Hospitalized older adults who take atypical, or second-generation, antipsychotics for delirium were at increased risk of death from cardiopulmonary arrest, according to a recent study by researchers in Boston.
Despite these known risks, antipsychotic drugs frequently are used to treat or prevent delirium. Delirium (sudden confusion or a rapid change in mental state) affects 15% to 26% of hospitalized older adults. It can lead those affected to harm themselves or others, or otherwise interfere with medical care. Continue reading
Yes, there’s a lot going on these days.
The 2020 election.
(Forget for a minute the cynic’s view that all three things might actually be the same.)
We’re forgetting or perhaps just distracted from drawing our readers’ attention to a preventable problem that kills some 200,000 people a year. Continue reading
Knee replacement surgeries and stenting procedures will now be reimbursed in free-standing ambulatory surgery centers for Medicare fee-for-service beneficiaries as of Jan. 1 under a new rule finalized by the Centers for Medicare & Medicaid Services on Friday.
The controversial policy shift will mean hundreds, if not tens of thousands, of older patients will now have these complex procedures in a facility not attached to a hospital, and will go home the same day. Continue reading
Who reads Medicare rules?
They’re long, boring, hard to read because of the small type in narrow columns and they’re full of repetition and jargon.
But just in case you have a sleepless night, I recommend pulling up proposed or final rules for an IPPS, (inpatient prospective payment system) or an OPPS (outpatient prospective payment system) or a PFS (physician fee schedule), for starters. Continue reading
As my colleague Joyce Frieden reported for MedPage Today on Tuesday, in 2020, reporters will be able to compare the quality of some hospital outpatient departments and some ambulatory surgical centers for the first time, using metrics that are somewhat similar to those used to check up on hospital quality.
After all, some 60% of surgical procedures today are performed in an outpatient setting, so patients have a right to know what policies and procedures the facility uses to safeguard against errors and complications. Continue reading
Health journalists across the country have been reading ProPublica’s accounts of the lengths to which hospitals pursue low-income patients for payment.
Earlier this year, ProPublica revealed that Methodist Le Bonheur Healthcare in Memphis, Tenn., had filed thousands of lawsuits against patients, including its own employees.
In the latest dispatch about medical debt, ProPublica reports that “thousands of people are jailed each year for failing to appear in court for unpaid bills,” citing a court in Coffeyville, Kan., “where the judge has no law degree, debt collectors get a cut of the bail, and Americans are watching their lives — and liberty — disappear in the pursuit of medical debt collection.”