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The Center for Insulin-Dependent Diabetes Access is monitoring Medicaid coverage for diabetes and has reported on coverage in five states California, Colorado, New Jersey, Texas, and Washington chosen for their diversity in size, geographic location, and anticipated range of policies.
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Medicare and insurer reimbursement in clinical trials is so complex that even the National Academy of Sciences couldnt simplify things. In fact, proposals offered by a task force convened to address the subject five years ago were never adopted.
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A report prepared by the House Committee on Government Reforms Democrat staff special investigations division, presented results from a survey of every juvenile detention facility in the United States to assess what happens to youth when community mental health services are not readily available.
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While the federal government and states alike tout the flexibility state Medicaid programs get through use of waivers, a Kaiser Commission on Medicaid and the Uninsured study of the impact of Oregons Medicaid waiver raises red flags for states to consider as they implement waiver provisions to control Medicaid spending.
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During a 5-year period, 45 patients were admitted to an inner-city teaching hospital with angioedema caused by angiotensin-converting inhibitor medications, and 18 (40%) of them required ICU admission for potential upper-airway compromise.
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In this study of anonymously reported adverse occurrences related to intra-hospital transportation of critically ill patients, problems were related to equipment in 39% and to patient/staff management issues in 61%; 31% of the incidents had serious adverse outcomes.
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Erythromycin and the Risk of Sudden Death; Vaccine Shortage Putting Americans At Risk; FDA Actions.
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Clinicians have been criticized for prescribing too much, as well as too little, sedation for critically ill patients, especially patients who require mechanical ventilation. Over-sedation may prolong weaning from ventilatory support, increase ICU and hospital lengths of stay, and predispose to development of ventilator-associated pneumonia. Inadequate sedation predisposes the patient to pain and discomfort and can evoke a stress response that compromises recovery.
