Clay Wilemon’s Post

David Wainer wraps up his excellent 3-part The Wall Street Journal series today, a refreshingly candid look at costs and compromises of the health care business model in the US. Physicians, regulators, and the public are always sold on boosts in efficiencies and services but patients get dropped from the equation and costs and profits, not care quality, are what reliably go up. 1. You Can Thank Private Equity for That Enormous Doctor’s Bill https://lnkd.in/gbB8FzVn 2. As Hospitals Grow, So Does Your Bill https://lnkd.in/ggj5RA2Q 3. What Happens When Your Insurer Is Also Your Doctor and Your Pharmacist https://lnkd.in/gpjjz9YH #medicine #healthcare #physicians #insurers #healthpolicy #healtheconomics (see also Will Flanary’s “Private Equity Goes to Therapy”! https://lnkd.in/gD_diciN)

𝗪𝗵𝗮𝘁 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 𝗼𝗽𝘁𝗶𝗼𝗻𝘀 𝘀𝗵𝗼𝘂𝗹𝗱 𝗯𝗲 𝗽𝗿𝗲𝘀𝗲𝗻𝘁𝗲𝗱 𝘁𝗼 𝗽𝗮𝘁𝗶𝗲𝗻𝘁𝘀? (𝗳𝗼𝗹𝗹𝗼𝘄𝗶𝗻𝗴 𝗠𝗰𝗖𝘂𝗹𝗹𝗼𝗰𝗵 𝗮𝗻𝗱 𝗼𝘁𝗵𝗲𝗿𝘀 (𝗔𝗽𝗽𝗲𝗹𝗹𝗮𝗻𝘁𝘀) 𝘃 𝗙𝗼𝗿𝘁𝗵 𝗩𝗮𝗹𝗹𝗲𝘆 𝗛𝗲𝗮𝗹𝘁𝗵 𝗕𝗼𝗮𝗿𝗱 (𝗥𝗲𝘀𝗽𝗼𝗻𝗱𝗲𝗻𝘁) (𝗦𝗰𝗼𝘁𝗹𝗮𝗻𝗱) [𝟮𝟬𝟮𝟯] 𝗨𝗞𝗦𝗖 𝟮𝟲) In this case, the Supreme Court in the United Kingdom further explored the responsibilities of health practitioners in relation to warnings and also as to treatment options. To date this has not been the subject of a great deal of judicial attention. Superior Court decisions in other countries can be persuasive in Australian courts but are not binding on Australian Courts. In McCulloch, the court principally dealt with what legal test should be applied to the assessment as to whether an alternative treatment is reasonable and requires to be discussed with the patient. The factual background is set out in relation to pericarditis at [8]-[25] of the judgement- https://lnkd.in/gPcgXzUC Practically, the court decided that the correct and straightforward approach is that a doctor has a duty of care to inform a patient of the reasonable alternative treatments in addition to the treatment recommended and that the legal test for determining what are reasonable alternative treatments is the professional practice test. So perhaps the law could be stated in the UK to be that health practitioners should consider material risks as to proposed treatment, then present alternatives that might be reasonable options in the opinion of their peers. Ultimately, some superior court consideration of this in Australia will likely occur. However for now, a health practitioner might consider this consent process (at least in the UK) as now involving the potential consideration of the materiality of risks of proposed treatment, and then a considered explanation of alternatives and presumably with the materiality of risks of the alternatives explained - although the court did not (mercifully) go that far !

Explore groundbreaking insights from the RCHT QI Conference on ED Discharge Summaries! Discover their innovative approach and how it's shaping the future of healthcare: https://ow.ly/U6KG50R9VT1

Our market is forever evolving and one area that is gaining increased attention is Advance Decisions – also known as Living Wills. This small but mighty document empowers individuals to outline their preferences for medical treatment in the event they become unable to communicate or make decisions for themselves. But why the growing importance? Take this product tour to find out https://zurl.co/H6iC #advancedecisions #legaltech

Explore groundbreaking insights from the RCHT QI Conference on ED Discharge Summaries! Discover their innovative approach and how it's shaping the future of healthcare: https://ow.ly/U6KG50R9VT1

Explore groundbreaking insights from the RCHT QI Conference on ED Discharge Summaries! Discover their innovative approach and how it's shaping the future of healthcare: https://ow.ly/U6KG50R9VT1

Judges, Experts, and Your Claim: What Matters Most Your medical evidence plays a role, but other factors can significantly affect your claim outcome. This video explores how the judge, adjuster, and experts involved influence your case and offers insights on navigating these complexities to improve your chances. Watch the full video on YouTube: https://lnkd.in/e_Hbn8NU #ClaimSuccess #LegalInsights #SocialSecurity #JudicialFactors #MedicalReview #VocationalExpert #CaseManagement #LegalProcess #ClaimsProcess #NavigatingClaims

Explore groundbreaking insights from the RCHT QI Conference on ED Discharge Summaries! Discover their innovative approach and how it's shaping the future of healthcare: https://ow.ly/U6KG50R9VT1

Powerful article from the WSJ: https://lnkd.in/gr6ckxQR "Such so-called rent-seeking behavior is a unique feature of the American healthcare system. Nowhere else in the world do so many healthcare dollars encounter so few mechanisms to limit profiteering. The U.S. commercial market relies on negotiations between insurers and medical providers to deliver the best possible quality and price for patients. Increasingly, though, it is becoming less competitive by design." I believe that employers need to navigate the waters of healthcare like they would shark-infested-waters in a rowboat. You can be frustrated about the sharks, but the most important thing to do is keep you and your employees safe. ✳️Are you auditing/reviewing the work of your ASO? ✳️Have you put in place direct primary care that can remove expensive inpatient costs? ✳️Do you have an independent PBM that does not use spread? ✳️Are you paying your broker directly, with a signed commitment that they make no other money than yours -OR- do you check on everything they do, knowing that that are deeply influenced by BUCA carrier dollars? None of us can despair and give up on healthcare--it is too important. We have to work together to fix the business of healthcare, and we will. Until then, be safe out there, and don't put your hands in the water. #brokenhealthcare #employeebenefits

Ever wondered how much a hospital visit will really cost? Learn about the Hospital Price Transparency Rule and how it impacts patients and providers. Shaw & Wiar Attorneys at Law break down what you need to know to navigate medical expenses. https://lnkd.in/gnfUhsWN