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Will AI-Based Automation Replace Basic Primary Care? Should It?
By KEN TERRY In a recent podcast about the future of telehealth, Lyle Berkowitz, MD, a technology consultant, entrepreneur, and professor at Northwestern University’s Feinberg School of Medicine, confidently predicted that, because of telehealth and clinical automation, “In 10-20 years, we won’t need primary care physicians [for routine care]. The remaining PCPs will specialize in caring for complicated patients. Other than that, if people need care, they’ll go to NPs or PAs or receive automated care with the help of AI.” Berkowitz isn’t the first to make this kind of prediction. Back in 2013, when mo...
Source: The Health Care Blog - October 7, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Artificial Intelligence Health Tech AI Ken Terry primary care Source Type: blogs

Hospital Admissions from the Emergency Department and Subsequent Critical Care Interventions for Influenza during Pregnancy
Conclusion Pregnancy confers three times the risk of admission from the ED for influenza and pregnant women are significantly more likely to require ICU-level medical interventions compared with women of similar age. These findings confirm the significant disease burden from influenza in the obstetric population and the public health importance of reducing infection risk. Key Points [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: American Journal of Perinatology - May 3, 2021 Category: Perinatology & Neonatology Authors: Krenitsky, Nicole Wen, Timothy Cham, Stephanie Venkatesh, Kartik K. Attenello, Frank Mack, William J. D'Alton, Mary Friedman, Alexander M. Tags: Original Article Source Type: research

Where Health Care Value Can Lead
By BRIAN KLEPPER It seems inevitable that, in the near future, an innovative health care organization – Let’s call it The Platform – is going to seize the market opportunity of broader value. It will cobble together the pieces, and demonstrate to organizational purchasers that it consistently delivers better health outcomes at significantly lower cost than previously has been available. To manage risk and drive performance, The Platform will embrace the best healthcare management lessons of the past decades: risk identification through data monitoring and analytics, driving the right care, quality manag...
Source: The Health Care Blog - March 15, 2022 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Health Tech Brian Klepper The Platform value based care Source Type: blogs

Health Care Economics and the Advanced Practice Registered Nurse
The United States spends more than double the amount per person on health care than other developed countries (Kane, 2012). According to the Centers for Medicare and Medicaid Services (CMS), in 2011, physician care and clinical services increased 4.3% compared with 3.1% the previous year, with more than $541 billion spent (CMS, 2013). The staggeringly high cost of health care has led many Americans to delay seeking needed medical treatment or file for bankruptcy because of expenses related to their medical care.
Source: Journal of Pediatric Health Care - June 23, 2014 Category: Pediatrics Authors: Amy B. Manion, Janice A. Odiaga Source Type: research

Quality and Safety in Health Care, Part II: Three Early Reports on Quality
Abstract: The 1990 Institute of Medicine report Medicare: A Strategy for Quality Assurance offered a definition of quality in health care and recommendations on how to achieve it. The forces for change would include different activities by the federal government, informed consumers, professionalism, and private initiatives. Eight years later, the National Roundtable report Statement on Quality of Care indicated that there were major problems of underuse, overuse, and misuse of health care services. In the same year, the President's Advisory Commission report Quality First: Better Health Care for All Americans discussed maj...
Source: Clinical Nuclear Medicine - August 11, 2015 Category: Nuclear Medicine Tags: From the American College of Nuclear Medicine Source Type: research

Accountable Care Organizations Prove They are Here to Stay
One of the key missions of the Affordable Care Act is to slow the rising cost of health care. The Obama administration believes ACOs represent one of the most promising reforms in the 2010 law. With this in mind, the administration set a goal that by the end of 2018, half of Medicare spending currently based on the volume of procedures a doctor or hospital performs will instead be linked to quality and frugality. To help promote value of care over volume, Medicare encourages doctors, hospitals, and other providers to form accountable care organizations (ACOs) to coordinate the care of beneficiaries and provide efficient se...
Source: Policy and Medicine - November 13, 2015 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Adoption and de-adoption of drotrecogin alfa for severe sepsis in the United States
Conclusions Drotrecogin alfa use declined over time, with marked changes in use associated with drug-specific financial incentives but not the publication of clinical practice guidelines or clinical trials.
Source: Journal of Critical Care - February 26, 2016 Category: Gastroenterology Source Type: research

Financing U.S. Graduate Medical Education: A Policy Position Paper of the Alliance for Academic Internal Medicine and the American College of Physicians.
an College of Physicians Abstract In this position paper, the Alliance for Academic Internal Medicine and the American College of Physicians examine the state of graduate medical education (GME) financing in the United States and recent proposals to reform GME funding. They make a series of recommendations to reform the current funding system to better align GME with the needs of the nation's health care workforce. These recommendations include using Medicare GME funds to meet policy goals and to ensure an adequate supply of physicians, a proper specialty mix, and appropriate training sites; spreading the costs of...
Source: Annals of Internal Medicine - May 2, 2016 Category: Internal Medicine Authors: Butkus R, Lane S, Steinmann AF, Caverzagie KJ, Tape TG, Hingle ST, Moyer DV, and the Alliance for Academic Internal Medicine and American College of Physicians Graduate Medical Education Task Forces, for the Health and Public Policy Committee of the Ameri Tags: Ann Intern Med Source Type: research

Initial impact of the Affordable Care Act on an Ohio Level I trauma center
CONCLUSION: In the first year following the changes implemented by the Affordable Care Act, our hospital saw self-pay/charity charges decrease, Medicaid charges increase, and total hospital supplemental payments decrease. In addition, there was a small, yet noteworthy, downward trend in the number of commercially insured patients. Although more data collection and analysis are needed, this initial financial evaluation of a Level I trauma center following the Affordable Care Act provides insight into insurance trends.
Source: The Journal of Trauma: Injury, Infection, and Critical Care - May 21, 2016 Category: Orthopaedics Tags: Original Articles Source Type: research

How Reimbursement Is Changing For Palliative Care - MACRA
by Stacie Sinclair(Register for the free webinar here)There is no disputing that recent events mean a huge shift in the direction of health care in the coming years. Although we ’re learning more each day about what programs will stay and what will go, there remains tremendous uncertainty that only time will clarify. Yet in this period of transition, there is at least one major program that the nation’s best health policy minds agree is here to stay: MACRA’s QPP!WHAT DO THOSE CRAZY ACRONYMS MEAN?TheMedicare Access and Children ’s Health Insurance Program (CHIP) Reauthorization Act of 2015 (MACRA) is a bipartisan la...
Source: Pallimed: A Hospice and Palliative Medicine Blog - November 19, 2016 Category: Palliative Care Tags: AAHPM CAPC CMS HPNA macra medicare mips nhpco palliative care profession sinclair Source Type: blogs

CHRONIC Care Act Reintroduced in the Senate
On April 6, 2017, the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 was reintroduced by the Senate Finance Committee’s Chronic Care Working Group. The bill was introduced by Senate Finance Committee Chairman Orrin Hatch and Ranking Member Ron Wyden, along with Johnny Isakson and Mark Warner, the co-chairs of the Committee’s Chronic Care Working Group. The bill is largely unchanged from the previous version, which was introduced in December 2016.  The CHRONIC Care Act is intended to improve the Medicare program through various policies that target traditional f...
Source: Policy and Medicine - April 28, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Risk factors for 30-day readmission in patients with congestive heart failure
Conclusions Comorbidities, sociodemographic factors including male sex, age, black race and Medicare coverage, and prolonged length of stay are associated with increased risk of readmission in patients with CHF.
Source: Heart and Lung: The Journal of Acute and Critical Care - August 9, 2017 Category: Respiratory Medicine Source Type: research

Implementation of the Surviving Sepsis Campaign guidelines
Purpose of review: Early identification and appropriate management of sepsis improves outcomes. Despite convincing data showing the benefits of early recognition and treatment of sepsis and septic shock, implementation of such evidence-based therapy is suboptimal. This review describes methods that have been shown to improve bedside application of the evidence-based guidelines. Recent findings: The Surviving Sepsis Campaign (SSC) has developed guidelines for the management of severe sepsis and septic shock. The initial SSC guidelines were published in 2004; as evidence continued to evolve, the guidelines were updated, wit...
Source: Current Opinion in Critical Care - August 31, 2017 Category: Nursing Tags: CRITICAL CARE OUTCOMES: Edited by Jeremy M. Kahn Source Type: research

Senate Passes CHRONIC Care Act
On September 26, the Senate passed the CHRONIC Care Act is also known as the “Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care Act.” The law passed with bipartisan support. “This legislation will improve disease management, lower Medicare costs and streamline care coordination services — all without adding to the deficit,” Senate Finance Committee Chairman Orrin Hatch (R-Utah) said in a statement. Bill Specifics There are several highlights from the bill. First, it extends the Independence at Home Model of Care. Specifically, it would extend the demonstration’s expiration date by t...
Source: Policy and Medicine - September 29, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Sorry. Health Care Reform Can ’t Wait for Quality Measures to Be Perfect
By BINDER, MARCOTTE, FILDES and THOMPSON There’s a debate in the United States about whether the current measures of health care quality are adequate to support the movement away from fee-for-service toward value-based payment. Some providers advocate slowing or even halting payment reform efforts because they don’t believe that quality can be adequately measured to determine fair payment. Employers and other purchasers, however, strongly support the currently available quality measures used in payment reform efforts to reward higher-performing providers. So far, the Trump administration has not weighed in. The four ...
Source: The Health Care Blog - October 6, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized AHRQ CMS PSI Quality measure value-based care Source Type: blogs