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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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Sepsis Screening Decreases Mortality. Well, not really.

Sensible Medicine

If sepsis screening was shown to be beneficial in one hospital, would it be beneficial in another, with an entirely different set of caregivers? Article Background With all that as background, I was excited when I saw the article Electronic Sepsis Screening Among Patients Admitted to Hospital Wards in JAMA. 0.93; P < 001.

Hospital 225
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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. 79 million Americans have medical bill or debt problems.

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Maine Hospital Using AI to Record Patient Conversations

Scrubs

MaineHealth recently announced it is using AI to automatically record conversations between doctors and their patients during a check-up or follow-up visit. Deborah Vaughan, a patient at the hospital, said she appreciates being able to look her doctor in the eye while talking about her health.

Hospital 264
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When Trials Find Implausible Results—The SCOT-HEART trial

Sensible Medicine

years of follow-up, death due to coronary heart disease (CHD) or nonfatal myocardial infarction (MI) was lower in the CTA arm (38% relative; 0.7% In the discussion of the trial, the authors propose that CT scans better identify coronary disease (you can see it) and that led to more medical therapy, which then reduced outcomes.

Tests 300
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Mental Health Crisis in Miscarriage–an Unrepresented Patient Population

The Healthcare Blog

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. At only nine weeks gestation I had not seen my OB physician yet, but I was able to follow up in the office to talk about my next steps.

Follow-Up 109
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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 261