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Latest Hospital & Healthcare News

BioFire’s Pneumonia Panel Early Detection of Pathogens May Lead to Reduced Length of Stay and Associated Costs

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By: Avinash Kumar  Jul. 11, 2019

Pneumonia is one of the leading causes of infection-related deaths in the United States, which also leads to other severe complications such as respiratory failure and sepsis. According to BioFire, “Pneumonia is one of the most common reasons patients go to the hospital, yet the underlying cause of the infection is frequently not identified. This leads to over-treatment of the patient and overuse of antibiotics, contributing to the longer hospital stays and higher costs, as well as to the development of antimicrobial resistance".

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T2Biosystems’s Bacterial Panel Solution Could Help in Bacterial Sepsis Related Mortality

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By: Avinash Kumar  Jul. 01, 2019

Treating bloodstream infections earlier may prevent progression to sepsis, one of the leading causes of death in the U.S. According to T2Biosystems, for patients at risk of sepsis, rapid targeted treatment based on the identification of causative pathogens is critical because it is estimated that every hour of speeding up the time to targeted therapy decreases patient mortality by nearly 8%

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Meridian Skilled Nursing & Rehab Center gets more than 70% of its stays from Hackensack Meridian Affiliated Hospitals

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By: Avinash Kumar  Jun. 14, 2019

Dexur analyzed Medicare claims data for the study period of Oct 2015 to Sep 2018, to find out the top hospitals that provide the most stays for  Meridian Nursing and Rehab Subacute Rehabilitation, Skilled Nursing Facility (SNF) of Wall, New Jersey.  The top three hospitals Jersey Shore University Medical Center , Ocean Medical Center and Riverview Medical Center provide - provide more than 70% of all stays to Meridian Nursing home (see below table)

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Post Pacemaker & ICD Infection Readmissions at Top Hospitals continue to pose challenges

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By: Avinash Kumar  May. 30, 2019

Infections developed from cardiovascular implantable electronic devices (CIED) implant procedures are serious complications and lead to follow on readmissions. Dexur Analysed Medicare Inpatient data for the year Jan 2017 to Dec 2017, to determine post - CIED infections related readmission.  Below is the table of five large top 5 Hospitals performing CIED procedures and post CIED infection readmission rates at 30 days and 1 year.

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Patients with Atrial Fibrillation are a big contributor to Hospital Readmissions for Skilled Nursing Facilities (SNFs)

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By: Avinash Kumar  May. 10, 2019

CMS recently instituted a program to evaluate and incentivize skilled nursing facilities (SNF) based on Hospital 30 day readmissions. For example, if a patient is discharged from a hospital to a SNF on Jan 15th 2019 and is readmitted back to a hospital on Jan 27 2019, then this would be counted as part of the measure for SNF Hospital 30 Day readmissions. Dexur analyzed Medicare claims (Oct 2015 to Mar 2018) for three separate skilled nursing facilities to understand the role of Atrial Fibrillation (AFib) on the overall readmissions for these SNFs.

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Lucentis received higher average payment on professional claims compared to Outpatient Institutional claims from Medicare

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By: Avinash Kumar  May. 09, 2019

Lucentis is a trade name of Ranibizumab indicated for the treatment of conditions such as Wet Age-related Macular Degeneration (wAMD), Diabetic Retinopathy (DR), Diabetic Macular Edema (DME), Myopic Choroidal Neovascularization (mCNV) and Macular Edema following Retinal Vein Occlusion (RVO). Other drugs used for treating Wet Age-related Macular Degeneration (wAMD) are Avastin and Eylea.

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RNS System is associated with lower 30 Day readmission rates in DRG 026

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By: Raj Kumar  May. 08, 2019

RNS system (Neurostimulator system)’s ICD 10 Procedure code 00H00MZ used by Hospitals to get additional payment under NTAP program from CMS. NTAP(New Technology Add-on payment) payment is an additional payment over and above the DRG allowed payment amount.

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Replacement of Aortic Valve Replacement Using Zooplastic is associated with lower 30 Day readmission rates in DRG 220

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By: Avinash Kumar  May. 07, 2019

Hospitals use ICD 10 procedure code X2RF032 to get NTAP payments of Aortic valve replacement from Medicare. NTAP payment is an additional payment over and above the DRG payment amount.

CMS has approved two Zooplastic vendors, Perceval (LivaNova, PLC, London, UK) and Intuity Elite (Edwards Lifesciences, Irvine, US) for Aortic valve replacement payments under NTAP payment program. These Zooplastic Aortic valves are widely used in Rapid deployment aortic valve replacement (RDAVR) and emerged as an attractive alternative to conventional aortic valve replacement because these are sutureless and facilitates quick implantation.

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MitraClip is associated with lower 30 Day readmission rates in DRG 229

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By: Avinash Kumar  May. 03, 2019

MitraClip’s ICD 10 procedure code of 02UG3JZ is used by Hospitals to get NTAP payments over and above the DRG payment amount. The largest use of the MitraClip ICD 10 Code is in DRG 229 - Other Cardiothoracic Procedures without Major Complications and Comorbidities. The all cause readmission rate at the DRG is 16.42% versus 13.92% when MitraClip is used.

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What are major Oncology combination therapies based on claims data?

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By: Avinash Kumar  May. 01, 2019

Dexur analyzed Medicare claims data based on a 5% sample for the time period of Jan 2016 to June 2018, to understand the prevalence of oncology combination therapies. This methodology checked for relevant J codes of HCPCS code set in the claim files across the patient’s history. If a patient used a base drug, it was then checked to see what other drugs were used on the same patient.

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