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Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges

EvidenceCare

Written by Carol Howard, VP of Clinical Strategy As Medicare Advantage (MA) continues to grow, hospitals have faced growing challenges in navigating complex policies, payer friction, and financial pressures. “Many of our health systems that have at-risk contracts are expecting headwinds in revenue of up to 20%.”

Hospital 130
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Mental Health Crisis in Miscarriage–an Unrepresented Patient Population

The Healthcare Blog

I handed them the same box of single ply tissues I was now sobbing into, as I handed them a pen to sign their discharge paperwork. Two weeks after my emergency room discharge, I continued to live life as if nothing happened, returning to work without any healthcare follow-up to address my emotional burden.

Follow-Up 108
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STRONG HF – A Positive Trial that Does Not Help Clinical Medicine

Sensible Medicine

The Trial STRONG-HF studied two treatment strategies after a patient was discharged from the hospital after treatment for heart failure. Actual cardiologists performed these visits, which included up-titration of meds, but, also, as Adam correctly notes, patients had MD-level assessments. Here were the results. A: It does not.

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What I Read This Week

Sensible Medicine

Safety, tolerability and efficacy of up-titration of guideline-directed medical therapies for acute heart failure (STRONG-HF): a multinational, open-label, randomised, trial I’ve come out pretty strongly against GDMT. The primary endpoint was 180-day readmission to hospital due to heart failure or all-cause death.

Follow-Up 285
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Friday Reflection 41: Sometimes I Just Need to Complain

Sensible Medicine

A 76-year-old woman presents to a community hospital after waking with garbled speech and right-sided weakness. Case 1: Excess An elderly woman is admitted to a community hospital with a minor stroke. The hospital does an excellent job. By the time she leaves the hospital, she has no residual symptoms. I love my job.

Follow-Up 259
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Beyond Stigma: Why Addressing Maternal Mental Health Means Confronting Systemic Failures

The Healthcare Blog

One morning, you wake up to a missed call and a voicemail from your PR leader. You follow up and learn that this wasnt just any employee. The patient safety team moves quickly to investigate, and they discover that the patient was a young woman who had given birth to her first child just two weeks ago at one of your hospitals.

Follow-Up 103
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The Craziest Medical Bills

Scrubs

trillion, was spent on hospital services. Patients around the country are getting stuck with enormous medical bills as hospitals continue to mark up the cost of their services, including those for routine medical procedures and advanced surgeries. In the end, the patient is forced to make up the difference.

Billing 245