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RAND report takes you on a trip to dark side (of cybercrime)

It's not Elmore Leonard, but for the average health information technology reader, a new RAND report, Markets for Cybercrime Tools and Stolen Data: Hackers' Bazaar, is still a gripper.

The report pulls back the curtain on the underworld of data theft, looking at it in its entirety, as a fully functional marketplace, not merely as random, isolated hacks and breaches. That's where it's likely to capture a health IT reader's attention in the wake of Monday's announcement that 4.5 million patient records had been stolen from Community Health Systems by hackers.
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How to find new evidence to back digital health initiatives

1:15 pm, Aug. 20 |

The development of clinical evidence proving the effectiveness of various digital health systems and devices lags well behind the hype and adoption that surrounds the digital space, many health technology experts agree.

More and better research would ensure that providers are making evidence-based decisions, and not hastily wasting money or harming patient care, they reason.
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You can show patients test results, but will they understand them?

1:15 pm, Aug. 20 |

With the increasing adoption of electronic health records, more patients are able to view their lab results electronically outside of clinical consultations, but a study suggests that access doesn't mean patients understand what they're seeing.

A team at the University of Michigan schools of Public Health and Medicine discovered that people with low literacy skills and low numerical comprehension were less than half as likely to identify if a lab result was inside or outside the standard range.
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A great hacker will find HIT system flaws, exploit them

When you think about how an “advanced persistent threat,” i.e., a hacker, works, think of a professional quarterback like the Green Bay Packers' Aaron Rodgers.

Smart, capable and most of all flexible, a pro QB will read a defense and exploit whatever weakness it offers. He might look first for a 50-yard TD strike to the split-end running a fly down the sideline. But if the cornerback has that guy covered, he'll look next for the flanker on a cross 20 yards deep. If the safety is blanketing the flanker, the wily QB will take what he can get, either dumping off to a halfback sneaking in front the linebackers in the hook zone 7 yards downfield or, if the tackles are split and he's fleet of foot like Rodgers, running the ball himself.
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'Copper plans' could cut subsidies, lower deficit, but would consumers bite?

Allowing cheaper health plans designed to cover just half of medical costs to be sold on the exchanges would result in 350,000 additional individuals enrolling in coverage in the next decade, according to an analysis by Avalere Health.

Because of associated lower premiums for such plans, the federal government would spend $5.8 billion less on subsidies by 2024. But it would also take in $5.5 billion less in fines from individuals and companies that failed to meet the mandates of the Patient Protection and Affordable Care Act. The net impact would be a $300 million reduction in the deficit over the course of a decade.
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Premera Blue Cross adds Seattle Children's to settle dispute

Premera Blue Cross will add Seattle Children's hospital to its provider network for plans sold on Washington state's insurance exchange, ending a long-running dispute over network adequacy.

Starting Sept. 1, Seattle Children's will be part of the networks for individual and small-group plans that were sold through Washington Healthplanfinder in 2014. The hospital system also will be included in the provider network for 2015 plans.
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Criticism of Oregon's med-mal mediation law off base, lawmaker says

An Oregon law to encourage settlement of medical malpractice claims through disclosure, apology and compensation has taken heat from HHS and the consumer advocacy group Public Citizen because it exempts some claims from being reported to the National Practitioner Data Bank. But the bill's sponsor said the criticisms misinterpret the measure's intent.

“It wasn't specifically designed so incidents of malpractice would be kept hidden, which is what has been implied,” said Oregon state Rep. Jason Conger, a Republican who sponsored the bill.
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Columnist attempts to sell conservatives on his healthcare reform plan

House Republicans repeatedly have voted to delay, defund and repeal the Patient Protection and Affordable Care Act. But as some conservatives have pointed out, it's unrealistic to think President Barack Obama would sign any legislation to repeal or roll back the legislation that defines his tenure and has produced the biggest changes to the healthcare system in the past half century.

House Republicans have never come together behind a comprehensive alternative to Obamacare. This week, however, the conservative Manhattan Institute fellow and Forbes columnist Avik Roy offered his own plan (Avikcare?) that would supplant the ACA. He told Philip Klein at the Washington Examiner that a fixation on defunding or repealing the law has to be squeezed out of the GOP's thinking.
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Wearing a device, not endorsing it (repeat not)

Can an item a public official is wearing be declared off the record for purposes of a news interview? I think not.

Modern Healthcare reporter Darius Tahir recently interviewed Dr. Karen DeSalvo, HHS' national coordinator for health information technology. She expressed discomfort with having it mentioned that she was wearing a personal fitness data tracker produced by a particular manufacturer. Her media handler who was present for the interview suggested to our reporter what language he should use in describing the device.

All this led to an amusing exchange about what should and should not be published.
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Patients should have access to network info before buying health plans: analyst

Regulators should back off health plans that give patients a limited choice of hospital and physician options or risk stifling innovation and raising prices, a health policy expert argues in the New England Journal of Medicine.

Instead, regulators should ensure patients have access to network information before they buy health plans, wrote David Howard, an economics and health policy associate professor at Emory University. Another option is for insurers to leave the trade-off between cost and choice to consumers through greater use of tiered networks.
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