The HHS’ Office of the Inspector General (OIG) released a report that says Medicare Advantage (MA) plans received an estimated $6.7 billion in 2017 after adding diagnoses to patients' files that were not supported by their medical records; more Americans are dying at home rather than in hospitals or nursing homes; the FDA warned Alkermes, maker of Vivitrol, a long-acting antiaddiction medication, that its printed advertisement does not include the risk of an increased chance of a “potentially fatal” opioid overdose as the effects wear off.
The HHS’ Office of the Inspector General released a report that says Medicare Advantage (MA) plans received an estimated $6.7 billion in 2017 after adding diagnoses to patients’ files that were not supported by their medical records. Reuters reported that MA plans added diagnoses for diabetes, heart disease, and other conditions in 99.3% of chart reviews of patient information and deleted incorrect diagnoses less than 1% of the time. The deleted information cut government payments by nearly $200 million, netting $6.7 billion.
More Americans are dying at home rather than in hospitals or nursing homes, according to a report published in The New England Journal of Medicine. The report used government health statistics on deaths from natural causes from 2003 through 2017. Hospital deaths fell from 40% to 30% over that period and deaths in nursing homes from 24% to 21%. The shift to home deaths—not seen in about a hundred years or more—reflects more hospice care and progress toward the kind of end-of-life care that most people say they want.
The FDA warned Alkermes, maker of Vivitrol, a long-acting antiaddiction medication, that its printed advertisement does not include the risk of an increased chance of a “potentially fatal” opioid overdose as the effects wear off. Vivitrol, a long-acting version of naltrexone, is administered by injection every 28 days. If patients miss a dose or stop using it altogether, they risk overdosing if they take a legal or illegal opioid in the same amount they were previously consuming, The Washington Post reported.
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