Outgoing FDA Commissioner Scott Gottlieb chided drug developers and clinical research organizations for failing to take advantage of changes the agency has made to modernize the drug development and approval process and make it more efficient. "We appreciate that scientific and technical complexity is a real and ongoing challenge, but industry and academia also need to invest in and leverage these approaches and develop new incentives that reward collaboration and data sharing across the clinical research enterprise," Gottlieb said.
Poll answers: Who can lower the cost of health care?
Following a survey of the NEJM Catalyst Insights Council, this week's question addressed who is best positioned to take steps that could lower health care costs? By far the most popular answer was the one that combined all stakeholders: health care systems, government, clinicians and patients. Perhaps the most interesting result was that institutions were more often chosen than patients and clinicians.
All of the above
Hospitals and health systems
Institutions, including government and health systems
People, including patients, clinicians and voters
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Health care innovations in developing countries must include the right mix of technology and hands-on systems or the improvements will not be accepted or adopted at the local level, write Prince Boni of Tabs Consult and Michael Seo of ReaMedica. Introducing state-of-the-art innovation in low-resource countries is not the same thing as making it work, they write.
CareFirst BlueCross BlueShield and LifeBridge Health are hosting a contest in Maryland for digital health concepts for use in clinical or other health care-related settings. Up to three winning teams will be awarded at least $20,000 and a one-year membership in the LifeBridge Startup Affiliate Program, which offers the opportunity to collaborate with health care providers and industry experts.
HHS on Thursday said it had confirmed new appointees to the Presidential Advisory Council on HIV/AIDS, 15 months after President Donald Trump dismissed the entire panel. Council members are from a variety of backgrounds, including pharmaceuticals, activism and higher learning.
State governments led by Republicans are working with the Trump administration on changes to Medicaid programs that include adding work and drug-testing requirements and adopting capped or fixed funding. Seven states have been granted permission to implement work requirements and eight requests are being considered, while other states have been given approval to require copayments and to restrict benefits and eligibility.
A report from the HHS Office of Inspector General identified problems with eight HHS operating divisions analyzed for web application and network security. The OIG recommended improvements at each division, and HHS IT management said it was in agreement with the recommendations.
The benefits of collecting health care data will not be realized unless the information is channeled to physicians and other clinicians who can act on it, Avalere Health founder Dan Mendelson told AHIP's National Health Policy Conference. Creating that link with providers is important to health insurers as they engage with the health delivery system and to value-based purchasing, Mendelson said.
Cigna has been using Tableau software for the past couple of years to create secure group-specific reports for accountable care organizations to use in population health management. The software helps health care providers see which interventions are working and which need improvement, says Cigna's Paul Van Dorpe.
Right now, in an emergency department somewhere in America, there's a patient yelling at a nurse, spitting at her, punching her in the face or even wielding a metal Mayo stand, threatening the very care provider who is trying to help. It's a scenario that is becoming increasingly more common at my hospital -- though sometimes it's a doctor, social worker or ED tech, not the nurse, who bears the brunt of the patient's wrath, writes Dr. Ronn Berrol of the Alta Bates Summit Medical Center.