Posts Tagged ‘cost-effective’

The Doctor Will See You Now, Online. Will You See Her?

Wednesday, December 23rd, 2009

Virtual visits with a board-certified physician are about to go national. NowClinic.com will use video chat to connect patients and doctors using video chat in 2010 nationwide, for routine, ordinary care.

There are many reasons this will work…especially for those physicians interested in lifestyle change, weight loss, diabetes and nutrition. I’m excited about it, and think it could help the doctor-patient relationship, not vitiate it.

Many consumers now feeling ripped off by their health care experience: neither patients or partners, they’re just surprised.

Emily Dwass “definitely was caught off guard when I checked in to see a specialist in a Cedars-Sinai Medical Center building in Los Angeles and was told to pay a $75 facility fee.” More and more common.

Our virtual visiting helped Wall Street Journal reporter Tom Burton lower cholesterol and lose weight…by phone and email, 2000 miles apart.

This is an opportunity. Telemedicine may explode in growth, Price Waterhouse says: $7 billion by 2015, taking disease management and IT to $100 billion if it really explodes.

Physicians do not have incentives to do basic preventive care. Most have substantial overhead that office counseling and diet histories just don’t pay for. And like other workers, doctors do more of what they are paid well to do.

What would you use videochat with a new doctor for? A cold? Weight loss? Diabetes control?

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Lower Your Health Care Costs with What You Eat

Friday, April 17th, 2009

Your Financial Prescriptions: Seven Tips for Cutting Your Medical Costs (Wall Street Journal 04.07.09) completely missed the biggest potential tip of all: what you eat.

The right health insurance? Check. Compare hospitals? Check. The right health insurance again? Check. Check your hospital bill? Check. Taking the meds you need? Check again.

Food? Exercise? One line, out of hundreds.

Dollars re-allocated from a conventional diet to a better one have been shown to deliver a significant return on investment. Not to mention a potentially tasty one.

An Australian 2007 cost-effectiveness review of ten nutrition interventions found that each were more cost-effective per life-year gained than antihypertensive medications and the cholesterol-lowering medication simvastatin. Cost savings ranged from $1364 to $13,939 per life-year gained.

A Swedish 2007 cost-effectiveness study found the Finnish Diabetes Prevention Study for men and women at risk to be “cost-saving from the healthcare payers’ perspective,” and increase survival by 0.18 years.

A French 2006 cost-effectiveness study based on the randomized, controlled Lyon Diet Heart Study and conservative assumptions, found the Mediterranean Diet to be “highly cost-effective for persons after a first myocardial infarction and represents an exceptional return on investment.”

But you don’t need to wait for better food in the cafeteria to lower your direct medical costs and improve productivity. Although that would help.

Spend a little more at the grocer’s and you’ll spend a lot less at the doctor’s. And be happier, too.

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