Overpayments To Medicare Benefit Insurers Now Prime $75 Billion Yearly
Axios stories that the overpayment determine, from researchers on the USC Schaeffer Middle for Well being Coverage & Economics, is greater than estimated. Additionally within the information, higher working situations demanded by SLU Hospital nurses, rising demand for dwelling well being nursing applications, and extra.
Axios:
Medicare Benefit Overpayments Larger Than Estimated: Research
Overpayments to insurers administering Medicare Benefit plans now exceed $75 billion a yr resulting from aggressive coding of sufferers’ well being situations and easily-achieved bonus funds tied to high quality, researchers with the USC Schaeffer Middle for Well being Coverage & Economics discovered. (Bettelheim, 6/14)
In information about well being care personnel —
St. Louis Public Radio:
Nurses Ask For Higher Working Situations At SLU Hospital
As a nurse at St. Louis College Hospital, Jessica Tulk expects bodily and verbal assault by sufferers on any given day. Violence in opposition to nurses is among the many issues union officers and workers referred to as consideration to at a protest Tuesday outdoors the hospital, which is a part of the SSM Well being system. (Halloran, 6/13)
Boston 25 Information:
Prosecutor: NH Man Stabbed Mass. Hospital Nurse In Neck As She Tried To Regulate His Oxygen Tube
A New Hampshire man has been ordered held on excessive bail after he allegedly stabbed a nurse at a hospital in Massachusetts on Monday evening. … The sufferer, Sharon Siew, was taken to UMass Memorial Medical Middle in Worcester. She is predicted to be OK. … The assault didn’t shock Karen Coughlin, RN, a psychiatric nurse for 34 years and chair of the Office Violence Process Power on the Massachusetts Nurses Affiliation. MNA is the most important union within the state representing nurses. Its membership contains nurses at Heywood Hospital. “We’re seeing a rise in office violence throughout the spectrum,” Coughlin mentioned. “Nurses usually tend to be assaulted — seven occasions extra more likely to be assaulted — than law enforcement officials.” (Morelli and O’Laughlin, 6/13)
Fashionable Healthcare:
Residence Well being Nursing Packages Develop As Demand Will increase
Duke College launched a four-year program this spring with a $3.9 million federal coaching grant geared toward serving to higher put together nurses for a rising development in healthcare: treating sufferers the place they dwell. “Within the hospital, nurses actually have all the facility and the sufferers are actually stripped of their clothes,” mentioned Donna Biederman, affiliate scientific professor at Duke College Faculty of Nursing. “Locally, the nurse actually wants to know the dynamics. It may be very humbling if you end up in a spot the place you’re not essentially in a position to name all the photographs.” (Eastabrook, 6/13)
In different well being care trade information —
Stat:
AMA Asks Medical doctors To De-Emphasize Use Of BMI In Gauging Well being
The American Medical Affiliation on Tuesday strongly criticized the physique mass index, urging medical doctors to de-emphasize its use in assessing well being and weight problems and acknowledging that the measurement has been used for “racist exclusion” and has induced “historic hurt.” (Trang and Chen, 6/13)
Stat:
Infighting Leads Chapters To Break Away From Main ALS Group
After a bitter dispute, the ALS Affiliation has settled a lawsuit filed by 15 chapters that chafed at managerial strikes by the nationwide group and can now break free to kind an alternate group for sufferers and their households combating the debilitating illness. (Silverman, 6/13)
Stat:
Vindicated MIT Professor Says Probe Into His Lab Did Lasting Harm
For 3 years, 9 months, and one week, Ram Sasisekharan lived beneath a gag order. In 2019, a number of the Massachusetts Institute of Expertise professor’s friends publicly accused his lab of falsifying analysis, setting in movement a prolonged inner investigation that sidelined his work, decimated his crew, and barred him from talking out in his personal protection. (Garde, 6/14)
KFF Well being Information:
At Least 1.7M Individuals Use Well being Sharing Preparations, Regardless of Lack Of Protections
A brand new report has supplied the primary nationwide rely of Individuals who depend on well being care sharing plans — preparations by means of which individuals comply with pay each other’s medical payments — and the quantity is greater than beforehand realized. The report from the Colorado Division of Insurance coverage discovered that greater than 1.7 million Individuals depend on sharing plans and that lots of the plans require members to ask for charity care earlier than submitting their payments. (Hawryluk, 6/14)
Fashionable Healthcare:
How Well being Insurers Did Throughout The First Quarter
Publicly traded medical health insurance corporations loved a worthwhile first quarter in 2023. However uncertainty looms about how the yr will shake out for the insurance coverage trade, which skilled sturdy performances through the COVID-19 pandemic. Buyers are involved about how regulatory updates will affect Medicare Benefit plans and risk-bearing suppliers, how Medicaid redeterminations will shake out, and the way laws focusing on pharmacy profit managers would affect operations and income. (Tepper, 6/13)
