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Saturday, May 20, 2017

UnitedHealth Overbilled Medicare by Billions, U.S. Says in Suit

I see reports like this and the behavioral economist in me thinks "of course this would happen." For it to not happen would be the surprise. It's like when you incent your child with M&Ms to use the potty. "Sweetie, everytime you tinkle in the potty, you will get an M&M." In short time, she learns amazing bladder control and tinkles 20 times a day maximizing the M&M reward. Grown ups are not different. Given the opportunity, we optimize an incentive. Whether it's an optimization or an exploration is a matter of perspective isn't it? Optimization from the perspective of the one receiving the incentive, exploitation from the one dispensing the incentive. This is an example of the cobra effect--when a designed incentive has an unintended consequence. CMS really should be asking, "How did our policy for Medicare Advantage unintentionally incent the observed practice by United Healthcare (and others)?" The remedy lies in the answer to this question. With answer in hand, the program may be adjusted to mitigate the cobra effect.
from Rajesh Harrykissoon, MD

Thursday, May 18, 2017

Diabetes and life expectancy: What effect does type 2 diabetes have?

A 2012 Canadian study found that women aged 55 years and over with diabetes lost on average 6 years of life while men lost 5 years.
from Rajesh Harrykissoon, MD

Saturday, May 13, 2017

Monday, May 8, 2017

New study finds 45,000 deaths annually linked to lack of health coverage

A Harvard Medical School study in 2009 found that 45,000 people die a year due to lack of health insurance. Many more who are underinsured may be at risk. The underinsured may delay seeking medical care unorder to see if they may "pull through" on their own, may ration medications by adjusting the dosage to other than prescribed, may self-neglect by getting care for other members of the family while denying self.
from Rajesh Harrykissoon, MD

Friday, April 28, 2017

Nighttime Urination and Sleep Apnea -

There are many causes of excessive night time urination, called nocturia, of which obstructive sleep apnea (OSA) is one. The good news is that if your nocturia is due to OSA, treatment is likely to improve or even resolve your nocturia. Call us for a consultation.
from Rajesh Harrykissoon, MD