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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UnitedHealth Group Cyberattack Status Update

(3 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/2024/2024-03-18-uhg-cyberattack-status-update.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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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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Information on the Change Healthcare Cyber Response

(8 days ago) WEBApril 22, 2024 4 p.m. CT. UnitedHealth Group is announcing support for people who may be concerned about their personal data potentially being impacted …

https://www.unitedhealthgroup.com/ns/changehealthcare.html

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Factors Associated With Overuse of Health Care Within US Health …

(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 …

https://jamanetwork.com/journals/jama-health-forum/fullarticle/2788097

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Medicare Part D Overutilization Monitoring System (OMS) Summary

(2 days ago) WEBMedicare Part D Overutilization Monitoring System (OMS) Summary. As part of a multifaceted response to address the growing problem of overuse and abuse …

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

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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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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 …

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

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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 leading cause of infant hospitalization, resulting in over 100,000 hospitalizations and $1.7 billion hospital charges annually. Bronchiolitis exclusively affects children 2-years-old …

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

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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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Decreasing Inappropriate Telemetry Use via Nursing-Driven …

(3 days ago) WEBAdditionally, inappropriate telemetry use contributes to alarm fatigue. A 12-day alarm system analysis conducted at a large academic hospital in 2014 found that non-intensive care beds had, on average, 350 alerts per day . Between 2005 and 2008, 566 deaths were attributed to alarm fatigue.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9550181/

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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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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 Over-Utilization of Cardiac Telemetry with Pop-Ups in an

(3 days ago) WEBThe overuse of telemetry often leads to a shortage of tele-beds and an increment of expenses . The American Board of Internal Medicine (ABIM) does not recommend the use of telemetry monitoring outside the ICU without a continuation protocol . As of 2009, a day’s cost of telemetric monitoring was at least $1,400 per patient.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5491336/

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Telemetry and the reduction of overuse - American Nurse

(2 days ago) WEBContinuous cardiac monitoring or telemetry is commonly used to detect lethal arrythmias in patients outside of critical care units. However, overusing telemetry can …

https://www.myamericannurse.com/reducing-overuse-of-telemetry/

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Medicare Care Management

(3 days ago) WEBUnitedHealthcare ® Medicare Advantage plan members have access to our free care management program. With the. help of a dedicated care management team and daily …

https://www.uhchealthtracker.com/

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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 …

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

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Cardiac Event Monitoring - UHCprovider.com

(6 days ago) WEBThe guidelines note that Holter monitors are typically worn for 24-48 hours, patch monitors are worn 7-14 days, event/loop monitors are worn for 30 days, and ambulatory cardiac …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/cardiac-event-monitoring.pdf

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Wellness and rewards programs for members UnitedHealthcare

(7 days ago) WEBUnitedHealthcare Motion®. With UnitedHealthcare Motion, you’ll use an activity device to track your activity, set goals and earn financial rewards when you reach them. You may earn $3 to $4 a day toward your health savings account. And that adds up! The more goals you reach, the more rewards you get — it’s that simple.

https://www.uhc.com/member-resources/health-care-programs/wellness-and-rewards-programs

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Cardiac telemetry: eliminating overuse - Today's Hospitalist

(8 days ago) WEBAccording to a new study, Christiana Care Health System in Newark, Del., was able to cut its use of cardiac telemetry by an astonishing 70% by embedding American Heart Association (AHA) guidelines for that testing into its electronic medical record. Even better: That dramatic reduction didn’t affect patient risk or outcomes.

https://todayshospitalist.com/cardiac-telemetry-eliminating-overuse/

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