TORONTO — For Dr. Peter Cram, an American internist who spent most of his career practicing in Iowa City, Iowa, moving here about four years ago was almost a no-brainer. Cram treats his move as a sort of life-size experiment. As a U.S.-trained physician and a health system researcher, he is now studying what he says is still a little-understood question: How do the United States and Canada — neighbors with vastly different health systems — compare in terms of actual results? Does one do a better job of keeping people healthy? For all of the political talk, in many ways it is still an open question. “The Canadian system is not perfect. Neither is the United States’,” Cram said over coffee in Toronto’s Kensington Market. “Anyone who gives you a sound bite and says this system should be adopted by this country … I think they’re being almost disingenuous.” Still, American support for government-run, single-payer health care, … [Read more...] about Looking North: Can A Single-Payer Health System Work In The U.S.?
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Dive Brief: Chicago-based Rush University Medical Center researchers in a new report contend that CMS miscalculated hospital star ratings, Modern Healthcare reported. Rush says the agency relied more on one measure rather than weighing all eight in the safety-of-care group equally in the first four releases of the ratings. CMS also weighed too much on complication rates from hip and knee replacements in the most recent release, it alleged. The academic medical center's report said those measures accounted for nearly all of a hospital’s safety performance. Dive Insight: The one-to-five star rating system, which allows patients to compare hospitals, has not been popular among most health systems. The report gives critics added ammunition to blast them as unfair. CMS miscalculating and unfairly weighing one measure over another could have huge implications. Patients may choose another facility based on potentially flawed information, with a bottom line effect on … [Read more...] about Chicago health system says hospital star ratings not accurate
By Jasper Scherer Published 8:00 am, Wednesday, May 30, 2018 Photo: William Luther /San Antonio Express-News File Photo Image 1of/1 CaptionClose Image 1 of 1 If approved, Bexar County homeowners older than 65 could get $10,000 knocked off the appraised value of their home. If approved, Bexar County homeowners older than 65 could get $10,000 knocked off the appraised value of their home. Photo: William Luther /San Antonio Express-News File Photo University Health System proposes property tax exemption for seniors 1 / 1 Back to Gallery Bexar County commissioners are expected to approve a $10,000 property tax exemption for seniors recommended by the University Health System board, lightening the burden of rising values for some 124,000 property owners. The hospital district collects property taxes from Bexar … [Read more...] about University Health System proposes property tax exemption for seniors
(Reuters Health) - Heart disease death rates vary substantially at Veterans Affairs hospitals nationwide, and a new study suggests that this holds true not just for hospitalized patients but also for outpatients. Previous research has long documented differences in death rates at hospitals across the U.S., not just at VA facilities, often focusing on deaths among hospitalized patients or within a month after discharge. The current study, however, offers fresh insight by looking at combined mortality rates for inpatient and outpatient care. Researchers studied 930,079 veterans with heart disease and 348,015 with congestive heart failure who received care at 138 VA health systems nationwide from 2010 to 2014. At the various locations, annual death rates for heart disease ranged from a low of 5.5 percent to a high of 9.4 percent, while mortality rates for congestive heart failure ranged from 11.1 percent to 18.9 percent, researchers calculated. “The quality of care for chronic … [Read more...] about VA health systems vary widely in heart disease death rates
Dive Brief: In the largest settlement of its kind involving a hospital, Effingham Health System has agreed to pay the U.S. $4.1 million for alleged large-scale diversion of opioids, according to the Drug Enforcement Administration. The DEA launched the investigation in 2017 after receiving reports of missing tablets and possible diversion at the Springfield, Georgia-based health system. The inquiry turned up tens of thousands of missing oxycodone 30 mg tablets spanning back more than four years. Effiingham failed to notify authorities of the suspected diversion within the time proscribed by federal law, the DEA said. Dive Insight: In a statement Wednesday, Effingham Health System acknowledged “vulnerabilities in our prior record keeping and reporting systems” and said it has since overhauled its pharmacy operations to adhere to best practices, including implementing “electronic inventory systems to protect the integrity of orders, track inventory and dispense … [Read more...] about Georgia health system paying $4.1M to settle opioid diversion claims