#Veritas Home Health Dallas

[russian-dallas]

Как в жизни обрести больше радости

Как в жизни обрести больше радости

Прогулки на природе играют решающее значение для обретения радости От редакции: Предлагаем вам новую главу из книги о здоровье Евгения Грейфера. Согласно исследованию, опубликованному в журнале Lancet, американцы работают больше часов и чаще страдают от болезней, связанных со стрессом, чем жители других стран мира. Большинству из нас не требуется читать научные исследования, чтобы понять, —…

[alexsmitposts]

It’s been One Hell of a Year in the US and its “Not Over with Yet!”

What is really going on in the US? Lots of people are having a difficult time, and see more of the same, if not worse, for the future. Most Americans are just thinking about one more stimulus check, just before Christmas, with so many unemployed, locked down with COVID restrictions, etc. And they should not get their hopes up too much, as they may be waiting for a long time.

All the while the US government is working to get Covid-19 vaccinations to the American public, but now they want strings attached, as people have not only lost faith in the government but the public health system. One proposal, from former congressman John Delaney of Maryland, aims to link the provision of stimulus checks to getting vaccinated, which is virtual blackmail.

Herd Immunity or Herd Mentality?

Since there’s such massive censorship, especially in the mainstream media and on social networking sites, people who would never otherwise give much credence to far-fetched allegations are now starting to believe there’s a conspiracy, or a “cluster-fuck” of conspiracies, starting out with Russiagate, Crossfire Hurricane Investigation, which proved to be the proverbial witch-hunt.

In light of everything that transpired during its run up, the recent US elections have really opened a Pandora’s Box. Take for instance absentee ballots. Several people claim they’ve seen boxes full of postal ballots not collected or counted after hours. According to Jackie Pick, a volunteer attorney in the State of Georgia who presented the evidence to the state Senate, said four suitcases ‘come out from underneath a table at the site while there was no election supervisor present’. But…. if they’re mail-in ballots, they would be for Biden anyway, right?

The mainstream media continue to totally dismiss claims of voting irregularities and fraud, without being willing to address the fact that the thing is remotely possible, claiming that Trump is merely “crying foul over the results”. But this only adds fuel to an already roaring fire. For example, CCTV evidence recently presented to a Georgia Senate Judiciary Subcommittee shows poll workers waiting for observers and media to leave before accessing ballot-stuffed suitcases from under a table, but no one has bothered to explain this, considering it not worthy of a democratic country’s attention.

Bearers of Bad News

Why is it necessarily to look elsewhere, to “off-the-wall” media outlets for alternative views on the election? Some of their insight into election cyber security, diverting votes by electronic means, Dominion Voter Machines, and old-fashion vote rigging is starting to make sense, and a democracy should be concerned about such claims, not treating them as part of sour rhetoric.

Some are now claiming that large transfers of money were made by Chinese investors prior to the elections, which brings a smile to my face in the light of Biden and his son Hunter, and a plethora of allegations of corruption involving them, including influence peddling and other backhanded moves, reported by the New York Post and other non-mainstream publications and outlets. Such stories, and even more scandalous ones, are quickly discounted or not reported in the respectful American mainstream media. They call that fact-checking.

However, a range of pundits and born again types, also not to be believed, are saying that 5 or 6 counties (cities) in the US were able to control the entire election process, and had known in advance what would be the outcome. In these same 6 cities the voting count was held up due to water problems, and allegedly people were robbed of their votes. There were also water main breaks in those same cities: Atlanta, Philadelphia, Detroit, Las Vegas, Phoenix…, and a few other cities also decided the election: Dallas Milwaukee and Seattle.

It is more than sheer coincidence that all these allegations are buttressed with the erosion of fundamental rights that Americans hold so close, free speech, majority rule, an array of constitutional rights and mainstream values. There is little doubt that the mainstream media, especially news networks such as CNN, have been manipulated in recent years, driving domestic and foreign policy, to a degree Joseph Goebbels would have been envious of.

At last some inside information concerning the agenda of the news networks is beginning to surface, and this is not good timing for those who have been manipulating the news. There is no longer a fine line between the truth and the lie, and CNN and others in the same stream of media flows have taken one maxim to heart: “If you tell a lie often enough people will come to accept it as truth.”

Some of the born again types, and their media outlets, seem to know what is going on, including the backdating of absentee ballots. They believe that Trump will somehow remain in office.

In the Meantime!

It is becoming clear that until Trump is out of the White House, he will be a problem. It does not matter whether he won or not. People continue to send him money that he can use for his own personal use. I liken these people to “useful idiots” or “real patriots.”

Yet many Republicans say nothing – which is sad, as without this force, which saw them of them riding on Trump’s coattails, many would not be in office now. It is so depressing to see that people can be so ignorant, or arrogant, or both. If Trump refuses to leave office – which I don’t believe – there will be huge protests. But he will leave office – he may not like it – but he will leave and continue to “suck” money from his supporters.

CNN Defect and Manufacturing Dissent

Recent breaking news is that James O’Keefe of Project Veritas caught CNN red handed conniving to influence the election over a period of two months during conference calls. This network made a concerted effort to report in favour of Joe Biden in the run-up to the election, and in its wake, thus adding more layers of conspiracies to an already complicated mess.

In the video he has released, O’Keefe enters into a CNN conference call, unmuting himself, telling the CEO, Jeffrey Zucker,

“We’ve been listening to your CNN calls for basically two months and recording everything. Just wanted to ask you some questions, if you have a minute … do you still feel you are the most trusted name in news? Based on what I’ve been hearing on these phone calls, I don’t know about that. I mean, we’ve got a lot of recordings that indicate you’re not really that independent of a journalist.”

The plot thickens as to how media and politics are joined up, and the playing field is less than level. The Washington Post, another media outlet which has also been accused in recent years of one sided coverage, reported that “while Project Veritas had previously disseminated covert recordings of CNN’s daily meetings, in this video O’Keefe himself could be seen dialing in to a private CNN call — apparently without the knowledge or consent of participants”.

It is clear that these recordings, legal or otherwise, show that CNN took sides in the US election, and even in the coverage of Trump’s bout with COVID, and made a concerted effort not to show him and his party in the best of light. What escapes critical attention, however, is what degree of conspiracy may have taken place with those outside of the media, such as the DNC. Based on the 2016 election, CNN is still referred to by some by the nickname, Clinton’s News Network, and that is not a good position for the network itself to be in.

I Smell a Rat!

I remember the news about the “stopped counting” on the night of the election. When this was first reported a few days after the election, election officials added an excuse that people were tired and needed to sleep. Nowhere else in history, especially on Election Day or before a deadline, and “where does a company send night-shift workers home because they’re afraid their workers are too tired?”

I smell a rat. This clip of vote counting clearly shows the counting votes continuing after hours, when everybody else, such as the election monitors, has left. Due to one sided media coverage, only now is this getting the attention it deserves, with recent Senate Hearings, e.g., Congressional Oversight in the Face of Executive Branch and Media Suppression.

Taken together, the media coverage, election results and all else happening now reminds me of an old film about the nexus of media to politics and American values. This is A Face in the Crowd (1957), directed by the rather controversial Elia Kazan, who has long been vilified for naming names during McCarthyism.

Some recent liberal critics have begun to maintain that the film predicts the Trump era, as it exposes an unhealthy alliance between populism, media and politics, while others claim just the opposite. However it definitely shows how lies and manipulation are part of any election process, and what has apparently transpired shows much more than just how low lying, deceitful politicians, journalists and governmental election oversight watchdogs will go to achieve their ends.

We’re Nowhere Near the Thick of it!

There are several videos of postal contract workers saying they saw suspicious dealings with truckloads and boxes full of ballots. As for the movie, readers should watch this carefully, stop at places and take notes, as it tells it all. Think of your own political history, your country – many countries have had, or still do have, similar vote rigging, media manipulation, playing the same political games. Compare for yourself with what is being alleged in the US, and see how your own people are manipulated into accepting all this as normal by government and media.

Think back to Dr. Goebbels, and how Hitler grabbed and consolidated power, and how it all fell apart in the end. The US is supposed to protect the world from that sort of thing. Whenever it is criticised by doing the opposite, it deflects this by saying that can’t be true because such things don’t happen in the US itself. Once the global community had to accept that argument but will it now?

Nobody is going to be the winner in the US presidential election, and the vote count is a moot issue; only democracy will have been lost. This will only empower those who want a different system – dictators, radicals and extremists of all kinds. These are same people who then dress their deeds up as “democratic”, Soviet-style, to give them legitimacy. They day they don’t will be the day US-hegemony ends, and it make be as soon as the day you read this article.

[optometrist0]

Where To Get An Eye Exam

Contents

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HOUSTON (AP) — Chaise Perry can’t quite see the words in his favorite "Pete the Cat" books, or those on the whiteboard at the front of his Francone Elementary School classroom. The Houston Chronicle reports the second-grader tried …

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[kristinsimmons]

11 Healthcare Innovation Trends To Watch In 2020

By ANDY MYCHKOVSKY

As we near the end of the year, rather than reflect on fond memories of 2019 (for which I’m grateful for my family, friends, readers, and Twitter followers), I’ve already started thinking about 2020. If you ever wanted to get inside my brain for 5-10 minutes (scary proposition I know) related to healthcare startups and innovation, here are some areas or trends that I will be following in the new decade.

1. Medicare-For-All Will Be Everywhere

As we move closer to the Democratic Presidential caucus, some of the top-polling candidates (Sen. Elizabeth Warren, Sen. Bernie Sanders, Andrew Yang) are endorsing a Medicare-For-All (M4A) platform. If one of those candidates receive the nomination for the 2020 Presidential election, private v. public health insurance will be front and center. It will dominate all major news. I’m watching how the weight of the entire healthcare industry will politically respond to a national Medicare-4-All Presidential debate (both publicly and privately).

2. Updating Physician Anti-Trust Rules To Support Value-Based Care

In October, the U.S. Department of Health and Human Services (HHS) released their long-anticipated proposed rules to update the anti-kickback and physician referral regulations, to help spur greater provider participation in value-based care arrangements. Any changes once finalized would affect the Civil Monetary Penalties Law, the Federal Anti-Kickback Statute, and the Physician Self-Referral Law (“Stark Law”). After comments are received, I’m watching how the healthcare machine helps craft these new regulations that some would say, stifles innovation in provider care delivery.

3. One Medical’s Financials (from S-1)

This is dependent on One Medical, the technology-enabled primary care practice with 70+ locations in nine major U.S. cities, actually going public. However, CNBC reported the company has hired banks including JPMorgan and Morgan Stanley in preparation for an initial public offering (IPO). The company was formerly valued at $1.5 billion during a financing round in 2018 and could file its prospectus by as early as the first quarter of 2020. I’m watching to see how a primary care practice, traditionally low profit margin services business with moderate EBITDA multiples, is able to become financial viable with much smaller panel sizes, but a $199 membership fee, technology services, and higher patient engagement.

4. Softbank’s Vision Fund II

As I said repeatedly on this blog, I want more venture investment into healthcare startups that deliver measurable patient value. Therefore, if Masayoshi Son wants to put his $100+ billion behemoth investment fund (assuming he actually raises it) towards the $3.7 trillion American healthcare system, I’m all for it. Earlier this month, CNBC reported that Honor, the home healthcare startup, could receive up to $150 million in funding. I just hope that he also dabbles in rounds prior to Series C, because those are the companies I care less about helping (as they should already be on their way to becoming profitable). It’s the seed stage to series B that I believe needs further capital and VC competition to help push innovation. I’m watching to see if billions of dollars flow into the industry that most needs it.

5. The Year of Payer M&A

Besides UnitedHealthcare and Aetna/CVS, both too large to purchase, I’ve long wondered if large retailers would ever purchase a for-profit national payers (especially Molina or Centene/Wellcare). For example, Walmart has significant geographic overlap with the health insurance exchange and Medicaid managed care membership of either health plan. If you want to be in healthcare right now, doesn’t hurt to be closest to the premium dollar (unless Medicare-For-All happens…). CVS seems to have done well with the acquisition of Aetna and is pushing for a network of health hubs to deliver care. I’m watching to see if one of the major retailers who have dabbled in healthcare (Walmart, Kroger, Walgreens) actually becomes the actual health insurance company and drives membership into preferred facilities.

6. Startup Health Plan Enrollment for 2020

I’m rooting for any company trying to disrupt the traditional health insurance industry, because I value competition. Companies like Oscar, Bright Health, Devoted Health, Clover Health, and Alignment Health are all high-flyers in terms of venture funding. However, insurance is fundamentally a risk-pool game where the team with the largest membership should also have the lowest actuarial volatility. Sub-scale plans, especially those that require high marketing and broker administrative fees like in commercial or Medicare Advantage, do not survive without adequate membership. I’m watching to see if these startup plans can attract larger amounts of membership during the 2020 open enrollment process, and how that affects future investment in the space.

7. State Regulators, Doctors, Pharmacists, and Direct-To-Consumer Pharmacy Startups

Companies like Hims, Roman, Curology, Pill Club, Nurx, and Lemonaide have all capitalized on the rocket-ship trend in healthcare, the combination of e-commerce, subscription, and virtual visits. It has been reported that Hims reached $100 million in annual subscription revenue and could reach $250 million in reoccurring revenue by the end of 2020. For healthcare, that is unthinkable since it’s not just health insurance premium revenue. These companies are proving that patients will choose convenience and good marketing over having to go to a doctor in-person for treatment of a specific conditions with generic drug options. The concept of mail-order pharmacy is nothing new, however, this new wave has attracted criticism all across the provider community. I’m watching to see if any states begin to mandate in-person physician office visits before allowing prescription scripts to be ordered and how these well-funded startups will respond.

8. Whatever 23andme And GoodRx Are Up To

In my opinion, two of the most interesting startups to watch in healthcare. In general, I want to see how each diversifies their healthcare revenue and gains member traction across different verticals. How will 23andme expands their business portfolio away from one-off $199 (or $99 on-sale) DNA testing, as one of the front-runners in the genetic data mining world. Seeing competitors like Veritas Genetics struggle with the economics of sequencing the human genome must be taken into account. GoodRx is moving beyond offering savings on prescription drugs, and into GoodRx Care, a program that helps people access virtual visits with physicians. Cost for services start at $20, depending on the condition and I’m excited to see how it performs and if they also launch a DTC pharmacy product. I’m watching each of these companies and leaders because they are two of the better startups in the game.

9. Amazon

Amazon is like Oprah. It only needs one word at everyone agrees its important. In my opinion, no company is better at execution than the Seattle-based book company. And e-commerce company. And digital streaming company. And cloud computing, artificial intelligence leading company. And now, healthcare company. Amazon is the sleeping giant that appears to have awaken. With PillPack’s first deal with BCBS Massachusetts and the creation of Amazon Care, the healthcare service being offered to employees around Seattle, Jeff Bezos has made his first moves. I’m watching to see if they double down on the pharmacy or device distribution marketplace (watch out Cardinal, McKesson, and AmerisourceBergen), or call an audible and expand their healthcare services offering beyond just their employees and families.

10. Alphabet’s Future In Healthcare

I always suspected the the co-founders of Google, Sergey Brin and Larry Page, had a passion for helping improve healthcare. Never talked to them about it, but that was my hunch. Hence why an incredible amount of resources and talent was put into healthcare spin-offs like Calico, Verily, and Google Health. Now that Sundar Pichai has been named CEO of Alphabet and the most the valuable subsidiary, Google, he has a big challenge in responding to constant public challenges around privacy and breaking up “big tech”. I’m watching to see if Sundar takes his foot off healthcare in lieu of these obstacles or if he doubles down on the $3.7 trillion market.

11. Walmart Health Expansion or Marketing

The entire healthcare industry was shocked when Walmart announced their new health clinic in Dallas, GA. They were offering primary care, dental, counseling, labs, x-rays, audiology, and other services for much below “market” rates? Cost of an appointment varies from $59 to $99 without insurance, as well as accepting many of the largest health insurance plans. Is this going to be like the $4 generic drug list or a small pilot and brilliant marketing ploy? I’m watching to see how many more clinics are announced, where they’re located, and whether the economics of supporting a healthcare provider service at historically low rates will be financially viable.

Andy Mychkovsky is a Director at Evolent Health and the Founder of a healthcare startup and innovation blog, Healthcare Pizza. This post originally appeared on Healthcare Pizza here.

The post 11 Healthcare Innovation Trends To Watch In 2020 appeared first on The Health Care Blog.

11 Healthcare Innovation Trends To Watch In 2020 published first on https://wittooth.tumblr.com/

[lauramalchowblog]

11 Healthcare Innovation Trends To Watch In 2020

By ANDY MYCHKOVSKY

As we near the end of the year, rather than reflect on fond memories of 2019 (for which I’m grateful for my family, friends, readers, and Twitter followers), I’ve already started thinking about 2020. If you ever wanted to get inside my brain for 5-10 minutes (scary proposition I know) related to healthcare startups and innovation, here are some areas or trends that I will be following in the new decade.

1. Medicare-For-All Will Be Everywhere

As we move closer to the Democratic Presidential caucus, some of the top-polling candidates (Sen. Elizabeth Warren, Sen. Bernie Sanders, Andrew Yang) are endorsing a Medicare-For-All (M4A) platform. If one of those candidates receive the nomination for the 2020 Presidential election, private v. public health insurance will be front and center. It will dominate all major news. I’m watching how the weight of the entire healthcare industry will politically respond to a national Medicare-4-All Presidential debate (both publicly and privately).

2. Updating Physician Anti-Trust Rules To Support Value-Based Care

In October, the U.S. Department of Health and Human Services (HHS) released their long-anticipated proposed rules to update the anti-kickback and physician referral regulations, to help spur greater provider participation in value-based care arrangements. Any changes once finalized would affect the Civil Monetary Penalties Law, the Federal Anti-Kickback Statute, and the Physician Self-Referral Law (“Stark Law”). After comments are received, I’m watching how the healthcare machine helps craft these new regulations that some would say, stifles innovation in provider care delivery.

3. One Medical’s Financials (from S-1)

This is dependent on One Medical, the technology-enabled primary care practice with 70+ locations in nine major U.S. cities, actually going public. However, CNBC reported the company has hired banks including JPMorgan and Morgan Stanley in preparation for an initial public offering (IPO). The company was formerly valued at $1.5 billion during a financing round in 2018 and could file its prospectus by as early as the first quarter of 2020. I’m watching to see how a primary care practice, traditionally low profit margin services business with moderate EBITDA multiples, is able to become financial viable with much smaller panel sizes, but a $199 membership fee, technology services, and higher patient engagement.

4. Softbank’s Vision Fund II

As I said repeatedly on this blog, I want more venture investment into healthcare startups that deliver measurable patient value. Therefore, if Masayoshi Son wants to put his $100+ billion behemoth investment fund (assuming he actually raises it) towards the $3.7 trillion American healthcare system, I’m all for it. Earlier this month, CNBC reported that Honor, the home healthcare startup, could receive up to $150 million in funding. I just hope that he also dabbles in rounds prior to Series C, because those are the companies I care less about helping (as they should already be on their way to becoming profitable). It’s the seed stage to series B that I believe needs further capital and VC competition to help push innovation. I’m watching to see if billions of dollars flow into the industry that most needs it.

5. The Year of Payer M&A

Besides UnitedHealthcare and Aetna/CVS, both too large to purchase, I’ve long wondered if large retailers would ever purchase a for-profit national payers (especially Molina or Centene/Wellcare). For example, Walmart has significant geographic overlap with the health insurance exchange and Medicaid managed care membership of either health plan. If you want to be in healthcare right now, doesn’t hurt to be closest to the premium dollar (unless Medicare-For-All happens…). CVS seems to have done well with the acquisition of Aetna and is pushing for a network of health hubs to deliver care. I’m watching to see if one of the major retailers who have dabbled in healthcare (Walmart, Kroger, Walgreens) actually becomes the actual health insurance company and drives membership into preferred facilities.

6. Startup Health Plan Enrollment for 2020

I’m rooting for any company trying to disrupt the traditional health insurance industry, because I value competition. Companies like Oscar, Bright Health, Devoted Health, Clover Health, and Alignment Health are all high-flyers in terms of venture funding. However, insurance is fundamentally a risk-pool game where the team with the largest membership should also have the lowest actuarial volatility. Sub-scale plans, especially those that require high marketing and broker administrative fees like in commercial or Medicare Advantage, do not survive without adequate membership. I’m watching to see if these startup plans can attract larger amounts of membership during the 2020 open enrollment process, and how that affects future investment in the space.

7. State Regulators, Doctors, Pharmacists, and Direct-To-Consumer Pharmacy Startups

Companies like Hims, Roman, Curology, Pill Club, Nurx, and Lemonaide have all capitalized on the rocket-ship trend in healthcare, the combination of e-commerce, subscription, and virtual visits. It has been reported that Hims reached $100 million in annual subscription revenue and could reach $250 million in reoccurring revenue by the end of 2020. For healthcare, that is unthinkable since it’s not just health insurance premium revenue. These companies are proving that patients will choose convenience and good marketing over having to go to a doctor in-person for treatment of a specific conditions with generic drug options. The concept of mail-order pharmacy is nothing new, however, this new wave has attracted criticism all across the provider community. I’m watching to see if any states begin to mandate in-person physician office visits before allowing prescription scripts to be ordered and how these well-funded startups will respond.

8. Whatever 23andme And GoodRx Are Up To

In my opinion, two of the most interesting startups to watch in healthcare. In general, I want to see how each diversifies their healthcare revenue and gains member traction across different verticals. How will 23andme expands their business portfolio away from one-off $199 (or $99 on-sale) DNA testing, as one of the front-runners in the genetic data mining world. Seeing competitors like Veritas Genetics struggle with the economics of sequencing the human genome must be taken into account. GoodRx is moving beyond offering savings on prescription drugs, and into GoodRx Care, a program that helps people access virtual visits with physicians. Cost for services start at $20, depending on the condition and I’m excited to see how it performs and if they also launch a DTC pharmacy product. I’m watching each of these companies and leaders because they are two of the better startups in the game.

9. Amazon

Amazon is like Oprah. It only needs one word at everyone agrees its important. In my opinion, no company is better at execution than the Seattle-based book company. And e-commerce company. And digital streaming company. And cloud computing, artificial intelligence leading company. And now, healthcare company. Amazon is the sleeping giant that appears to have awaken. With PillPack’s first deal with BCBS Massachusetts and the creation of Amazon Care, the healthcare service being offered to employees around Seattle, Jeff Bezos has made his first moves. I’m watching to see if they double down on the pharmacy or device distribution marketplace (watch out Cardinal, McKesson, and AmerisourceBergen), or call an audible and expand their healthcare services offering beyond just their employees and families.

10. Alphabet’s Future In Healthcare

I always suspected the the co-founders of Google, Sergey Brin and Larry Page, had a passion for helping improve healthcare. Never talked to them about it, but that was my hunch. Hence why an incredible amount of resources and talent was put into healthcare spin-offs like Calico, Verily, and Google Health. Now that Sundar Pichai has been named CEO of Alphabet and the most the valuable subsidiary, Google, he has a big challenge in responding to constant public challenges around privacy and breaking up “big tech”. I’m watching to see if Sundar takes his foot off healthcare in lieu of these obstacles or if he doubles down on the $3.7 trillion market.

11. Walmart Health Expansion or Marketing

The entire healthcare industry was shocked when Walmart announced their new health clinic in Dallas, GA. They were offering primary care, dental, counseling, labs, x-rays, audiology, and other services for much below “market” rates? Cost of an appointment varies from $59 to $99 without insurance, as well as accepting many of the largest health insurance plans. Is this going to be like the $4 generic drug list or a small pilot and brilliant marketing ploy? I’m watching to see how many more clinics are announced, where they’re located, and whether the economics of supporting a healthcare provider service at historically low rates will be financially viable.

Andy Mychkovsky is a Director at Evolent Health and the Founder of a healthcare startup and innovation blog, Healthcare Pizza. This post originally appeared on Healthcare Pizza here.

The post 11 Healthcare Innovation Trends To Watch In 2020 appeared first on The Health Care Blog.

11 Healthcare Innovation Trends To Watch In 2020 published first on https://venabeahan.tumblr.com

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