When an older person gets hospitalized for pneumonia, where’s the best place to care for them? New research findings about deaths and health care costs in such patients fly in the face of conventional wisdom – and could change where doctors decide to treat them. Seniors with this common lung infection, the researchers show, had a better chance of surviving if they went to an intensive care unit rather than a general hospital bed.
A health insurance model designed to improve care and cut costs — a concept that grew out of a decade of work at the University of Michigan — will be tested in seven states, according to an announcement today from the Centers for Medicare & Medicaid Services (CMS).
The Centers for Medicare & Medicaid Services has issued results showing that the Medicare Accountable Care Organizations (ACO) that includes all UMHS physicians continues to generate financial savings while improving the quality of care for Medicare beneficiaries by fostering greater collaboration between doctors, hospitals, and health care providers.
Getting access to health insurance, and getting access to a doctor, are two very different things. But a new U-M study suggests that the two have gone hand-in-hand in the state of Michigan, despite a rapid influx of hundreds of thousands of newly insured people under the state’s expansion of Medicaid.
Few people today would dare call President Richard Nixon a radical liberal. But 44 years ago, he proposed a health plan that went far beyond what today’s Affordable Care Act includes. After the first plan failed, he did it again three years later. A new U-M analysis compares his plans with the current Affordable Care Act.
New legislation just passed by the U.S. House would establish a Medicare demonstration project of a principle called Value-Based Insurance Design (V-BID), a concept born from University of Michigan research that aligns patients’ out-of-pocket costs, such as copayments, with the value -- not the cost -- of health care services.
What’s the only thing worse than having a urinary catheter when you’re in the hospital? Having one and getting a urinary tract infection (UTI) – or worse – as a result. Now, a new detailed guide gives doctors and nurses information to help decide which hospital patients may benefit from a urinary catheter – and which ones don’t.
Nearly half of American hospitals aren’t taking key steps to prevent a kind of gut infection that kills nearly 30,000 people annually and sickens hundreds of thousands more – despite strong evidence that such steps work, according to a new study.
BCBSM and UMHS will collaborate with emergency physicians at participating hospitals across the state to develop best practices to improve the experience and outcomes of patients receiving care in emergency departments.
When a hospital patient’s heart stops, the drama starts, as doctors and nurses work furiously at resuscitation. Some hospitals allow family members to watch, while the majority do not. Now, a study has shown for the first time on a national scale that patients do just as well after a cardiac arrest either way.
Most neurologists provide face-to-face care of neurology patients, many of whom require extensive evaluation and management. However, a new study finds face-to-face care by neurologists is severely undervalued by Medicare and reimbursed at a substantially lower rate than what Medicare pays doctors for performing tests and procedures.
An advanced form of life support that takes over for the failing hearts and lungs of critically ill patients saves lives. But for adults, the odds of surviving depend on which hospital provides the life-supporting treatment – with the best odds at ones that use the technique dozens of times a year, a new study finds.
Every day, patients around the country get IV devices placed in their arms, to make it easier to receive medicines or have blood drawn over the course of days or weeks. But these PICC lines, as they’re called, also raise the risk of potentially dangerous blood clots. Now, a U-M team has shown how serious that clot risk really is for hospitalized patients, and what factors put patients at highest risk.
The University of Michigan, University of California Los Angeles, University of Pennsylvania and Yale University have teamed up to launch a new initiative to educate nurses and physicians together to serve as leaders, researchers, and change agents in health care, community health and public policy.
They’re alive thanks to the most advanced care modern hospitals can provide. But for survivors of sepsis, the hospital door often looks like a revolving one, a new study shows. And many of the conditions that send them back to a hospital bed should be preventable.
How can we keep more people from joining the ranks of the 29 million Americans already diagnosed with diabetes? What if we could tell with precision who has the highest risk of developing the disease, and figure out which preventive steps are most likely to help each of them individually? Researchers have just released a “precision medicine” approach to diabetes prevention that could do just that – using existing information, and without needing new genetic tests.
What should doctors wear? And how does something as simple as their choice of a suit, scrubs or slacks influence how patients view them? A new analysis takes a comprehensive look – and finds that the answer isn’t as simple as you might think.
If you’re an older person having a major operation these days, it is very likely that your hospital is receiving a “report card” on their performance. These reports are designed to prompt hospitals to improve in areas where they perform poorly. That’s the good news. The not-so-good news: Those “report cards” do not seem to be making things better for patients.
Ten years ago, the federal government tapped U-M physicians to pioneer a new effort, aimed at getting more value out of every dollar spent on the care of Medicare patients. Today, the improvements and experience that grew out of that effort will now benefit all patients treated at U-M Health System’s hospitals and clinics.
Since its launch in April, 477,000 Michiganders have signed up for a new Medicaid health insurance option offered by the state, called the Healthy Michigan Plan. Now, University of Michigan researchers will study how well the new plan works, and advise the state government on how well it’s living up to what lawmakers intended.
Despite years of effort to help American seniors with high blood pressure, heart disease, or diabetes get their blood pressure, cholesterol and blood sugar under control, new research shows wide gaps between older people of different ethnic backgrounds in all three of these key health measures.
The federal government will fine more than 2,600 hospitals in the coming year, because too many Medicare patients treated at these hospitals are ending up back in the hospital within 30 days of going home. Two new conditions have been added in this round of penalties: elective hip and knee replacement and chronic lung disease. Now, a new U-M analysis shows that penalties for chronic lung disease will have a greater impact on hospitals that care for poor and minority patients.
Right out of the starting gate, Michigan’s expansion of health coverage for the poor and near-poor holds lessons for other states that are still on the fence about expanding their own Medicaid programs under the Affordable Care Act, a new analysis shows.
Every day, the dedicated staff of UMHS hospitals and health centers take care of patients with serious illnesses – including those who carry infectious diseases. We’re drawing on this experience and expertise to help us prepare for the possibility of receiving patients who have Ebola virus disease, or a high risk of developing it.
A decade ago, America’s health care community took on heart attacks with gusto, harnessing the power of research and data to make sure that
every patient got the best possible care. It worked: death rates have dropped. Now, say a pair of U-M experts, it’s time to do the same for sepsis.