New Fertility Program takes the place of outdated & overpriced Shared Risk plans. Helps clinics create more families by helping patients afford treatment!
Decoding the Sunshine Act - What Exactly are Manufacturers Reporting and How ...Vanessa Towning
Topics Include:
- Defining the Sunshine Act as it relates to medical offices
- What is a “transfer of value?”
- Weighing the benefits of rep interactions
- Free apps available to help you keep up to date on recorded information.
Free medicines are available through the pharmaceutical companies’ Patient Assistance Programs (PAPs), which may be accessed for individual prescriptions using The Pharmacy Connection (TPC) software or through a bulk replacement / Institutional PAP. Learn about Rx Partnership, Virginia’s innovative bulk replacement program.
Transitioning to Value Based Care: Tennessee Oncology, A Case StudyWes Chapman
Transitioning to value based care in medical oncology is a major strategic change in any medical practice. In this presentation to Grand Rounds at the Norris Cotton Cancer Center at Dartmouth, we look at the strategic and operational considerations of making such a transition effective.
Disruptive Transformation and the Accountable Care OrganizationDarwin Health
Presentation by John Marchica (Darwin Health) and Bob Roth (Cypress HomeCare Solutions) at the Home Care Association of America Leadership Conference, Sep. 30, 2016.
Alliance Community Hospital on a mission towards Clinical TransformationVitreosHealth
Innovative initiatives that made Alliance Community Hospital a step ahead towards clinical transformation by providing better care delivery to its community. For more details visit: http://vitreoshealth.com/index.php/success-stories
PPSA is a new act... recently passed in USA.
To monitor the culture between pharma companies and doctors like receiving incentives ,gifts and prescribing those companies drugs
Due to this act , people will be more safer with drugs and healthcare cost burden will reduced...and to know more about act... see the presentration..
Decoding the Sunshine Act - What Exactly are Manufacturers Reporting and How ...Vanessa Towning
Topics Include:
- Defining the Sunshine Act as it relates to medical offices
- What is a “transfer of value?”
- Weighing the benefits of rep interactions
- Free apps available to help you keep up to date on recorded information.
Free medicines are available through the pharmaceutical companies’ Patient Assistance Programs (PAPs), which may be accessed for individual prescriptions using The Pharmacy Connection (TPC) software or through a bulk replacement / Institutional PAP. Learn about Rx Partnership, Virginia’s innovative bulk replacement program.
Transitioning to Value Based Care: Tennessee Oncology, A Case StudyWes Chapman
Transitioning to value based care in medical oncology is a major strategic change in any medical practice. In this presentation to Grand Rounds at the Norris Cotton Cancer Center at Dartmouth, we look at the strategic and operational considerations of making such a transition effective.
Disruptive Transformation and the Accountable Care OrganizationDarwin Health
Presentation by John Marchica (Darwin Health) and Bob Roth (Cypress HomeCare Solutions) at the Home Care Association of America Leadership Conference, Sep. 30, 2016.
Alliance Community Hospital on a mission towards Clinical TransformationVitreosHealth
Innovative initiatives that made Alliance Community Hospital a step ahead towards clinical transformation by providing better care delivery to its community. For more details visit: http://vitreoshealth.com/index.php/success-stories
PPSA is a new act... recently passed in USA.
To monitor the culture between pharma companies and doctors like receiving incentives ,gifts and prescribing those companies drugs
Due to this act , people will be more safer with drugs and healthcare cost burden will reduced...and to know more about act... see the presentration..
PYA Principal J. Michael Keegan, MD, recently presented “Pacing Volume-to-Value Transition” and “The ROI of Avoiding Antibiotic Overuse” at the AlaHA Annual Meeting, June 8-11, 2016. The presentation focused on the importance of antibiotic stewardship programs (ASP) for population health. The presentation explained:
Why the Centers for Medicare & Medicaid Services is proposing a requirement that hospitals implement ASPs to stem the rise of resistant bacteria.
Why PYA is invested in offering hospitals a proven program for improving patient safety while saving costs.
What constitutes a successful ASP.
The Physician’s Sunshine Act will impose changes in the way that healthcare meeting planners manage data and reporting. Disclosure of payments for Transfer of Value (TOV) will soon be required and violations for non-compliance can lead to stiff penalties and other ramifications for you and your organization. Find out from meeting experts what they are doing to prepare for the new regulations for transparency and accountability.
Sunshine Act Compliance Analysis by WorldDataOnline. Comprehensive, individual, and highly specific company reports will be available shortly. https://worlddata.online/Product/Subscription/LATEST---2015---Sunshine-Act-Compliance-Analyzer
PYA Monitors Topics on Healthcare Radar at AlaHAPYA, P.C.
PYA recently presented “Blips on the Radar—Ground Clutter or Looming Crisis?” at the 2014 Alabama Hospital Association Annual Meeting. Topics covered included:
ICD-10—What now?
Hospital-Physician Transactions—The compliance wheel
Value-Based Payments—What’s up with that?
Physician Differentiation—What sets doctors apart?
Learn some simple truths about how ACO's operate and function. Adapted from http://www.insight-txcin.org/post/why-accountable-care-organizations-succeed
You combine their practical, real-world experience in cancer patient medical billing services with action-driven results it's clear that those billing personnel are well-suited to turning your progressive practice in to profit shelling center.
What are the hurdles to overcome in the transition from fee-for-service to value-based reimbursement? Is Value Based Care here to stay? Learn more from this slide-share on the differences between Value Based Care and Fee For Service.
The Changing Landscape: Value-Based Purchasing, Reimbursement and its Impact ...marcus evans Network
Troy Trosclair, HCA MidAmerica Division - Speaker at the marcus evans National Healthcare CNO Summit, held in Hollywood, FL, April 26-28, 2012, delivered his presentation entitled The Changing Landscape: Value-Based Purchasing, Reimbursement and its Impact on Nursing
California: TOP 10 Fertility Clinics 2016GCRclinics
The GCR - Global Clinic Rating, the leading provider of healthcare clinic ratings worldwide, aggregated and analyzed fertility clinics throughout the California during 2016 including clinics in Los Angeles, Newport Beach, Tarzana, Beverly Hills and San Diego.
A total of 222 fertility clinics were included in the study. The average GCR fertility clinic quality score was 2.22, demonstrating the huge range of rising healthcare standards available in the country.
A presentation about accountable care organizations and their business models reflecting clinical, financial, consolidation and competitive positioning trends. Healthcare systems, managed care organizations, physician specialties and pharmacy providers are included in the discussion.
https://www.linkedin.com/in/johngbaresky
... Healthcare Marketing Leader: Pharmaceutical, Medical Device, RPA, SaaS, Digital Marketing Strategy, Managed Care, Market Access - John G. Baresky
PYA Principal J. Michael Keegan, MD, recently presented “Pacing Volume-to-Value Transition” and “The ROI of Avoiding Antibiotic Overuse” at the AlaHA Annual Meeting, June 8-11, 2016. The presentation focused on the importance of antibiotic stewardship programs (ASP) for population health. The presentation explained:
Why the Centers for Medicare & Medicaid Services is proposing a requirement that hospitals implement ASPs to stem the rise of resistant bacteria.
Why PYA is invested in offering hospitals a proven program for improving patient safety while saving costs.
What constitutes a successful ASP.
The Physician’s Sunshine Act will impose changes in the way that healthcare meeting planners manage data and reporting. Disclosure of payments for Transfer of Value (TOV) will soon be required and violations for non-compliance can lead to stiff penalties and other ramifications for you and your organization. Find out from meeting experts what they are doing to prepare for the new regulations for transparency and accountability.
Sunshine Act Compliance Analysis by WorldDataOnline. Comprehensive, individual, and highly specific company reports will be available shortly. https://worlddata.online/Product/Subscription/LATEST---2015---Sunshine-Act-Compliance-Analyzer
PYA Monitors Topics on Healthcare Radar at AlaHAPYA, P.C.
PYA recently presented “Blips on the Radar—Ground Clutter or Looming Crisis?” at the 2014 Alabama Hospital Association Annual Meeting. Topics covered included:
ICD-10—What now?
Hospital-Physician Transactions—The compliance wheel
Value-Based Payments—What’s up with that?
Physician Differentiation—What sets doctors apart?
Learn some simple truths about how ACO's operate and function. Adapted from http://www.insight-txcin.org/post/why-accountable-care-organizations-succeed
You combine their practical, real-world experience in cancer patient medical billing services with action-driven results it's clear that those billing personnel are well-suited to turning your progressive practice in to profit shelling center.
What are the hurdles to overcome in the transition from fee-for-service to value-based reimbursement? Is Value Based Care here to stay? Learn more from this slide-share on the differences between Value Based Care and Fee For Service.
The Changing Landscape: Value-Based Purchasing, Reimbursement and its Impact ...marcus evans Network
Troy Trosclair, HCA MidAmerica Division - Speaker at the marcus evans National Healthcare CNO Summit, held in Hollywood, FL, April 26-28, 2012, delivered his presentation entitled The Changing Landscape: Value-Based Purchasing, Reimbursement and its Impact on Nursing
California: TOP 10 Fertility Clinics 2016GCRclinics
The GCR - Global Clinic Rating, the leading provider of healthcare clinic ratings worldwide, aggregated and analyzed fertility clinics throughout the California during 2016 including clinics in Los Angeles, Newport Beach, Tarzana, Beverly Hills and San Diego.
A total of 222 fertility clinics were included in the study. The average GCR fertility clinic quality score was 2.22, demonstrating the huge range of rising healthcare standards available in the country.
A presentation about accountable care organizations and their business models reflecting clinical, financial, consolidation and competitive positioning trends. Healthcare systems, managed care organizations, physician specialties and pharmacy providers are included in the discussion.
https://www.linkedin.com/in/johngbaresky
... Healthcare Marketing Leader: Pharmaceutical, Medical Device, RPA, SaaS, Digital Marketing Strategy, Managed Care, Market Access - John G. Baresky
http://www.ivftraining.com
IVF Techniques - IVF training | IUI IVF training in India | Best IVF training centre in India
Learn all about IVF Techniques - IVF ART Laboratory Training - Equipments - Advanced ART Techniques - Learn how to PGD - Cryopreservation and Vitrification - Andrology Techniques - Clinical Observation in an IVF Lab - IVF TRAINING - EMBRYOLOGIST & GYNAECOLOGIST - Equipments and supplies used in an IVF laboratory -Sperm preparation techniques.
EART offers IVF TRAINING courses for new EMBRYOLOGIST & GYNAECOLOGIST, provides a one-on-one comprehensive training in the clinical management and laboratory practices of IVF and ICSI.Your IVf Lab Skill and precision determine the outcome of all Assisted Reproductive Technologies or IVF successes. These are gained only through training ,in-depth knowledge and experience.
ICSI: Intracytoplasmic sperm injection - Classical IVF - Oocyte handling and scoring - Embryo handling, scoring and loading.Advanced ART Techniques:Learn how to perform the Assisted hatching - fresh embryos - frozen embryos - zona pellucida - Embryo biopsy - ICSI with HOS test - Pentoxifylline treatment.
Learn how to perform Pre-Implantation Genetic Diagnosis:Blastomere biopsy - Learn the setting up of the micromanipulator - 8-cell stage embryos - Zona drilling - Blastomere techniques - Cell spreading - Fixation techniques
Cryopreservation and Vitrification:Embryo cryopreservation - Vitrification - Ovarian tissue cryopreservation
Andrology Techniques:Sperm preparation for IVF/ICSI - Epididymal/ Testicular sperm retrieval
Clinical Observation in an IVF Lab:Logistics of running an IVF Lab - Observing IVF/ ICSI procedures - Oocyte retrieval - Oocyte assessment - Fertilization check - Embryo assessment - Intrauterine insemination
IVF TRAINING - EMBRYOLOGIST & GYNAECOLOGIST:Learn about denuding eggs, pronuclear stage observation, sigle culture and group culture,day 3 embryo transfers, embryo transfer techniques, setting up of inverted microscope and micro manipulator system for performing ICSI, ICSI dish preparation, doing microinjection (IVF and ICSI hands-on)
Equipments and supplies used in an IVF laboratory:Designing of new ART Laboratory:Setting up of an ideal laboratory is the key to success in IVF. Learn from our embryologists and scientists the key factors to be kept in mind while setting up a state-of-the-art Class 10000 IVF lab.
Sperm preparation techniques:Sperm processing technique is vital in an era of increasing male factor infertility.Ideal sperm processing techniques - Sperm selection - Ovulation induction protocols - Ultrasound - Oocyte retrieval.
http://www.ivftraining.com
2023 — Focus on the Margin (Vitalware by Health Catalyst)Health Catalyst
In this webinar, we will look at pressures exerted in 2023 on the margin and explore how cost management and complete charge capture can protect and enhance the margin. We will provide details on patient activity costing versus the cost-to-charge ratio (CCR), looking at common themes for lost charges and providing an example of where patient activity cost management was able to provide insight into cost containment and practice patterns of a system provider.
1
Hospital Readmission Rates
Kaylee Chauvin
West Coast University
NURS 350: Research in Nursing
Mrs. Sandy Daisley
September 5th, 2021
2
Hospital Readmission Rates
Hospital readmission is characterized as an emergency clinic affirmation that happens
inside a predefined time after release from the principal confirmation. The re-hospitalization rate
was considered a sign of the eminence of the hospital's clinic and was displayed to reflect a
measure of patient attention. Re-hospitalization results in longer hospital stays and more
emergency clinic resource use. An increase in readmission rates and increasing the use of
innovation, leads to increased incomes, even if the consideration may mean that it may not be
effective. Re-hospitalization is an exorbitant cost for the clinic. Rather than spending money on
complex systems and high-severity patients, clinics can level assets by providing more start-up
confirmations for low-severity patients, or with appropriate release programs. You can invest in
reducing readmissions. Various procedures are used to solve the readmission rate problem, as
outlined in the PICOT question. It is used to determine best practices for working on results
within a month.
Description and background information
Once patients are released from the medical clinic, they imagine going through their days
recovering a lot at home until they improve (Upadhyay et al., 2019). Lamentably, for some
elderly patients, that does not occur. Medical clinic readmission for elderly patients is not just
distressing; however, it can likewise negatively affect a patient's general well-being. The
additional time a patient is in a clinic, the more probable they are to create genuine, conceivably
hazardous diseases, for example, medical clinic procured pneumonia. Finding a way ways to
decrease clinic readmissions in the elderly is fundamental. In addition to the fact that it protects
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we are interested in the nursing procedures (interventions)
3
the clinic from potential Medicare fines, however, it helps keep probably the weakest individuals
from the community (the elderly) strong and healthy.
Various strategies are used to address the issue of readmission rates. Framing partnership
with nearby medical clinics and different suppliers, helps make the recuperation interaction
simpler for elderly patients. At the point when they are released from the clinic, they're ready to
rapidly and easily find doctors, home medical care groups, and emergency clinics that not
exclusively will give quality therapy however that approach all past clinical records and
important data. Elderly patients can without much of a stretch become overpowered when given
a lengthy discharge document (Bjorvatn, 2013). HCPs should attempt to keep release guidelines
simple to peruse and clear. Neglecting to plan follow-u ...
Current System Issues and Their ImpactsIntroductionBefore we .docxalanrgibson41217
Current System Issues and Their Impacts
Introduction
Before we can discuss change and innovation in our health care delivery system, a strong understanding of the current system is necessary, including how it functions, what types of incentives are at work, and how the different entities inside it work with and impact each other.
What Elements Drive Our Current System?
There are several key drivers of the existing system, and among these are the money, providers, payers, and consumers. When examining the behavior of any system, it is useful to look at the series of rewards and consequences that drive behavior. In health care, this means that much can be learned about the system's behavior by following the money trail. What things are reimbursed, under what circumstances, and with what outcomes? Under what circumstances are consequences, such as not getting paid, applied? In the current system, payments are highest for procedures, and proceduralists such as surgeons, gastroenterologists, and interventional cardiologists are all paid much higher fees than are family practice physicians, pediatricians, or hospitalists, all of whom manage medical care. Hospitals function under the same premise. Approximately 75% of the revenue for the average community hospital comes from surgeries, and another 12% comes from diagnostic imaging procedures. Additional amounts come from cardiac diagnostic and interventional procedures. So, approximately 90% to 95% of revenue comes from performing procedures on patients rather than providing management of diseases through medications or other noninvasive treatments. Thus, the system is focused on rewarding procedures that lead to "curing" and focused away from medical management of chronic diseases or prevention of disease and illness.
Financial Elements
Without doubt, money is one of, if not the, most powerful drivers of system functioning. For a classic example, we can look at the old fee-for-service payment methodology prevalent in the 1960s and 1970s, and contrast it with Medicare's implementation of diagnosis-related groups (DRGs) as a payment mechanism in 1983. Under fee-for-service health care, providers used whatever procedures, equipment, and supplies they felt were needed for care, and they submitted a bill that charged for each item. The payors received the bill, corrected any errors, and then issued a check for the corrected amount to the providers. If a provider wished to make a larger profit, they could provide more services or billable items to increase the payment. It comes as no great surprise to note that utilization of services and cost both rose rapidly under this methodology, since there was no incentive to be frugal. When Medicare changed its reimbursement to DRGs, the system began to experience the impact of being paid one flat fee, set by DRG, for the entire admission, regardless of how much care was rendered. For example, if a hospital provided care at a cost below the DRG payment, it was ab.
Comprehensive pharmacy services | Point of caredanielbrain10
Learn about our comprehensive pharmacy solutions at the point of care that allow physicians to improve clinical outcomes and increase patient satisfaction.
Comprehensive pharmacy services | Point of caredanielbrain10
Learn about our comprehensive pharmacy solutions at the point of care that allow physicians to improve clinical outcomes and increase patient satisfaction.
Cypress Benefit Administrators is a full service Third Party Administration (TPA) company. We specialize in helping companies outsource Flexible Spending Accounts (Section 125), HRA, HSA, and COBRA. Additionally, we provide expertise in self-funded medical plan administration.
Medical Gap Plans - Reduce Health Plan CostsPeter Toth
Medical Gap Insurance reduces the costs of health insurance. Health Insurance costs contine to rise ans this is one of the best solutions that Insurance Brokers can show their clients and prospects. Medical gap plans can be for insured or self funded medical plans. These are not just voluntary plans any longer.
Trends From The Trenches : Adapting to Affordable Care Act: Provider and Heal...Andrea Simon
As the Affordable Care Act is implemented and healthcare expenditures continue to rise, providers and payers need to explore how to best set themselves up to succeed in an evolving marketplace. In this 5th webinar, Margaret Davino will discuss how the relationships between hospitals, physicians and other providers are changing and what structures are being used for providers and payers to work together, including accountable care organizations (ACOs). Margaret will also describe the different models of collaboration between hospitals and physicians, how these affect reimbursement, and what to expect in the future.
KEY Points of Leicester travel clinic In London doc.docxNX Healthcare
In order to protect visitors' safety and wellbeing, Travel Clinic Leicester offers a wide range of travel-related health treatments, including individualized counseling and vaccines. Our team of medical experts specializes in getting people ready for international travel, with a particular emphasis on vaccines and health consultations to prevent travel-related illnesses. We provide a range of travel-related services, such as health concerns unique to a trip, prevention of malaria, and travel-related medical supplies. Our clinic is dedicated to providing top-notch care, keeping abreast of the most recent recommendations for vaccinations and travel health precautions. The goal of Travel Clinic Leicester is to keep you safe and well-rested no matter what kind of travel you choose—business, pleasure, or adventure.
Veterinary Diagnostics Market PPT 2024: Size, Growth, Demand and Forecast til...IMARC Group
The global veterinary diagnostics market size reached US$ 6.6 Billion in 2023. Looking forward, IMARC Group expects the market to reach US$ 12.6 Billion by 2032, exhibiting a growth rate (CAGR) of 7.3% during 2024-2032.
More Info:- https://www.imarcgroup.com/veterinary-diagnostics-market
About this webinar: This talk will introduce what cancer rehabilitation is, where it fits into the cancer trajectory, and who can benefit from it. In addition, the current landscape of cancer rehabilitation in Canada will be discussed and the need for advocacy to increase access to this essential component of cancer care.
Cold Sores: Causes, Treatments, and Prevention Strategies | The Lifesciences ...The Lifesciences Magazine
Cold Sores, medically known as herpes labialis, are caused by the herpes simplex virus (HSV). HSV-1 is primarily responsible for cold sores, although HSV-2 can also contribute in some cases.
Under Pressure : Kenneth Kruk's StrategyKenneth Kruk
Kenneth Kruk's story of transforming challenges into opportunities by leading successful medical record transitions and bridging scientific knowledge gaps during COVID-19.
ALKAMAGIC PLAN 1350.pdf plan based of door to door delivery of alkaline water...rowala30
Alka magic plan 1350 -we deliver alkaline water at your door step and you can make handsome money by referral programme
we also help and provide systematic guideline to setup 1000 lph alkaline water plant
We are one of the top Massage Spa Ajman Our highly skilled, experienced, and certified massage therapists from different corners of the world are committed to serving you with a soothing and relaxing experience. Luxuriate yourself at our spas in Sharjah and Ajman, which are indeed enriched with an ambiance of relaxation and tranquility. We could confidently claim that we are one of the most affordable Spa Ajman and Sharjah as well, where you can book the massage session of your choice for just 99 AED at any time as we are open 24 hours a day, 7 days a week.
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Letter to MREC - application to conduct studyAzreen Aj
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
Feeding plate for a newborn with Cleft Palate.pptxSatvikaPrasad
A feeding plate is a prosthetic device used for newborns with a cleft palate to assist in feeding and improve nutrition intake. From a prosthodontic perspective, this plate acts as a barrier between the oral and nasal cavities, facilitating effective sucking and swallowing by providing a more normal anatomical structure. It helps to prevent milk from entering the nasal passage, thereby reducing the risk of aspiration and enhancing the infant's ability to feed efficiently. The feeding plate also aids in the development of the oral muscles and can contribute to better growth and weight gain. Its custom fabrication and proper fitting by a prosthodontist are crucial for ensuring comfort and functionality, as well as for minimizing potential complications. Early intervention with a feeding plate can significantly improve the quality of life for both the infant and the parents.
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...rightmanforbloodline
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
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LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to CareVITASAuthor
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
This lecture briefly covers some of the underrepresented topics in Molecular imaging with cases , such as:
- Primary pleural tumors and pleural metastases.
- Distinguishing between MPM and Talc Pleurodesis.
- Urological tumors.
- The role of FDG PET in NET.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
2. The World and Infertility
The past decade has brought
about much change in the world,
and just as much for Reproductive
Medicine. We’ve seen…
REI-Clinical advancements &
improved techniques.
REI-Changing demographics of
those seeking fertility treatment.
3. The World of Infertility
Cont.
Both-New and improved Information
Technology (I.T.).
An employment market shift to
expanding benefit packages in lieu of
increasing wages*.
*According to a 2013 study, performed by Kaiser: employer
contributions to employee healthcare costs went up 78% from
2003 to 2013.
4. Significant Change…
Clinical advancements– pre-screening
(PGS/PGD), vitrification, higher quality
embryos, higher pregnancy rates, better
outcomes, lower multiple rates.
Changing Demographics- today, it’s not
just patients who require IVF and have 6
figure incomes seeking treatment. Instead,
those with multiple treatment options,
across all income levels are more
prevalent.
5. Significant Change…
I.T.- better access to information, and a
wider acceptance (less taboo), has led to a
shift with more women/couples seeking
treatment.
Employment changes- stagnant wages
means less income overall. Low credit
scores and high debt to income ratios (post
depression), prevent many from qualifying for
large loans.
6. Today’s Fertility Market
According to the CDC (for the U.S.):
• Of married women- 1.5 million (6%) are infertile
• Most infertility cases -- 85% to 90% -- are treated
with medications or surgery.
• In vitro fertilization (and similar) account for less
than 3% of infertility services.
(Source: National Survey of Family Growth, Centers for Disease Control and Prevention [CDC] 2006-
2010; ASRM: http://www.asrm.org/detail.aspx?id=2322)
7. Today’s Fertility Market
According to the U.S. Census
Bureau - of wage earners through
April 2014:
• The average median family income
with 1 earner was ~$46,819*
– After base taxes ~$34,300
• The median family income with 2
earners was only $60,276*
– After base taxes ~$43,100
http://www.justice.gov/ust/eo/bapcpa/20140401/bci_data/median_income_table.htm
*Average of the combined totals for the 50 states
8. Today’s Fertility Market
Average Price of a Shared Risk or
Multi-Cycle Program??
~$24,000 to $40,000*
(excluding pre-testing and medications)
Bottom Line….the typical patient can’t
afford fertility treatment that carries a
price tag that equals or possibly exceeds
their entire income!
*All programs are different, as are the # of cycles included (3, 4, 6, etc.),
The above is meant only as an estimate/“average”.
11. These promises are based on 2
misconceptions…
1. The “idea” that the majority of
fertility patients want:
- A.R.T. treatment, AND….
- To purchase multiple
treatment cycles
(in advance).
Unfulfilled Promises…
12. AND….
2. The “assumption” that
patients will:
- Seek & find their website
or program
As Well As…
- Request a referral to a
clinic that participates.
Unfulfilled Promises…
13. Unfortunately….
The number of patients who follow
this algorithm, is much smaller than
anticipated
AND
Of the small number that do express
interest in these programs – fewer
will qualify and end up proceeding…
Why?
Unfulfilled Promises…
14. 1. Overly strict medical criteria –
many/most are excluded (ineligible)
2. High Prices/Costs – unable to get
financing and/or afford additional
pre-testing & medication costs
Unfulfilled Promises…
Top 2 Reasons….
15. OUTDATED Programs
Yes, we said Outdated…
1. Programs still cater solely to A.R.T.
patients, although >90% of today’s
market wants less expensive and
less aggressive options.
2. Packages still comprised only of
Multi-Cycle options – may be cost
prohibitive or not needed.
16. OUTDATED Programs?
Continued Outdated…
3. Maintain overly strict age & medical
criteria – preventing most applicants
from qualifying.
4. Continue to limit patients’ options for
both financing and medication
assistance programs.
17. OVERPRICED Programs
Yes, Overpriced… but, not just for
patients, for clinics too…
Clinic Perspective
1. Programs require them to absorb
deep discounts from the start-in the
development of the treatment
packages they offer.
A. Requires a ~20-30% (or more) discount
off clinic’s normal treatment fees.
18. OVERPRICED Programs
2. Most charge clinics a penalty fee for
unsuccessful cycles:
A. ~15-25% reduction in payment on 1st
failed cycle. Up to 65% reduction on 2nd
and/or 3rd failed cycles (for same
patient)1.
3. Clinic payments- come 30+ days after
treatment is complete
A. Company plays “Gatekeeper”- controls
all the revenue by collecting payments
directly from patient or lending agency2.
1ATTAIN-based on program selection | 2 ATTAIN and ARC Programs
19. OVERPRICED Programs
4. Clinics must also pay monthly
“partnership” fees – either a flat fee (or)
~10-20% of every package they sell.
A. $4K - $6K per month (flat fee)1
(or)
B. $24,000 package X 10% = $2,400 fee
$34,000 package X 20% = $6,800 fee
10% charged on “Multi-Cycle” Plans2
20% charged on “Refund” Plans2
1=Typical ATTAIN® monthly fee | 2= Typical ARC® per cycle fees
20. OVERPRICED Programs
Patient Perspective
1. Programs require the purchase of
“multiple” cycles upfront- with prices
starting ~$20,000 (or more)
2. Programs offering “refunds”, cost
even more & policies tend to be
unfair.
A. Once pregnancy occurs- program ends
& there is no refund for unused cycle(s)
or services.
21. OVERPRICED Programs
3. Without non-ART options, patients
who clinically qualify for less
expensive options are not eligible for
similar discounts/cost savings.
4. Successful patients’ overpayments
act to fund the repayments (refunds)
to unsuccessful patients (and/or) to
profit 3rd party company owners.
22. REALITY of These Programs…
100 Patients
Apply
40 Medically
Eligible1
20 Qualify-
Financially1
~7- 9
Proceed
~40% of applicants qualify
~50% of medially eligible
will qualify for financing
<50% approved for financing,
will actually proceed with
purchase & treatment
1-Depends on Clinic’s patient demographics
23. Reality of These Programs
• Very few PATIENTS are
helped
AND
• Very few CLINICS will profit
24. Different Type of Program……
SMART MD Practices believes
clinics and patients deserve a
better option… And we have it…