Companies that fail to curb their carbon output may eventually face the consequences of asset devaluation and stock price depreciation, according to a new study out of the University of Waterloo.
A new study shows that up to 95 percent of the pressure ulcers, or bedsores, that patients develop during a hospital stay are missed by the hospital billing data used to calculate Medicare payment rates and penalties for hospitals, and that reported progress in reducing such sores is almost entirely due to prevention of less-costly and less dangerous early-stage ones, rather than the more severe kind.
Like a 'needle in a haystack,' human auditors have the painstaking task of manually checking thousands of Medicare claims for specific patterns that could indicate foul play or fraudulent behaviors. Currently, fraud enforcement efforts rely heavily on health care professionals coming forward with information about Medicare fraud. Researchers are the first to use big data from Medicare Part B and employ advanced data analytics and machine learning to automate the fraud detection process.
Differences in how many extra years rich people live compared to poor people is only about half of what we thought. Researchers from the University of Copenhagen have found ways to take in to account the income-mobility that occurs in real life and provide a more realistic way to calculate differences in life expectancy. Results show that in reality the difference between the lifespan of a rich and a poor person is not that big.
New payment models are changing how physicians are paid, striving to create stronger incentives for efficient, high-quality medicine. A new study finds that these models are becoming more complex and the pace of change is increasing, creating challenges for physician practices that might hamper their ability to improve the quality and efficiency of care despite their willingness to change.
Researchers at Brigham and Women's Hospital analyzed a national sample of Emergency Department visits between 2011-15 to determine what proportion of them could be denied coverage if commercial insurers across the US adopted the policy of a large national insurer, Anthem Inc., to potentially deny coverage, after the visit, based on ED discharge diagnoses.
A recent Rutgers study finds that parents educated beyond high school have healthier families, as they invest more in family health care which reduces the likelihood of adverse medical conditions.
According to a Rutgers study, programs designed to provide social support may impact hospitalization rates and decrease spending. Expert says that investing in affordable housing that offers supportive social services to senior citizens on Medicare has the potential to reduce hospital admissions and the amount of time needing inpatient hospital care.
Nearly one in seven Americans has chronic kidney disease, and the condition accounts for about 20 percent of the spending by Medicare. A new analysis finds that providing specialized medical care and coordination to patients whose kidneys are failing before they need dialysis treatment could save the US health care system more than $1 billion annually.
Researchers from The Dartmouth Institute for Health Policy and Clinical Practice examined participation in the Centers for Medicare & Medicaid Services' Comprehensive Primary Care Plus (CPC+) program to determine what types of practices joined the CPC+ model. The study also compared hospital service areas with and without CPC+ practices. The CPC+ model is a voluntary multipayer model that combines primary care redesign with efforts to restructure payment through prospective care management payments and performance-based incentives