One side effect of the recent government shutdown in the US was a lack of information upon which to base decisions. As soon as the doors opened, the government itself starting feeling the pain. What to do about interest rates? Well, we stopped collecting economic statistics, so you’ll have to wait a while. What does that tell us about writing regulations and legislation that requires data? Continue reading The New Rules of Writing Regulations
Legislation is often named in an utterly pretentious style, as if every subparagraph is the second coming of the Constitution. Other bills are named like advertising slogans, The Whiter Teeth and Job Creation Act. Still others are named like the Holy Roman Empire, which we all know was not Holy, nor Roman, nor an empire. H.R. 1105, the Small Business Capital Access and Jobs Preservation Act probably hits the trifecta. Continue reading H.R. 1105 – What’s In A Name? Nothing.
All the cool kids that read my presentations about XBRL know that XBRL is really two things that work well together – a language of facts, and a language of concepts. If we want to go looking for places that XBRL can be gainfully employed improving the efficiency of healthcare, both of these languages need to be explored for the opportunities. For the language of concepts, XBRL taxonomies, ICD-10 is a huge opportunity. Continue reading Healthcare XBRL: the Language of Concepts
The New York Times recently shared with the world a set of Republican talking points assembled against the Affordable Care Act. I’m not going to address any of the content, because I’d like to keep this blog clear of purely political issues. But I will address one thing – GOP.gov. Continue reading GOP.gov, who let that happen?
A preliminary but very encouraging study on lowering the cost of asthma was published recently. As I wrote about in an earlier blog entry, small telemonitoring devices are attached to the actuators that deliver medicine, recording the time and location of the event. Downloaded to a phone app and share with the physician, self monitoring reduces visits to ERs and hospitalization. The difference is dramatic. Continue reading Data vs. Asthma – Data Wins
Previously, I said that no one had offered me a coherent explanation of how larger tick sizes would create jobs (outside of Wall Street). I’ve just finished reading the latest in a series of Grant Thornton whitepapers on this subject. Let’s talk about it, because while it is an explanation, it is less than coherent. Continue reading Grant Thornton’s Big Tick Nostalgia
An important study has been published this week in the Journal of the American Medical Association on healthcare in the US. The abstract is not behind a paywall, and contains some facts not broken out in the media release. What component is growing fastest in cost since 2000? Continue reading Admin Costs Leading Healthcare Upwards