US WARNS DOCTORS AGAINST AGREEMENTS ON FIXING OF PRICES

PEDIATRICS ◽  
1989 ◽  
Vol 83 (5) ◽  
pp. A92-A92
Author(s):  
J. F. L.
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Attorney General ◽  
Justice Department ◽  
Alternative Health ◽  
Health Delivery ◽  
Enforcement Policy ◽  
Antitrust Laws ◽  
Care Costs ◽  
Medical Competition

The Justice Department issued a stern warning to the nation's doctors today that they are under surveillance for evidence of price fixing and other violations of the antitrust laws. Assistant Attorney General Charles R. Rule, head of the Justice Department's antitrust division, told members of the American Medical Association's House of Delegates that agreements by doctors to reduce medical competition and thus harm their patients' interest "can be hazardous to your personal freedom." "You can go to jail," he said. The Justice Department's enforcement policy "is necessary to insure that society's decision to rely on competition to hold down health care costs will not be frustrated by a handful of greedy individuals." The assistant attorney general gave . . . advice to doctors: Do not make any agreement with any competing independent doctors on prices or fee schedules, on patients you will serve or locations from which you will draw patients or on joint refusal to offer services to alternative health delivery systems.

Virtual Diabetes Prevention Program—Effects on Medicare Advantage Health Care Costs and Utilization

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 45-LB
Author(s):  
VINAY CHIGULURI ◽  
DOUGLAS BARTHOLD ◽  
RAJIV GUMPINA ◽  
CYNTHIA CASTRO SWEET ◽  
JASON PIERATT ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Prevention Program ◽  
Diabetes Prevention ◽  
Diabetes Prevention Program ◽  
Medicare Advantage ◽  
Program Effects ◽  
Care Costs

Factors Affecting Discharges against Medical Advice in an Emergency Department of a Tertiary Care Center

2020 ◽  
Vol 2 (2) ◽  
pp. 31-35
Author(s):  
Trishna Shrestha ◽  
Sneha Pradhananga ◽  
Kabita Hada Batajoo ◽  
Manjita Bajracharya
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Health Care Costs ◽  
Medical Advice ◽  
Health Concern ◽  
Against Medical Advice ◽  
Factors Affecting ◽  
Tertiary Center ◽  
Care Costs ◽  
Leaving Against Medical Advice

Introduction: Patients leaving against the advice of the treating team before being certified as fit is a major concern and challenge for the treating professionals as it possesses adverse medical outcomes. This study hence aimed at identifying the prevalence and major factors affecting such discharges so that advocacy can be done to help prevent it. Methods: A descriptive cross-sectional study was conducted at emergency department of a tertiary center in Lalitpur from 15th May 2019 to 15th August 2019. All the patients visiting the emergency department were included in the study and a non-probability purposive sampling method was used excluding the patients who denied giving reasons for them leaving against medical advice. Data was collected using pre-structured questionnaire and analyzed using SPSS-v21 software. Results: A hundred and fifteen patients (4.08%) left against medical advice out of 2812 patients who presented to emergency department. There were 63 male patients (54.8%), 75 patients of the total patients in the age group of 15-44 years (65.2%) and those living within a distance of 1km from the hospital (53%). The most common reason for the patients leaving against medical advice was found to be due to financial constraint (38.3%) followed by preference to other hospitals (16.5%). Conclusion: Patients leaving against medical advice possesses a small percentage of actual hospital admissions but is still a major health concern as it drastically increases the morbidity, re-admission rates and total health-care costs. Hence, understanding the general characteristics and predictors of such discharges is of utmost importance to help improve the patient outcome and reduce the health-care costs.  

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