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July 5th – July 11th on Twitter @THEHCC

In the general news, much of the country saw record temperatures in the triple
digits. The BP oil gusher was significantly reduced and plans to completely stop the leak
are underway.
In healthcare, President Obama appointed during the July 4th recess Dr. Donald
Berwick to head CMS, bypassing congressional hearings. The move could signify that
real cuts to Medicare are on the way (see Miami Summit stories inside).
In other healthcare business, JNJ announced yet another recall for the Tylenol,
further damaging the brand. The FDA criminal investigation into how JNJ handled this is
underway. Also, Genzyme expanded its manufacturing deal with Hospira in the wake of
its own manufacturing problems.
There was little FDA or clinical data news. The advisory committee briefing
documents for the Avandia hearing were more critical of Avandia. Some FDA medical
officers wrote that GSK improperly failed to account for adverse events in the RECORD
trial. Lastly, XenoPort and GlaxoSmithKline announced that their migraine headache
drug candidate failed in a Phase 2.

Picture of the Week

The heat wave in New York City

Hiroko Masuike for The New York Times

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The Miami Summit: Comparative Effectiveness Research
July 5, 2010

CurrentMedicine.TV and The University of Miami Health System hosted a roundtable

discussion on the general topic of ways to reduce the growth of healthcare spending. The
panel of experts were:

 Donna Shalala, PhD, President of The University of Miami and former Secretary
of the Health and Human Services Department for eight years under the Clinton
administration.
 Pascal Goldschmidt, MD, Dean of The Miller School of Medicine, The
University of Miami, and CEO of the UM health System
 Ralph Sacco, MD, Chair of the Department of Neurology, The Miller School of
Medicine, The University of Miami, and current President of the American Heart
Association
 David Cutler, PhD, Professor of Applied Economics, Department of Economics
and Kennedy School of Government, Harvard University, and senior advisor to
President Obama on health policy
 Steven Greer, MD, moderator

In Part 3 and 4, The following topics were discussed:

 What is Comparative Effectiveness Research (CER)?

 Examples: The CREST study on carotid artery stenting v surgery and estrogen
replacement therapy
 Will cost be factored into CER as it is in the UK with the NICE agency?
 The need for customized approaches similar to the way a financial planner
optimizes a client’s assets
 How to avoid a one-size-fits-all solution
 The need for better registries and electronic data keeping to make CER work

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The Miami Summit: The role of industry in clinical research
July 7, 2010

The Healthcare Channel and The University of Miami Health System hosted a roundtable
discussion on the general topic of ways to reduce the growth of healthcare spending.

In Part 5, Dean Goldschmidt led the discussion of the following topics:

 What is the appropriate ethical role of the drug and device industry in funding
clinical trials?
 The Physician Sunshine Payment Act recently passed
 Should physicians with shares in companies participate in clinical trials?

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Video: Medical imaging expenditure growth

July 6, 2010

Bruce Hillman, MD, Editor-in-Chief of The Journal of the American College of

Radiology (JACR) discusses why medical imaging expenditures have skyrocketed and
suggests some solutions to the problem. With Federal and State budgets on the brink,
even pro-spending economist Paul Krugman is saying today that Medicare is one budget
item that could be cut. Medical imaging is a vulnerable target within the Medicare
budget. Realizing this, and wanting to control their own fate, the radiology community is
starting to discuss ways to cut the rate of growth in medical imaging.

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Video: Optimal targets for DBS to treat Parkinson’s
July 6, 2010

NEJM author Fran Weaver, PhD discusses her

randomized controlled data exploring whether the
subthalamic nucleus or the globus pallidus is the
best location to target with deep brain stimulation
electrodes to treat Parkinson’s disease.
Neurosurgeon Alon Mogilner offers his opinion
on the clinical implications of the research.

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About The Healthcare Channel

The Healthcare Channel (The HCC) is the first digital video channel dedicated to
professionals in healthcare such as policymakers in Washington, journalists, healthcare
executives, scientists, doctors, and institutional investors.

The HCC is a video portal for all forms of business and research information including
interviews, coverage of medical meetings, panels of experts, etc.

Our viewers already have news services such as Bloomberg and Reuters, so we focus on
forward-looking analysis. We try to find underappreciated topics that will matter the most
to clinical medicine and the healthcare industry. Our content is brief and high-yield.

The HCC is not a boutique research shop, broker dealer, or banking outfit. Our business
model is subscription based content, advertising, and syndication. Our content can be
viewed on NPR, Reuters, The Wall Street Journal, ABC News and other national
platforms.

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Our video style is intentionally not flashy, in keeping with the “white paper” topics
discussed. The web site is design to be as clean and simple as possible.

CONTACTS

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