Month: July 2021

Blog article

Feds join Medicare Advantage upcoding lawsuits against Kaiser

The federal government intervened in six lawsuits alleging that Kaiser Permanente upcoded claims for Medicare Advantage beneficiaries, the Justice Department said Friday.

The Oakland, Calif.-based integrated health system allegedly pressured its physicians to augment medical records often months after the care was provided to boost its Medicare reimbursement. Doctors added risk-adjusting diagnoses that patients did not have or were not addressed, the lawsuits claim.

“The federal government pays hundreds of billions of dollars every year to Medicare Advantage Plans,” Matt Kirsch, acting U.S. attorney for the District of Colorado, said in prepared remarks. “The District of Colorado will vigorously pursue investigations with our partners to make sure that money supports necessary healthcare, not fraud.”

Kaiser said it is confident that the company is compliant with MA requirements and will defend itself against the lawsuits alleging otherwise, noting nearly a decade of “strong performance” on CMS’ risk adjustment audits.

“Our

Read More
Health News

China fights COVID surge as Japan extends emergency during Olympics

Japan extended a virus state of emergency after new cases topped 10,000 for the first time on Thursday.

Hundreds of thousands of people in China were in lockdown on Friday as the country battled its worst COVID-19 outbreak in months, while Japan—a week into the Olympics—extended its state of emergency due to surging infections.

The average number of new daily cases globally jumped by 10 percent over the last week, according to an AFP tally, largely due to the highly contagious Delta variant, after slowing between late April and mid-June.

While the Asia-Pacific region has been hard-hit—with Vietnam and Japan recording a 61 percent jump in daily cases—Western countries are also facing surges, with the US and Canada seeing 57 percent more infections.

The World Health Organization has warned that the Delta variant, first detected in India, could unleash more outbreaks in a high-risk zone stretching from Morocco to Pakistan

Read More
Mental Health

Ankle Injuries, Sprains, Strains, And Fractures

When dealing with heart issues there are numerous things that you can do. It’s good to handle your stress ranges, enhance your diet to increase the quantity of contemporary fruit and greens that you simply eat to about 60-80% and you need to increase the train that you’ve. Whether you’re seeking to tone your glutes or simply get a break from the elliptical, leg strengthening workouts are important for building muscle and endurance. The legs are one of the largest muscles within the physique, and working bigger muscles requires more vitality and leads to a higher calorie burn. Plus, committing to leg day often can enhance range of motion and even help scale back the chance of harm since you’ve gotten the chance to work on fixing any imbalances.

Stopping weight gain: around menopause girls are inclined to expertise a reduction in muscle mass and an increase in fat levels. …

Read More
Digital Health

() Inside Server Error

Physical health is usually achieved by means of train Photo shows Rich Froning Jr. – four-time winner of “Fittest Man on Earth” title. Flexibility training will help improve your range of movement and stretch your muscle tissues. Stretch your arms by lifting them over your head as far as attainable. Hamstring stretches will enhance the pliability of your hips and knees while you stretch and strengthen the muscular tissues in the backs of your legs. Get on the floor in your arms and knees and flex your again up towards the ceiling. Arch your again so your belly drops towards the ground. Stretch your shoulders by crossing one arm across your chest and gently pulling your elbow throughout your physique with the other hand. Standing up after which bending at the hip to the touch your toes will assist stretch your decrease again and hamstring muscle mass.

The study was …

Read More
Blog article

Research looks for possible COVID tie to later Alzheimer’s

Researchers are trying to unravel why some COVID-19 survivors suffer “brain fog” and other problems that can last for months, and new findings suggest some worrisome overlaps with Alzheimer’s disease.

One study of older adults in Argentina found a surprising amount of dementia-like changes in memory and thinking for at least six months after a bout with the coronavirus — regardless of the severity of their infection. Other researchers found Alzheimer’s-related proteins in the blood of New Yorkers whose COVID-19 triggered brain symptoms early on.

The preliminary findings were reported at an Alzheimer’s Association meeting Thursday. Experts stress far more research is needed — and getting underway — to tell if COVID-19 might raise the risk of Alzheimer’s or other brain problems later in life, or if people eventually recover.

The possibilities “are real and troubling,” but it’s too soon to know “whether this is really going to result in

Read More
Health News

FDA allows drugs without proven clinical benefit to languish for years on accelerated pathway

Credit: CC0 Public Domain

Since the US Food and Drug Administration (FDA) established its accelerated approval pathway for drugs in 1992, nearly half (112) of the 253 drugs authorised have not been confirmed as clinically effective, an investigation by The BMJ has found.

Elisabeth Mahase, clinical reporter at The BMJ, carried out an in depth analysis of FDA data up to 31 December 2020 and found that of these 112 drugs approved in the last 28 years a fifth (24) have been on the market for more than five years and some have been on the market for more than two decades—often with a hefty price tag.

The accelerated pathway allows drugs onto the market before efficacy has been proven, she explains. But as part of this approval, the manufacturer must conduct post-approval studies—known as phase IV confirmatory —to “verify the anticipated .” If these trials

Read More