Thursday, June 23, 2011

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Good morning! Here's what you need to know:


1. The FT reports: "Moody’s Investors Service, the credit rating agency, warned of a “very small but rising risk” that the US could default on its debt, adding pressure on Congress and the Obama administration to overcome severe political divisions and strike a deal on fiscal policy. The report from Moody’s follows a move in April by Standard & Poor’s to change the outlook on America’s vaunted triple-A credit score from “stable” to “negative” because of the lack of a political consensus on deficit reduction."


2. The Wall Street Journal reports: "Moody's Investors Service said it may downgrade credit ratings of some of the biggest U.S. banks, as it reconsiders the likelihood that they will be supported by the government in times of trouble." The banks in question are Bank of America, Wells Fargo and Citi.


3. Walter Mead reports: "Today some 86 million Americans live in homes that are ‘under water;’ where the amount owed on the mortgage is greater than the value of the house.  Since the financial crisis began in 2008, over one million consumer mortgages have gone into foreclosure. Sales of bank-owned properties are now 34.5 percent of the housing market;  homes in foreclosure waiting for resale now account for a three years-supply on the sluggish housing market."


4. The Department of Labor's jobs report will be updated today at 8:30am.  Joe Weisenthal points to five things to look for in the data.


5. Mitt Romney launched his presidential campaign yesterday in New Hampshire, saying that President Obama had "failed" America and that he would focus his campaign almost entirely on economic growth and job creation. Dan Balz has a balanced assessment of Mr. Romney's political challenge. We outline six reasons he might win.


6. A new poll from National Journal finds that President Obama's ratings have improved markedly since late last year, but that roughly 6-out-of-10 Americans believe that the country is off on the wrong track.  Whites are more pessimistic than other demographic sub-groups.


7. The US House will vote today on two measures that are "strongly critical of President Obama’s decision to maintain an American role in NATO operations in Libya, reflecting increasing disenchantment among elements of both parties about the United States’ involvement in the conflict," The New York Times reports.


8. The Obama Administration and Senate Foreign Relations Committee Chairman John Kerry (D-MA) believed that Syrian President Bashar al-Assad was open to "reform."  Those hopes have been dashed and US policy toward Syria is in shambles. Columnist David Brooks writes that the Syrian regime is "depraved."


9. Yemen's economy is near collapse, as tribal forces battled government forces in that country's capitol city. The complete collapse of Yemen is now truly possible.


10. Pakistan's test launch last month of a new short-range ballistic missile, when added to its quickly growing arsenal of lower-power nuclear weapons, indicates the South Asian country is seriously readying to use its nuclear deterrent should war break out again with India, the Times of India reported on Sunday.


11. Killer cukes! The New York Times reports: "The strain of E. coli setting off alarms throughout Europe is a previously unknown “super-toxic” variant, international health officials said Thursday."


12. Jill Abramson was named executive editor of The New York Times.


Good morning! Here's what you need to know:


1. The FT reports: "Moody’s Investors Service, the credit rating agency, warned of a “very small but rising risk” that the US could default on its debt, adding pressure on Congress and the Obama administration to overcome severe political divisions and strike a deal on fiscal policy. The report from Moody’s follows a move in April by Standard & Poor’s to change the outlook on America’s vaunted triple-A credit score from “stable” to “negative” because of the lack of a political consensus on deficit reduction."


2. The Wall Street Journal reports: "Moody's Investors Service said it may downgrade credit ratings of some of the biggest U.S. banks, as it reconsiders the likelihood that they will be supported by the government in times of trouble." The banks in question are Bank of America, Wells Fargo and Citi.


3. Walter Mead reports: "Today some 86 million Americans live in homes that are ‘under water;’ where the amount owed on the mortgage is greater than the value of the house.  Since the financial crisis began in 2008, over one million consumer mortgages have gone into foreclosure. Sales of bank-owned properties are now 34.5 percent of the housing market;  homes in foreclosure waiting for resale now account for a three years-supply on the sluggish housing market."


4. The Department of Labor's jobs report will be updated today at 8:30am.  Joe Weisenthal points to five things to look for in the data.


5. Mitt Romney launched his presidential campaign yesterday in New Hampshire, saying that President Obama had "failed" America and that he would focus his campaign almost entirely on economic growth and job creation. Dan Balz has a balanced assessment of Mr. Romney's political challenge. We outline six reasons he might win.


6. A new poll from National Journal finds that President Obama's ratings have improved markedly since late last year, but that roughly 6-out-of-10 Americans believe that the country is off on the wrong track.  Whites are more pessimistic than other demographic sub-groups.


7. The US House will vote today on two measures that are "strongly critical of President Obama’s decision to maintain an American role in NATO operations in Libya, reflecting increasing disenchantment among elements of both parties about the United States’ involvement in the conflict," The New York Times reports.


8. The Obama Administration and Senate Foreign Relations Committee Chairman John Kerry (D-MA) believed that Syrian President Bashar al-Assad was open to "reform."  Those hopes have been dashed and US policy toward Syria is in shambles. Columnist David Brooks writes that the Syrian regime is "depraved."


9. Yemen's economy is near collapse, as tribal forces battled government forces in that country's capitol city. The complete collapse of Yemen is now truly possible.


10. Pakistan's test launch last month of a new short-range ballistic missile, when added to its quickly growing arsenal of lower-power nuclear weapons, indicates the South Asian country is seriously readying to use its nuclear deterrent should war break out again with India, the Times of India reported on Sunday.


11. Killer cukes! The New York Times reports: "The strain of E. coli setting off alarms throughout Europe is a previously unknown “super-toxic” variant, international health officials said Thursday."


12. Jill Abramson was named executive editor of The New York Times.



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Friday, June 17, 2011

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Thursday, May 19, 2011

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By abs-cbnNEWS.com and U.S. News Agency / Asian

Photos of a beaming Charice with Hollywood superstars Salma Hayek and Kevin James have been posted on the Internet.


Caughtonset.com carried several pictures of the 19-year-old Filipino international singing sensation and her co-stars on the set of “Here Comes The Boom.”


The photos were shot outside Faneuil Hall in downtown Boston where the cast members shot scenes on May 13, the website said.


“Here Comes The Boom” is Charice’s second Hollywood film.


In the film, the “Pyramid” singer will play Malia.


Charice was part of 20th Century Fox’s live-action animation film “Alvin and the Chipmunks: The Squeakquel.”


Directed by Frank Coraci (“Click” and “The Wedding Singer”), “Here Comes The Boom” tells the story of a music teacher who will do everything to keep the school music program running.


The film will be screened in 2012, reports said.


In her previous interview, Charice, dubbed as the rising Asian pop star, said she yearns to appear in a horror film.



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Secret Service&#39;s official Twitter account blasts Fox <b>News</b> - Lost <b>...</b>

Someone at the Secret Service apparently accidentally bashed Fox News from the Secret Service's official Twitter account earlier today. “Had to monitor Fox for a story. Can't. Deal. With. The. Blathering.” the account briefly read, ...

Space <b>News</b>!: A &#39;Nearby&#39; Habitable Planet And Rogue &#39;Planets&#39; That <b>...</b>

Space News!: A 'Nearby' Habitable Planet And Rogue 'Planets' That Don't Orbit Any Stars.

<b>News</b> In Brief: Life - Science <b>News</b>

Romeo-and-Juliet leafhoppers, sleep-deprived honeybees and more in this week's news.

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Friday, April 22, 2011

Alt Attribute & Seo

SEO Optimization images has become more and more essential in SEO (Seo optimization) for websites. The ALT attribute is a critical step that is often overlooked. This can be a lost chance of better rankings.


In Google's webmaster guidelines, they advise the use of alternative text for the images on your web site:

Images:. Use the alt attribute to supply descriptive text. In addition, we recommend utilizing a human-readable caption and descriptive text around the image.

Why would they ask us to achieve that? The answer is simple, really; search engines like google have a similar problem as blind users. They can't see the images.

Many webmasters and inexperienced or unethical SEOs abuse the use of this attribute, attempting to stuff it with keywords, looking to achieve a particular keyword density, which is not as relevant for rankings now as it once was.

On the contrary, high keyword density can, on some search engines like google, trigger spam filters, which might result in a penalty for the site's ranking. Even without such a penalty, your site's rankings will not benefit from this plan.
This process also puts persons who use screen readers in a greater disadvantage. Screen readers are software-based tools that actually read aloud the contents of what is displayed on the screen. In browsing the net, the alt features of images are read aloud too.

Imagine hearing a paragraph of text that is followed by repetitions of many keywords. The page would be far from accessible, and, to put it bluntly, will be found quite annoying.
What is an Alt attribute?

An ALT attribute should not be used like a description or a label to have an image, though lots of people use it in that fashion. Although it may appear natural to assume that alternate text is really a label or perhaps a description, it is not!

What used within an image's alt attribute should be its text equivalent and convey the same information or serve the same purpose that the image would.

The thing is to provide the same functional information that a visual user would see. The alt attribute text should function as a "stand in" in the event that the image itself is unavailable. Ask yourself this: Should you replace the image using the text, would most users get the same basic information, and would it create the same response?
Some examples:

 

Some SEO Optimization Tips

If your search button is a magnifier or binoculars its alt text should be 'search' or 'find' not 'magnifying glass' or 'binoculars'.

If the image is meant to convey the literal items in the image, a description is suitable.

If it is meant to convey data, then that data is what's appropriate.

If it's designed to convey using a function, then the function itself is what should be used.

Some Alt Attribute Guidelines:

Always add alt attributes to images. Alt is mandatory for accessibility and for valid XHTML.

For images that play only a decorative role in the page, use an empty alt (i.e. alt="") or perhaps a CSS background image to ensure that reading browsers do not bother users by uttering such things as "spacer image".

Remember that it is the function from the image we're attempting to convey. For example; any button images should not range from the word "button" within the alt text. They should emphasize the action performed through the button.

Alt text ought to be based on context. Exactly the same image inside a different context may require drastically different alt text.

Try to flow alt text with the remainder of the text because that's the way it is going to be read with adaptive technologies like screen readers. Someone hearing your page should hardly remember that a graphic image is there.
Please keep in mind that using an alt attribute for each image is needed to satisfy the minimum WAI requirements, that are used since the benchmark for accessibility laws in UK and also the rest of Europe. They are also necessary to meet "Section 508" accessibility requirements in america.

It is important to categorize non-text content into three levels:

Eye-Candy
Mood-Setting
Content and Function

I. Eye-Candy

Eye-Candy are stuff that serve no purpose other than to make a site visually appealing/attractive and (oftentimes) fulfill the marketing departments. There is no content value (though there might be value to some sighted user).

Never alt-ify eye-candy unless there's something there which will boost the usability from the site for somebody using a non-visual user agent. Use a null alt attribute or background images in CSS for eye-candy.

II. Mood-Setting

This is actually the middle layer of graphics which might serve to set the mood or set the stage as it were. These graphics aren't direct content and could not be considered essential, but they are essential in that they help frame what's going on.

Attempt to alt-ify the 2nd group as makes sense and it is relevant. There might be instances when doing this might be annoying or detrimental to other users. Then try to avoid it.

For example; Alt text that is just like adjacent text is unnecessary, as well as an irritant to screen reader users. I recommend alt="" or background CSS images in such cases. But sometimes, it's vital that you understand this content in there for all users.

Usually this will depend on context. Exactly the same image in a different context may need drastically different alt text. Obviously, content ought to always be fully available. How you use this case is a judgment call.

III. Content and Function

This is when the image may be the actual content. Always alt-ify content and functional images. Title and long description attributes may also be so as.
The reason many authors can't understand why their alt text isn't working is they don't know why the images are there. You need to figured out precisely what function an image serves. Consider what it's concerning the image that's vital that you the page's intended audience.

Every graphic includes a reason behind standing on that page: because it either improves the theme/ mood/ atmosphere or it is critical to what the page is attempting to explain. Understanding what the look is perfect for makes alt text simpler to write. And practice writing them definitely helps.
A way to check the usefulness of alternative text would be to imagine reading the page on the phone to someone. An amount you say when encountering a particular image to create the page understandable towards the listener?

Aside from the alt attribute you have a couple more tools at your disposal for images.
First, in degree of descriptiveness title is within between alt and longdesc. It adds useful information and can add flavor. The title attribute is optionally rendered through the user agent. Remember they're invisible and not shown as a "tooltip" when focus is received via the keyboard. (A lot for device independence). So make use of the title attribute just for advisory information.
Second, the longdesc attribute points to the URL of a complete description of the image. If the information found in a picture is important towards the meaning of the page (i.e. some important content will be lost when the image was removed), an extended description compared to "alt" attribute can reasonably display should be used. It may provide for rich, expressive documentation of a visual image.

It ought to be used when alt and title are insufficient to embody the visual qualities of the image. As Clark [1] states, "A longdesc is a long description of the image...The aim is by using any period of description necessary to impart the details from the graphic.

It would not be remiss to hope that the long description conjures a picture - the image - within the mind's eye, an analogy that is true even for that totally blind."

Even though alt attribute is mandatory for web accessibility and for valid (X)HTML, not every images need alternative text, long descriptions, or titles.

In many cases, you are best just choosing your gut instinct -- if it's not necessary to incorporate it, and when you don't have a strong urge to do it, don't add that longdesc.

However, if it's necessary for the whole page to operate, then you have to add the alt text (or title or longdesc).

What's necessary and what's not depends a great deal about the function of your image and it is context on the page.

Exactly the same image may need alt text (or title or longdesc) in one spot, but not in another. If the image provides absolutely no content or functional information alt="" or background CSS images might be appropriate to make use of. However, if the image provides content or adds functional information an alt would be required and perhaps even a long description will be so as. Oftentimes this kind of thing is a judgement call.

Image Search Engine Optimization Tips


Listed below are key steps in optimizing images:

Choose a logical file name that reinforces the keywords. You should use hyphens within the file name to isolate the keyword, but avoid to exceeding two hyphens. Avoid using underscores like a word separator, like for example "brilliant-diamonds.jpg";

Label the file extension. For instance, if the image search engine sees a ".jpg" (JPEG) file extension, it's likely to assume that the file is really a photo, and when it sees a ".gif" (GIF) file extension, it's likely to assume that it is a graphic;

Ensure that the written text nearby the image that is relevant to that image.
Again, do not lose a great chance to help your site with your images in search engines. Begin using these steps to position better on all the engines and drive increased traffic for your site TODAY.

Thursday, April 21, 2011

Website Optimization


Conversion rate optimization (CRO) is the hot new thing because of the potential it has to double your revenue without doubling your costs, which also allows you to increase your marketing budgets and makes marketing your business more profitable.


Most companies neglect CRO though, not because they don’t think it’s important, but because their tech team is preoccupied with many, many other things. Building great products and software as well as maintaining them certainly isn’t an easy job.


First, let’s focus on a few rules on what to test for CRO and how to test:


1. Define the challenge (more sales of A, more newsletter subscriptions, more visitors funneling to the next page) and the webpage to test


2. List potential reasons for your low conversion, problem areas on the webpage



  • Think about what’s essential to the webpage and what could be removed

  • Get some users and survey them on where the friction is. Ask them questions like “What would you change on this page?”

  • Use tools like CrazyEgg to get heat maps that show where people are clicking and where their attention is drawn


3. Consider alternatives for the problem areas on the webpage


4. Create and edit images and buttons, change up text (maybe even size and font), rearrange things, or create new pages entirely


5. Don’t get too crazy with all the data and feedback. Go ahead and start testing with just a few variations, see what’s working and optimize some more


When you’re ready to execute on CRO, you can do A/B testing and create your own landing pages without bothering your already busy, probably frequently annoyed-with-you, tech team.


A/B Testing



Conversion rate optimization (CRO) is the hot new thing because of the potential it has to double your revenue without doubling your costs, which also allows you to increase your marketing budgets and makes marketing your business more profitable.


Most companies neglect CRO though, not because they don’t think it’s important, but because their tech team is preoccupied with many, many other things. Building great products and software as well as maintaining them certainly isn’t an easy job.


First, let’s focus on a few rules on what to test for CRO and how to test:


1. Define the challenge (more sales of A, more newsletter subscriptions, more visitors funneling to the next page) and the webpage to test


2. List potential reasons for your low conversion, problem areas on the webpage



  • Think about what’s essential to the webpage and what could be removed

  • Get some users and survey them on where the friction is. Ask them questions like “What would you change on this page?”

  • Use tools like CrazyEgg to get heat maps that show where people are clicking and where their attention is drawn


3. Consider alternatives for the problem areas on the webpage


4. Create and edit images and buttons, change up text (maybe even size and font), rearrange things, or create new pages entirely


5. Don’t get too crazy with all the data and feedback. Go ahead and start testing with just a few variations, see what’s working and optimize some more


When you’re ready to execute on CRO, you can do A/B testing and create your own landing pages without bothering your already busy, probably frequently annoyed-with-you, tech team.


A/B Testing


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Thursday, April 14, 2011

Bench Craft Company on the art of travel

"Getting data privacy 'right' is an economic and social imperative. Trust and confidence in the security and privacy of the critical systems of our planet - especially the digital version of its central nervous system, the Internet - is foundational to individuals' continued engagement and reliance on such things as online commerce, e-health and smart grids. If individual consumers don't feel that their privacy and security are protected, they will not support modernization efforts, even though the capabilities of technology advancements are proven and the potential benefits to society are extensive.



"Here's an example of the tensions we face: The ability of smart grids to conserve resources relies on the ability of, and commitment from, consumers to monitor and modify their individual usage. An individual using a smart meter understands the difference in the cost of using electricity at peak versus non-peak hours and could opt to lower their usage during more costly time periods. At the same time, data from the meters can reveal sensitive information such as work habits, shower schedules, use of medical devices such as dialysis, and whether or not a house is occupied."



"I don't worry that the technology will have a negative impact on consumer privacy," wrote Mark Roberti, founder of RFID Journal in a June overview of the state of the RFID market where privacy is concerned. "Instead, I worry that ignorant legislators trying to score points with uninformed voters will pass laws that limit the many benefits RFID can deliver--and that is a much bigger threat to consumers."



Today's agreement in Europe appears not to be the kind of legislation Roberti feared. As a framework focused on self-reporting it may be too little, ultimately, but it's a start.












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Sources: Phil Jackson, Los Angeles Lakers fined $75,000 each


Lakers coach Phil Jackson has been fined $75,000 for making unauthorized comments about collective bargaining, sources said Thursday.


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Great news: Working population percentage drops to three-decade low.


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ABC <b>News</b> Exclusive: Pat Tillman&#39;s Mom Wants General Stanley <b>...</b>

ABC News' Jake Tapper reports: President Obama named retired General Stanley McChrystal to co-chair a White House commission on military families this week, but according to perhaps the most prominent military family of the last decade, ...


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Video calls were a mainstay of classic sci-fi films, and even today there’s something almost magical about seeing your friends and family on the screen of a portable device. Video calling has been around for some time, but it’s only really in the past year or so that its got more attention among regular users. That’s thanks in no small part to Apple and FaceTime, as found on the iPhone 4, iPad 2 and other gadgets from the company’s range. Read on as we give FaceTime the full SlashGear 101 treatment!




So Apple invented video calling, right?


No, not at all, though they did do a lot to make it easier to use – just as long as you have the right hardware. Video calling is actually a part of the 3G standard, which – if the carrier and whatever phone you’re using supports it, which isn’t the case in the US – has been available since around 2003. Unfortunately a combination of high pricing, poor understanding by users, mediocre quality and patchy reliability meant this form of video calling has never really taken off.


Apple’s FaceTime takes advantage of the company’s tight control over the iPhone, iPod touch, iPad and MacBook software, which has allowed it to polish the video calling experience to the point where everyday use is possible. Now FaceTime is available to anybody at the touch of an on-screen button.


Do I need an Apple phone to use FaceTime?


Not necessarily a phone, but definitely something with the Apple logo. FaceTime was first supported on the iPhone 4, which was Apple’s first mobile device with a front-facing camera (i.e. one that looks at the user, rather than out the back of the handset). The latest iPod touch and iPad 2 both have front-facing cameras and FaceTime support as well, and Apple has released a FaceTime app for its Mac and MacBook computers so they can join in the fun as well. FaceTime comes free on the mobile devices and the very latest Macs, and is a $0.99 download from the Mac App Store for earlier Mac owners.


Okay, so how do I use it?


It’s pretty simple, just as Apple was aiming for. On the iPhone you make a voice call in the normal way and then tap the FaceTime button on-screen to switch to video. On the iPod touch and iPad 2, you start a video call in the FaceTime app. You’ll need an Apple account in order to make and receive calls, since that’s used as the “phone number” for devices other than the iPhone 4.




Currently, FaceTime video calls can only be made when you have a WiFi connection, not when you’re using the mobile network for data. That’s a limitation Apple has put in place itself, though the company has said it is working on removing it in the future.


I’m not into Apple, can I video call with something else?


You certainly can, though the process gets a bit trickier. Various apps are available for Android and other mobile phone platforms which promise video calls, sometimes over not only WiFi but the 3G mobile networks too. That means you can make video calls when away from your home network or a WiFi hotspot, as long as your signal is strong enough.


Skype, Fring and Qik are all among the companies offering video calling apps, though their effectiveness often varies on a phone-by-phone basis. Not all phones have front-facing cameras, either, though they’re becoming more common on the latest handsets. A future SlashGear 1010 feature will look at the best video calling apps if FaceTime isn’t your thing.


Apple has said it plans to open up FaceTime to other manufacturers, so that non-Apple phones can make and receive calls too, but so far there’s no sign of that actually happening.


More information at Apple’s FaceTime page.










Video calls were a mainstay of classic sci-fi films, and even today there’s something almost magical about seeing your friends and family on the screen of a portable device. Video calling has been around for some time, but it’s only really in the past year or so that its got more attention among regular users. That’s thanks in no small part to Apple and FaceTime, as found on the iPhone 4, iPad 2 and other gadgets from the company’s range. Read on as we give FaceTime the full SlashGear 101 treatment!




So Apple invented video calling, right?


No, not at all, though they did do a lot to make it easier to use – just as long as you have the right hardware. Video calling is actually a part of the 3G standard, which – if the carrier and whatever phone you’re using supports it, which isn’t the case in the US – has been available since around 2003. Unfortunately a combination of high pricing, poor understanding by users, mediocre quality and patchy reliability meant this form of video calling has never really taken off.


Apple’s FaceTime takes advantage of the company’s tight control over the iPhone, iPod touch, iPad and MacBook software, which has allowed it to polish the video calling experience to the point where everyday use is possible. Now FaceTime is available to anybody at the touch of an on-screen button.


Do I need an Apple phone to use FaceTime?


Not necessarily a phone, but definitely something with the Apple logo. FaceTime was first supported on the iPhone 4, which was Apple’s first mobile device with a front-facing camera (i.e. one that looks at the user, rather than out the back of the handset). The latest iPod touch and iPad 2 both have front-facing cameras and FaceTime support as well, and Apple has released a FaceTime app for its Mac and MacBook computers so they can join in the fun as well. FaceTime comes free on the mobile devices and the very latest Macs, and is a $0.99 download from the Mac App Store for earlier Mac owners.


Okay, so how do I use it?


It’s pretty simple, just as Apple was aiming for. On the iPhone you make a voice call in the normal way and then tap the FaceTime button on-screen to switch to video. On the iPod touch and iPad 2, you start a video call in the FaceTime app. You’ll need an Apple account in order to make and receive calls, since that’s used as the “phone number” for devices other than the iPhone 4.




Currently, FaceTime video calls can only be made when you have a WiFi connection, not when you’re using the mobile network for data. That’s a limitation Apple has put in place itself, though the company has said it is working on removing it in the future.


I’m not into Apple, can I video call with something else?


You certainly can, though the process gets a bit trickier. Various apps are available for Android and other mobile phone platforms which promise video calls, sometimes over not only WiFi but the 3G mobile networks too. That means you can make video calls when away from your home network or a WiFi hotspot, as long as your signal is strong enough.


Skype, Fring and Qik are all among the companies offering video calling apps, though their effectiveness often varies on a phone-by-phone basis. Not all phones have front-facing cameras, either, though they’re becoming more common on the latest handsets. A future SlashGear 1010 feature will look at the best video calling apps if FaceTime isn’t your thing.


Apple has said it plans to open up FaceTime to other manufacturers, so that non-Apple phones can make and receive calls too, but so far there’s no sign of that actually happening.


More information at Apple’s FaceTime page.









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It’s not such a wonderful time to be a doctor, patient, hospital, health plan or pharma company, but judging by the quality and quantity of entries received for this edition of the HWR, it’s a wonderful time to be a wonk.


A couple weeks ago CMS released draft rules for Accountable Care Organizations. Several bloggers weighed in on that development:



  • Mark McClellan and Elliott Fisher at Health Affairs provide some historical context and argue that “those who care deeply about health care reform all have a common interest in the success of ACOs as a way of avoiding more classic fee-for-service payment cuts to providers.”

  • On a more downbeat note, The Road to Health concludes, “Dr. Berwick and his colleagues at CMS appear to have taken the ACO concept and made it into a financial program that only delusional practice administrators, or physician organizations bent on financial self-destruction, could love.”

  • The Healthcare IT Guy expects ACOs to be “far more lucrative and disruptive than Meaningful Use and likely to yield more patient quality improvements.”

  • GE Healthcare puts the emphasis on ACO change management challenges: “Healthcare executives and management teams are left to focus on preparing their organizations for a cultural shift of seismic proportions.”

  • HealthBlawg reviews the proposed rules and produces 8 takeaways. #2: “This is the Frankenstein regulation: A Medicare beneficiary must sit on the board of the ACO, CMS must approve all marketing materials before they are used.”


In the midst of the battle over funding the 2011 budget, House Budget Chairman Paul Ryan came out with a plan to radically restructure Medicare and Medicaid starting in 2012:



  • The Apothecary likes much of what he sees and thinks the proposal may force Democrats to devise a credible plan of their own

  • John C. Goodman’s Health Policy Blog contrasts PPACA and the Ryan plan. “Obviously, the path we are on leads to an impossible place. So the only question is whether we are going to get off the current path in a planned, orderly way or whether we are going to let unplanned chaos do the trick.”

  • Wright on Health is less impressed and wonders, “if Rep. Ryan is so adamant about reducing the deficit, why is he cutting taxes for the wealthy and cutting programs for the poor and the elderly?”

  • Managed Care Matters is decidedly unswayed. “If you were looking for real solutions to the health cost problem, you’re going to be sorely disappointed… Unfortunately, he’s fallen into the same trap his Democratic colleagues did with their version of health reform – the Ryan plan does little to address costs.”

  • The Incidental Economist takes issue with Ryan’s plan to convert Medicaid to block grants and cut spending. “Should Medicaid be cut back, more people will be uninsured. Contrary to what some wish you to believe, those who become uninsured will suffer worse health outcomes”


As if the ACO rules and Ryan plan weren’t enough, there’s more on Medicare in the blogosphere:



  • The Covert Rationing Blog –always good for a lighthearted pick me up– “asserts that we are one giant step closer to the day when it will become illegal for all Americans to spend their own money on their own healthcare.”

  • Dr. Liberty discusses CMS’s deliberations on whether to pay for Provenge, a pricey prostate drug. “Decisions are made on the basis of politics, and the drive is to cover everything, leading to higher costs.”


Amid all the federal policy blogging, there’s still some room for technology talk:



  • Healthcare Talent Transformation has had it with Health Net’s repeated goof up’s leading to loss of confidential data. Although it may seem like there’s not much the average person can do, the blog argues, “You can make an impact on the security of your sensitive data by conducting due diligence when it comes to your insurance provider.”

  • The Healthcare Blog offers a video collage of the new Kaiser Permanente Center for Total Health. “The Center is  a pretty fascinating place–part tech and idea showcase and part meeting room. Certainly no other health care organization that I’m aware of has spent so much on a place designed to stimulate the imagination and enhance conversation–under the nose of the folks on Capitol Hill.”

  • Meaningful HIT News features a podcast with mHealth Initiative’s Peter Waegemann, who’s shifted over from EMRs to ride the mobile wave

  • Healthcare Economist delves into new papers that, “examined how to develop accurate algorithms to account for cancer stage in studies using claims data.”


It was encouraging to receive a couple submissions about  journalism:



  • Disease Care Management Blog asks, “Is the kerfuffle over National Public Radio (NPR) the long delayed comeuppance for liberal bias run amok, or a narrow-minded attack on the inconvenient truths from journalistic excellence?” The blog reaches into the world of medicine and discusses of “framing” and its impact on patient decision making to provide an answer

  • HealthNews ReviewBlog cites, “daily evidence of the need for improvement in health care journalism – especially when we see examples like hype of a tiny, preliminary study of strawberries for esophageal cancer.”


We always have room in the Health Wonk Review for some posts on medical ethics:



  • Nuts for Healthcare looks at the pharma industry and concludes, “Doctors need to take a more definitive stand against the specter of industry influence. A good target? Industry sponsorship of continuing medical education.”

  • Health Care Renewal is concerned that so-called government run programs are more private than we think. “The majority of Medicaid has been out-sourced to private health care insurance companies… We need to have some real discussions about the rise of corporatism in US health care, in other aspects of US society and around the world.”


And finally, a few odds and ends



  • Workers’ Comp Insider provides resources for employers concerned about radiation exposure

  • Colorado Health Insurance Insider chronicles the decline of bipartisanship in the creation of a health insurance exchange for that state. “Healthcare reform has become such a polarized topic that it’s difficult for lawmakers to have any stance other than for it or against it.  Even though the health insurance exchanges would be marketplaces that sell private health insurance, the word ‘exchange’ has been thrown around so much during the reform debates that many opponents of the PPACA see it as synonymous with ‘ObamaCare.’”

  • Last week I went to a health care direct to consumer marketing conference to see former TimeWarner CEO Jerry Levin interviewed by OrganizedWisdom CEO Steve Krein. I also shared my thoughts in the video clip below



Thanks for reading the Health Wonk Review! The Incidental Economist hosts the next edition.




One important thing about cities is their sex appeal — their magnetism. Places flourish when they attract people, resources, opportunities, and ideas, and match them to one another. Cities are much more than the built environment of roads and real estate. Cities are about relationships, and whether people have access to opportunities. Cities are one big dating game.



When cities lose their magnetism, the whole population suffers. The deterioration of Detroit began well before recent auto industry woes; its population plunge was confirmed by the latest Census. Some attribute decline to bad urban redevelopment schemes or corrupt politics that failed to improve schools or reduce crime. "A once-great American city today repels people of talent and ambition," a Wall Street Journal columnist wrote recently. A local leader told him, "It's been class warfare on steroids, and ... so many Detroiters who had the means — black and white — have fled the city."



Cleveland is another shrunken city with significant poverty. In the 1980s, Cleveland Tomorrow, a coalition of major company CEOs, sponsored downtown projects, including a new baseball stadium and the Rock and Roll Hall of Fame. This attracted luxury apartment developments, luring the affluent to the center city and revitalizing it. But inner city ghettoes were barely touched, and the region continued to lose high-wage manufacturing.



There's a tale of two cities within many city borders: one rich, the other very poor. Dubai, a gleaming new city of luxury high rises, is ringed by hidden slums for temporary service workers from the underclass of Asian nations. In New York, the middle class, including young families, cannot afford to live in the city. Baton Rouge has affluent areas with some of Louisiana's best quality-of-life indicators and extreme poverty areas with some of the worst. Other divides include racial and ethnic enclaves that vary in opportunities — for example, minority entrepreneurs with promising business ideas who can't access mainstream sources of capital and support.



Cities should be connectors but can have connection problems. Cities are where all parts of life come together: jobs, health, education, environmental quality. Yet, in most cities, businesses, schools, hospitals, and city services still operate in silos. And the political boundaries of cities don't encompass their true extent or the flow of people, as the Brookings' Metropolitan Policy Center points out. IBM's Smarter Cities Challenge supports efforts to use technology for connected regional solutions.



Interdependence among urban issues makes vicious cycles worse. If there is no action on high youth unemployment or poor educational quality and high school dropout rates, then too many African-American males end up in prison. High crime rates make sections of cities undesirable, and neighborhoods deteriorate. Aging buildings and toxic environments then cause health problems, such as lead poisoning or asthma, which disproportionately affect inner city children. Children in poor health have trouble learning, learning problems are associated with school dropouts, and vicious cycles continue.



Pivotal investments can start virtuous cycles. The transformation of Miami from sleepy southern city to international trade hub and informal capital of Latin America was propelled by investments in a world class airport and a flood of immigrants from Fidel Castro's Cuba. Mayors and civic leaders took advantage of this to attract new businesses and tout Latin connections, as my book World Class describes. But progress stalls if benefits don't reach the grass roots, racial divides persist, and major institutions fail to collaborate. The Miami Foundation's emerging leaders program is designed to deploy diverse younger professionals for major civic projects.



Revitalizing cities requires national urban policy investments and social innovations on the ground. Leadership might come from:



  • Enlightened mayors who build public-private partnerships or join Cities of Service, which align the city and non-profits around high-impact goals.


  • Business leaders, such as former Miami Herald publisher David Lawrence, who rallied Miami-Dade County to vote for a tax increase (Yes to new taxes!) to create the Children's Trust, a fund to improve life for all children.


  • Faith communities, such as Rev. Raymond Jetson's community organizing toward a coalition for "A Better Baton Rouge."


  • Financiers, such as Tim Ferguson and Ron Walker, who co-founded Next Street to invest in inner city businesses.


  • Social entrepreneurs, such as Hubie Jones, who wants to replicate a birth-to-college educational model like the Harlem Children's Zone in Boston.


  • Community foundations with a strategic perspective, seeking integrated solutions across issues such as youth employment, education, health, and green plans.




The best social innovations will connect people and institutions, producing an infrastructure for collaboration. That social infrastructure will increase the sex appeal of cities by going beyond initial attraction to build lasting relationships for lasting improvements.



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Multiple Sources Confirm New Nintendo HD Console - <b>News</b> - www <b>...</b>

Game Informer has heard from multiple sources that Nintendo will unveil its new home console at this year's E3 – or maybe even sooner.


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Taptu allows iPad owners to “DJ your <b>news</b>” | VentureBeat

Anthony is a senior editor at VentureBeat, as well as its reporter on media, advertising, and social networks. Before joining ...