Colic has historically been described as a gastrointestinal issue, however, a new study suggests that migraines may play a role. The finding was published in the Journal of the American Medical Association and revealed that the likelihood was seven times higher that kids with migraines were previously colicky babies, compared to kids without migraines…
Tag Archives: American Medical Association
Improving Quality Patient Outcomes a Money Loser for Hospitals
Surgical patients who have complications generate better margins for hospitals, a new study in the Journal of American Medical Association has found.
Hospitals Make More Money When They Mess Up Your Surgery
By Frederick E. Allen, Forbes Staff
A new study just published in The Journal of the American Medical Association finds that hospitals often profit greatly when your surgery goes wrong. Typically you end up spending 14 days in the hospital instead of three. If you have private insurance, the hospital makes $39,017 more in profit—$55,953 versus $16,936. If you have Medicare, the hospital makes just$1,749 more.
Hospital Profits Linked To Patients With Surgical Complications: Study
By The Huffington Post News Editors
Patients who suffer complications after surgery are lucrative for hospitals, which get paid more when they treat infections and other problems, according to a study published in the Journal of the American Medical Association today.
In 2010, an unnamed, nonprofit 12-hospital chain in the southern U.S. was paid an average of $49,400 per person for treating surgery patients who have complications — more than double the $18,900 paid for patients who underwent only the initial surgery, according to an analysis by researchers from Harvard Medical School and elsewhere.
More than 5 percent of 34,256 surgery patients were stricken with at least one complication, according to the study. Patients who needed additional treatments after surgery spent an average of 14 days in the hospital, compared to three days for those who didn’t. The study examined operations including hip replacements, heart bypasses, and hysterectomies, and complications such as infections, septic shock and heart attack.
Read More…
More on Health Care
From: http://www.huffingtonpost.com/2013/04/16/hospital-profits-complications_n_3092427.html
The "World's Greatest Retirement Portfolio" Continues to Outperform
By Brian Stoffel, The Motley Fool
Filed under: Investing
It’s been almost 23 months since I introduced the World’s Greatest Retirement Portfolio to Foolish readers. This was, has been, and will continue to be my way of helping the world to invest better. Putting my money where my mouth is, I pledged to put at least $4,000 behind each stock and attempt to hold each one for at least three years — though I’ve already broken that promise.
Since I began, the market has returned 24.1%, which is pretty darn good by historical measures. Though this portfolio has been outperforming the market by double digits for well over a year now, it is currently ahead by just 3.3 percentage points.
Read below to see why the margin between the two is narrowing, and at the end, I’ll offer up access to a special premium report on one of these 10 companies.
|
Company |
Publication Date |
Change |
Vs. S&P 500 |
|---|---|---|---|
|
|
64.4% |
38 |
|
|
PriceSmart |
56.7% |
31 |
|
|
Baidu |
(20.8%) |
(44) |
|
|
Intuitive Surgical |
22.4% |
1 |
|
|
National Oilwell Varco |
(11.8%) |
(37) |
|
|
Coca-Cola |
28.1% |
3 |
|
|
Whole Foods |
40.3% |
19 |
|
|
Amazon.com |
26.1% |
3 |
|
|
Apple |
33.8% |
11 |
|
|
Johnson & Johnson |
34.7% |
8 |
|
Source: Fool.com. All numbers accurate as of market close March 31, 2013. *Returns are for position in ATVI held from July 15, 2011, to Sept. 9, 2012, and transferred over to BIDU on Sept. 15, 2012.
One company that can’t catch a break
More or less, the companies in this portfolio didn’t perform terribly during the month of March, they just weren’t able to keep pace with the S&P 500, which climbed over 3% during the month. That wasn’t the case, however, for Intuitive Surgical , maker of the da Vinci surgical robot.
I’ve covered the stock’s dive already, but there are three simple events that caused the stock to drop. First, the Journal of the American Medical Association questioned the need for robotic hysterectomies. Second, the FDA announced it was investigating a rise in the company’s incidents reports. Finally, the president of the American Congress of Obstetricians and Gynecologists publicly echoed the concerns raised in the JAMA article.
Three companies having a good month
Even though the portfolio as a whole isn’t leading the market by quite as much, three stocks had a relatively good March.
Shares of Latin American club wholesaler PriceSmart were up 5%. This came on the heels of the announcement that the company’s net sales increased 7.8% during the month of February, which included an impressive 8.9% increase in same-store sales. PriceSmart also announced it has acquired land in Tegucigalpa, Honduras, to open up its third store in the country.
The total return from my investments in Coca-Cola and Johnson & Johnson also increased markedly during March. Part of this was due to the fact that Coke issued its quarterly dividend …read more
Source: FULL ARTICLE at DailyFinance
2012 America's Health Rankings® eBook Now Available
By Business Wirevia The Motley Fool
Filed under: Investing
2012 America’s Health Rankings® eBook Now Available
Free eBook by United Health Foundation now available for download on iPhone, iPad and iPod Touch
MINNETONKA, Minn.–(BUSINESS WIRE)– United Health Foundation has released a free eBook of its 2012 edition of America’s Health Rankings®. The eBook is available in the iTunes Store for download on iPhone, iPad and iPod Touch with iBooks in iOS 4.3.3 or later.
America’s Health Rankings is the longest-running report of its kind. For 23 years, the Rankings has provided an analysis of national health on a state-by-state basis by evaluating a historical and comprehensive set of health, environmental and socioeconomic data to determine national health benchmarks and state rankings. It is published jointly by United Health Foundation, American Public Health Association and Partnership for Prevention.
The data in the report come from well-known resources including the Centers for Disease Control and Prevention, American Medical Association, FBI, Dartmouth Atlas Project, U.S. Department of Education and Census Bureau. A Scientific Advisory Committee, with members from leading academic institutions, government agencies and the private sector, review and oversee the report.
In addition to the eBook, the 2012 edition – which was released Dec. 11, 2012 – includes a range of interactive tools on the America’s Health Rankings website. Visitors can view the full 2012 report and a replay of the launch event, complete with commentary from some of the nation’s premier public health leaders. Customizable reports, templates and slides are also available on the website and are free to download.
With the rising number of unhealthy lifestyles contributing to the increasing number of people burdened by preventable chronic illnesses, America’s Health Rankings hopes that its eBook and interactive toolset will spur action among individuals and communities to make positive changes and improve their health.
For more information, visit www.americashealthrankings.org.
About United Health Foundation
Guided by a passion to help people live healthier lives, United Health Foundation provides helpful information to support decisions that lead to better health outcomes and healthier communities. The Foundation also supports activities that expand access to quality health care services for those in challenging circumstances and partners with others to improve the well-being of communities. …read more
Source: FULL ARTICLE at DailyFinance
HMS Holdings Corp. Announces New Operations Executive
By Business Wirevia The Motley Fool
Filed under: Investing
HMS Holdings Corp. Announces New Operations Executive
Semone Wagner Brings Over 25 Years of Operations Management Expertise
IRVING, Texas–(BUSINESS WIRE)– HMS Holdings Corp. (NAS: HMSY) today announced that Semone Wagner has joined the company as Executive Vice President of Operations. Ms. Wagner is responsible for the company’s core operations, including the coordination of benefits service line. She will report to Bill Lucia, Chief Executive Officer, as a member of the company’s executive team.
Semone’s depth of experience in healthcare claims processing, coupled with her operational and reengineering expertise, make her an excellent addition to our executive team,” said Lucia. “Her track record for leading change, driving quality performance, and reducing unit costs in a complex operating environment will be invaluable as we continue to develop and expand our business.”
Prior to joining HMS, Ms. Wagner served as Senior Vice President of Claim Operations at United HealthCare (UHC), where she oversaw the operations for all business lines and major platforms processing over 500 million claims annually. Under her leadership, the company achieved industry-leading performance levels, earning the American Medical Association designation for the industry’s best claim operation in 2011 and 2012. Ms. Wagner, a Six Sigma black belt, also led a number of reengineering initiatives at UHC, including the launch and execution of an organization-wide Six Sigma program that supported a one billion dollar change agenda.
Lucia added, “With her extensive payer background, Semone brings a fresh perspective on our business and is uniquely positioned to give us new insight into how we can streamline and enhance our partnerships with commercial insurers – both as key stakeholders in our coordination of benefits business and as clients. We will also benefit from her deep knowledge of the payer environment and understanding of the ways in which our cost containment services can benefit the commercial market.”
Ms. Wagner holds a Bachelor of Science from the University of South Carolina and an MBA from the University of North Carolina at Charlotte. She also holds an Executive Leadership Development certificate from Wharton.
About HMS
HMS Holdings Corp., through business units including HMS and HDI, provides coordination of benefits and program integrity services for payers. These units …read more
Source: FULL ARTICLE at DailyFinance
Supreme Court weighs drug companies' 'pay to delay' generics policy
The Obama administration, backed by consumer groups and the American Medical Association, says these so-called “pay for delay” deals profit the drug companies but harm consumers by adding 3.5 billion annually to their drug bills.
The Anatomy of Intuitive's Dive
By Brian Stoffel, The Motley Fool
Filed under: Investing
Back on Jan. 22, Intuitive Surgical , maker of the da Vinci robotic surgical system, came out with earnings that pleased investors. Despite a bearish report from famed short-seller Citron Research, Intuitive showed strength, growing revenue by 23% — mostly due to 25% more gynecological procedures being performed than at the end of 2011.
Since then, however, the company has been in a free fall — down 20% between Feb.1 and March 15. Check out the graphs below and I’ll explain the different events that have led to this free fall, and whether investors should be hitting the panic button.
Source: YCharts.
The first blip on the radar screen appeared around Feb. 21, when a report came out questioning the benefits of robotic-assisted surgery. Specifically, the Journal of the American Medical Association — noting a precipitous uptick in the number of hysterectomies performed robotically — ran some numbers that made da Vinci seem like an unnecessarily expensive surgical option.
The report actually showed that while 5.3% of those having a hysterectomy by traditional methods developed complications, the number was actually higher — at 5.5% — for patients whose doctors used a da Vinci.
Intuitive responded by saying that two key elements were being ignored. First, recovery time was not considered, and da Vinci’s less-invasive nature lends itself to quicker recovery times. Secondly, the media generally overlooked another finding of the report: “as use of the robot increased, there was a decrease in the percentage of women who received a traditional ‘open’ hysterectomy, in which the uterus is removed through a large incision in the abdomen.”

Source: YCharts.
The second big dip came on the heels of an announcement of an FDA investigation. While the announcement of any FDA investigation is worthy of careful inspection by investors, there is something important to realize here.
The impetus for the investigation was a rise in incident reports sent to the agency in use of the da Vinci robot. That sounds pretty bad, until you dig a little deeper. One of the key drivers for the increase in reports came because the company changed its reporting standards. Most of the rise in incidents is due to broken cables that aren’t creating harmful side effects to the patients and are remedied quickly. These existed before as well — it’s just that they weren’t reported.
Although I certainly can’t know what’s going through the heads of FDA officials, I don’t think — years from now — the sell-off will be warranted because of this change in reporting habits.

Source: YCharts.
But probably the most damning news for Intuitive investors came in mid-March. At the annual conference of the American Congress of Obstetricians and Gynecologists, president James T. Breeden, MD, followed up with the report from the Journal of the American Medical Association.
You can read the full text of his statements here, but this is the basic summary: While …read more
Source: FULL ARTICLE at DailyFinance
Is Intuitive Surgical Wasting Your Money?
By Rich Duprey, The Motley Fool
Filed under: Investing
Stock buybacks are generally considered a bullish signal on Wall Street. They return capital to shareholders, while declaring management’s belief that its own cheap shares are its best return on investment. As long as profits remain consistent, share repurchases can even increase earnings per share, by dividing the same amount of earnings among a smaller pool of shares outstanding.
But the market is at record highs these days, and, according to a recent report by The Wall Street Journal, February was a record month for stock buybacks with companies authorizing the repurchase of $177.8 billion worth of stock. The bearish read on that is they’re doing the opposite of “buy low, sell high.” Worse, they’re simply buying stock and not investing in their businesses, hiring new employees, or making acquisitions suggesting that despite having war chests filled to overflowing they don’t see the economy as good enough to take a risk on.
So don’t use the buyback announcement as a reason to buy the stock yourself — rather, use it as a launching pad for additional research.
Returning value
Just yesterday, Intuitive Surgical announced a massive new $1 billion share purchase program on top of the $208 million that remains on its current buyback plan, equating to about 2 million shares at yesterday’s closing price, or around 5% of its float. It plans to fund the repurchase program through cash and investments, and as of the end of 2012, the company had approximately $2.9 billion of cash, equivalents, and investments.
The stock has fallen about 20% in the past few weeks as concerns over a spike in device malfunction reports weighs heavily on its shares.
Mona Lisa’s smile
The selloff began after it was reported the FDA was looking into whether Intuitive’s da Vinci surgical robotics machines were causing complications for surgeons. Some 450,000 procedures were performed with the systems in 2012, up 25% from the year before, and the question being asked is whether the high cost of the equipment — they run about $1.5 million each — is worth the minimally invasive surgery they perform. The Journal of the American Medical Association charged the systems raised the cost of a hysterectomy, for example, but did little to improve safety. Gynecological surgery comprises 60% of the procedures performed in the U.S., and a hysterectomy is the most common operation using the devices.
Intuitive Surgical realized almost $2.2 billion in sales last year, of which $1.8 billion came from product sales generating $1.3 billion in gross profit.
The robotics maker did nothing to help itself when it tried to explain that the spike in problems reported with the da Vinci systems was because it changed how it reported them to the regulatory agency.
It began the new system last September and immediately began seeing a rise in the number of issues doctors were having, with a cable breaking being the most common problem reported, but rendering the machine non-functionable. Intuitive’s stock fell again when it …read more
Source: FULL ARTICLE at DailyFinance
One-Third Of Doctors Miss Electronic Test Results
Electronic medical test results have turned out to be much like email: doctors receive a large volume of them, therefore some get lost by the wayside. The new finding came from a study conducted by a group of researchers at the Michael E. DeBakey Veterans Affairs Medical Center in Houston and was published in the Journal of the American Medical Association… …read more
Source: FULL ARTICLE at Medical News Today
Mixed Results For Spironolactone In Heart Failure With Preserved Ejection Fraction
By Larry Husten, Contributor Although the mineralocorticoid receptor antagonists (MRAs) spironolactone and eplerenone (Inspra, Pfizer) have been shown to be beneficial in patients with heart failure (HF) with reduced ejection fraction (EF), their role in heart failure patients with preserved EF has not been tested until now. Now the results of the Aldo-DHF (Aldosterone Receptor Blockade in Diastolic Heart Failure), published in the Journal of the American Medical Association, demonstrate that although the treatment works as expected to improve diastolic function in this patient population, no clinical benefits were observed in association with these changes. …read more
Source: FULL ARTICLE at Forbes Latest
How Teamwork Across the Health System Can Keep Seniors Out of the Hospital
By Howard Gleckman, Contributor Broad-based, integrated, community-wide initiatives can help keep seniors out of the hospital, says an important new study from the Journal of the American Medical Association.
Source: FULL ARTICLE at Forbes Latest
9 Great Tidbits Of 'Dear Abby' Wisdom
By Alison Griswold, Contributor Although I have unbounded admiration for each of them, I am not King Solomon, the American Medical Association or the U.S. Supreme Court. I am not Portia, Cassandra, or the Delphic Oracle even. I have, in brief, no delusions about myself or about my work. Although I do put forward the mild claim to some pride in both.
Source: FULL ARTICLE at Forbes Latest
AMA Puts $10 Million Bounty On New Doctor Training Effort
By Bruce Japsen, Contributor Facing unprecedented change in how medical care will be delivered to more Americans, the American Medical Association said it will provide $10 million toward efforts to transform graduate medical education for tomorrow’s physicians.
Source: FULL ARTICLE at Forbes Latest

