United Healthcare Overuse Monitoring 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. …

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

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Reports and Quality Programs UHCprovider.com

(Just Now) WebUnitedHealthcare offers a variety of reports and quality programs to help care providers provide operational efficiency and member support. For more information on what is …

https://www.uhcprovider.com/en/reports-quality-programs.html

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Continuous Glucose Monitoring and Insulin Delivery for …

(6 days ago) WebAmbulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/continuous-glucose-monitoring-insulin-delivery-managing-diabetes.pdf

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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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Assessment of Overuse of Medical Tests and Treatments at US …

(8 days ago) WebThis cross-sectional study uses Medicare fee-for-service claims data to assess overuse of medical tests and treatments in US hospitals. [Skip to Navigation] …

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2779118

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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 …

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

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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 …

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

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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. …

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

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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 …

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

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Assessment of overuse of medical tests and treatments at US

(1 days ago) WebOvertreatment and overuse of healthcare services have been identified as potential sources of patient harm. Using Medicare fee-for-services claims, this study …

https://psnet.ahrq.gov/issue/assessment-overuse-medical-tests-and-treatments-us-hospitals-using-medicare-claims

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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 …

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

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Reducing Overuse by Healthcare Systems: A Positive Deviance

(Just Now) WebOveruse of healthcare, or the provision of low- or no-value care, is consistently identified as contributing to high US healthcare costs. 1,2,3 There is …

https://link.springer.com/article/10.1007/s11606-023-08060-3

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Addressing the Opioid Epidemic - UnitedHealth Group

(9 days ago) WebAddressing the Opioid Epidemic. Every 13 minutes in the United States, a person dies from an opioid overdose. 1 More than 2 million people in the U.S. suffer from substance use …

https://www.unitedhealthgroup.com/newsroom/posts/opioid-epidemic.html

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Lessons Learned from Efforts to Reduce Overuse of Cardiac …

(7 days ago) WebPrior to the intervention, 4.8% of patients received telemetry monitoring; 13.4% of telemetry orders exceeded 48 hours. The control service had a baseline …

https://www.jointcommissionjournal.com/article/S1553-7250(20)30104-5/fulltext

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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, …

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

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Medicare Part D Overutilization Monitoring System (OMS) Summary

(2 days ago) WebThe Overutilization Monitoring System (OMS) is the tool designed and implemented by CMS in July 2013 to oversee sponsors’ compliance with CMS’ opioid …

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

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Improving Drug Utilization Review Controls in Part D CMS

(6 days ago) WebBeginning January 1, 2022, all Part D sponsors are required to have a DMP, and to include beneficiaries with a history of opioid-related overdose in their DMP …

https://www.cms.gov/medicare/coverage/prescription-drug-coverage-contracting/improving-drug-utilization-review-controls-part-d

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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 …

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

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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 …

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

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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 …

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

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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. …

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

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IoT based Smart Healthcare Monitoring Systems: A Literature Review

(6 days ago) WebThe "Mobile Healthcare Management System (HMS)" is one of the main IoT apps that link the Internet to mobile sensors, people, clinicians, networks and other …

https://www.researchgate.net/publication/348930509_IoT_based_Smart_Healthcare_Monitoring_Systems_A_Literature_Review

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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 …

https://www.uhcprovider.com/portal

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