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Bundled payment methodology model in the ambulatory
setting with commercially insured in California, 2009- 2015


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TJAs move to ASCs (PDF)

Total joint procedures in surgery centers tied to top outcomes and cost savings.
By SAHELY MUKERJI, August 2015, ASC Focus Magazine


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The Leader in Surgical Bundled Fees for Surgery Centers Launches
Bundled Payment Program

San Diego, CA  — May 6, 2015 — Press Release


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Attention, Shoppers: Prices For 70 Health Care Procedures Now Online!

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A tool that went online in late February is supposed to give patients a small peek at healthcare products and prices before they open their wallets. shows the average local cost for 70 common diagnoses and medical tests in most states. That’s the real cost – not “charges” that often get marked down – based on a giant database of what insurance companies actually pay. It won’t reflect costs for particular hospitals or doctors, although officials say that’s coming for some. And it doesn’t have much to say initially about the quality of care. Guroo is produced by the Health Care Cost Institute (HCCI) working with UnitedHealthcare, Aetna, and Humana, and soon to be joined by Assurant. HCCI says its prices are what insurers pay for about 70 tests and bundles of services described in understandable terms so patients don’t need a medical textbook to figure out what they are. Users get the average as well as a range for local and national prices. It plans to add more procedures later – all for shoppable services that can be scheduled, not emergency treatments, like a heart attack.


How to Make Surgery Safer – WSJ Feb 2015

Going under the knife is riskier than it should be. What hospitals are doing to reduce human error. Hospitals are trying to make it safer for patients to go under the knife. Continue reading (PDF)

 By Laura Landro         Feb. 16, 2015 11:00 p.m. ET



Trends and Regional Variation in Hip. Knee and Shoulder Replacement
April 2010

One possible interpretation of this variation is that the decisions to undergo the procedure may be influenced more by physician judgments than by the preference and values of the individual patients…some geographical areas do not have adequate access to joint replacement. These findings highlight the need to improve physician and patient education and the use of shared decision-making to determine whether a patient should undergo joint replacement.

Dartmoouth article




Graphic: Medical implants trending younger

Graphic by: MARK BOSWELL  Updated: September 15, 2013 – 7:24 AM

From 2000 to 2010, the percentage of medical devices: hips, knees, pacemakers and defibrillators that are going into middle aged and younger patients has grown dramatically. Here’s a look at devices and age groups:



Time Magazine Bitter Pill

Bitter Pill: Why Medical Bills Are Killing Us

EXCERPT: Routine Care, Unforgettable Bills – When Sean Recchi, a 42-year-old from Lancaster, Ohio, was told last March that he had non-Hodgkin’s lymphoma, his wife Stephanie knew she had to get him to MD Anderson Cancer Center in Houston. Stephanie’s father had been treated there 10 years earlier, and she and her family credited the doctors and nurses at MD Anderson with extending his life by at least eight years. Continue reading (PDF)


CNN Health – Video

AC360 – TIME Magazine Investigation: Bitter Pill, Why Medical Bills Are Killing Us

EXCERPT: CNN’s Drew Griffin and Time magazine investigate what’s behind the high cost of medical bills in America. They find a family who was charged hundreds of thousands of dollars for items like a blanket and the paper cup that holds a patient’s pills. Watch video


‘Real Money’: Hidden Money at Your Hospital – Non-Profit Hospitals

ABC News’ Paula Faris reports:

EXCERPT: Joyce Ann Huston of Las Vegas has been a musician her entire life and is one of the 26 percent of Americans who say that they or a family member have struggled to pay medical bills in the last year, according to the Kaiser Family Foundation. Huston, known as “Lady J,” was on stage Wednesday night and today, she’s paying for it.

Like millions of Americans, Huston has a chronic medical condition: She suffers from lupus. She preps her body for days before performing, citing music as not just her only escape, but the only way she pays her bills. Huston still owes $25,000 from her original diagnosis Continue reading/Watch Video


Cataloging Health Care’s Excesses

EXCERPT: WASHINGTON — The cover story in Time magazine last week wasn’t the usual fare, like “Marco Rubio: Savior of the Republican Party.”

“Bitter Pill: Why Medical Bills Are Killing Us” is a serious, exhaustively reported piece about the problem the U.S. health care system has become. The article, by Steven Brill, has created unusual buzz in Washington; it spares no vested interest. Continue reading

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