This is my weekly newsletter that recaps the interesting stuff I've read over the last week at the intersection of healthcare technology, care delivery, data analytics, and how all of that stuff gets paid for.
Reads for the week of December 24th - 30th... a rather quiet holiday week... Happy New Year!!
Theranos somehow has raised $100 million in debt financing. Sometimes I feel like I just don't understand how the world works, and this is one of those times. Link.
The formula for Medicare Advantage risk adjustment payments is being tweaked slightly in future years, to better account for mental health issues and chronic kidney disease, among other things. It also adjusts how members with multiple HCCs are counted. Members with multiple conditions will now have higher risk scores. Link (to a summary). Link (to the proposed changes).
Year-in-review from Flare Capital with some take on emerging themes - data sharing, new care delivery models, etc. Link.
A thought-provoking piece in Washington Post on whether uninsured individuals actually use the ER more, and other healthcare dogma, questioning whether improving the quality of care will actually reduce costs. While I might not agree with the point, I think it's a healthy debate to be had. That Oregon study, for instance, tying expanded Medicaid to increased ER use is certainly interesting. Link.
Looking to Taiwan as an example of how a single payer health care system can work. Link.
A review of how tech companies are attempting to enter the health care space, it provides a pretty good overview of what Apple, Amazon, Microsoft and others are up to. Link.
Propublica posted data on physicians who are likely overbilling Medicare for services. Stuff like this just generally makes me feel gross. Link.
Gamification can potentially help motivate people to be more active according to this study in JAMA. Nice when the research confirms what you'd think intuitively. Link.
Health Affairs has a study looking at savings drivers in Medicare ACOs and finds that only 38% of savings is tied to preventative hospitalizations or high risk patients. Link