Tag: Insurance

Simulation to predict hospital capacity needs during COVID-19 pandemic

Editor's Note This study from the University of Pennsylvania, Philadelphia, finds that a susceptible, infected, removed (SIR) epidemic model can be adapted to local population characteristics to inform hospital planning for epidemic-related surges in hospital capacity. Using COVID-19 patients only, the SIR model estimated that it would be 31 to…

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By: Judy Mathias
April 9, 2020
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HHS releases final interoperability rules

Editor's Note The US Department of Health and Human Services (HHS) on March 9 released two interoperability rules, which will give patients direct access to their healthcare data. These rules mark the most extensive healthcare data sharing policies the federal government has implemented, requiring public and private entities to share…

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By: Judy Mathias
March 9, 2020
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Medicare may overpay for postop care

Editor's Note Medicare may be overpaying surgeons for postoperative care they provide to patients, according to a new Rand Corporation analysis in the January 23 New England Journal of Medicine. The authors of the analysis suggest that federal officials should incorporate ways to more objectively measure the amount of postoperative…

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By: Judy Mathias
January 23, 2020
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House passes year-end bill that repeals ACA taxes including medical device tax

Editor's Note The US House of Representatives on December 17 passed a year-end spending bill that repeals several Affordable Care Act (ACA) taxes, including the 40% tax on generous health insurance plans and the 2.3% tax on the sale of medical devices, the December 17 Reuters reports. The bill also…

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By: Judy Mathias
December 18, 2019
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A primer for starting a total joint replacement program

Ambulatory surgery centers (ASCs) have increasing incentives to offer total joint replacements (TJR) as Medicare expands the list of covered procedures. However, there’s a lot to consider in this particular service line. “There are many things to arrange that aren’t required with other service lines, particularly as home care of…

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By: OR Manager
November 18, 2019
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Waste in US healthcare spending, potential for savings

Editor's Note This study finds that the estimated cost of waste in the US health care system ranges from $760 billion to $935 billion and accounts for some 25% of healthcare spending. Projected potential savings from interventions to reduce waste, excluding savings from administrative complexity, range from $191 billion to…

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By: Judy Mathias
October 9, 2019
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Amazon launches Amazon Care

Editor's Note Amazon has launched Amazon Care, a virtual primary care clinic, with an option for home visits from nurses, the September 24 CNBC.com reports. Employees will have an option to see a physician, nurse practitioner, or RN via a mobile app or website, and they can text a nurse…

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By: Judy Mathias
September 25, 2019
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EHR efficiency, usability, stress differ by physician gender

Editor's Note There are gender differences in how physicians perceive EHR-related stress, satisfaction, and usability, finds this study. Of 25 ICU physicians who participated in the study, 48% were men and 52% were women. Overall task performance scores were similar, but men reported significantly higher perceived EHR workload stress and…

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By: Judy Mathias
September 3, 2019
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Machine learning identifies preop risks linked to postop Medicare super-users

Editor's Note In this study of more than 1 million Medicare patients, 4.8% were super-users of healthcare and incurred 31.7% of Medicare expenditures after surgery. A machine learning approach identified the following as the most significant risk factors linked to super-utilization of healthcare in the year following surgery: hemiplegia/paraplegia weight…

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By: Judy Mathias
August 20, 2019
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Family healthcare costs outpacing wages, inflation

Editor's Note Enrollees in large employer insurance plans are facing higher healthcare spending through rising premium contributions and increased cost-sharing, according to an August 14 report from the Kaiser Family Foundation. Healthcare costs outpaced wage growth from 2008 to 2018, with employees spending $4,706 for premiums and $3,020 on out-of-pocket…

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By: Judy Mathias
August 20, 2019
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