HHS Secretary Alex Azar said President Donald Trump was not satisfied with the administration's International Pricing Index proposal and wants it changed so US drug prices would be even lower than those in other countries. Under the proposal, the US would pay less than it currently pays but still more than the average from among developed countries, but Azar said Trump wants the US to get "the best deal among developed countries."
It can be stressful when personalities clash and interactions become tense, but there are several ways to turn the relationship around, writes Peter Daisyme. Setting boundaries so they're relevant to the other person is one way to change the dynamic, says licensed social worker Melody Wilding.
Cellulitis, ulcerative lymphangitis and edema are common causes of swollen limbs in horses, says equine veterinarian Rosemary Cuming. Cellulitis and lymphangitis are bacterial infections; edema, or pooling of fluids in the limbs, can occur after a long period of restricted movement and is common in older horses as well as those that have been injured or have had cellulitis or lymphangitis, Dr. Cuming says.
Bei Bei, a 4-year-old giant panda at Smithsonian National Zoo, is being shipped to Chengdu, China, accompanied by a veterinarian and panda keeper on a chartered FedEx cargo plane stocked with apples, sweet potatoes and 66 pounds of bamboo. Bei Bei will join China's giant panda breeding program sometime in the next few years.
A study published in Diabetic Medicine found that patients with type 2 diabetes who began with a combination of metformin and sitagliptin had lower A1C and were 24% less likely to require insulin one year into treatment, compared with patients who delayed starting sitagliptin. The researchers used data from 8,764 patients and suggested that "costarting sitagliptin with metformin may change the natural history of [type 2 diabetes], which could ultimately lead to fewer medications and a lower risk of complications."
A study published in Diabetes Care found that among youths with diabetes, ages 3 to 19, those with diabetic ketoacidosis at diagnosis had significantly higher health care costs, spent more time in the hospital and had more inpatient admissions and office visits within 60 days of diagnosis, compared with those without DKA. Analyzing data on 4,889 patients, the researchers found that annual excess health care costs -- which could range from $46 million to $63 million -- may potentially be avoided if "DKA is averted through timely diabetes diagnosis and management."
A Sage Growth Partners survey found almost $131 billion in venture capital investments in US-based health care startups last year, contributing to a more than 14% increase in merger and acquisition activity from 2017 to 2018. Investors said they favored fragmented markets such as health care, while health care CEOs said their biggest issue was investor credibility.
SSM Health Chief Transformation Officer Carter Dredge told Becker's Hospital Review CEO + CFO Roundtable that his job includes overseeing strategy, which includes population health, value-based care, advanced analytics and business model innovation. "As a chief transformation officer ... we're really looking for ways to not incrementally improve the system but to dramatically improve the system," Dredge said.
Strongline, a spinoff of software company Collateral Opportunities, developed a wearable badge that allows nurses at Jefferson University Hospital in Philadelphia to alert security and nurses nearby in case of an emergency or a potentially violent situation. "If we could get to a point where every worker in a health care environment could have protection like this, we would live in a much safer world," said Strongline co-founder Justin Green.
Admissions increased during the third quarter of the year for all for-profit hospital operators, adding to admission gains throughout the year, and Jefferies analyst Brian Tanquilut said it suggests that high-deductible health plans are driving the seasonal trend. Tanquilut said patients may be delaying care until after their deductibles are met.
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