Quality

The focus of quality improvement in healthcare is to bolster performance and processes related to diagnostic and therapeutic procedures. Leaders in this space also ensure the proper selection of imaging exams and procedures, and monitor the safety of services, among other duties. Reimbursement programs such as the Merit-based Incentive Payment System (MIPS) utilize financial incentives to improve quality. This also includes setting and maintaining care quality initiatives, such as the requirements set by the Joint Commission.

Internet

Consumers rate urgent care higher than EDs in Yelp reviews

In a study of Yelp reviews of emergency departments (EDs) and urgent care centers, more consumers rated urgent care centers higher.

November 14, 2018

How to restore meaningfulness and do away with ‘stupid stuff’ in EHRs

While it’s not necessarily the technology of electronic health records that can lead to burnout and lower job satisfaction, the approach to documentation has damaged the sense of meaningfulness in healthcare, according to Melinda Ashton, MD, who penned a perspective in the New England Journal of Medicine.

November 12, 2018
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Aetna to pay $25.5M after denying cancer coverage

Health insurer Aetna must pay $25.5 million to the family of a cancer patient who was denied coverage by the company for treatment.

November 12, 2018

Crowdfunding sites raise millions for dubious healthcare treatments

The high cost of healthcare services and treatments have led many individuals to turn to crowdfunding sites to help pay for the cost of care. However, these fundraising campaigns are sometimes raising money for less-than-credible treatments, according to a research letter published in JAMA.

October 30, 2018
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Study: C. diff risks lie in laundry practices

Strains of C. diff—a bacteria that can cause inflammation of the colon—can survive commercial laundry practices in hospitals, according to a recent study published in Infection Control & Hospital Epidemiology.

October 18, 2018
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Indictments handed down in $1B telemedicine fraud scheme

The Department of Justice indicted four men and seven companies for their roles in a $1 billion healthcare fraud scheme and announced plea deals and another charge.

October 16, 2018
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Aetna, Humana settle fines for information breach, coverage gaps

Two major healthcare insurers, Aetna and Humana, are set to dole out hundreds of thousands of dollars to settle separate disputes over health information disclosures and inadequate network coverage.

October 15, 2018

Sen. Grassley asks for FTC investigation over secret hospital-insurer contracts

Senator Chuck Grassley (R-IA) has asked the Federal Trade Commission to investigate contracts between hospital systems and health insurers following a report from The Wall Street Journal that these secret contracts prevent savings by limiting competition and even increasing costs to consumers.

October 12, 2018

Around the web

Half a year after President Biden officially directed federal agencies in the executive branch’s bailiwick to “seize the promise and manage the risks” of AI, the White House has posted a status report.

U.S. physicians often receive payments from medical device manufacturers and pharmaceutical companies. New research in JAMA found a connection between receiving such payments and using specific devices—should the industry be concerned? 

Five of the largest U.S. medical societies focused on cardiovascular health are one step closer to seeing their paradigm-shifting proposal become a reality.

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