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
As expectations grow that many more cases of COVID-19 coronavirus may be identified in the U.S. in the coming weeks, public health officials have headlined media and congressional briefings to discuss the readiness of the nation’s health system’s to respond to a surge in affected hospital patients.
In general, there is agreement that while the U.S health system is better prepared than 20 years ago, it cannot handle a sudden surge in sick patients, largely because of insufficient staff, clinical space, medical equipment and treatments. Continue reading
Access to palliative care across the U.S. varies widely. It often depends more upon accidents of geography, whether a hospital is for-profit or nonprofit, and hospital size than it does on the needs of patients living with a serious illness, and their families, according to a new state-by-state report card from the Center to Advance Palliative Care (CAPC). 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.”
Andrew Dreyfus, president and CEO of Blue Cross Blue Shield of Massachusetts.
Blue Cross Blue Shield of Massachusetts announced this week that it is taking the radical step of paying to keep patients out of the hospital.
In a partnership with South Shore Health System in Weymouth, Mass., BCBSM will change the financial reward system so that it will tie payments to health system to its success in collaborating with physicians to improve quality, patient outcomes and costs for the patients they physicians and health system. Under BCBSM’s Alternative Quality Contract (AQC), the health insurer will reward the health system and physicians for their success in doing so, the two parties said in an Oct. 30 news release. Continue reading