Measurement in Medical Research 19-Aug-2010
Video of Measurement in Medical Research lecture Given by A.Chusak 19 Aug 2010 Faculty of Medicine, Ramathibodi Hospital This lecture is a part of Basic Epidemiology and Biostatistics short course 2010 for first year Ramathibodi residents Copyright 2010 Clinical Epidemiology & Biostatistics Unit, Faculty of Medicine, Ramathibodi Hospital
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Southeast Regional Research Group’s video about clinical research that discusses the process of considering participation in a study. It reviews and explains the terms: protocol, informed consent, Food and Drug Administration (FDA) and Institutional Review Board (IRB) or Ethics Board. It also explains the various reasons why people choose to participate in medical research.
Headstrong to Host Webinar on Healthcare Reforms ? A Payer Manifesto for Innovation
Headstrong to Host Webinar on Healthcare Reforms – A Payer Manifesto for Innovation
New York, NY (PRWEB) May 1, 2010
With increasing competition in the healthcare industry, insurance payers are faced by serious challenges. This calls for comprehensive reforms in the healthcare sector. Vinay Nadig, Principal, Healthcare Practices, Headstrong, has published Healthcare Reforms – A Payer Manifesto for Innovation, a white paper discussing the challenges that payers are posed with today. The webinar hosted by Headstrong on Wednesday, 5th May 2010 addresses these challenges.
“With the momentum increasing behind healthcare reform, health insurance payers face an intense 3 year future to address reform mandates,” states Nadig. While some of these mandates may take immediate effect, major overhauls in terms of product and benefit simplification, and co-existence with Exchanges will happen over the next three years, into 2014.
As competition heats up in the health insurance industry, in this webinar Vinay will speaks about the obstacles faced by various categories of payers. He also suggests possible resolutions and process improvements for innovative solutions in compliance with new regulations.
The issues he brings up include:
Product Development
Interactive Selling – “Exchanges” or Portals
Facilitated Enrollment – account and member on-boarding
Unified membership experience
The webinar will conclude by discussing the probable solutions to accommodate the compliance mandates imposed by the reform – both in short and long term.
Details –
Date – Wednesday, 5th May 2010.
Time – 11 AM – 12 Noon EDT
Cost – Free, Prior registration required
To register – http://www.headstrong.com/estory.cfm?id=1-1171
About the speaker
Vinay Nadig is Principal, Healthcare practice at Headstrong. In this capacity he is responsible for developing new services, taking them to the market and helping firms to respond to the healthcare reform and compliance mandates in a time and cost effective manner. Vinay has over two decades of experience in the healthcare space and specializes in guiding large healthcare organizations to increase productivity and efficiency by reducing costs.
“Headstrong” is a registered trademark of Headstrong Corporation in jurisdictions throughout the world. All other company and product names may be trade names or trademarks of their respective owners.
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Healthcare Reform Continues
MIke discusses the 2000 page Democrat Healthcare Reform plan and his opinion on healthcare reform.
US Healthcare Reform and Shared Services
US Healthcare Reform and Shared Services
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Home Page > Business > Outsourcing > US Healthcare Reform and Shared Services
US Healthcare Reform and Shared Services
Posted: May 10, 2010 |Comments: 0
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The ongoing and increasingly rancorous debate over healthcare reform in the US is clearly set to define at least the first part of President Obama’s time in office. While as yet the precise terms of the proposed reforms – let alone their success – have yet to be determined, it is obvious that their intentions are historically significant and that, if adopted, they would have a radical impact throughout the healthcare sector and far beyond. This potential impact has substantial implications for the shared services and outsourcing space both within healthcare and, longer-term, across every other sector, by virtue of the changes reform would precipitate in a range of areas including insurance provision and the nature of employee contributions and benefits.
It’s simply premature to give a full assessment of the specific ramifications of reform – or the failure to achieve it – but even at this comparatively early stage some of the potential consequences for shared services and outsourcing are beginning to coalesce. It’s hard to envisage, for example, any substantial increase in state spending on healthcare and the growth in related infrastructure which would follow, without assuming that shared services would form at least part of the solution: even without healthcare reform, of course, the move to a more streamlined and efficient government touted by President Obama both before and since his election will rely in no small part on an adoption of many of the principles which have seen shared services become such a pillar of both private- and public-sector service provision, and it would be near-incomprehensible were any new healthcare structure to be erected without recourse to similar means.
“In line with the Presidential mandate for a more efficient government, many believe that the opportunity for shared services within the Federal Government is promising,” says Dave Adams of management consultants ScottMadden. “Given the value that shared services can deliver and solid examples of successful federal shared services organizations already in operation, the timing is right to pursue shared services as the government-wide model for delivery of mission support services.”
Indeed, the expertise developed within shared services – both public and private – over the last two decades may well prove invaluable when applied to some of the more vexing organizational and process-related issues thrown up by healthcare reform on any significant scale. While reform presumably could be enacted without involving the shared services community, the question would inevitably arise: why? If the idea remains to “ask not what your country can do for you, but what you can do for your country”, it seems almost self-evident that the US stands to benefit hugely from the invaluable experience of shared services leaders who have for years faced many of the same challenges – albeit on a smaller scale – that would stand in the way of imposing true reform onto a system which already sucks in such a vast portion of federal spending.
Linda Merritt, research director at NelsonHall, believes that the time has come for shared services heavy hitters to step up to the plate. “Major SS&O players have the opportunity to be seen as thought leaders and join the national debate. For example, the design of the new health records system should take into consideration all of the end-to-end processes and interfaces [that] will connect to it, including employer benefits administration, claims and billings, and compliance with regulation and legislation requirements and reporting. Healthcare providers’ cost of completing claims and payment processes requirements for every insurance carrier adds directly and significantly to the cost of healthcare through complexity and confusion.
“While other parts of the health care debate are higher profile,” she adds, “the cost of excessive administrative complexity consumes billions of dollars that could be used to provide and expand health care. And who knows more about streamlining administrative processes to increase quality, functionality at a lower cost than leading SS&O providers?”
Such streamlining isn’t a mere “nice-to-have”, but an absolutely essential part of any potential reform process. The violently polarizing nature of the debate thus far has demonstrated that this is a matter of the greatest significance both socially and politically: in Washington, President Obama has come down to earth with a bump and knows that pushing reform through Congress is going to be a task requiring every ounce of his political clout, and if he is to win this battle a major aspect of his strategy must be to demonstrate that state intervention into healthcare will be carried out as efficiently – as cost-efficiently – as possible. Every last penny will be protested by the more reactionary elements within Congress: the ability to prove that new state infrastructure will be developed along best-practice lines, and with excess fat trimmed to a microscopic level, could literally mean the difference between success and failure.
But of course it’s not just the government which could turn to shared services as part of any reform process: the private-sector organizations making up such a significant part of both current and future healthcare systems will also be affected to an extent that has yet to be clarified. While many such companies have already adopted shared services to some degree, the advantages of the shared services model when it comes to increasing flexibility and scalability will be hard to ignore for those that haven’t – and even early adopters might look to diversify the services provided by their existing SSOs as new challenges demand new solutions across organizations. This will, of course, create added costs in the short term.
“One significant impact to consider is the need to evaluate how changes in legislation, policies, and/or procedures will impact existing processes, systems and re-tooling of workforce knowledge/skills. If the rules of the game change (and assuming that insurance providers will continue to play a critical role in healthcare) then providers must stand ready to quickly adapt their operations to meet these challenges,” explains
US healthcare reform
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Will Healthcare Reform Cost Democrats Congress?
Will Healthcare Reform Cost Democrats Congress?
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Home Page > Finance > Insurance > Will Healthcare Reform Cost Democrats Congress?
Will Healthcare Reform Cost Democrats Congress?
Posted: Nov 02, 2009 |Comments: 0
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The Democratic party has made comprehensive healthcare reform its top priority this year. A majority of Democrats in the House of Representatives are backing Speaker Nancy Pelosi’s proposal. One of its provisions is the creation of a government-run insurance plan, otherwise known as a public option, to compete with private insurers. A similar program is included in the Senate’s reform bill. While the public option is supported by liberal Democrats, some conservative Democrats have concerns. Among other things, they are worried that pushing reform through will lead to the Democrats losing control of Congress. Ed Gillespie, former Republican National Committee chairman and adviser to President George W. Bush, has also expressed this view. Midterm elections are set for 2010, and the majority party typically loses seats in those years. The hopes of Democratic congresspersons are riding on the success of healthcare reform. More importantly, their chances rest on convincing the public that they have the best plan to fix the crisis. Most Americans seem to agree that the current system needs changing, but are skeptical of how Democrats propose to do so.
There has been increased opposition of the current healthcare reform bill, which doesn’t bode well for Democrats. A recent survey shows that 54% of Americans oppose Congress’ reform plans. The town hall meetings over the summer proved that people are very passionate about health care and will not hesitate to vote out representatives and senators who disagree with them. Democrats who represent more conservative districts are most likely receiving significant pressure from their constituents. Pelosi may not realize just how fragile the issue is, being from liberal-leaning San Francisco. Most significantly, 48% of independent voters are against the current plan. While Democrats have most likely written off most Republican votes, they recognize the need to attract unaffiliated voters. These voters, who don’t seem to be won over, appear to be more concerned with reducing the national deficit. The Democratic party’s singular focus on health care will probably hurt them at the polls.
Moreover, the young adult voters who helped put President Barack Obama in office–and tend to support healthcare reform including a public option at higher rates than the general population–are less likely to go out to the polls during off year elections. It’s up to Democrats to convince 18-to-29 year olds (the age group most likely to be uninsured, due to either unemployment or employment with small companies that don’t offer health insurance) that reform of our healthcare system is as important as voting for president. Senior citizens, who are already insured by Medicare and are more reliable voters, are more worried about losing the health insurance they already have. The loudest voices in the healthcare debate seem to come from people who already have health insurance, usually from their employers. They are mostly worried about the existence of a public option leading to employers dropping the existing health insurance plans that 68% of likely voters consider “good” or “excellent”.
At least one small part of healthcare reform looks to be popular with voters: two thirds of them agree with Senate Majority Leader Harry Reid on revoking health insurers’ exemption from anti-trust laws; the only other industry exempt from them is Major League Baseball. This would increase the availability of more affordable health insurance. On the one hand, failure to pass a healthcare reform bill could make the Democrats look like inept failures. Conversely, jamming the bill through Congress may inspire even more rage. A slight majority believe that the Democrats’ current bill will lower the quality of healthcare and increase the cost. The bill wouldn’t fully take effect until 2013, even if it’s passed this year. Therefore, any positive impacts of healthcare reform wouldn’t be evident for several years, while the nearly trillion-dollar cost and fears of socialized medicine are more immediate in the minds of voters. Some may be cynical about a Republican operative offering political prescriptions to the opposing party, but even Reverend Al Sharpton agrees that there is a germ of truth in Gillepsie’s prediction. However, the Democratic party may be willing to take the risk of losing if they feel that expanding healthcare coverage to all is that important.
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