AHA wants False Claims Act enforcement of Medicare Advantage care denials

The American Hospital Association on Thursday urged the Justice Department to conduct more False Claims Act investigations of Medicare Advantage insurers for denying patients access to services and payments to providers. But whether the False Claims Act applies to Medicare Advantage prior authorization denials is up for debate. AHA’s letter to the Justice Department cited

How have changes in anemia care affected patients with kidney failure?

Graphical abstract. Credit: Clinical Journal of the American Society of Nephrology (2022). DOI: 10.2215/CJN.14361121 A recent study published in the Clinical Journal of the American Society of Nephrology has investigated how 2011 changes to anemia care have impacted clinical outcomes among patients with kidney failure who are receiving hemodialysis. Anemia—a shortage of healthy red blood

Intestinal microbiome may contribute to the pathogenesis of MSI colon cancers, study suggests

Investigators from Rutgers Cancer Institute of New Jersey, New Jersey’s only National Cancer Institute- Designated Comprehensive Cancer Center, led a collaborative study to examine the patterns of druggable oncogenic fusions in colon cancer specimens including microsatellite-stable and unstable (MSI) tumors. Subhajyoti De, PhD, researcher at Rutgers Cancer Institute and Shridar Ganesan, MD, PhD, chief of

3 Things You Can Do to Stay on Track With Your Health Journey

Maintaining a healthy lifestyle is a struggle, especially when you’re surrounded by temptations and distractions. It may be easier at first to say that you’re switching to a healthy lifestyle or diet, but it can become more difficult during the process. You need to adapt to a new lifestyle, change your diet, and follow a

WHO: 2nd COVID booster for most vulnerable offers benefits

An expert group convened by the World Health Organization says there may be some benefit in giving a second booster dose of coronavirus vaccine to the most vulnerable people amid the continuing global spread of omicron and its subvariants. In a statement issued on Tuesday, the United Nations health agency said there was “a growing

Hostile behaviour toward people with a visible difference on the rise – study

The charity’s research also found just over a quarter of people with a visible difference have been stared at whilst at work, while nearly one in five reported that they have been passed over for development opportunities, promotion, wage increases or client/customer contact in the workplace. Source link

Just How Accurate Are Rapid Antigen Tests? Two Testing Experts Explain The Latest Data

As of May 2022, the U.S. is experiencing another uptick in the number of COVID-19 cases. High rates of infection in Europe and Asia, along with the continued emergence of new sub-variants, such as omicron BA.4 and BA.5, raise concerns that another surge could be on the way. Even though demand for COVID-19 tests greatly

Risk of breast cancer in males may be associated with male infertility

Three-dimensional culture of human breast cancer cells, with DNA stained blue and a protein in the cell surface membrane stained green. Image created in 2014 by Tom Misteli, Ph.D., and Karen Meaburn, Ph.D. at the NIH IRP. The risk of invasive breast cancer in men may be associated with self-reported infertility in the male partner,

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