According to court documents, between January 2006 and November 2011, Medistat certified, “more than 11,000 Medicare beneficiaries for home health services and had more patients than any other medical practice in the United States”. Over $350 million of unnecessary services were billed to Medicare during this time. In addition to these certifications one of Dr. Roy’s associates is accused of accepting kickbacks in exchange for Dr. Roy’s fraudulent approval of several Medicare beneficiaries. Six other individuals were indicted in connection with Dr. Roy and charges include: one count of conspiracy to commit healthcare fraud, eight counts of healthcare fraud, and two counts of false statements for use in determining rights for benefits and payment by Medicare. If convicted of the largest healthcare fraud case in recent history Dr. Roy could face life in
Quality Improvement Plan part I April, 4 2010 Quality Improvement Plan part I The United States population is aging, according to USA Today more than 7% Americans aged 75 and older lived in nursing homes in 2006,this number decreased compared with 8.1% in 2000 and 10.2% in 1990.According to studies, nursing home resident are the nation’s greatest consumers of prescriptions and over-the-counter medications, are especially vulnerable to medication-related problems( Avorn, 1995) . In the U.S., older adults consume an estimated 34% of all prescriptions, though they constitute just 13% of the U.S. population (American
The median household income in the region is significantly higher than the national average, and is substantially higher in Suffolk County than Nassau County ($85,994 vs. $76,847). According to 2000 census Nassau County is the third richest county per capita in New York State, and the 10th richest in the nation. The region had a lower poverty rate (5.2%) than the U.S. as a whole (9.8%) and significantly more households making over $100,000 a year (38.3% vs. 18.9%), although there are still pockets of poverty and unemployment.
I knew the use of Ritalin was wide spread, but I had no idea the extent. Today in the United States approximately 2 million children are diagnosed with ADD and ADHD (Treva 1999). It is more common in boys than girls with boys having an occurrence 2 to 3 times more often than girls have. The production of Ritalin has increased seven-fold in the last 8 years and 90% of it is consumed in the United States (Gibbs 1998). Shouldn’t that cause us to question the sheer number of children we have sedated in this country?
Prescription drug abuse is the fastest growing sector of illegal drug use in the United States. Over the course of a few years, the National Institutes of Health estimated that over twenty percent of people have used prescription drugs for non-medical reasons. Among these people, teenagers from ages 12 to 17 are the most frequent abusers. Today the number of teenagers who abuse prescription drugs is alarmingly high. “On average, 6,027 teens use prescription drugs every day to get high for the first time” (DEA).
Being that these types of assets are From significant parts of savings, this is a logical argument. 1982 to 1989, the Dow Jones Average went from 884 to 2,509 which drastically increased capital assets’ values. There was an impressive drop in the unemployment rate during Reagan’s administration as well. 17 million new jobs were created and the unemployment rate fell from 9.7% to 5.5% by the time Reagan’s presidential term ended (Niskanen & Moore 1996). The hours worked by working aged adults grew during
Although the likelihood of needing long-term care rises with age, almost as many people who need such care are under age sixty-five as are above it—5.6 million persons under age sixty-five (including 0.4 million children) and 6.6 million elderly, in roughly 1995.5 About 13 percent (0.1 million nonelderly and 1.5 million elderly in 1996) reside in nursing homes. Of the remainder who live in the community, one-quarter (1.2 million ages eighteen to sixty-five and 1.5 million elderly) are severely impaired, needing personal assistance with three or more ADLs.6 Compared with the rest of the population, persons who need long-term care are disproportionately low-income, very old, and living alone or with relatives other than a spouse (Exhibit 1). They also incur substantial costs (out of pocket and Medicare financed) for acute care services.7 Virtually all elderly persons who need long-term care have health insurance through Medicare. Medicare covers disabled persons under age sixty-five, however, only after they have received Social Security disability benefits for two years. Only 33 percent of the home-dwelling population ages eighteen to sixty-four with longterm care needs have Medicare coverage (Exhibit 2).
As of 2010, with the total population of the United States at 310.2 million individuals, White Non-Hispanic Americans are 64.7 percent of the United States population. While the second largest racial group in America is Hispanics with 16 percent of the population. According to the trends, the population is estimated to be at about 439 million in the year 2050. That's quite a rise in the population in the next 40 years (129 million) and who knows the impact it will have on our economy and job availability. It is also estimated that White Non-Hispanic Americans will be less than half the population at this point with 46.3 percent of the population being that race.
Since the peak in 1994 with 11.0 suicides per 100,000, there has been a 34% decrease. In 2004, the rate was 8.2 per 100,000. The immense change in suicides among young adults have proven to, unfortunately, be rapidly increasing. Sadly, suicide has become the second leading cause of death among college students, accidents being first. According to a top mental health official, suicides outnumber homicides in the United States.
Data, Information, Knowledge, and Wisdom Congestive heart failure (CHF) is very serious chronic condition with a high mortality and morbidity rate among the elderly population. According to the Centers for Disease Control and Prevention, approximately 5.7 million people have heart failure and there are 550,000 million people newly diagnosed each year in the United States. In addition, approximately 287,000 deaths a year are related to heart failure (CDC, 2012). Today, ED physicians want to quickly and accurately identify patients with suspected CHF in order to confirm diagnosis, determine the cause, severity, and treatment. Brain natriuretic peptide (BNP) is a hormone in the blood that is secreted by the ventricles and atria in response to cardiac overload.