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Long-term impact of newly diagnosed atrial fibrillation during critical care: A Korean nationwide cohort study.
CONCLUSION: The patients who survived after newly diagnosed AF during critical care remained at a higher risk of long-term stroke/SE and mortality than the patients without AF regardless of AF recurrence and the causes of critical care. Close follow-up and continuous anticoagulation might be needed for these patients. PMID: 31051171 [PubMed - as supplied by publisher]
Source: Chest - April 29, 2019 Category: Respiratory Medicine Authors: Kim K, Yang PS, Jang E, Yu HT, Kim TH, Uhm JS, Kim JY, Sung JH, Pak HN, Lee MH, Lip GYH, Joung B Tags: Chest Source Type: research

Kids & Mental Health: Brightline Aims to “ Grow Up ” Pediatric Behavioral Health Care with Tech
By JESSICA DAMASSA Despite the fact that kids make up 20% of our national patient population and that their parents are likely just the tech-savvy market of health consumers that most digital health companies are targeting with their own virtual care solutions, very little has been done to use technology to ‘transform’ the way that they take care of their kids. One of the founders hoping to push this market into a growth spurt is Naomi Allen, co-founder & CEO of pediatric behavioral health company Brightline. From seed to Series A in just 8 months ($25M total funding), Brightline is already looking to scale ...
Source: The Health Care Blog - September 16, 2020 Category: Consumer Health News Authors: Zoya Khan Tags: Health Tech Jessica DaMassa WTF Health brightline kids Mental Health naomi allen pediatric behavioral health Source Type: blogs

Supreme Court Should Uphold Affordable Care Act: Biden Administration
Health law provides about 23 million people with health insurance, prevents discrimination against preexisting conditions
Source: Pulmonary Medicine News - Doctors Lounge - February 12, 2021 Category: Respiratory Medicine Tags: Cardiology, Dermatology, Endocrinology, Family Medicine, Geriatrics, Gastroenterology, Gynecology, Infections, AIDS, Internal Medicine, Allergy, Critical Care, Emergency Medicine, Nephrology, Neurology, Nursing, Oncology, Ophthalmology, Orthopedics, ENT, Source Type: news

US Children And Adolescents Had Fewer Annual Doctor And Dentist Contacts Than Their Dutch Counterparts, 2010-12 Comparative Primary Care
Children and adolescents in the United States have been found to be less healthy than their counterparts in other high-income countries. The contribution of pediatric health care use to health outcomes—either as an independent determinant or as a mediator of wider social factors—is not well understood. We found that, compared to their peers in the Netherlands, US children and adolescents had fewer annual doctor and dental contacts in 2012. In both countries, poorer health status was reported among low-income compared to high-income children; however, this status was accompanied by greater or equal number of doc...
Source: Health Affairs - December 7, 2015 Category: Global & Universal Authors: Hargreaves, D. S., Struijs, J. N., Schuster, M. A. Tags: Insurance Coverage - Children, Maternal And Child Health, Oral Health Care Comparative Primary Care Source Type: research

GAO Report Harshly Critical of Medicare Advantage Plans
This report follows an October 2014 audit by the GAO that was prompted by the Center for Public Integrity's "Medicare Advantage Money Grab" series. The series documented nearly $70 billion in improper payments to health plans, most of which were inflated fees from overstating patients' health risks, from 2008 through 2013 alone. The investigation performed by the Center for Public Integrity traced the overpayments to abuse of a billing formula known as a risk score, which pays higher rates for sicker patients and less for people in good health. Since 2004, that risk score has been used on the "honor system," despite crit...
Source: Policy and Medicine - June 19, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Reducing Churn to Increase Value in Health Care: Solutions for Payers, Providers, and Policymakers
Conclusion Churn has vexed insurance executives for decades and is considered by many at this point an inevitable challenge. But now that the value-based movement has led to a refocusing on social determinants of health, incentives are aligned to address this issue. This solution may be a key step towards a healthcare system focused on investing in health rather than in treating illness. Niko has a background in research and consulting and enjoys writing about and solving problems facing the US health care industry. Saeed has more than 25 years of health information technology experience, with a track record of ...
Source: The Health Care Blog - May 15, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Economics The Business of Health Care Uncategorized Churn health innovation Health policy health20 niko lehman-white saeed aminzadeh Source Type: blogs

Health Insurance and Out-of-Pocket Costs in the Last Year of Life Among Decedents Utilizing the ICU
Conclusions: Across all categories of insurance coverage, out-of-pocket spending in the last 12 months of life is high and represents a significant portion of assets for many patients requiring intensive care and their families. Medicare fee-for-service alone does not insulate individuals from the financial burden of high-intensity care, due to lack of an out-of-pocket maximum and a relatively high co-payment for hospitalizations. Medicaid plays an important role in the social safety net, providing the most complete hospital coverage of all the insurance groups, as well as significantly financing long-term care.
Source: Critical Care Medicine - May 16, 2019 Category: Emergency Medicine Tags: Feature Articles Source Type: research

Recent trends in antibiotic prescriptions for acute respiratory tract infections in pediatric ambulatory care in Taiwan, 2000-2009: A nationwide population-based study.
CONCLUSION: The 10-year antibiotics prescription rate in ambulatory children with ARTIs was 7.0% and it decreased gradually from 2000 to 2009 in Taiwan. Through understanding the annual trends in antibiotic prescriptions, it may be possible to design interventions to improve the judicious use of antibiotics in children. PMID: 25442862 [PubMed - as supplied by publisher]
Source: Journal of Microbiology, Immunology, and Infection - November 1, 2014 Category: Microbiology Authors: Lee ML, Cho CY, Hsu CL, Chen CJ, Chang LY, Lee YS, Soong WJ, Jeng MJ, Wu KG Tags: J Microbiol Immunol Infect Source Type: research

For low-income children, preventive care more likely in Medicaid, CHIP than under private insurance
(Children's Hospital of Philadelphia) Researchers have found that children in low-income families experience greater access to preventive medical and dental care under Medicaid or the Children's Health Insurance Program (CHIP) than children covered by private insurance. However, for all types of insurance coverage, access to pediatric specialty care was a challenge.
Source: EurekAlert! - Medicine and Health - November 16, 2015 Category: Global & Universal Source Type: news

" A Radical Idea for Health-Care Reform: Listen to the Doctors " - Oops, I Mean Listen to the Corporate Executives, Directors, and Lobbyists
It has been the season for health care reform in the US since at least the Nixon administration.  We have endlessly discussed the unholy triad of health care dysfunction: rising costs, declining access, and stagnant quality.These days, with all the furor over whether Obamacare should be repealed and replaced, let alone, or improved, it is still the season for health care reform.  Last weekan article by David Ignatius in the Washington Postentitled " A Radical Idea for Health Care Reform: Listen to the Doctors, " appeared.   Since onHealth Care Renewal we are all about trying to uphold physicians ' profe...
Source: Health Care Renewal - April 7, 2017 Category: Health Management Tags: boards of directors conflicts of interest deception disinformation health care reform propaganda Source Type: blogs

Asthma-related emergency department (ED) visits and post-ED visit hospital and critical care admissions, National Hospital Ambulatory Medical Care Survey, 2010-2015.
Conclusions: Both asthma-related ED visits and post-ED hospitalizations were greater for children, blacks, and Hispanics. ED visits were also greater for Medicaid/CHIP. These findings might help prompt future studies on identifying additional potential risk factors for frequent ED visits among disproportionally affected subpopulations. PMID: 31922923 [PubMed - as supplied by publisher]
Source: Journal of Asthma - January 12, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Clinical Guidance for Point-of-Care Ultrasound in the Emergency and Critical Care Areas after Implementing Insurance Coverage in Korea.
Authors: Choi WJ, Ha YR, Oh JH, Cho YS, Lee WW, Sohn YD, Cho GC, Koh CY, Do HH, Jeong WJ, Ryoo SM, Kwon JH, Kim HM, Kim SJ, Park CY, Lee JH, Lee JH, Lee DH, Park SY, Kang BS Abstract Point-of-care ultrasound (POCUS) is a useful tool that is widely used in the emergency and intensive care areas. In Korea, insurance coverage of ultrasound examination has been gradually expanding in accordance with measures to enhance Korean National Insurance Coverage since 2017 to 2021, and which will continue until 2021. Full coverage of health insurance for POCUS in the emergency and critical care areas was implemented in July 201...
Source: Journal of Korean Medical Science - February 22, 2020 Category: Biomedical Science Tags: J Korean Med Sci Source Type: research

Comparisons of Health Care Utilization Outcomes in Children With Asthma Enrolled in Private Insurance Plans Versus Medicaid
Abstract: Objectives: Very few studies have captured the differences in the outcomes of pediatric patients based on the patients’ type of health insurance plan. The purpose of this retrospective cohort study was to examine the impact of the type of health insurance plan (public insurance vs. private insurance) on outcomes (health care utilization and medication adherence) in children with asthma.Methods: This retrospective cohort study analyzed Medicaid/commercial data from eight states licensed under Thomson Medstat. Subjects were 11,027 children with asthma (6435 enrolled in Medicaid and 4592 enrolled in a commercial h...
Source: Journal of Pediatric Health Care - January 10, 2013 Category: Pediatrics Authors: Jongwha Chang, Gary L. Freed, Lisa A. Prosser, Isha Patel, Steven R. Erickson, Richard P. Bagozzi, Rajesh Balkrishnan Tags: Articles Source Type: research

Health Care Corruption, "No Dirty Little Secret," but "An Open Sore" - Lessons from India for the US
Health care corruption is widely prevalent around the globe, but remains the great unmentionable.Introduction: Global Health Care Corruption We have discussed health care corruption whenever we have an opportunity, but rarely does the topic appear in the English language media or in English language medical and health care journals, particularly in the US.  Some might think that this is because health care corruption is not so prevalent in the US and other "developed" countries.  However, our most read post of all time was about a Transparency International global survey that found that fully 43% of Americans bel...
Source: Health Care Renewal - July 1, 2014 Category: Health Management Tags: conflicts of interest economism health care corruption kickbacks neoliberalism Source Type: blogs

Homeless Patients in the ICU: An Observational Propensity-Matched Cohort Study*
Objective: To describe epidemiology and outcome of critically ill homeless patients, as compared with those of nonhomeless patients. Design: Homeless and nonhomeless admissions were matched on the basis of a 1:4 ratio, using a propensity score-based procedure involving age, sex, date, and main diagnosis at ICU admission. Setting: A 18-bed closed medical ICU of a French tertiary care university hospital. Patients: All consecutive admissions from July 2000 to December 2012. Interventions: None. Measurements and Main Results: There were 421 homeless and 9,353 nonhomeless admissions. Considering homeless admissions, 50% patien...
Source: Critical Care Medicine - May 16, 2015 Category: Emergency Medicine Tags: Clinical Investigations Source Type: research