PJC Blog filter by author: dan
January 9, 2009 at 1:49 PM by DanWhy are healthcare costs rising so fast?
This is the underlying question in many topics of conversation, articles in the popular press, election cycles, presidential transition periods, etc. This issue of healthcare spending in the U.S. (or any other country) is incredibly complex. Contributing factors include inefficient and outdated information technology, high administration costs, obesity, healthcare financing (as opposed to cost) issues, higher prices in the U.S. … to name a few.
But there is one driving factor that seems missing from many discussions and debates: the role of labor in the delivery of care... read more...Tags: healthcare Comments (1)
November 25, 2008 at 8:34 AM by DanFor those who have been held up in a cave for the past few months, the credit markets have been in turmoil. Across all markets, financing companies with debt and equity has become more challenging. While the impact on venture-backed companies has not been as acute as financial institutions, there has clearly been an impact on financing early stage companies. Valuations have contracted, firms have increased capital reserved for existing investments, and the bar has been raised in the minds of many investors. For companies seeking to raise follow-on capital, this can present a challenge--particularly for those that are close to key milestones ... but haven't quite reached them. In an era of higher bars and lower valuations, this often presents a disconnect between the valuation expectations of new investors and management/existing investors. What to do? read more...Tags: VC_trends Comments (0)
November 4, 2008 at 10:15 am by DanYesterday the Supreme Court heard arguments in a case involving a woman
who was given a pharmaceutical treatment that resulted in a significant
adverse event. While I spend less time thinking about drugs than
medical devices, the case, its coverage in the media and a discussion
at the most recent Dartmouth Device Development Symposium (3D) got me
thinking about another Supreme Court case decided earlier in the year, Riegel v. Medtronic, which has significant implications for innovation in the device industry. The essence of the Riegel decision
was that a company cannot be sued in state court for harm caused by a
medical device provided that it was approved under a PMA process and
was manufactured and marketed under FDA guidelines. In other words, the
Court held that challenges to the safety and efficacy of such devices
are "preempted." The decision was 8-1 (on a court not terribly well
known for 8-1 decisions). So why would someone concerned with the
prospects for medical device innovation still be thinking about this
case? As it turns out, members of congress are apparently drafting
legislation that would preempt preemption—and limit medical device
innovation. read more...Tags: healthcare FDA medical_device innovation Comments (1)
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