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Uncertainty Over Health Plan Coverage Affects EDs
Patients are right to worry about out-of-pocket costs or whether their health plan will cover the visit. An expert explains more about what this means for EDs and about the current state of reimbursement for ED visits.
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Many Patients Worried Health Plan Will Not Cover ED Visit
Patients, not staff, should initiate discussions regarding payment for services. Train staff to carefully document discussions with patients regarding billing or payment questions. Ensure staff members understand patients are never implicitly discouraged from seeking emergency care in the ED.
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Dangerously Understaffed EDs Can Legally Expose Hospital
If litigation occurs, providers are better served by testifying honestly about staffing levels and the ED’s capacity while avoiding opinions on how these factors affected their ability to provide adequate care.
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Researchers to Test Groundbreaking Treatment for Intracerebral Hemorrhage-Type Strokes
Clot-busting drugs can be used to treat patients with ischemic strokes, but there are no good pharmacological alternatives for patients with intracerebral hemorrhages (ICH). This is a concerning treatment gap because ICH-type stroke outcomes can be dire. The creators of a new trial are testing whether a drug already used in other applications can offer benefits to patients with ICH strokes.
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Palliative Care Guidelines Call for Equipping Frontline Providers to Meet Growing Need
As the U.S. population ages, there is a growing need for clinicians skilled in primary palliative care. Such skills include the ability to assess for need, engage in advance care planning discussions, and provide appropriate care for symptom management that aligns with patients’ wishes. Considering the volume of patients who access care through EDs annually, experts note emergency clinicians often are in position to provide primary palliative care to those with serious or life-threatening conditions.
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A More Effective Approach for Managing Behavioral Health Emergencies
Often, law enforcement officers and EMS crews are dispatched to the scenes of behavioral health emergencies. EMS might transport these patients to the ED. Others might be taken to jail. But in recent years, stakeholders in Dallas have looked closer at these scenarios. At a time when resources are stretched thin, hospital staff, police officers, and communities all are asking questions.
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Is Physical Activity Associated with Mortality Risk in Parkinson’s Disease?
In individuals with Parkinson’s disease (PD), physical activity (PA) at all intensities is associated with reduced all-cause mortality, with the greatest reduction seen in individuals who maintained PA before and after PD diagnosis.
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The Effect of Disease-Modifying Therapies for Multiple Sclerosis on the Immune Responses to COVID-19 Vaccination
An analysis of a large group of patients with multiple sclerosis taking various disease-modifying therapies showed that the response to COVID-19 vaccination was not uniform across the therapies. Patients taking anti-CD20 therapies and fingolimod had attenuated responses to vaccines.
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Diet and the Risk of Dementia
Specific dietary patterns, such as the Mediterranean-style diet, have been shown to promote brain health, mitigate neuro-inflammation, and reduce the risk of dementia. This prospective cohort study demonstrated an association between a high inflammatory potential diet and increased risk for incident dementia.
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Acute Muscle Weakness in Children: Acute Flaccid Myelitis or Guillain-Barré Syndrome?
Compared to children with Guillain-Barré syndrome, children with acute flaccid myelitis have a more rapid presentation to nadir of weakness, fewer sensory abnormalities, and an inflammatory spinal fluid early in the course.