United Healthcare Overuse Monitoring System

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United Health launches its own Level2 continuous …

(5 days ago) WEBNovember 18, 2020. UnitedHealth Group launched Level2 today, an innovative new digital therapy that combines wearable technology and customized personal support to help improve the health of people …

https://www.myhealthyapple.com/united-health-launches-its-own-level2-continuous-glucose-monitoring-wearable-system/

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UnitedHealth Group Updates on Change Healthcare Cyberattack

(8 days ago) WEBOptum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience and delivering access to high-quality care.

https://www.unitedhealthgroup.com/newsroom/2024/2024-04-22-uhg-updates-on-change-healthcare-cyberattack.html

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Medicare Part D Overutilization Monitoring System (OMS) Summary

(2 days ago) WEBMedicare Part D Overutilization Monitoring System (OMS) Summary. As part of a multifaceted response to address the growing problem of overuse and abuse of opioid analgesics (“opioids”) in the Part D program, the Centers for Medicare & Medicaid Services (CMS) adopted a policy in 2013 for Medicare Part D plan sponsors to …

https://www.cms.gov/newsroom/fact-sheets/medicare-part-d-overutilization-monitoring-system-oms-summary

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Factors Associated With Overuse of Health Care Within …

(Just Now) WEBThe present study also found a strong relationship between investor ownership of a health system and overuse. There were only 20 investor-owned systems but 12 of the 20 were in category 4 or 5, with …

https://jamanetwork.com/journals/jama-health-forum/fullarticle/2788097

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Study Investigates Eliminating Monitor Overuse in Hospitals

(2 days ago) WEBContinuous Pulse Oximetry Monitoring. Continuous pulse oximetry monitoring of oxygen saturation is a common intervention in bronchiolitis, which is a leading cause of infant hospitalization, resulting in over 100,000 hospitalizations and $1.7 billion hospital charges annually. Bronchiolitis exclusively affects children 2-years-old …

https://research.chop.edu/cornerstone-blog/study-investigates-eliminating-monitor-overuse-in-hospitals

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Tell-a provider about tele: Reducing overuse of telemetry across …

(1 days ago) WEBWhen stratified by the 11 hospitals, decreases ranged from 9% to 30%. The BPA had a 53% accept rate and fired 52,682 times, with 27,938 "discontinue telemetry" orders placed. The true accept rate was 50.4%, as there was a 2.6% 24-h reorder rate. There was variation based on clinician specialty and clinician type (attending, fellow, resident

https://pubmed.ncbi.nlm.nih.gov/36567609/

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Systemic overuse of health care in a commercially insured US …

(7 days ago) WEBOveruse—the provision of care where the potential for harm exceeds the potential for benefit—has been cited as a leading contributor to the high cost of the US health care system [1,2,3,4].Overuse is often physically and psychologically harmful to patients [5,6,7] and is a definitive misuse of resources.Such wasteful utilization helps to …

https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-019-4079-0

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Factors Associated With Overuse of Health Care Within US Health …

(Just Now) WEBImportance: Overuse of health care is a pervasive threat to patients that requires measurement to inform the development of interventions. Objective: To measure low-value health care use within health systems in the US and explore features of the health systems associated with low-value care delivery. Design, Setting, and Participants: In …

https://medicine-matters.blogs.hopkinsmedicine.org/2022/02/factors-associated-with-overuse-of-health-care-within-us-health-system/

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Telemetry and the reduction of overuse - American Nurse

(2 days ago) WEBContinuous cardiac monitoring or telemetry is commonly used to detect lethal arrythmias in patients outside of critical care units. However, overusing telemetry can lead to nonactionable alarms, which …

https://www.myamericannurse.com/reducing-overuse-of-telemetry/

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Ranking and analysis of overuse in U.S. hospitals

(1 days ago) WEBThis white paper provides an analysis of the overuse of 13 low-value services in 3,282 U.S. hospitals using Medicare data. These 13 services include imaging tests, surgeries, and cardiovascular procedures, and have all been validated in previous studies of low-value care. Only instances of these services deemed inappropriate in the literature

https://lownhospitalsindex.org/wp-content/uploads/2020/06/Overuse-White-Paper_Formatted.pdf

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Interventions to Decrease Overuse of Cardiac Monitoring …

(3 days ago) WEBA PowerPoint presentation was prepared to emphasize the current status of telemetry utilization in the hospital, cardiac monitoring indications, and cost and the repercussion of its overuse on patients and nurses. Resident physicians, nurse practitioners, ICU nurses, and hospitalists were targeted during the first two weeks. Posters

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6538103/

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Continuous Glucose Monitoring Managing Diabetes

(3 days ago) WEBS1037 Receiver (monitor); external, for use with artificial pancreas device system Continuous Glucose Monitoring and Insulin Delivery for Managing Diabetes Page 5 of 20 UnitedHealthcare West Medical Management Guideline Effective 07/01/2023

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/signaturevalue-mmg/continuous-glucose-monitoring-managing-diabetes-sv.pdf

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Medicare Care Management

(3 days ago) WEBUnitedHealthcare ® Medicare Advantage plan members have access to our free care management program. With the. help of a dedicated care management team and daily health tracking tools, members can now keep track of. their health in a whole new way. Call 1-877-524-6036, TTY 711 to get started in the program. Monday-Friday, 8 a.m.–5 p.m. CT.

https://www.uhchealthtracker.com/

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Addressing overuse of health services in health systems: a critical

(2 days ago) WEBBackground Health systems are increasingly focusing on the issue of ‘overuse’ of health services and how to address it. We developed a framework focused on (1) the rationale and context for health systems prioritising addressing overuse, (2) elements of a comprehensive process and approach to reduce overuse and (3) …

https://health-policy-systems.biomedcentral.com/articles/10.1186/s12961-018-0325-x

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UnitedHealthcare Provider Portal resources UHCprovider.com

(4 days ago) WEBSave time and learn about our provider portal tools today. Health care professionals like you can access patient- and practice-specific information 24/7 within the UnitedHealthcare Provider Portal. You can complete tasks online, get updates on claims, reconsiderations and appeals, submit prior authorization requests and check eligibility

https://www.uhcprovider.com/portal

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Smart Health Monitoring Systems: An Overview of Design and

(9 days ago) WEBHealth monitoring systems have rapidly evolved during the past two decades and have the potential to change the way health care is currently delivered. Although smart health monitoring systems automate patient monitoring tasks and, thereby improve the patient workflow management, their efficiency in clinical settings is …

https://link.springer.com/article/10.1007/s10916-012-9898-z

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Combating Overuse and Underuse in Health Care

(3 days ago) WEBThe overuse of health care services shown to be of limited value—or even to actually cause harm—is a challenge faced by nearly every country. By some estimates, this kind of inefficient care represents up to 30 percent of all medical spending in the United States, amounting to $780 billion annually. At the same time, many cost-effective, highly …

https://www.commonwealthfund.org/publications/journal-article/2017/feb/combating-overuse-and-underuse-health-care

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Overuse of Health Care Services in the United States: An …

(6 days ago) WEBA Howell et al., "Overuse of Health Care Services in the United States: An Understudied Problem," Archives of Internal Medicine, Jan. 23, 2012 172 (2):171–78. Overuse of health care services contributes to poor-quality care and drives up medical costs. In this Commonwealth Fund–supported study, researchers conducted a literature …

https://www.commonwealthfund.org/publications/journal-article/2012/feb/overuse-health-care-services-united-states-understudied

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Appropriate utilisation of cardiac telemetry monitoring: a quality

(3 days ago) WEBBackground. Healthcare reform in the United States has heightened awareness for the need to improve quality of care while lowering costs. Reform efforts have pushed healthcare organisations to analyse and identify high cost practices and to address overuse and reduce waste to improve efficiency. 6 Cardiac telemetry monitoring has …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6542446/

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A Review of Recent Innovations in Remote Health Monitoring

(4 days ago) WEB4. Conclusions. This paper has provided a survey of recent advancements in the development of remote health monitoring devices. The scope of this research spans a range of domains, covering antenna designs, small implantable antennas, on-body wearable solutions, and versatile detection and imaging systems.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10745663/

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Provider Reminders Cancer CDC

(8 days ago) WEBOverview. Health care providers can help more of their patients get screened for cancer if they get reminders about when their patients are due for screenings. A study showed this practice increased screening and testing by more than 7%. Provider reminders can be done in several ways: Manual reminders: Staff can use stickers or …

https://www.cdc.gov/cancer/php/interventions/provider-reminders.html

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OVERVIEW OF U.S. HEALTHCARE SYSTEM LANDSCAPE

(5 days ago) WEBThe National Academy of Medicine defines healthcare quality as “the degree to which health care services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.” Many factors contribute to the quality of care in the United States, including access to timely care, affordability of …

https://www.ncbi.nlm.nih.gov/books/NBK578535/

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Healthcare in the United States - Wikipedia

(1 days ago) WEBt. e. Healthcare in the United States is largely provided by private sector healthcare facilities, and paid for by a combination of public programs, private insurance, and out-of-pocket payments. The U.S. is the only developed country without a system of universal healthcare, and a significant proportion of its population lacks health insurance.

https://en.wikipedia.org/wiki/Healthcare_in_the_United_States

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