New therapies have raised Medicare treatment costs for metastatic prostate cancer

Medicare costs for treatment of metastatic prostate cancer have risen sharply within the last 15 years – reflecting increased use of new medications under Medicare Part D, reports a study in Urology Practice®, an Official Journal of the American Urological Association (AUA). The journal is published in the Lippincott portfolio by Wolters Kluwer.

Cost concerns keep older adults from seeking emergency care

Worries about what emergency care might cost them have kept some older adults from seeking medical attention even when they felt they might need it, a new study shows. In all, 22% of older adults who may have needed care from the emergency department didn’t go because of concerns about what they might have to pay.

Are older women being over-screened for cervical cancer?

Analysis showed that in 2019 more than 1.3 million women received cervical cancer screening-associated services, such as a Pap test, colposcopy and other cervical procedures, after age 65. While these services cost more than $83 million, the researchers concluded they were of “unclear clinical appropriateness.”

FAU Awarded $1 Million to Help Prevent Injury, Death from Falls in Older Adults

Every second, an older person in the U.S. falls and injures themselves, and every 20 minutes one of them dies from the fall. The Geriatric Emergency Department Fall Injury Prevention Project will investigate several emergency department-based prevention strategies in older patients at high risk for recurrent falls and injury. The tailored multicomponent intervention will identify effective fall prevention strategies that target limited resources to high-risk individuals who come to the emergency department to improve patient outcomes, improve safety, and reduce overall costs of health care.

COVID-19 isn’t over. How do we navigate life now?

With spring in the air and COVID-19 cases and hospitalizations far below where they were even a few weeks ago, a lot of Americans may have a sense that things are back to normal and the pandemic is in the rearview mirror.

But a panel of University of Michigan experts who spoke in a recent livestreamed event say that’s not quite the case.

New commentary paper highlights costs of defects in surgical care and calls for elimination of defects in value

A commentary, published in the Nov. 3 issue of the journal NEJM Catalyst Innovations in Care Delivery, highlights how defects in surgical care could be diminished or eliminated for the benefit of patients and to lower costs in American health care spending.
Using colorectal surgery to provide examples and national estimates of the costs of defects in surgical care, the paper summarizes a holistic approach to eliminating defects in surgical care and offers a framework for centers of excellence for removing them. The paper estimates that defects in colorectal surgery cost the American health care system more than $12 billion. The authors discuss eight areas (or domains) of defects that waste money and/or contribute to lower value in care for colorectal surgery patients.

Health Care Consolidation Poses Hazards ‘to Health Equity and Larger Health System Goals,’ Authors Caution in NEJM Article

Private equity purchases of physician practices may lead to operational improvements and enhanced efficiency that would benefit patients. At the same time, it might harm them by reducing competition and bringing higher prices or lower-quality services, write Bloomberg Distinguished Professor Daniel Polsky of Johns Hopkins University and Assistant Professor Jane Zhu of the Oregon Health and Sciences University, in their commentary titled “Private Equity and Physician Medical Practices – Navigating a Changing Ecosystem.”

COVID-19 big picture: For many years, Pinar Keskinocak has studied how society and the nation handle pandemics.

For many years, Pinar Keskinocak has studied how pandemics spread through the nation, how they overburden health care systems, and how they diminish the supply of medications, thus worsening the pandemic. All this also spins off additional medical crises. She…