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STAT+: Brain biopsies on ‘vulnerable’ patients at Mount Sinai set off alarm bells at FDA, documents show

STAT

” At that point, he was living in a nursing home and had debilitating symptoms: tremors, difficulty gripping with his hands, and trouble walking. The FDA’s months-long internal examination of the LBP yielded a series of documents seen by STAT, including a lengthy review, completed in August 2019, of the Mount Sinai study.

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STAT+: UnitedHealth used secret rules to restrict rehab care for seriously ill Medicare Advantage patients

STAT

Health insurance giant UnitedHealth Group used secret rules to restrict access to rehabilitation care requested by specific groups of seriously ill patients, including those who lived in nursing homes or suffered from cognitive impairment, according to internal documents obtained by STAT.

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How Nursing Homes Get Paid and Why That Matters to LTC Pharmacy

Integra X Files

Many of you may be well acquainted with nursing home payment models – but a short primer can refocus us on important facts or familiarize colleagues newer to the industry. Let’s review how nursing homes get paid – and especially how that affects how pharmacies get paid for serving their residents.

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STAT+: UnitedHealth faces class action lawsuit over algorithmic care denials in Medicare Advantage plans

STAT

Internal documents revealed that managers within the company set a goal for clinical employees to keep patients rehab stays within 1% of the days projected by the algorithm. The lawsuit filed in the U.S. Continue to STAT+ to read the full story…

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SAEM Clinical Images Series: A Rare Case of Purpura

ALiEM - Pharm Pearls

The nursing home called EMS given the patient’s severe and progressive rash and the fact that the patient was feeling unwell. Case Discussion Take-Home Points Consider IgA vasculitis, even in an older patient. Ciprofloxacin has been documented as a cause of IgA vasculitis. It was not on her palms or soles.

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Medicare Part D for LTC Pharmacy: A Refresher

Integra X Files

We were a lonely voice, raising our hands during public hearings and in conversation with members, asking how they planned to accommodate the needs of nursing home residents. Industry representatives spent many hours during 2004 discussing the needs of nursing home residents and the current standards of service.

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Join APIC in Celebrating IP Day on April 7

Putting Patients First Blog

The Centers for Disease Control and Prevention (CDC) estimates that on any given day, 1 in 31 hospital patients and 1 in 43 nursing home residents has an infection as a result of their care. In 2021, the CDC documented a sharp rise in HAIs, which prior to the pandemic had been steadily decreasing.