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Based on the Medicare experience, I expect more than 15 million people to enroll in the new exchange plans by 2015, with millions more joining thereafter as the economy adjusts to the new law.
Because payer market leverage is a likely determinant of the effectiveness of contemporary pay-for-performance programs [ 10- 12], the Medicare experience has implications beyond the current debate surrounding transplant programs.
Look for a position with fraud prevention or Medicare fraud prevention, to gain extra Medicare experience.
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Hospitals no longer receive additional re-imbursement when Medicare patients experience certain 'preventable' complications, some of which are clearly postoperative concerns, such as mediastinitis after cardiac surgery or an object retained inside the patient after surgery [ 23].
The agency concluded that one of every seven hospitalized adults on Medicare had experienced at least one adverse event, calling the finding "disturbing".
The inspector general estimated that more than 130,000 Medicare beneficiaries experienced one or more adverse events in hospitals in a single month.
In a single month, October 2008, the report estimated that some 134,000 Medicare patients experienced at least one adverse event, ranging from a temporary health setback to death, during a hospital stay.
HealthGrades, an organisation which ranks hospitals on quality and cost of care, found in a survey last month that 1.66% of hospitalised Medicare patients experienced one of 13 common 'patient safety events' at the hospital, such as blood infections, pressure ulcers or, in a few cases, foreign bodies left in a patient after surgery.
"An estimated 1.5percentt of Medicare beneficiaries experienced an event that contributed to their deaths," the IG found, "which projects to 15,000 patients in a single month".
More recently, the Office of the Inspector General reported that 13.1% of hospitalized patients with Medicare insurance experienced an adverse event that resulted in harm [ 2].
Most COPD patients in both the younger commercial cohort and the older Medicare cohort experienced at least 1 exacerbation during the study period (Table 4).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com