Quality

The focus of quality improvement in healthcare is to bolster performance and processes related to diagnostic and therapeutic procedures. Leaders in this space also ensure the proper selection of imaging exams and procedures, and monitor the safety of services, among other duties. Reimbursement programs such as the Merit-based Incentive Payment System (MIPS) utilize financial incentives to improve quality. This also includes setting and maintaining care quality initiatives, such as the requirements set by the Joint Commission.

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Aetna to pay $25.5M after denying cancer coverage

Health insurer Aetna must pay $25.5 million to the family of a cancer patient who was denied coverage by the company for treatment.

Crowdfunding sites raise millions for dubious healthcare treatments

The high cost of healthcare services and treatments have led many individuals to turn to crowdfunding sites to help pay for the cost of care. However, these fundraising campaigns are sometimes raising money for less-than-credible treatments, according to a research letter published in JAMA.

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Study: C. diff risks lie in laundry practices

Strains of C. diff—a bacteria that can cause inflammation of the colon—can survive commercial laundry practices in hospitals, according to a recent study published in Infection Control & Hospital Epidemiology.

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Indictments handed down in $1B telemedicine fraud scheme

The Department of Justice indicted four men and seven companies for their roles in a $1 billion healthcare fraud scheme and announced plea deals and another charge.

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Aetna, Humana settle fines for information breach, coverage gaps

Two major healthcare insurers, Aetna and Humana, are set to dole out hundreds of thousands of dollars to settle separate disputes over health information disclosures and inadequate network coverage.

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Sen. Grassley asks for FTC investigation over secret hospital-insurer contracts

Senator Chuck Grassley (R-IA) has asked the Federal Trade Commission to investigate contracts between hospital systems and health insurers following a report from The Wall Street Journal that these secret contracts prevent savings by limiting competition and even increasing costs to consumers.

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Did the HRRP lower readmissions at the cost of patient safety? The debate continues

The Hospital Readmissions Reduction Program (HRRP) has successfully slashed readmissions for heart failure, acute MI (AMI) and pneumonia without causing mortality increases, according to an analysis of Medicare data published in JAMA Network Open.

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Nearly half of ER doctors experience assault on the job

Almost half of emergency physicians report having been physically assaulted while at work, according to a new poll.

Around the web

In the post-COVID era, wages for permanent RNs are rising, and wages for travelers are decreasing. A new report tracked these trends and more. 

Two medical device companies have announced a transaction that could shake up the U.S. electrophysiology market. 

These companies were already part of the Johnson & Johnson family, but they had still retained their previous brand names. Now, each one is officially going by Johnson & Johnson MedTech. 

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