Tuesday, March 8, 2016

Beauty brands hope virtual makeovers encourage shoppers to try new looks

Mulling what one might look like with electric-blue eye shadow is one thing. Buying, applying and venturing out in public in an unconventional hue is quite another.
It’s a vexing problem for beauty retailers who sometimes struggle to persuade shoppers to try new things, said Diana Smith, senior research analyst with market-research firm Mintel.
Some companies are using virtual-reality technology to let customers try on products from their smartphones.
Sephora in February added a “Virtual Artist” to its app that lets customers test 3,000 shades of lipstick and lip gloss. L’Oreal’s Makeup Genius app offers a similar service for many of its makeup products. Nail care brand Sally Hansen’s ManiMatch does the same for nail polish, and if you’ve ever wondered what you’d look like as a redhead, Matrix Color Lounge will give you an idea before you apply the dye.
  • Most Read Stories
  • Seattle priest, a known pedophile, was moved parish to parish
  • The Seattle Times editorial board recommends John Kasich, Bernie Sanders
  • Bernie Sanders puts 20 staffers in state, opens Seattle office
  • Gym owner: ‘Appropriate’ to call cops on Kam Chancellor
  • For Tulalip 22-year-old, a life gone haywire after Oregon standoff
  • Unlimited Digital Access. $1 for 4 weeks. “If you ask people how they feel about shopping for beauty products, a lot of people say it’s confusing and overwhelming, which causes them to stick to their routines. Adding an element of experimentation and fun is one way brands are responding,” Smith said. “Virtual technology is going to be a growing trend.”
    Using the apps feels similar to taking a selfie or video chatting, with the ability to apply makeup to the face on the screen as if applying a filter in Instagram or editing a photo in Snapchat.
    Sephora has been following the virtual try-on trend for years, but recent improvements in the technology made it a genuinely useful tool, not just a gimmick, said Bridget Dolan, vice president of Sephora’s Innovation Lab.
    L’Oreal worked with animation-industry experts to create an app that knew which parts of a person’s eyes got shadow, liner and mascara and could track them in real time to keep the virtual makeup in the right spot, said Guive Balooch, vice president of L’Oreal’s Global Technology Incubator. L’Oreal took more than 100,000 images of products in varying light conditions on models with varying skin tones to make sure colors and textures looked right, he said.
    Some app reviews on iTunes questioned the accuracy, but others said they were impressed and entertained. Sephora’s virtual try-on feature has been out only two weeks and has less feedback, but so far people have tried on 20 million shades, Dolan said.
    Nearly two-thirds of people who bought beauty products in the past year purchased items they use on a regular basis, according to a Mintel survey released in February. Only 30 percent said they sought to try out something new, still more than the 20 percent of people who reported making an impulse buy in the last year.
    Marketing strategies Virtual makeover apps are another take on existing strategies retailers use to push customers to try new things, such as free samples and subscription services, Smith said.
    Sephora Virtual Artist is designed to get people to discover new colors, with two different ways to request shades selected at random, Dolan said in an email.
    “In user testing, we noticed people were blown away at seeing themselves in bright fuchsia lipstick for the first time — giving them the confidence to go and try bold shades they had always feared,” she said.
    Although both Sephora and L’Oreal allow in-app purchases, both Dolan and Balooch said they’re meant to improve the in-store experience, not replace it. Both companies declined to provide statistics on app-driven sales.
    “We think this will eliminate the need to swatch your arm with 20 shades in store, and instead be able to narrow to the few you actually want to try on,” Dolan said.
    Online sales Beauty sales online or on mobile devices are still dwarfed by purchases at brick-and-mortar stores, but customers are increasingly using smartphones to research products or browse, Smith said.
    Nearly half of shoppers Mintel surveyed said they’d rather look for information on a product on their phone than talk to a sales associate.
    “Younger shoppers in particular are more likely to see their phone as a personal shopping assistant,” Smith said.
    Unlike the shoppers who get overwhelmed by choices, a smaller group of beauty enthusiasts enjoy browsing for new products and looks and sharing their own ideas, she said.
    Apps that let people “play” with products even when they aren’t in a store and share photos to get feedback from friends could be “an opportunity to tap into their passion about the category” and turn customers into advocates for a brand, Smith said. Mintel’s survey found 71 percent of people who bought beauty products at least 11 times in the last year said social media influenced what they bought.
    Eventually L’Oreal plans to use anonymous data from the app to spot trends that can help it improve products, Balooch said.
    But the main goal is improving customers’ experience with the company’s products, particularly for those shopping in stores where they can’t test before buying, he said.

    Custom Make Lipstick For a Wedding


    I've been to a couple of Hen's parties and I have to say the best ones are when the whole group gets to do an activity all together. Of course there should be bubbles, but getting creative or making something you can keep is such a bonus.
    That's why we were super impressed with The Lip Lab's idea to make custom lipsticks while you drink champagne, giggle and relive and make memories. Alongside a trained lipstick alchemist (we're not sure if that's their official title, but it should be!) you can mix and make your own glosses, balms, tints and matte or gloss lipsticks. Genius. Want to make a signature shade for you and your bridesmaids for the big day? Done. You also get to keep that colour and remember the wedding every time you wear it.
    Located in Paddington, Sydney (with a look to expand to more soon) you can book for groups of 8-16 people for a cost of $150 per head — and that includes two lip products, drinks and nibbles (strippers and decorations optional extras!). Not just for group bookings they also can duplicate your favourite discontinued shade, match a gloss to a lipstick or create a bespoke shade for any event. Check out our cool video below showing you the process — it's like the funnest art class ever!
    The Lip Lab Video
    1 / 4
    Some bespoke lipsticks.
    What’s Your Reaction? Thanks for your reaction Don’t forget to share this with your friends!
    2 / 4
    The Lip Lab.
    What’s Your Reaction? Thanks for your reaction Don’t forget to share this with your friends!
    3 / 4
    The new Autumn shades collection.
    What’s Your Reaction? Thanks for your reaction Don’t forget to share this with your friends!
    4 / 4

    Lip art masterpieces kiss boring beauty looks goodbye

    Instead of using traditional paint and canvas, makeup artists are using lipstick to express themselves and the results are impressive.
    While Kylie Jenner's neutral matte lip might be the go-to look for everyday beauty, that hasn't stopped artists from playing with color and technique, to create genuine masterpieces directly on their mouths.

    Donald Trump Makeup Tutorial

    Donald Trump is making headlines in the beauty world, but this time, it's not because of his hair. In case his campaign has caused you to cover your eyes and ears (and frankly, we don't blame you), you might not have observed Trump's signature look. He has heavily bronzed skin that's more tangelo than tan, with fair eyelids that make him look like he wears goggles when his glam squad applies makeup.
    The nuances of his beauty routine did not go unnoticed by Tess Paras, who took to YouTube to invent a new makeup technique called "Trumping." Though we don't expect this trend to be as popular as color correcting, it's worth knowing about!
    The first part of Trumping is finding a superpale foundation. Paras chose to use a concealer shade that she called "Veiled White Supremacy" and went on to spackle her eyes and lips for a dehydrated appearance. The star clarified that you'll know you got your makeup right when your mouth looks like a "chapped anus."
    We love a good beauty hack at POPSUGAR — we've used glue to declog pores and tape to guide our contour — but Paras really got crafty in the name of Trumping. Turns out, the secret to this look is in your pantry. She aggressively crushed up a bag of Cheetos, reducing the snack to a finely milled powder, then generously patted it all over her bronzed complexion.
    This isn't the most realistic makeup to rock every day (after all, could you imagine being attacked by pigeons every morning because of your Cheeto face?), but we definitely expect that people will give it a try this Halloween. Watch and prepare to crack up as Paras breaks down every step of the Republican presidential candidate's signature look.

    Lip art masterpieces kiss boring beauty looks goodbye

    The next Pablo Picasso just might come from the beauty world.
    Instead of using traditional paint and canvas, makeup artists are using lipstick to express themselves and the results are impressive.
    While Kylie Jenner's neutral matte lip might be the go-to look for everyday beauty, that hasn't stopped artists from playing with color and technique, to create genuine masterpieces directly on their mouths.

    21 Photos That Prove Lips Of All Shapes And Sizes Are Beautiful

    There's been a lot of talk about lips in the media lately. And for once, Kylie Jenner isn't at the center of it all.
    The conversation recently shifted when MAC Cosmetics posted this Instagram photo of Ugandan-born beauty Aamito Lagum wearing purple lipstick. For many individuals, it was a "gorgeous" backstage beauty snapshot at New York Fashion Week. However, there were countless others who made racist and offensive remarks about the black model's lips.
    Lagum initially proved that she was unfazed by the haters with a concise and classy response. She eventually joined the #PrettyLipsPeriod social media campaign, which was championed by North Carolina Central University Dan Blue Endowed Chair in Political Science Yaba Blay's Pretty Period transmedia project, to turn those negative responses into a positive movement that celebrates the beauty of all lips. 
    Inspired by Lagum and Blay, we challenged a group of HuffPost editors to step outside of their comfort zones, swipe on some of the boldest lipstick colors and proudly show off their lips.
    Check out their beautiful portraits below, read their lip love stories and then profess your fondness for this physical feature in the comments section. 
    Do you want to be more mindful about eating healthy foods that'll keep your mind and body at their best? Sign up for our newsletter and join our Eat Well, Feel Great challenge to learn how to fuel your body in the healthiest way possible. We'll deliver tips, challenges and advice to your inbox every day.

    Why lip balm is making your lips lazy and dry


    I have a dependent relationship on lip balm. When I forget to take it with me, I fret. I can no longer concentrate on what the person I'm with is saying, so distracted am I by dry, desperately seeking lips.
    And the reason I've become so dependent is because my lip-balm, which promises luscious lips, is lying to me.
    From lip balm to lazy lips? 
    The more I coat my lips in it, the more frequently they crave it to feel ''luscious''.
    Why?
    "There are two potential issues that arise when using lip balm," Joshua Zeichner, a New York-based dermatologist and director of cosmetic and clinical research at Mount Sinai Medical Center, told Real Simple.
    "First, if it has a potentially irritating ingredient, it can cause inflammation and loss of hydration. This, in turn, causes your lips to need more moisture so you keep applying the product and it turns into a vicious cycle."
    Advertisement
    Irritants include ingredients like fragrance, camphor, menthol, or salicylic acid.
    As for the hydration part, often lip balms are made with ''protective'' (or occlusive) ingredients like petroleum or shea butter that make our lips lazy.
    You read right – too much protection from the elements and they stop moisturising themselves naturally.
    "These formulas create an artificial barrier to lock in moisture, but when overused, can cause lips to become lazy because the skin doesn't have to work to maintain its own hydration level," Zeichner explains, adding you have to wean yourself off your lip balm addiction and tolerate a little dryness before your lips will see the light again.
    "You have to go through the dry spell to get lips back to normal and working on their own again before applying another balm."
    If they're dry and you choose a ''moisturising'' lip balm (a common claim if the balm has glycerin or hyaluronic acid, which are humectants), make sure it also contains a ''protectant'' ingredient, says dermatologist Dr Rick Mizuguchi.
    "Most of what we know about lip care comes from studies that have used ingredients that restore skin damage like hyaluronic acid and emollients. However, when lips get dry and damaged, they're no longer protected from negative environmental factors," Mizuguchi told Byrdie. "So first, it's important to restore the skin damage [with humectants], then it's important to occlude the ingredients so your lips don't dry out instead of just being restored."
    Zeichner however says that the best lip balm is lanolin-based, as lanolin is semi-occlusive, meaning that your lips can still breathe, aka still do the work to hydrate themselves.
    And above all, use your lip-balm in moderation, so that you don't develop an addictive, dependent relationship and can stay focussed on the bigger picture, like the people in front of you.
    "Apply it when you need it, rather than compulsively throughout the day," says Zeichner. "Constant reapplication can cause more harm than good."
    Occlusive ingredients: Shea butter, mineral oil, petrolatum, paraffin, beeswax, squalene, coconut, jojoba, and sesame oils, ​cetyl alcohol.
    Lanolin-based lip balms: Lanolips, $28.95, Burt's Bees Honey Lip Balm, $6.95, Mecca Lip-de-luscious, Lanolin Beauty Lip Balm with Vitamin E, $7.95.

    Want a lighter make-up bag? Grab a few double-duty beauty products

    No result found, try new keyword! This egg-shaped sponge is primarily used to flawlessly apply foundation or concealer. However, you can also apply the rest of your face makeup using the beauty blender. By using the sponge damp, it helps create a natural finish when using different.

    The 5 Drugstore Foundations Celebrity Makeup Artists Swear By


    The real world have Kerry Washington's amazingly flawless complexion, good foundation is a staple. It's something most of us use every day, so although quality, coverage, and staying power are all crucial, it should also be affordable. That's why drugstore foundations exist. But a lot of them are, well, not so great. We asked celebrity makeup artists to let us in on the rare ones that are.
    Sonia Kashuk Perfecting Luminous Foundation. "It's a creamy formula that leaves your skin looking like skin, but better. The finish is dewy, radiant, and hydrated. It offers sheer to medium coverage, and it wears well. It's a good friend to have in your makeup bag." —Tamah, who works with Liv Tyler and Alexa Chung
    Physicians Formula Super CC+ Color-Correction + Care Cream SPF 30. "I love that it's vegan and that it protects from the sun all day long." —Azra Red, who works with Sita Abellan and Zola Jesus
    Revlon Colorstay Makeup. "The new packaging includes a pump applicator, and the long-lasting, matte formula has SPF. The formula is specifically created for combination-to-oily skin, so it absorbs and controls excess shine." —Nicole Walmsley, who works with Inbar Lavi and Jenna Elfman
    L'Oréal Paris True Match Super Blendable Makeup. "The blendability is amazing, and the range of colors is pretty impressive. I also like the fact that this foundation is oil-free, which makes it perfect for sensitive or troublesome skin. Using it with a damp sponge helps get a beautiful sheer finish with great coverage." —Robert Greene, who works with Ashley Olsen and Tinashe
    Maybelline Fit Me Dewy + Smooth Foundation. "I love dewy skin, and this foundation has a perfect texture for it. It has a good amount of coverage, but it looks really natural and light. I like to apply it with my hands. I work it on the skin like I apply cream, and then I dab more with my fingers to build coverage." —Morgane Martini, who works with Adriana Lima and Gigi Hadid

    How to use your beautyblender all over for a flawless face

    Thank you for visiting ACP Magazine’s Cosmopolitan Community. This community is a place for discussion, queries and conversations pertaining to Cosmopolitan as well as new initiatives, services and news from ACP Magazines. The following Community Guidelines are designed to help provide a quality environment for all members. Please take a minute to read them and keep them in mind whenever you participate.
    Please note access to the Cosmopolitan community is not restricted, so persons of all ages are able to see the content posted. Cosmopolitan recommends that this site is most suitable for persons aged 15+. Persons aged under 16 years must obtain permission from their parents/legal guardian prior to signing up to become a member.
    Just like any many other online communities, the Cosmopolitan online community includes people from a wide variety of experiences, backgrounds, and mindsets. We take pride in the fact that our communities give this diversity of membership an interesting place to interact, share, learn, and grow. In keeping with this spirit of community, we have a core set of principles that must be followed by all members.
    - Participation in all communities is subject to the Cosmopolitan Terms of Service and any rules of Membership.
    - We ask community members to remember that there is a wide age range and to post their comments accordingly.
    - Use must comply with all applicable local, state, and federal rules, regulations, and laws.
    - Content protected by any intellectual property rights (including but not limited to copyright, trademark, or other proprietary rights) must not be posted without permission from the owner.
    Cosmopolitan does not always edit content posted in our communities. However Cosmopolitan may, in its sole discretion, take action against users who post material or engage in activity that violates the Community Guidelines and principles or the Terms of Service or is otherwise objectionable. Such action may include deletion of a post without notice or in more serious instances termination of your Cosmopolitan ID and/or membership and everything associated with it, including email accounts, groups, posts, pages, and profiles. Determination of what is regarded as a “serious instance” will be individually determined by Cosmopolitan in its complete discretion.
    Cosmopolitan community members can delete commentary added by to their personal pages by other community members. Please report any violations to our Customer Care Team. (cosmowebsitefeedback@acpmagazines.com.au)
    Respect
    Please extend courtesy and respect to fellow community members at all times. This is a place to engage in meaningful discussion and where possible to support and encourage each other, not to hurt or attack one another. Please refrain from inflammatory and defamatory comments as well as flaming, taunting and general disrespect. If you disagree with another's opinion and wish to share your opposing view, please do so respectfully. Do not simply "put down" the opinion or advice given by others. This is NOT a place to aggressively pursue attacks and accusations on one's opinions or background. Even if you feel upset or angry, consider what you are saying, how you are saying it and how it might affect others before you hit “enter”.
    When engaging in opinion-based discussion, refrain from making statements that appear to announce that your opinion is the only one to be had or the only one that matters. When someone has clearly stated their opinion, do merely disregard that opinion. Remember, we can respectfully agree to disagree without being hurtful or aggressive.
    Absolutely No Solicitation
    Under no circumstances should you post notices or contact another member asking for money, help, or offering products or services. This is not an advertising directory to promote the business ventures of any one person and/or business.
    No Inappropriate Content
    Please keep all content in the posts you make in the public forum focused on the stated topic of the thread. ACP Magazines Ltd (Publisher of Cosmopolitan magazine) reserves the right to remove content if it deems it to be off-topic or inappropriate. If you want to talk off-topic, please do so on your own blog or social media pages. Please note that the following guidelines regarding inappropriate content apply to both public and private spaces: Posting inappropriate content can and will be flagged and reported. Content that is not appropriate includes, but is not limited to, advertising, publishing of material for which you do not own the copyright*, any content that is vulgar, obscene or contains adult themes, language or imagery. Personal attacks, including name-calling, insulting, spamming, flaming, baiting or otherwise harassing forum members and Cosmopolitan employees will not be tolerated, publicly or privately. Engagement in, or encouragement of such attacks is prohibited, and we reserve the right to take appropriate measures, including the deletion of content, and banning from the site for any behavior we determine to be harmful to our community.
    * When linking to outside content, you must ensure that the content of the link is appropriate for our community and adheres to the aforementioned guidelines and Terms of Service. Do not post copyrighted materials (articles, videos, audio, etc.) that you do not have permission to reproduce or distribute. For text articles, it is generally acceptable to quote a small portion of the article and must link to the source. You should not post entire articles on this community as this may constitute copyright infringement.
    Guard Your Personal Information
    You must use your real name when creating a profile, but can use an alternate alias username for communication on the Cosmopolitan community. We do, however, highly discourage members from posting personal information such as telephone number, home address, or other specific information which may make your location easily discovered by others. If you'd like to share such information with other members, we advise you to do so with great forethought and caution, and only through personal communication channels such as email. Please note that the use of email will be subject to the terms and conditions of the email service provider and that ACP Magazines Ltd (Publisher of Cosmopolitan) is not responsible nor liable for any of the communication that occurs between members through personal channels. This is the responsibility of the persons choosing to communicate.
    Please Refrain from Advertising
    It is not appropriate to advertise your business, products or services on the cosmopolitan community in public forums, public image gallery or in comments you leave on other member's profile walls or blog posts. It is acceptable to mention your business on your own profile page or blog post - SO LONG AS YOU DO NOT DIRECTLY ADVERTISE YOUR SERVICES OR PRODUCTS. Our administrators will delete any content that they deem to be advertising (outside of the acceptable mention).
    Health Information
    Any and all health and medical advice and information communicated in this community is provided with the intent of generating a general discussion, as well as for educational and entertainment purposes only. They are in no way intended to serve as actual, individual medical advice. In no way does participating in this community constitute a formal or informal doctor/patient relationship. As all members are invited to participate there is no expectation of actual professional experience and, therefore, we assume no responsibility for any posts. Whist it is not encouraged, it is possible that due to the nature of the community and the vast range, diversity and experience of the community members some information may be inaccurate, incomplete or otherwise flawed. No information is endorsed or verified Cosmopolitan magazine or ACP Magazines Ltd (Publisher of Cosmopolitan magazine) other than what we post ourselves as editorial content from the brand. Your health is important, and you are responsible for your own health care and well-being. If you have any medical concerns, please consult with your physician or other health-care professional.
    We also encourage you to refrain from posting any personal information relating to your health or identity if you wish for that information to remain private. Whilst Cosmopolitan will not publically release any information you provide in confidence or in a private capacity (and will be bound by our Privacy Policy in regards to the collection, use and disclosure of personal information), we can be responsible for any information you allow to be published publically (ie information you post, or include in any comments).
    - Unless it clearly stipulated at the time of collection, Cosmopolitan does not collect any personal information about health and strongly advises community members to be careful about any health information that they may inadvertently post on the Cosmopolitan site. Persons under the age of 18 are asked NOT to post any personal information which relates to health. Cosmopolitan site is for entertainment purposes only and all members are advised to seek professional guidance in all issues related to health.
    Cosmopolitan Website Administrators
    Cosmopolitan administrators have the final say on anything posted on or associated to the Cosmopolitan website. If you have any problems or issues you would like to raise, we encourage you may make a complaint to us directly via email at cosmowebsitefeedback@acpmagazines.com.au. All questions or concerns should be directed to this email address.
    If you ever need clarification on these guidelines, please contact us privately at the above mentioned email address and we will be happy to help you.
    When you are participating in this community, please keep in mind that we strive to create a safe and friendly community for all members. We hope you are able to have fun and enjoy connecting with each other here.
    These community guidelines detail the types of behaviour and activities that are allowed here. If a user violates our guidelines and shows a disregard for them, they run the risk of losing their account. We reserve the right to ban any user without warning. These guidelines are subject to change without notice. Please ensure that you are always aware of the most recent version of these guidelines as they are made available to you.

    7 makeup picks for a confidently beautiful summer

    Before packing those bikinis and spf protection lotion, make sure you have the best beauty products to make you feel confidently summer beautiful.
    MANILA, Philippines - The December chills are gone; the time to bring out the summer shimmers has come.
    Be beach-ready by revamping your beauty arsenal. Before packing those bikinis and SPF-protection lotion, make sure you have the best beauty products to make you feel confidently summer beautiful.
    Here are some of the latest summer beauty loots for you!
    True Match Genius
    L'Oreal Paris' True Match Genius
    L’Oreal Paris’ first 4-in-1 compact foundation for effortlessly beautiful skin anytime, anywhere. True Match Genius performs as a primer, foundation, concealer and powder – all in one face makeup. Its unique smartphone-inspired packaging is a slim, stylish compact that’s perfect for the on-the-go Filipina.
    With its oil-free gel base, this cream-to-powder formula is all you need to achieve a professional finish delivered by four products in one. This multi-slashie product made for the multi-slashie Filipina comes in 6 shades.
    Lifestyle Feature ( Article MRec ), pagematch: 1, sectionmatch:
    Balm Caresse
    Balm Caresse from L’Oreal Makeup Designer/ Paris
    Look summer-ready with the newest balm and lipstick in one, the Balm Caresse from L’Oreal Makeup Designer/ Paris. Its fruit-flavored formula is enriched with natural spa oils that instantly soothe chapped lips and leave them hydrated for 12 hours. Get the perfect beach-chic look with Balm Caresse’s non-greasy, dewy finish that comes in 8 vibrant, summery shades.
    Brow Artist Chisel
    Brow Artist Chisel Straight from L’Oreal Makeup Designer/ Paris
    Say goodbye to thin arched brows and flaunt the straight brow trend with the new Brow Artist Chisel Straight, L'Oreal's first ever 2-in-1 brow mascara and liner. In just one application, it plumps up the eyebrows and gives a straight, fluffy brow effect that gives you a young and natural look. The secret lies in its unique chisel applicator has combines a mascara brush to fluff each brow hair, and a precise applicator tip at the end to shape the straight brow. For the most natural finish, it has a quick-dry formula that leaves a velvety matte look and weightless feel on the brows. 
    Superstar Collection
    False Lash Superstar mascara Super Liner Superstar from L’Oreal Makeup Designer/ Paris
    Let your eyes be the star with super-sized, super-long, superstar lashes with the False Lash Superstar mascara. This mascara contains an extra dose of fibers in a glossy-black formula that extend lashes to superstar lengths. First, volumize your lashes with the supersizing primer, with 7 types of extraordinary oils that thickens each lash and help with growth.  Next, extend and lift your lashes with the super-lengthening, fiber-rich top coat applied with the lash-lifting mascara brush. 
    Prints Made Pretty Glisten Up! Strobing Kit Highlighter and Contour Duo 
    Happy Skin's Limited Edition Prints Made Pretty Glisten Up! Strobing Kit Highlighter and Contour Duo 
    Taking inspiration from everything fun, feminine and forward-thinking, Happy Skin’s limited edition Prints Made Pretty Collection gives women sophisticated yet non-intimidating beauty solutions to level up their look. Killer cheekbones are all the rage and strobing is the newest beauty trend that allows you to achieve the perfect dewy glow that can wonderfully take years off your face. Score a slimmer look effortlessly using the highlighter stick in golden-pink Champagne and a contour stick in brown-slate Taupe. Both of Happy Skin’s Glisten Up! Strobing Kits feature a cheat sheet, so you can take on the latest beauty trends with ease. 
    Prints Made Pretty Shut Up & Kiss Me Moisturizing Matte Lippie Duo 
    Happy Skin's Limited Edition Prints Made Pretty Shut Up & Kiss Me Moisturizing Matte Lippie Duo
    The limited edition Prints Made Pretty Shut Up & Kiss Me Moisturizing Matte Lippie Duo, which you can buy for P 1,099 encases two stylish, bold shades—Scene Stealer and Girl Boss—in a closet-like kit. Let your lips slip into a deep burgundy hue with the limited edition Shut Up & Kiss Me Moisturizing Matte Lippie in Scene Stealer (P 649) or double up your look with the soft-yet-commanding mauve hue found in the limited edition Shut Up & Kiss Me Moisturizing Matte Lippie in Girl Boss. 
    Color Sensational Creamy Mattes Lipstick
    Maybelline's Creamy Mattes
    With its nourishing honey nectar ingredient, Creamy Mattes got the perfect combination of essentials that women love: color, coverage and care. The creamiest of them all, most comfortable lipstick you could ever have, that comes in matte perfection with just one swipe – the newest creamy mattes from Maybelline’s power lip franchise.

    Natural Beauty Products That Celeb Makeup Artists Love


    It's red carpet season, and you can bet celebrities who walk it will be doing everything in their powers to look their best, under the glare of countless flashbulbs and the unforgiving gaze of HD cameras.
    RELATED: How To Take Photos Like A Lifestyle Blogger
    And this year, many more of them will be wearing cosmetics with cleaner, safer ingredients--it's a healthy trend we're seeing celebs like Maggie Gyllenhaal and Hilary Duff to Rachel McAdams prioritize.
    Similarly, top makeup artists catering to their A-list clients are becoming seriously savvy about what non-toxic beauty products really perform in this super-zoom, pore-penetrating arena.
    Which natural products have earned their spot in celebrity makeup artists' toolkits? We asked three pros to share their can't-live-without-them picks...
    Paige Padgett, author of The Green Beauty Rules, who has worked with Jillian Michaels and Melissa Joan Hart
    "I love W3ll People Bio Extreme Lipgloss in Gold. The plumping formula based on peptide technology is what got my attention, but the color is gorgeous enough to make it a must-have regardless. The blend of aloe, coconut, and grapeseed oil soothes and hydrates without being thick and sticky."
    RELATED: 14 Beauty Uses for Coconut Oil
    "Hynt Beauty Lumiere Radiance Boosting Powder is like a halo in a bottle. I use this to create an overall glow or to brighten underneath the eyes. The subtle mica particles give just enough radiance for a youthful glow, and the formula is talc-free and contains nourishing white kaolin clay, lavender, acai, and geranium oils."
    "HAN Skin Care Cosmetics Chocolate Bronze Eye Shadow is one of the softest, silkiest eye shadows I have ever tried, and it's made with a rice, not talc. Rich pigments, vibrant colors, and it's made with natural fruit coloring from plants, veggies, and fruits such as pink carrot and rose. You can pronounce the entire ingredient list."
    Romy Soleimani, beauty director at large for Beauty.com, who has worked with Maggie Gyllenhaal and Rachel McAdams"Weleda Skin Food moisturizer is not only natural, it is gentle and rich. I keep it in my kit and use it constantly on set. It creates a beautiful glow highlighting the high points on the face. I even use it on the body: I use it for cuticles, temples, anywhere I need an extra boost."
    RELATED: 5 Ayurvedic Tips For Great Skin
    "Jurlique Rose Love Balm is a natural lip salve so soft, it feels like rose petals on the lips!"
    "I love multipurpose beauty products like RMS Lip2Cheek. It works as both a lip stain and a cream blush, and it's organic, too."
    "Dr. Hauschka Rose Cream is my go-to for hydrated skin. A perfect base for applying makeup."
    Kendra Richards, who has worked with Cindy Crawford and Hilary Duff
    "Ilia Lipstick Crayons are sheer and have great color options. I love that [the line is] vegan, organic, and easy to use and pop in your bag to take with you. My favorites are the Iko Iko, which is a sheer bronze, and Call Me, a sheer bright pink."
    "I love Ilia Mascara in Nightfall. It doesn't clump and adds great definition to the lashes and is the best organic formulation I have found so far."
    "For my clients, to give hydration around the eyes without a greasy feeling, I love Be Natural Organics CoQ10 Eye Protection Cream‚ and you can wear makeup over it beautifully."
    Now, learn how to pick your own natural beauty products. Read How to be a better reader of beauty labels on Well+Good.

    FabFitFun Is Going Out of the Box With Its Debut Makeup Line, ISH Beauty


    Birchbox isn’t the only subscription service to break free from the confines of its monthly boxed deliveries. FabFitFun, a online content provider-turned-lifestyle subscription service, is making its into the world of beauty with its new makeup line, ISH.
    (Related: The Sonia Kashuk Knock Out Beauty Collection Is, Well, a Knockout)
    ISH, an acronym that stands for “IMSMOKINGHOT,” was created in collaboration with celebrity makeup artist and FabFitFun beauty advisor Joey Maalouf, whose clients include Rachel Zoe, Jessica Alba, and Molly Sims. As a way of breaking into an already over-crowded field, the ISH line will tackle a popular product in a new, accessible way: the Contour Kit. Available in two color palettes (light/medium and medium/dark), and comes with specific brushes to make what can be a complicated and intimidating beauty process that much easier.
    The whole idea behind ISH’s kit, rather than erase your face and replace it with a new, highly-made up, contoured one, is to use the contour kits to accentuate your natural features. Listen to Maalouf and the FabFitFun team explain their thought process behind the creation of ISH below:
    Maalouf, who will be hosting video tutorials on the brand’s sit, also said,
    “There are so many products on the market, it’s hard for women to know what to purchase and how to apply it properly. This contour kit is an all-in-one palette made easy — it has a highlighter, blush, bronzer and contour shade. I’ve also created three brushes that are matched with each shade in the kit. I feel, as an artist, I’ve simplified the contouring game by making it easy for anyone to achieve the results of a professional.”
    As someone who has to add at least an extra 30 minutes to her beauty routine when she knows she wants to contour her face with the tried-and-true Anastasia Beverly Hills Contour Kit, a palette and brush combo that actually makes contouring doable is kind of a beauty dream come true. 
    (Related: Meet the Game-Changing Retinol Product)
    Additionally, ISH is working with Emily Greener, the founder of I Am That Girl, an online platform that serves to raise standards for how girls treat themselves and each other, building a community in which these girls can feel safe to be themselves. In a world where it seems like self-esteem is such a rare thing, their work is incredibly important. Greener will act as a creative consultant for the emerging beauty line to ensure that their overall product messaging instills confidence in its audience. 
    The Contour Kit ($32) and accompanying brushes (there are three, all of which range in price from $18 to $28), will launch on March 10, and that’s just the beginning for the brand. They have plans to expand into more face products, including a primer set to launch this summer.

    The GLAMOUR Spring Edit Beauty Box: ONLY £17.99

  • By Rebecca Fearn
  • Tuesday, 1 March 2016
  • Prepare yourself for the best beauty deal... EVER. Chosen by Beauty Director Alessandra Steinherr, GLAMOUR's Spring Edit Beauty Box is bursting full of skincare, makeup and hair heroes worth £79.65 - but you can get it all for £17.99. 
    Spring has finally sprung and we've teamed up with Latest in Beauty to get you sunshine-ready in just seven products. This box is loaded with some of the industry's hero brands such as Illamasqua and Murad and contains products that will cater to your every beauty need. 
    Bought your box? Then how do you fancy being in with a chance to WIN a goodie bag worth over £500? Simply share a snap of your GLAMOUR Spring Edit on Instagram, Facebook or Twitter for your chance to win. Don't forget to include #GLAMOURSPRINGEDIT

    Donald Trump Makeup Tutorial

    Donald Trump is making headlines in the beauty world, but this time, it's not because of his hair. In case his campaign has caused you to cover your eyes and ears (and frankly, we don't blame you), you might not have observed Trump's signature look. He has heavily bronzed skin that's more tangelo than tan, with fair eyelids that make him look like he wears goggles when his glam squad applies makeup.
    The nuances of his beauty routine did not go unnoticed by Tess Paras, who took to YouTube to invent a new makeup technique called "Trumping." Though we don't expect this trend to be as popular as color correcting, it's worth knowing about!
    The first part of Trumping is finding a superpale foundation. Paras chose to use a concealer shade that she called "Veiled White Supremacy" and went on to spackle her eyes and lips for a dehydrated appearance. The star clarified that you'll know you got your makeup right when your mouth looks like a "chapped anus."
    We love a good beauty hack at POPSUGAR — we've used glue to declog pores and tape to guide our contour — but Paras really got crafty in the name of Trumping. Turns out, the secret to this look is in your pantry. She aggressively crushed up a bag of Cheetos, reducing the snack to a finely milled powder, then generously patted it all over her bronzed complexion.
    This isn't the most realistic makeup to rock every day (after all, could you imagine being attacked by pigeons every morning because of your Cheeto face?), but we definitely expect that people will give it a try this Halloween. Watch and prepare to crack up as Paras breaks down every step of the Republican presidential candidate's signature look.

    Becky G Is the New Face of Degree Women: Find Out Her Four Best Confidence Tips


    Becky G Credit: Maarten de Boer
    Becky G is the new face of Degree Women, Us Weekly can exclusively reveal.
    PHOTOS: Editors’ Beauty Picks: Winter 2016 Edition
    The "Can't Stop Dancin'" singer, whose real name is Rebecca Gomez, 19, will front a new campaign for the antiperspirant deodorant brand which will kick off with an upcoming iHeartRadio spring/summer concert series for her fans.
    Austin Mahone Drops This Is Not the Album Ahead of Debut Record — and There’s a Song About Ex Becky G!
    "We're going to be doing an iHeart show together and I'm really excited because we're finding really cool ways to get the fans involved," Gomez told Us in an interview that took place behind the scenes at a Degree photo shoot.
    Degree Women’s new ambassador, singer and performer Becky G., preps on set in L.A. for her spring iHeart Radio “Move with the Music” concert. Maarten de BoerPHOTOS: How to Look Wide Awake When You're Dead Tired
    Ahead of her new gig, the Power Rangers actress gave Us her four best beauty and confidence tips. Scroll through to see them all!
    1. Think outside the box when it comes to beauty.
    "Believe it or not, I just use baby shampoo to take off my makeup, because it's really soft on the skin," Gomez tells Us.
    2. Stay hydrated.
    The "Shower" singer doesn't make up her own rules for beauty — she follows in the footsteps of Gwyneth Paltrow and Jennifer Aniston, who use H2O as their main skincare treatment. "I drink so much water now," she says. "I used to not, and now I do."
    Becky G Maarten de Boer.
    3. Be comfortable in your own skin.
    "I'd be lying if I said I'd always embraced [the gap in my teeth]. I think it’s part of growing up to learn that imperfection is perfection — learning to love yourself for the way that you were created," she tells Us. "It’s part of me, it gives me character, you know? I love it — it’s never crossed my mind to take it away."
    4. Don't wait for guys to give you gifts.
    "[The diamond on my ring finger is] my first big-girl purchase that I made for myself. My first real diamonds," Gomez, who split from Austin Mahone in August, explained. "I put them on those fingers because I feel like those are very special fingers and the most important thing you can do is learn to love yourself first in order for somebody else to love you."

    Beauty school offers tips for campaign-ready hair styles


    A cosmetology school is offering a crash course in how to achieve some of the 2016 presidential candidates’ famous hairdos.
    “From Donald TrumpDonald TrumpGovernors whiff in endorsement game Could House be up for grabs? 5 things to watch in Tuesday races MORE’s wind-proof, burnt straw side parting to Hillary ClintonHillary Rodham ClintonClinton up 4 points in weekly tracking poll Could House be up for grabs? 5 things to watch in Tuesday races MORE’s no-nonsense bob,” the Texas-based Ogle School says a stylist helped develop an online how-to manual to recreate the White House hopefuls’ signature looks and “figured out how much they’ll cost the average voter.”
    ADVERTISEMENT
    For Trump, the GOP front-runner, perfecting the infamous 'do includes applying a texture powder and fluffing a front piece of hair down over the face to the right before folding gently at the middle. “Then bring the bottom of the length back up and over to the left as if you were folding cotton candy,” the guide advises.
    It takes three steps to create a copycat look to Democratic front-runner Clinton’s blonde locks. “Prep damp hair with a grape-sized amount of volumizing mousse,” the school recommends, and then use a round barrel brush and blowdryer to “create volume around the face.”
    The school calls Democratic candidate Sen. Bernie SandersBernie SandersClinton up 4 points in weekly tracking poll 5 things to watch in Tuesday races Governors whiff in endorsement game MORE’ (Vt.) haircut a “comb forward,” that is fashioned in a way to “create the illusion of volume.”
    All it takes for Sen. Ted CruzTed CruzCould House be up for grabs? 5 things to watch in Tuesday races Governors whiff in endorsement game MORE’s (Texas) “retro cut” is a carbon fiber rattail comb and a bit of pomade, according to Ogle, while fellow GOP candidate Sen. Marco RubioMarco Rubio5 things to watch in Tuesday races Could a President Trump go to war at his sole discretion? Governors whiff in endorsement game MORE’s (Fla.) follicles require pomade or grooming cream.
    The beauty school’s stylist estimates Sanders’ 'do to be among the cheapest to maintain, at about $13 for a barber, tip and the cost of a comb. Trump’s much-talked-about hair proves to be the most expensive in the eyes of the cosmetology program, costing at estimated $400 for an on-demand stylist.

    Beauty tips to help you 'Think Spring'

    Many schools are on spring break, others will be. And, the warmer temperatures get everyone in the mood to "Think Spring."  
    Now is the time to get ready from head to toe.
    Transitioning from winter boots to strappy sandals requires a little tlc for the tootsies.
    A pedicurist at Spa in the City, a full service salon and spa on East Market Street in downtown Indianapolis, recommends a treatment to remove the rough spots on the bottom of the feet.
    A glycolic acid helps soften calluses and loosen dry skin that builds up in the winter months. Using a pumice stone in the shower, followed by a foot cream and covering feet with sock at bedtime, will keep feet soft and smooth.
    A gel polish will prevent colors from chipping, even on the beach.
    When it comes to losing the "winter whites," self-tanning creams or treatments are a safer option than tanning beds, said esthetician Brenda Sotolongo.
    Exfoliating the skin is a great way to start.
    Sotolongo said getting rid of dead skin cells smooths the skin and makes sunscreen, make up and tanning lotions go on more evenly. 

    Reaching for Health Equity


    Reducing health disparities brings us closer to reaching health equity. Learn about health equity and what CDC is doing to reduce health disparities. What is Health Equity?
    Health equity is when everyone has the opportunity to be as healthy as possible.
    What Are Health Disparities?
    Health disparities are differences in health outcomes and their causes among groups of people. For example, African American children are more likely to die from asthma compared to non-Hispanic White children. Reducing health disparities creates better health for all Americans.
    Why is Health Equity Important?
    Health is central to human happiness and well-being and is affected by where people live, learn, work, and play. According to the World Health Organization, health also makes an important contribution to economic progress.
    What are some things that CDC is Doing?
    Some CDC-sponsored programs aim to improve the health of groups or populations affected by health disparities:
    Learn more about these programs in the Morbidity and Mortality Weekly Report Supplement, Strategies for Reducing Health Disparities—Selected CDC-Sponsored Interventions, United States, 2016.

    Monday, March 7, 2016

    The Physical Costs of Behavioral Health Issues


    We are screening for, discovering, and treating disease more frequently; people are living longer; and a greater proportion of the population is entering Medicare age – all leading to increasingly complex patients. It’s no surprise that health care costs have finally surpassed $3T. With increasing patient complexity and rising costs, the demands placed on physicians have increased in parallel.
    Primary care physicians and specialists alike are being asked to coordinate more and more streams of information - whether from pharmaceutical companies, insurers, hospitals, or other providers. The administrative burden on those physicians has grown to rival the clinical burden. Yet even as more is asked of physicians, not enough has been done to create efficient systems to help accomplish those tasks.
    Ripe for Clinical TransformationOne area of health care in need of clinical transformation is the integration of behavioral[1] and physical[2] health. More than 17% of American adults suffer from comorbid[3] behavioral and physical health illnesses, translating to greater than 34 million people. Studies have shown that people with physical health issues (heart failure, for example) and an untreated or undertreated behavioral health issue (such as depression or anxiety) cost 2-3x more for treatment of their physical conditions. Per 2012 data, those patients accounted for almost $300B annually in excess and partially avoidable health care spend, mostly attributable to use of medical (as opposed to behavioral) services.
    In any discussion of bending the health care cost curve, differences of that magnitude are impossible to ignore. Such cost variation occurs for multiple reasons, including patient non-compliance, increased utilization of high-cost and fragmented care (i.e. emergency room visits, inpatient admissions, repetitive/redundant treatments, etc.), and lack of improvement in a person’s health status, amongst others.
    Growing Silos in CareOver the last 30+ years, the silo between general medicine and behavioral health has only grown. Care in both realms is often provided independently of each other. Treatment regimens and access to resources have become increasingly separate with little to no overlap. Some medical practices have tried to place behavioral health providers (i.e. social workers, therapists, psychologists, and even psychiatrists) in primary care offices, though that’s an expensive proposition and difficult to scale. Mostly, primary care physicians and some specialists have been trying to manage behavioral health issues on their own with only 1 of 4 patients receiving effective care. When formal behavioral health services are required (for example, intensive outpatient treatment), many of those providers have little idea what resources are available or how to access them.
    As an attending Internal Medicine physician, I’ve lived that predicament far too many times myself. I remember one recent case of a late-30s man with a history of alcohol and IV drug addiction that had left him with end-stage heart failure. Anytime he developed anxiety or stress, he’d have chest pain and usually come into the emergency room (ER). Since this man had severe heart failure, his cardiac lab results would always be abnormal, and he would invariably get admitted for further evaluation. In one year, this man had been admitted more than 10 different times from the ER for chest pain. Cardiologists and psychiatrists alike agreed his chest pain was largely related to worsening anxiety and depression. What this man needed most was regular access to outpatient behavioral health resources and a tangible care plan to help him cope with his poor prognosis. But despite my staff’s best efforts, we had so much difficulty getting him that access and were never able to break his cycle of hospitalizations.
    How much better off would this man be if we could have found appropriate, timely behavioral health resources to support him outside the hospital? How many long-term health care dollars could we have saved? And what if we could have helped him with his addiction and behavioral health issues before he ever developed heart failure? I think about those types of questions almost every day – whether with this patient or others. Almost every physician can think of similar examples in their own practice.
    Need for ChangeQuestions like those above have led to the necessary realization that current health care processes need to change - especially in ways that don’t add to physician workload or confuse patients. It’s naïve to think behavioral and physical health are entirely separate. Physical illness impacts a person’s psyche, and that person’s state of mind impacts his/her ability to manage chronic disease.
    Collaborative care and value-based health care are common buzzwords and occasional punch lines in health care circles today. However, there is tremendous value in creating better, well-coordinated opportunities for partnership. Enhanced integration between physical and behavioral health is one logical target in improving the broader health care landscape. It is a very real gap in clinical care, makes complete economic sense, and is the right thing to do in promoting true patient wellness. But most importantly, patients and providers alike need and deserve it.

    Unpacking The Issues Of Vertical And Horizontal Consolidation—The St. Luke’s Case

    This post is part of a Health Affairs Blog symposium stemming from “The New Health Care Industry: Integration, Consolidation, Competition in the Wake of the Affordable Care Act,” a conference held recently at Yale Law School’s Solomon Center for Health Law and Policy. Links to all posts in the symposium will be added to Abbe Gluck’s introductory post as they appear, and you can access a full list of symposium pieces here or by clicking on the “Yale Health Care Industry Symposium” tag at the bottom of any symposium post.
    With many health law academics discussing the perverse incentives that providers have to consolidate, such as increasing bargaining leverage and raising prices, it is important to note that there is another side to the story. The St. Luke’s case provides a great example.
    In St. Luke’s, the Federal Trade Commission (“FTC”), the Idaho Attorney General, and two competing hospitals challenged the acquisition by St. Luke’s Health System (“St. Luke’s”) of the Saltzer Medical Group (“Saltzer”) under the federal antitrust laws. The FTC and Attorney General alleged that the transaction would reduce competition in the market for primary care physician services in Nampa, Idaho, because St. Luke’s already employed a number of primary care physicians; the hospitals alleged that competition would also be reduced in several other markets, including the market for general acute care (hospital) services. In essence, the government pursued a horizontal case, alleging harm to competition stemming from a merger of competitors, while the hospitals added an allegation of vertical foreclosure, asserting that hospital competitors of St. Luke’s would be harmed by losing referrals from Saltzer.
    The court found in favor of the plaintiffs and ruled that the acquisition was anticompetitive, but it based its decision on the FTC’s theory and did not reach the vertical foreclosure question.
    As mentioned, the FTC litigated the case on the theory that it was a horizontal combination of two sets of physician groups that, post-merger, would be able to raise prices in a traditional antitrust sense. That the FTC chose to pursue only this avenue for its case is quite telling, and that the court chose not to reach the question of whether there was a violation based on a vertical theory is important as well. Antitrust enforcers are currently struggling to determine how and when to bring a vertical foreclosure case, and how to identify when harm to competition is truly occurring. Certainly there are situations where vertical integration can be harmful, but because St. Luke’s was not analyzed by the court on a vertical theory it cannot be relied upon as precedent for that conclusion.
    Understanding The Impact Of Vertical Integration
    Instead, St. Luke’s should be examined through a practical lens so that government agencies and courts may understand the actual impact of vertical integration on health care providers and what drives hospital acquisitions of physician practices. For example, it is important to ask what alternative sources of referrals exist for the other hospital competitors in the market. In the St. Luke’s case, the private plaintiffs must have believed they did not have any alternative source of referrals, because they took the drastic step of bringing a lawsuit, certainly a major undertaking.
    In other markets, however, there may be alternative ways to compete. For instance, competing hospitals could be more proactive in acquiring physicians themselves. An examination of alternatives is necessary to determine whether the market can be more dynamic, and therefore whether a vertical acquisition truly is anticompetitive.
    Similarly, the options available for health plans must be more closely considered. In many cases, health plans allege that hospital acquisitions of physician practices ultimately lead to higher prices because of the increased bargaining leverage of the hospitals. Yet, it is often unclear that these acquisitions necessarily lead to new bargaining power that was not previously at the hospital’s or the physician group’s disposal.
    Moreover, what mechanisms can health plans put in place to steer patients to lower priced providers? How should this impact antitrust analysis? Health plans are equipped to introduce tiered networks and high-deductible plans to encourage their customers to utilize lower-priced providers while still maintaining patients’ autonomy to make their own choices.
    The viability of these alternatives should be explored in every case. Cases are often brought because the government or private parties believe there are no true alternatives to the merging parties, but in the continuingly evolving world of health care more and more options to encourage patients to use lower-cost providers are becoming available. Ultimately, consideration of these new options may lead to different conclusions in antitrust cases.
    Distinguishing Policy And Legal Issues
    The difference between policy issues and true antitrust law violations should also be carefully considered going forward. Many believe that an impetus for acquiring physician practices is a hospital’s ability to charge higher rates under contracts that provide for higher hospital-based reimbursement for physician services at sites owned by hospitals. These payment differentials exist because hospitals have higher costs and provide more services than small physician practices. Nevertheless, there is a legitimate question as to whether rates should increase if an acquisition occurs but the services provided by all parties otherwise remain the same.
    Yet, this is a policy debate, not an antitrust debate. In a very competitive market with many options a hospital could still acquire physicians and charge higher rates if its contracts provide for hospital-based reimbursement. It is therefore important to distinguish between situations in which higher rates are due to a lessening of competition and those that are simply a function of a contractual arrangement with a health plan. Policy issues should not be addressed through antitrust enforcement.
    The one area where everyone seems to agree is that there is a growing momentum of physicians leaving private practice and hospitals acquiring physicians. Those engaged in the business side of health care believe that there are legitimate justifications for having everyone under one roof. Hospitals often have difficulties persuading physicians to cooperate with their care management approaches when they do not have the same financial and institutional interests. Therefore, managing the care of patients can in fact improve when everyone’s interests are aligned.
    Consequently, it is important for antitrust enforcers to give more credence to the benefits that come from more integrated systems. The antitrust laws are flexible enough for enforcers to take this into account, and to make appropriate determinations as to the real implications of an acquisition. That the FTC has never brought a vertical integration claim challenging a hospital’s acquisition of physicians illustrates this flexibility. It is vital that the health care industry be provided a legitimate opportunity to create more efficiency in the health care system.
    Returning to the St. Luke’s case, the District Court seemed to struggle with this tension as well:
    St. Luke’s saw this major shift coming some time ago. And they are to be complimented on their foresight and vision. They started purchasing independent physician groups to assemble a team committed to practicing integrated medicine in a system where compensation depended on patient outcomes.
    The court gave credence here to St. Luke’s motivation for acquiring physicians, and went so far as to state that it would improve the health care system: “The Acquisition was intended by St. Luke’s and Saltzer primarily to improve patient outcomes. The Court believes that it would have that effect if left intact, and St. Luke’s is to be applauded for its efforts to improve the delivery of health care in the Treasure Valley.”
    Despite this high praise, the court felt that antitrust laws demanded that it intercede. “But there are other ways to achieve the same effect that do not run afoul of the antitrust laws and do not run such a risk of increased costs. For all of these reasons, the Acquisition must be unwound.”

    Giving home health care workers the power of data

    Health coach Nhaomie Douyon of the Coordinating Center asks her client, Ruby, a series of questions generated by a special software program loaded onto her tablet, part of a program aimed at preventing avoidable hospital re-admissions with high-risk patients.(Photo: Julie Appleby, KHN)
    BALTIMORE There is little in Ruby’s life that is easy. Nearly blind and unable to walk more than a step or two, the 39-year-old struggles to raise three sons while dealing with a daunting array of health conditions, from diabetes that recently landed her in the hospital to pain from bulging spinal disks.
    Without support, odds are she’ll end up back in a hospital. But Ruby, who asked that her last name not be used to protect her family’s privacy, is part of a growing effort to reduce those odds by arming home care aides and other non-medical workers with the power of data.
    On a recent Monday, health coach Nhaomie Douyon visited Ruby in the small, rented two-story rowhouse where she lives with her children. Douyon works for the Coordinating Center, a Maryland-based nonprofit that helps organize medical and social needs for clients like Ruby, who live in designated medically underserved areas.
    The two chatted in the living room, where a couch and chairs share the space with a bed. White curtains obscure the view outside, where small groups of young people cluster on front steps, and some homes have boarded-up windows. Douyon, 28, came equipped with a tablet loaded with a software program that uses predictive analytics to generate patient-specific questions.
    The software was developed by Care at Hand, a privately held firm that is among a small but growing number of companies touting products they say can spot potential medical problems before they require hospitalization. The software was created for use by non-medical workers like Douyon and home care aides serving millions of elderly, ill and disabled people.
    Skeptics note that there are few studies confirming the technology accurately predicts problems, prevents hospitalizations or saves money. Still, the business has attracted venture capital investments and may lead to more health care applications for consumers.
    Was Ruby having trouble paying for her medications? Did she feel nauseous?  Were her ankles more swollen today? Those were some of the 15 questions the program Douyon’s agency uses generated for Ruby.
    When she typed in Ruby’s answer that her ankles and legs were definitely more swollen, it triggered an alert to the nurse manager back at her office. Within a few minutes, nurse Chris Parsons called from the Coordinating Center’s headquarters, asked more questions and directed the pair to contact Ruby’s doctor’s office for medicine that might help. Try to elevate your feet, she told Ruby, and go to the emergency room if the swelling gets worse.
    “It’s like bringing a pocket nurse Chris with you,” said Douyon, who is studying for a master’s degree in public health and previously worked for groups doing health outreach in Ghana and Haiti.
    “It doesn’t just go through medical questions, but asks about resources they might need and helps us pick up on certain red flags or the barriers they face,” she said of the tablet.
    Another firm, eCaring, is aimed more squarely at home care aides and their agencies. The company’s software allows aides to note a patient’s well-being hour by hour, using colorful icons, such as a happy or sad face for documenting their mental state. It, too, uses the information to predict which patients might be at high risk and send an alert back to a care manager.
    “It’s a portrait of what is going on in the home,” said Robert Herzog, CEO and founder of eCaring, a privately held firm that contracts with home care agencies in New York to use its software programs. “It transforms the home from a black box into a data-rich environment.”
    Other firms, such as Honor in California and Hometeam in New York, offer more consumer-directed services, such as apps that home care aides use to log daily observations. The companies have each drawn funding from well-known venture capitalists, including Marc Andreessen, who co-founded the Silicon Valley venture firm Andreesen Horowitz, Yelp co-founder and CEO Jeremy Stoppelman, and emerging technology investor Lux Capital. The apps help families hire and schedule home care aides and then keep the family informed about how mom is doing with texts, pictures and updates on daily activities.
    One big question is who will pay for the technology? Agencies using programs aimed at consumers can build the cost into their home care services, charging customers more than agencies that don’t use the technology. Herzog at eCaring says his firm pays for tablets and gets a low-cost data package for Internet use – which the tablets require – from Verizon. It then builds those costs into its contracts with hospitals and insurers. The Coordinating Center, which uses Care at Hand in Baltimore and other locations in Maryland, similarly builds those costs into its contracts. It also receives grants from the state and other agencies for its care coordination efforts.
    Thomas Scully, the former top administrator at the Centers for Medicare & Medicaid Services and now an attorney who advises clients on health care issues and a general partner in a private investment firm, said the idea behind these firms is good. But, he added, their growth potential may be limited because the expense of the tablets and software will make home care services more expensive. “All of this is part of the answer, but it has to show economic savings,”  said Scully.
    Watching For Evidence Of Success 
    Billions are spent nationally each year on avoidable hospital admissions, prompting measures to prevent more of them. The federal health law, for example, created financial incentives for hospitals to reduce re-admissions.
    The new software fits into this focus. But obstacles remain, including the big question of whether they actually work better than other efforts aimed at this goal.
    The companies behind the products – mainly small, privately held ventures – say they have data showing significant reduction in hospitalizations and costs.
    “Non-medical workers are able to make some guided observations that predict if a patient will be at risk of going to a hospital,” said Andrey Ostrovsky, a doctor who is also CEO and founder of Care at Hand.
    Not everyone is convinced that equipping home care workers with software programs will be effective.
    “It’s more theory than reality,” said Bob Kocher, a partner in Venrock, a venture capital firm in Palo Alto, Calif. After reviewing some firms, Kocher said Venrock decided not to invest -- yet. “I have no doubt that 10 years from now, we will improve the training of home care workers and have much better diagnostic tools in the home – and it will work.”
    Still, elderly Americans’ numbers are growing rapidly and most want to avoid nursing homes.  “The industry is placing a big bet that technology will be the missing variable … to allow us to care for a large elderly population at home,” said Jared Landis, practice manager at the Advisory Board, a firm that consults with hospitals.
    ’Just One Tool’ In A Larger Effort
    For Ruby, the tablet is just one piece of a larger effort by the Coordinating Center, which has also enrolled her in the practice of a local primary care doctor, scheduled her for an eye clinic appointment and is seeking an alternative to a prescription that her insurance doesn’t cover.
    She is motivated: “I want to be here to see my kids walk across the stage at high school graduation, to see when they have kids.”
    That combination – a motivated patient and a broad effort to coordinate her care – may help prevent Ruby from returning to the hospital with high blood sugar levels or other problems.
    “The tablet is just one tool. We were reducing re-admissions without it, but when we implemented it, we were able to squeeze out a little more,” said Carol Marsiglia, senior vice president of strategic initiatives at the center.

    Health Care Outperforms

    The Briefing.com RSS (really simple syndication) service is a method by which we offer story headline feeds in XML format to readers of the Briefing.com web site who use RSS aggregators. By using Briefing.com’s RSS service you agree to be bound by these Terms of Use. If you do not agree to the terms and conditions contained in these Terms of Use, we do not consent to provide you with an RSS feed and you should not make use of Briefing.com’s RSS service. The use of the RSS service is also subject to the terms and conditions of the Briefing.com Reader Agreement which governs the use of Briefing.com's entire web site (www.briefing.com) including all information services. These Terms of Use and the Briefing.com Reader Agreement may be changed by Briefing.com at any time without notice.
    Use of RSS Feeds:The Briefing.com RSS service is provided free of charge for use by individuals, as long as the feeds are used for such individual’s personal, non-commercial use. Any other uses, including without limitation the incorporation of advertising into or the placement of advertising associated with or targeted towards the RSS Content, are strictly prohibited. You are required to use the RSS feeds as provided by Briefing.com and you may not edit or modify the text, content or links supplied by Briefing.com. To acquire more extensive licensing rights to Briefing.com content please review this page.
    Link to Content Pages:The RSS service may be used only with those platforms from which a functional link is made available that, when accessed, takes the viewer directly to the display of the full article on the Briefing.com web site. You may not display the RSS content in a manner that does not permit successful linking to, redirection to or delivery of the applicable Briefing.com web site page. You may not insert any intermediate page, “splash” page or any other content between the RSS link and the applicable Briefing.com web site page.
    Ownership/Attribution:Briefing.com retains all ownership and other rights in the RSS content, and any and all Briefing.com logos and trademarks used in connection with the RSS service. You are required to provide appropriate attribution to the Briefing.com web site in connection with your use of the RSS feeds. If you provide this attribution using a graphic we require you to use the Briefing.com web site logo that we have incorporated into the Briefing.com RSS feed.
    Right to Discontinue Feeds:Briefing.com reserves the right to discontinue providing any or all of the RSS feeds at any time and to require you to cease displaying, distributing or otherwise using any or all of the RSS feeds for any reason including, without limitation, your violation of any provision of these Terms of Use or the terms and conditions of the Briefing.com Reader Agreement. Briefing.com assumes no liability for any of your activities in connection with the RSS feeds or for your use of the RSS feeds in connection with your web site.

    Consumers Spark Data-Driven Digital Transformation Within Health Care


    Today’s column is written by Mayur Gupta, senior vice president and head of digital at Healthgrades.
    In a digital world where the process of innovation has become a commodity, driverless smart cars, personal drones and one-click purchasing have become part of our daily lives.
    Yet health care, an industry that touches and impacts everyone’s life, has lacked the same innovation or disruption, often obstructed by regulations, a fragmented ecosystem or a lack of consistent funding.
    Whatever little evolution we have witnessed historically has been driven by brute force with government funding, legislation and occasional incentivization models designed to change behaviors and accountability. Whether it was George W. Bush setting a goal to give every American access to their electronic medical record or the Affordable Care Act, change has largely been forced on to the industry from the outside.
    But now the change is finally coming from within, driven for the first time by recent changes in health care dynamics and the needs of an increasingly digital consumer. A range of factors are enabling consumers to take on greater responsibility for their health, including ever-increasing co-pays and deductibles, rising premiums, narrowing networks, lack of transparency, growing health consciousness of baby boomers and greater reliance on digital technologies and immersive daily experiences.
    All of this has shifted mindsets from sickness and treatment to health and wellness, from volume to value.
    This wave of disruption and awareness is attracting top talent, agencies and investors from other verticals. Leading marketers, digital evangelists, entrepreneurs and technologists, as well as top digital, creative and media agencies, are flocking to the industry, clearly sensing growth and transformation.
    For the first time, CMO in health care stands for a chief marketing officer – and not just chief medical officer.
    Finding The Right Doctor, Hospital And Care
    As health networks narrow, consumers turn to technology as they try to find the right doctor at the right hospital for the right care. It is more important than ever that consumers recognize the symbiotic relationship between doctor and hospital. Consumers are now doing both qualitative and quantitative research online to make what may be life-saving decisions. They need to trust that the information they're using to inform their decisions is comprehensive, accurate and, most importantly, transparent.
    Data-Driven Predictive Models Detect Health Conditions
    If you thought big data was critical for organizations because it could help predict consumer behavior, such as shopping patterns or the next best display ad, imagine the impact of predicting “health conditions” or their propensity factor.
    Using clinical, socioeconomic, behavioral, demographic, dietary, personal and relationship data, these models allow health systems to reach and engage consumers higher up in the funnel, shifting the focus to more preventive care from sickness and treatment.
    Personalized Omnichannel Digital Experiences Drive Behavioral Change
    The philosophy of delivering the right content to the right person at the right time couldn’t be more appropriately applied anywhere than in health care.
    Whether it is leveraging the predictive models to communicate seamlessly across all channels, book an appointment with the appropriate doctor or deliver lifestyle content about the healthiest diet for a specific individual, the right content and data-driven experiences are inspiring behavioral change toward a better health outcome.
    From Time-Bound Push Campaigns to Always-On Patient Engagement
    Until recently, the industry had limited its marketing budgets to television ads and public hoardings. Its shift to always-on patient engagement and consumer experiences is a reflection of the rapid evolution and change.
    With more connected and harmonized consumer data as the foundation, health systems are moving away from time-bound push campaigns to programmatic and rule-based algorithmic communication that responds just in time to both offline and online human behavior.
    The influx of marketing technologies, along with data, content and storytelling, is enabling immersive care experiences. Marketing automation, CRM, demand-side platforms, data management platforms, programmatic buying, rule engines and social listening platforms are all becoming central to the health care ecosystem.
    A Unified And Universal Health Record And Profile
    More than the volume, velocity and variety of big data, the biggest change is being driven by the harmonization and convergence of data in health care, a fragmented ecosystem.
    On one hand, a universal health profile of a human being comprised of clinical, socioeconomic, personal and behavioral data allows health systems, pharmaceutical companies, providers and payers to communicate more efficiently and effectively, staying relevant to consumers’ emotional and functional needs.
    At the same time, the convergence of an individual’s and family’s health record across providers, hospitals and encounters is a huge step forward, not just for historical tracking but for predicting and managing the present and the future. Many startups provide this abstraction layer by integrating with different electronic medical record platforms and connecting data at the individual and household levels.
    The areas of disruption are not limited to these five areas, of course. It’s an expansive list that spans telemedicine and virtual care, genomics, innovation in payer transparency, wearable, sensors or even robotics.
    But more than the breadth of these capabilities, it is the focus on putting consumers and their health at the center of this ecosystem that is transformative. As an industry, health care may be behind from a digital maturity standpoint compared to retail, finance and other industries, but it is certainly evolving as fast, if not faster, than the rest.

    Private players eye opportunities in Saudi's expanding healthcare market

    “Last year, PwC (the management consultancy) submitted a report to us on the areas in the Kingdom that we should focus on. As such, Saudi Arabia is the most liberal among Gulf countries in allowing foreign investments into health care, such as allowing full ownership by clearing it through Sagia (Saudi Arabian General Investment Authority).”
    Green zone
    On whether it was the case that operating costs would be higher there because of stricter job quota requirements for Saudi nationals, Moopen said: “It’s not the case — having more nationals would mean higher salary structures vis-a-vis expats, but they tend to be balanced by other expenses such as on housing costs, etc” (The Saudi requirement is for a 25 per cent nationalisation in health care establishments, for the operator to merit a “green zone” credential.) The focus on Saudi Arabia for the next wave of health care deals could well ease some of the activity the sector had seen in the UAE over the last three years. There had been multiple deals led by blue-chips such as NMC Health and Mediclinic International. The acquisition of Al Noor Hospitals was an intensely contested affair. Meanwhile, private equity funds continue to chase opportunities locally.
    Aster DM, however, preferred not to get into any deal-making in the UAE, its preference was for greenfield ventures. (Currently, it operates three hospitals in Dubai). Two apiece in Dubai and Sharjah are due to be added to its network in the near term. More are planned for Dubai, especially in the emerging residential locations.
    “It was on purpose that that we didn’t get involved in any of the deals happening in the UAE. The valuations that were being talked about were, in my opinion, much higher than was warranted. Also, it would have meant diluting our equity (in the operating company) to raise finances for the deal. It was prudent to stay away.”
    Opportunity
    As regards new possibilities in Abu Dhabi, “We had an impression that actual capacity being planned — based on all the project announcements — for the emirate was in excess of what the market needed,” said Moopen. “But now we see that some of those projects from the smaller players are yet to even start construction.
    “It means an opportunity for us to come in now with two projects, which could even be through acquiring an existing operation there.”
    As of now, its network (which also includes clinics and pharmacies) in the UAE makes up 60 per cent of the group turnover, with the rest of the Gulf and its expanding India base contributing 15 per cent each.

    Can't Get In To See Your Doctor? Many Patients Turn To Urgent Care

    r. Max Lebow examines the ear of 4-year-old Charlotte Anderson at Reliant Immediate Care in Los Angeles. Charlotte's mom brought her to the urgent care clinic because Charlotte was having balance problems. Benjamin Brian Morris for NPR hide caption toggle caption Benjamin Brian Morris for NPR
    Dr. Max Lebow examines the ear of 4-year-old Charlotte Anderson at Reliant Immediate Care in Los Angeles. Charlotte's mom brought her to the urgent care clinic because Charlotte was having balance problems.
    Benjamin Brian Morris for NPR
    Though the majority of Americans have a primary care doctor, a large number also seek treatment at urgent care centers, statistics show. For many people, the centers have become a bridge between the primary care doctor's office and the hospital emergency room.
    Urgent care is not meant for life-threatening emergencies, such as a heart attack, stroke or major trauma, doctors say. But it is designed to treat problems considered serious enough to be seen that day — conditions like a cut finger, a sprained ankle, severe sore throat, or the sort of infection 25-year-old Dominique Page recently experienced.
    Page, who lives in Los Angeles, suspected she had a bladder infection when she woke up that morning. Instead of calling her primary care doctor, she headed straight to the nearest urgent care clinic.
    "I knew if I made an appointment at my doctor's office, it wouldn't be for today," she explains. "Their appointments are usually booked."
    Page's decision seems pretty typical. In a recent poll conducted by NPR, the Robert Wood Johnson Foundation and the Harvard T.H. Chan School of Public Health, most people reported going to urgent care because they believe it is more convenient and takes less time than going to their regular doctor. One in 5 said that at least once in the past two years, they were unable to see their regular doctor when they needed medical care, mostly because the doctor didn't have any available appointments, the office was closed or the doctor was out of the office.
    Page went to Reliant Immediate Care, adjacent to Los Angeles International Airport. Walk-in patients are welcome, and the clinic is open 24/7.
    "We don't even know where the key to the front door is," says the clinic's medical director, Dr. Max Lebow, "because at least in the 10 years that I've been here, we've never closed the front door."
    For years, Lebow says, he worked in a hospital emergency room, where he saw lots of people who "never should have been in the ER in the first place." In his experience, he says, maybe 20 percent of the ER patients are admitted to the hospital, which means that about 80 percent are sent home.
    i
    Lebow (far right) is medical director of this urgent care center run by Reliant Immediate Care Medical. The clinic is adjacent to Los Angeles International Airport and is open 24/7. Benjamin Brian Morris for NPR hide caption
    toggle caption Benjamin Brian Morris for NPR
    Lebow (far right) is medical director of this urgent care center run by Reliant Immediate Care Medical. The clinic is adjacent to Los Angeles International Airport and is open 24/7.
    Benjamin Brian Morris for NPR
    National statistics suggest an even higher percentage tend to leave the ER without needing a hospital stay. Of those patients, Lebow says, probably 75 percent could be seen in a less intensive setting — like an urgent care center.
    After tests, Lebow confirmed that Page had a bladder infection and prescribed antibiotics. Page was relieved to have a diagnosis and treatment. She was in and out in less than an hour, she says, and — even better — her visit cost far less than going to a hospital ER, which charges a "facility fee" just to walk in the door.
    That fee — which typically ranges from $300 to $500 — helps cover the cost of having on hand, 24/7, all the equipment and staff needed to treat even the most extreme emergencies, explains Dr. Roger Hicks, an emergency medicine doctor on the governing board of the Urgent Care Association of America.
    According to a recent review from the National Center for Health Statistics, visits to the ER can easily run more than $1,000 for adults. The average visit to an urgent care center, in contrast, hovers around $150.
    Nationwide there are now more than 7,000 urgent care centers across the country, and Hicks calls the industry's growth in the past couple of decades "explosive." He says patients tell him they appreciate the cost savings and convenience — most urgent care centers are open in the evenings and on weekends and holidays. In large, urban areas, many are open around the clock.
    Most centers take private insurance and Medicare, although some don't take Medicaid; Hicks says Medicaid reimbursement doesn't cover the cost of providing care. Uninsured patients have to pay cash.
    In our poll, most patients said they found the cost of their visits "reasonable." And the majority — 75 percent — rated the care they received as "excellent" or "good."
    But 25 percent of those polled described their care at an urgent care center as just "fair" or even "poor."
    One of those poll respondents was 31-year-old Syntyche Toniy, who lives in Orlando, Fla. Toniy went to her local urgent care center after cutting her hand while gardening, and says she found the process there "disorganized."
    After registering at the front desk, she waited another two hours before seeing a doctor, who then sent her to the hospital emergency room anyway — for stitches.
    i
    The location of Reliant's urgent care center near the airport exit makes it convenient for travelers and Los Angeles residents alike. Benjamin Brian Morris for NPR hide caption
    toggle caption Benjamin Brian Morris for NPR
    The location of Reliant's urgent care center near the airport exit makes it convenient for travelers and Los Angeles residents alike.
    Benjamin Brian Morris for NPR
    Another woman who responded to the NPR poll — 69–year-old Carole Lamb in Ashland, Ore. — recalls a frustrating experience during her visit to an urgent care center for symptoms of bronchitis. Lamb told the doctor that she'd previously been prescribed a medication for her infection, but it hadn't worked very well.
    As she was explaining the situation, the doctor got up, walked out of the room and sent in an assistant who gave her a prescription for the very same medicine.
    "I thought, really?" Lamb says. Fortunately, she adds, she was able to get an appointment within a few days with a new primary care provider — who successfully treated her infection.
    Hicks says his association continues to work hard to improve quality and maintain high standards in urgent care centers nationwide. While most centers are standalone facilities, some are embedded in large, integrated hospital systems.
    At the UCLA Urgent Care facility in Santa Monica, Dr. Vladimir Manuel, the medical director, says the beauty of a large integrated system is that primary care, urgent care and hospital care are all connected, so medical records are shared. Not only is that sort of system more efficient, he says, but patient care is improved, too.
    For example, Manuel says, if someone with asthma shows up at the urgent care center two or three times for difficulty breathing, Manuel will reach out to the primary care provider and let them know the patient's asthma is not under control.
    He sees his center's job, in part, as helping each patient establish a better continuity of care, so those sorts of medical emergencies arise less frequently. And if patients don't have a primary care provider, Manuel helps them find one within the system of UCLA Health.