Intermedix, a vendor of revenue cycle management and administrative services, has acquired the billing division of T-Systems, which provides billing services for ERs.
Putting a Patient Orders for Life-Sustaining Treatment form in the patient's medical record seems to ensure that the patient's preferences about end-of-life care are respected.
An Aon Hewitt survey of employers finds that around 70% intend to adopt reference pricing and that a large number plan to use "gating" strategies in the future to give employees richer benefit designs, but only if they take certain actions to ensure cost-effective care and healthy behaviors. Per person pricing, reduced dependent subsidies and more use of health cost transparency tools are also growing strategies.
Doctors would seldom chose aggressive end-of-life care for themselves, although they often order it for patients, according to research in PLoS One. Almost all doctors have or would have advance directives declining resuscitation or other heroic measures.
At least $75 billion in uncompensated care was rendered by providers in 2013, most by hospitals, and about 65% of that was offset by government payments, according to research in Health Affairs.
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at khroche@healthy-skeptic.com.