost

The Obama administration and the pharmaceutical industry are still battling in court over HHS' authority to compel drugmakers to grant 340B discounts on orphan drugs in some instances.

In the latest volley, HHS is asking a federal judge to decline to revisit his May ruling that the administration overstepped its rulemaking authority.
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