Author: Healio ophthalmology

BLOG: The silver surfers are hitting the Web

A few weeks ago, I was talking to a client in the Midwest. The marketing director was looking for something fresh for social media, and I suggested a campaign for seniors. Immediately she shot it down, saying that seniors don’t get on the Web and just aren’t computer savvy. I disagreed and was happy to recite some numbers for her.

OIG’s strong language on physician-owned distributorships is clear message to investors

In a Special Fraud Alert released on March 26, the Department of Health and Human Services Office of Inspector General (OIG) stated in no uncertain terms that physician-owned entities that arrange for the sale of “implantable medical devices ordered by their physician-owners for use in procedures [that] the physician-owners perform on their own patients at hospitals or ambulatory surgical centers” are “inherently suspect under the anti-kickback statute.” According to the OIG alert, these PODs “produce substantial fraud and abuse risk and pose dangers to patient safety.” As such, a POD (Read more...)

HHS announces final rule for Medicaid expansion

The Department of Health and Human Services has announced the final rule that would guarantee complete coverage for newly eligible adult Medicaid beneficiaries under age 65 years with income up to 133% of the federal poverty level.“This is a great deal for states and great news for Americans,” Kathleen Sebelius, Health and Human Services (HHS), stated in a news release. “Thanks to the Affordable Care Act, more Americans will have access to health coverage and the federal government will cover a vast majority of the cost. Treating people who don’t (Read more...)

BLOG: The silver surfers are hitting the Web

A few weeks ago, I was talking to a client in the Midwest. The marketing director was looking for something fresh for social media, and I suggested a campaign for seniors. Immediately she shot it down, saying that seniors don’t get on the Web and just aren’t computer savvy. I disagreed and was happy to recite some numbers for her. In 2012, Pew Research came out with new numbers on seniors and the Internet, and they were astonishing. Fifty-three percent of adults living in the U.S., age 65 years and (Read more...)

BLOG: In treating glaucoma, don’t forget old-fashioned clinical skill

The cover story in the current issue of Ocular Surgery News focuses on the progression of glaucoma, one of our field’s most perplexing mysteries. The longer I practice ophthalmology, the less certain I have become that we really understand glaucoma. Sure, I can follow accepted standards of care, setting target pressures and assessing regularly for compliance and efficacy, but I feel less and less like we really know what’s going on, especially with the enigmas we call low-tension glaucoma and ocular hypertension.

Stakes enormous as Supreme Court weighs ‘pay-to-delay’ generic drug deals

From international law firm Arnold & Porter LLP comes timely views on current regulatory and legislative topics that weigh on the minds of today’s physicians and health care executives.The Supreme Court is poised to resolve a long-running debate regarding the legality of so-called “reverse payment” patent litigation settlements between brand drug and generic drug companies. The court heard oral argument on March 25 in FTC v. Actavis, a case that focuses on these settlements, in which (1) the brand company licenses the generic product to enter the market on a (Read more...)

Force gauge used to test integrity of clear corneal incisions

A calibrated force gauge was used to apply pressure approximating what a patient’s eye might experience when it is rubbed, and then that pressure was used to determine the rate of wound leak after clear corneal incision cataract surgery.The study authors used the Dontrix gauge (GAC International), modified by Ocular Therapeutix, to determine a force of 1 oz was needed to approximate patient manipulation of the eye. The instrument can be sterilized and used to provide a controlled, quantifiable amount of force, the authors said.

HHS fraud alert targets physician-owned distributorships

Physician-owned distributorships are the target of a new special fraud alert issued by the Office of Inspector General.Citing the “strong potential for improper inducements between and among the physician investors, the entities, device vendors and device purchasers,” the alert, dated March 26, sounded a clear warning about how the office views physician-owned distributorships (PODs).“We believe that PODs are inherently suspect under the anti-kickback statute,” the alert said, adding that the office is concerned about the “proliferation” of PODs.

Age, refractive index of corneal stroma help improve LASIK predicted outcomes

Factoring patient age and refractive index of the corneal stroma into the treatment profile improved the predictability of LASIK outcomes, according to a study.The prospective study included 133 eyes, of which 107 were myopic and 26 were hyperopic. Mean patient age was 33.4 years. Mean refractive index was 1.368, and attempted spherical correction was –2.43 D.