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Southwest Pulmonary and Critical Care Fellowships

News

Last 50 News Postings

(Most recent listed first. Click on title to be directed to the manuscript.)

CMS Proposes Increased Reimbursement for Hospitals but a Decrease for
   Physicians in 2025
California Bill Would Tighten Oversight on Private Equity Hospital Purchases
Private Equity-Backed Steward Healthcare Files for Bankruptcy
Former US Surgeon General Criticizing $5,000 Emergency Room Bill
Nurses Launch Billboard Campaign Against Renewal of Desert Regional
   Medical Center Lease
$1 Billion Donation Eliminates Tuition at Albert Einstein Medical School
Kern County Hospital Authority Accused of Overpaying for Executive
   Services
SWJPCCS Associate Editor has Essay on Reining in Air Pollution Published
   in NY Times
Amazon Launches New Messaged-Based Virtual Healthcare Service
Hospitals Say They Lose Money on Medicare Patients but Make Millions
   Trust in Science Now Deeply Polarized
SWJPCC Associate Editor Featured in Albuquerque Journal
   Poisoning by Hand Sanitizers
Healthcare Layoffs During the COVID-19 Pandemic
Practice Fusion Admits to Opioid Kickback Scheme
Arizona Medical Schools Offer Free Tuition for Primary Care Commitment
Determining if Drug Price Increases are Justified
Court Overturns CMS' Site-Neutral Payment Policy
Pulmonary Disease Linked to Vaping
CEO Compensation-One Reason Healthcare Costs So Much
Doctor or Money Shortage in California?
FDA Commissioner Gottlieb Resigns
Physicians Generate an Average $2.4 Million a Year Per Hospital
Drug Prices Continue to Rise
New Center for Physician Rights
CMS Decreases Clinic Visit Payments to Hospital-Employed Physicians
   and Expands Decreases in Drug Payments 340B Cuts
Big Pharma Gives Millions to Congress
Gilbert Hospital and Florence Hospital at Anthem Closed
CMS’ Star Ratings Miscalculated
VA Announces Aggressive New Approach to Produce Rapid Improvements
   in VA Medical Centers
Healthcare Payments Under the Budget Deal: Mostly Good News
   for Physicians
Hospitals Plan to Start Their Own Generic Drug Company
Flu Season and Trehalose
MedPAC Votes to Scrap MIPS
CMS Announces New Payment Model
Varenicline (Chantix®) Associated with Increased Cardiovascular Events
Tax Cuts Could Threaten Physicians
Trump Nominates Former Pharmaceutical Executive as HHS Secretary
Arizona Averages Over 25 Opioid Overdoses Per Day
Maryvale Hospital to Close
California Enacts Drug Pricing Transparency Bill
Senate Health Bill Lacks 50 Votes Needed to Proceed
Medi-Cal Blamed for Poor Care in Lawsuit
Senate Republican Leadership Releases Revised ACA Repeal and Replace Bill
Mortality Rate Will Likely Increase Under Senate Healthcare Bill
University of Arizona-Phoenix Receives Full Accreditation
Limited Choice of Obamacare Insurers in Some Parts of the Southwest
Gottlieb, the FDA and Dumbing Down Medicine
Salary Surveys Report Declines in Pulmonologist, Allergist and Nurse
   Incomes
CDC Releases Ventilator-Associated Events Criteria

 

 

For complete news listings click here.

The Southwest Journal of Pulmonary, Critical Care & Sleep periodically publishes news articles relevant to  pulmonary, critical care or sleep medicine which are not covered by major medical journals.

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Entries in smoking cessation (2)

Monday
Nov212022

Amazon Launches New Messaged-Based Virtual Healthcare Service

A story in Medscape came at an opportune time yesterday (1). The article announced that Amazon had launched its latest version of virtual medical care on Tuesday, November 15, in 32 states. Called Amazon Clinic, the service omits phone and video calls but instead works through secure messaging between patients and providers. Just after finishing the story, my daughter called and wanted to know if she could buy antibiotic containing eye drops over the counter. She says that she has had “pink eye” (conjunctivitis) for about 2 weeks. Her symptoms of itchy, red eyes without discharge were mostly relieved by an over-the-counter tetrahydrozoline HCl 0.05% drops (Visine). She did not want to go to an emergency room for such a minor issue and had a demanding schedule the following day making a doctor’s appointment difficult.  I told her she probably had a viral conjunctivitis but suggested that she could try the virtual clinic since she lives in a state where the Amazon virtual clinic is available. She did contact them and below she reports her experience.

After signing into her Amazon account, she did not have a “Clinic” selection on the banner at the top of her Amazon home page. She searched Amazon using “Amazon clinic” and a page popped up directing her to the appropriate website. After selecting a diagnosis (“pink eye”), she spent about 15 minutes filling out forms which asked demographic information as well a brief history of her present illness, past medical history, and previous therapies. She also took a “selfie” as well as a photo of her driver’s license. Within about 10 minutes she heard back from a nurse practitioner and a prescription was called into a pharmacy of her choice. She was extremely pleased with the service which saved her time and only cost $35.

The service is intended for straightforward health needs in patients under 65. The virtual clinic services a list of 18 common conditions including asthma and smoking cessation. Patients with 5 established conditions (asthma, hypertension, hyperlipidemia, hypothyroidism, and migraine) can also seek medication refills. The service does not accept insurance and works on a fee basis that includes follow-up messages with providers for up to 2 weeks. After paying Amazon directly, patients can submit receipts for reimbursement by their insurer if they have one. Visit costs vary by state, condition type, and provider. Wait times for receiving a first response from a provider are also published.

The service is not available in Arizona but is in each Arizona-bordering state as well as Hawaii. Amazon's venture into health care is evolving. It offers a pharmacy service but this would have taken 4 days to have the prescription delivered in my daughter’s case. Amazon plans to shut down its telehealth service known as Amazon Care by the end of the year but recently signed a deal to acquire One Medical's telehealth service and brick-and-mortar primary care clinics according to Becker's Hospital Review (2).

Richard A. Robbins MD

Editor, SWJPCCS

References

  1. O’Mary L. Amazon Launches Messaged-Based Virtual Healthcare Service. Medscape Business of Medicine. November 15, 2022. Available at: https://www.medscape.com/viewarticle/984089?src=WNL_bom_221120_MSCPEDIT&uac=9273DT&impID=4885555 (accessed 11/20/22).
  2. Naomi Diaz N. - "Healthcare seen as safe bet in Amazon's cost-cutting review. Becker's Hospital Review. Thursday, November 10th, 2022. Available at: https://www.beckershospitalreview.com/disruptors/healthcare-seen-as-safe-bet-in-amazon-s-cost-cutting-review.html (accessed 11/20/22).
Cite as: Robbins RA. Amazon Launches New Messaged-Based Virtual Healthcare Service. Southwest J Pulm Crit Care Sleep. 2022;25(5):90-91. doi: https://doi.org/10.13175/swjpccs053-22 PDF
Wednesday
Jan032018

Varenicline (Chantix®) Associated with Increased Cardiovascular Events

Researchers from Canada published on-line a study linking varenicline with increased cardiovascular events on December 20, 2017 in the American Journal of Respiratory and Critical Care Medicine (1). They found new varenicline users had a statistically significant 34% increased incidence of cardiovascular hospitalizations and emergency department visits while taking the medication.

This finding was consistent in numerous subgroup and sensitivity analyses with different types of patients, different outcome definitions and different risk and control intervals. They also observed a questionably clinically significant 6% increase in the incidence of neuropsychiatric hospitalizations. The cardiovascular findings are in contrast to previous studies which reported no difference or a decrease in cardiovascular events (2,3). The authors advise weighing the health benefits of smoking cessation against any potential cardiovascular events related to varenicline.

Richard A. Robbins, MD

Editor, SWJPCC

References

  1. Gershon AS, Campitelli MA, Hawken S, Victor C, Sproule BA, Kurdyak P, Selby P. Cardiovascular and neuropsychiatric events following varenicline use for smoking cessation. Am J Respir Crit Care Med. 2017 Dec 20. [Epub ahead of print]. [CrossRef] [PubMed]
  2. Kotz D, Viechtbauer W, Simpson C, van Schayck OC, West R, Sheikh A. Cardiovascular and neuropsychiatric risks of varenicline: a retrospective cohort study. Lancet Respir Med. 2015; 3(10):761-8. [CrossRef] [PubMed]
  3. Sterling LH, Windle SB, Filion KB, Touma L, Eisenberg MJ. Varenicline and adverse cardiovascular events: a systematic review and meta-analysis of randomized controlled trials. J Am Heart Assoc. 2016; 5(2). pii: e002849. [CrossRef] [PubMed]

Cite as: Robbins RA. Varenicline (Chantix®) associated with increased cardiovascular events. Southwest J Pulm Crit Care. 2018;16(1):15. doi: https://doi.org/10.13175/swjpcc003-18 PDF