Sunday, May 12, 2019

Random charts - hospital costs

 

"... Large price discrepancies exist between what private health plans pay for hospital services and what Medicare pays. RAND Corporation researchers used data from three sources — self-insured employers, state-based all-payer claims databases, and health plans — to assess $13 billion in hospital spending in terms of hospital price levels, variation, and trends from 2015 through 2017 in 25 states. In this report, prices reflect the negotiated allowed amount paid per service, including amounts from both the health plan and the patient, with adjustments for the intensity of services provided. These negotiated prices are then compared with Medicare reimbursement rates for the same procedures and facilities to determine relative prices…” 

Relative prices, including all hospitals and states in the analysis, rose from 236 percent of Medicare rates in 2015 to 241 percent of Medicare rates in 2017 
  • Relative prices varied twofold among states. Some states (Michigan, Pennsylvania, New York, and Kentucky) had relative prices in the range of 150 to 200 percent of Medicare rates; other states (Colorado, Montana, Wisconsin, Maine, Wyoming, and Indiana) had relative prices in the range of 250 to 300-plus percent of Medicare rates. 
  • Relative prices increased rapidly from 2015 to 2017 in Colorado and Indiana, but they fell over the same period in Michigan. 
  • Among hospital systems, prices varied nearly threefold, ranging from 150 percent of Medicare rates at the low end to 350 to 400-plus percent at the high end. 
Relative prices for hospital outpatient services were 293 percent of Medicare rates on average, far higher than the average relative price for inpatient care (204 percent of Medicare rates) 
  • However, eight states — Michigan, New York, Tennessee, Massachusetts, Louisiana, New Hampshire, Montana, and Maine — stand out as exceptions to this general finding, with relative prices that are roughly equal for inpatient and outpatient services.."

Saturday, May 4, 2019

Random chart - adversarial patch


"In this paper, we present an approach to generate adversarial patches to targets with lots of intra-class variety,namely persons. The goal is to generate a patch that is able successfully hide a person from a person detector. An attack that could for instance be used maliciously to circumvent surveillance systems, intruders can sneak around undetected by holding a small cardboard plate in front oft heir body aimed towards the surveillance camera..."

Wednesday, May 1, 2019

Random charts - Georgia


Source: Georgia: Background and U.S. Policy (22-pg CRS PDF)
 
Take some of this with a grain of salt... For a slightly different take, read some previous entries on Georgia from between 2008 and 2014...

Thursday, April 18, 2019

Random chart - safety events


"To identify age-related patterns of events that could have or did result in unanticipated patient harm, the Pennsylvania Patient Safety Authority developed a data snapshot from more than 260,000 event reports submitted by Pennsylvania hospitals through the Pennsylvania Patient Safety Reporting System during 2017. For almost all age cohorts, the most common event type was Error related to Procedure/Treatment/Test while among Serious Event reports (i.e., event resulting in harm), the most common event type was Complication of Procedure/Treatment/Test.
 
Differences in event report patterns for children, adolescents, and young adults compared with events involving adults and elderly patients were noted. For adults 75 years or older, the number of event reports decreased, while the rate of involvement in a patient safety event report relative to estimated population increased as patient age increased. For adults 25 years or older, the number of reports involving two event types—Fall and Skin Integrity—increased with advancing age. Although the increased rate of total event reports at the extremes of age relative to estimated population was unsurprising, the decreased rate of Serious Events in the very elderly, and the increased rate of total and Serious Events in the age cohort of 5 to 14 years relative to number of admissions were unanticipated.
 
Attention to the event types and patterns of vulnerability that predominate in specific age cohorts may help facilities prioritize interventions."

Saturday, April 13, 2019

Random charts - med devices

 

"The cost of medical device innovation: can we keep pace?© 2019 Vizient, Inc. All rights reserved.The cost of medical device innovation: can we keep pace?Innovation is the hallmark of U.S. health care. Over the last decade, advances in medical device technology have had an extraordinary positive impact on patient outcomes and quality of life. In 2017, the number of first-time premarket approvals by the U.S. Food and Drug Administration (FDA) increased 28 percent from the previous year, while the number of 510(k) clearances was up 9 percent.

 While these novel devices may provide advanced treatment options, improved quality of life and extended longevity for patients, the high costs associated with the devices and procedures create challenges for hospitals. Because of high research and development costs, the expense of clinical trials and market factors, an innovative medical device almost always carries a premium price. A review of several recent innovative cardiovascular medical device introductions reveals an average 273.3 percent increase in price (range, 163 percent to 565 percent; Table 1) over the predicate medical device.."

Wednesday, April 3, 2019

Random picture - sharks


Source: Global Progress on Shark, Ray CITES Listings 

"Each year, at least 63 million and as many as 273 million sharks are killed in the world’s commercial fisheries, an unsustainable fishing rate driven by increasing demand for their fins, meat, liver oil, and other products.1 As a result, shark populations have suffered declines worldwide, and more than half of shark species and their relatives assessed by the International Union for Conservation of Nature are categorized as Threatened or Near Threatened with extinction."

 
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