Researchers evaluated 517 patients with type 2 diabetes from the TODAY and TODAY2 studies, mean age of 21.2, and found that those who developed the disease during their childhood or adolescence may be at a higher risk of experiencing more severe complications later in life, including chronic or end-stage kidney disease, nonproliferative diabetic retinopathy, coronary artery disease and pregnancy complications. The findings were presented at the American Diabetes Association annual meeting.
Researchers report that states that expanded Medicaid coverage under the Affordable Care Act had 422 fewer reported child neglect cases per 100,000 young children, compared with states that did not expand access. The findings were published in JAMA Network Open.
Banner Health is taking steps to avoid physician burnout by improving its EHR system to remove unnecessary alerts that were disrupting workflow. Alerts are helpful, "but if health systems don't have programs in place that constantly assess and reassess whether those alerts are functioning the way they're supposed to, providers can start to experience alert fatigue," said Marjorie Bessel, chief clinical officer at Banner Health.
The Medicare Payment Advisory Commission's most recent report to Congress does not call for changes in the Medicare payment update for clinicians. The report does recommend ending "incident to" billing by nonphysician practitioners and creating national guidelines to prevent improper coding by hospital emergency departments.
President Donald Trump said he will be unveiling a new health care plan to replace the Affordable Care Act in two months or less, and he said it will be a major focus of his reelection campaign.
Researchers estimate that more than 64,000 US youths younger than 5 were treated in emergency departments for cosmetic product-related injuries between 2002 and 2016, translating to 4,300 cases per year. The findings in Clinical Pediatrics also showed that injuries were most commonly caused by nail care products and about 75% of injuries were ingestion-related.
An August 2018 private memo released last week by House Democrats revealed CMS Administrator Seema Verma warned HHS Secretary Alex Azar that the administration's proposals to ban silver loading, end automatic reenrollment in Affordable Care Act plans and revise an indexing methodology that would cut health insurance subsidies would contribute to market disruption and coverage losses. The administration moved forward with the indexing change, and the others remain under consideration.
A bill that would permit health insurance providers to offer incentives to residents who shop for lower prices for certain health care services has been signed into law by Florida Gov. Ron DeSantis. The Patient Savings Act will require any savings from the price shopping to be shared by the patient and the health insurer.
Employers are paying more attention to employee mental health, said Sonya Weiland of WeilandWorks Consulting, but while most do not have a specific mental health day, there is a trend for more generalized paid days off that could support mental health wellness. The Cleveland Clinic gives its physicians a wellness day off and Hyland Software offers paid time off that can be taken for any reason and additional flex days off.
The Shenandoah Community School District in Iowa has partnered with Shenandoah Medical Center for its wellness program, which includes opening the SMC Wellness Center to district employees. SMC Marketing Director Ryan Spiegel says the hospital works with businesses and their insurers on providing services such as lab tests, health screenings and immunizations.