Given all the concern about the failure of rural hospitals, it may seem counterintuitive that some hospitals in rural America may need to close. In multipart series for the Atlanta Journal-Constitution, investigative news reporter Yamil Berard found last year that some rural hospitals in Georgia had serious deficiencies.
Those deficiencies included significantly low occupancy rates, stiff competition from other hospitals, dwindling populations in their service areas, poor management and faulty decision-making, she reported. Continue reading
AHCJ has updated its public HospitalInspections.org website to give people a better glimpse of potential COVID-19 problems at some hospitals around the country. For reporters, the inspection reports may prompt news stories on how local hospitals are handling the pandemic.
The data covers January 2011 through the third quarter of 2020. A search for the term “covid” returns 73 records of hospital inspection reports from March 25 through Sept. 16. Continue reading
Research released today shows that from 2016 through 2018, self-insured employers and commercial health insurers in 49 states and the District of Columbia paid 247% more, on average, than what the Medicare program would have paid for the same inpatient and outpatient hospital services.
Researchers from RAND analyzed hospital claims data from 3,112 hospitals in every state except Maryland, which was excluded because the state has an all-payer rate setting model in which hospitals charge prices that are equal to what Medicare and private insurers pay, the report explained. The claims totaled $33.8 billion and came from self-insured employers, six state all-payer claims databases and health plans from 2016 to 2018. Continue reading
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