Volume VI, Issue 33

Aug. 19, 2019
I'm a jail physician. Here's what likely happened to Jeffrey Epstein.
WH
Dr. Jeffrey Keller reports in a KevinMD post dated 8.16.19:  
 
Jeffrey Epstein's apparent suicide while in custody at a Manhattan detention facility has focused intense media scrutiny into jail suicide prevention procedures. Suicide is the biggest cause of death in jails in the U.S. - by far. Because of this, all jails (including the facility where Epstein was housed) have a suicide prevention policy. Since the process was an epic failure at that Manhattan facility, it might be useful to discuss how a jail suicide prevention program is supposed to work. 
      
WIM
According to the author:
 
Jail suicide prevention programs absolutely work to reduce suicides when functioning properly. In Epstein's case, there were evidently multiple failures. 
The dark side of Finland's health system 
WH
Saskya Vandoorne and Melissa Bell report for CNN on 8.15.19. Finland's universal health system gets high marks for access, cost and outcomes. That said, the system is also
A look at Finland's health care system 
A look at Finland's health care system
plagued with marked disparities in quality of care when comparing different populations in the nation. Meanwhile, unmet medical needs due to cost, travel distance or waiting lists are common and, due to an aging population, the financial sustainability of the system is in peril.   
 
WIM
As Americans politicians and citizens are increasingly discussing a Medicare-for-All system in the U.S., this is an essential read for all healthcare stakeholders. 
Surprise Billing Up Sharply in ED and Inpatient Admissions
WH
According to research published in JAMA on 8.12.19:

In this analysis of 5,457,981 inpatient admissions and 13,579,006 emergency department admissions between 2010 and 2016 in a large national sample of privately insured patients, the incidence of out-of-network billing increased from 32.3% to 42.8% of emergency department visits, and the mean potential liability to patients increased from $220 to $628. For inpatient admissions, the incidence of out-of-network billing increased from 26.3% to 42.0%, and the mean potential liability to patients increase from $804 to $2040.

WIM
According to the researchers:
 
Our findings are notable because out-of-network billing was common among medical transport services and hospital-based physicians (e.g. emergency physicians, radiologists, and anesthesiologists) providing care at in-network hospitals. In such circumstances, patients could easily assume that the entire hospital team is in network and thus the balance billing may come as a surprise.  

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Florida Health Industry Week in Review is published every Monday by
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Each Monday morning, we share the top healthcare headlines of the previous week and summarize
What Happened (WH) and
Why It Matters (WIM).

To learn how you can join our team of editorial contributors, contact Jeffrey Herschler .
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