Post-acute care: Medicare Advantage vs. traditional Medicare Print E-mail
Written by Austin Frakt | The Incidental Economist   
Saturday, 20 May 2017 10:46

From a public spending point of view, post-acute care is particularly problematic. Most of Medicare's geographic spending variation is due to this type of care. Part of the story is that Medicare pays for post-acute care in several different ways, with different implications for efficiency.

 For example, traditional Medicare (TM) - which spends ten percent of its total on post-acute care - pays skilled nursing facilities per diem rates but inpatient rehabilitation facilities a single payment per discharge. Post-acute care is also available through Medicare Advantage (MA), which operates under a global, per-enrollee, payment. Unlike TM, MA plans establish networks, may require prior authorization for post-acute care, and can charge more in cost-sharing for post-acute care than TM does.

These different payment models offer different incentives that may affect who receives care, in what setting, and for how long. In Health Affairs, Peter Huckfeldt, JosĂ© Escarce, Brendan Rabideau, Pinar Karaca-Mandic, and Neeraj Sood assessed some of the consequences of those incentives.

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Nearly 1 in 3 Recent FDA Drug Approvals Followed By Major Safety Actions Print E-mail
Written by Sydney Lupkin | KHN   
Tuesday, 16 May 2017 15:53

The Food and Drug Administration is under pressure from the Trump administration to approve drugs faster, but researchers at the Yale School of Medicine found that nearly a third of those approved from 2001 through 2010 had major safety issues years after they were widely available to patients.
Seventy-one of the 222 drugs approved in the first decade of the millennium were withdrawn, required a "black box" warning on side effects or warranted a safety announcement about new risks to the public, Yale professor Dr. Joseph Ross and his colleagues reported in JAMA on Tuesday <5.9.17>. The study included safety actions through Feb. 28.

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Global Hacking Attack Infects 57,000 Computers in Over 100 Countries Print E-mail
Written by FHI's Week in Review   
Monday, 15 May 2017 17:52

According to Reuters in a 5.13.17 post:

Capitalizing on spying tools believed to have been developed by the U.S. National Security Agency, the cyber assault launched on Friday has infected tens of thousands of computers in 104 countries, with Britain's health system suffering the worst known disruptions.

...Cyber extortionists tricked victims into opening malicious malware attachments to spam emails that seemed to contain invoices, job offers, security warnings and other legitimate files.

...The ransomware encrypted data on the computers, demanding payments of $300 to $600 to restore access.
According to UK based Express in a post that same day:
A MASSIVE cyber attack has targeted NHS < National Health Service> sites across the country with ransomware, plunging them into chaos....Some 48 hospitals are understood to have been affected...37 hospitals the NHS has revealed have been attacked directly and those that shut down their systems as a precaution...                              

Read more in the current issue of Week in Review>>

Last Updated on Monday, 15 May 2017 17:57
Sponsor Showcase Print E-mail
Written by Sponsor   
Tuesday, 02 May 2017 00:00
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Last Updated on Tuesday, 02 May 2017 17:34

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