Insurers Test New Way To Cut Maternity Care Costs: Bundling

The thrill of delivering newborns helped pull Dr. Jack Feltz into the field of obstetrics and gynecology.

More than 30 years later, he still enjoys treating patients, he said. But now, Feltz is also working to change the way doctors are paid for maternity care.

Feltz’s New Jersey-based practice, Lifeline Medical Associates, recently partnered with the insurer UnitedHealthcare to test a new payment model. The insurer sets a budget with the practice to pay doctors one lump sum for prenatal services, delivery and 60 days of care afterward. If the costs come in below that amount, the medical practice gets to keep some of the savings. (Hospitals aren’t a part of this contract; the insurer pays them separately for their services.)

Workplaces could be good setting for diabetes prevention

People in certain occupations have a three-times-higher risk of type 2 diabetes compared to those in other jobs, probably because of lifestyle factors, a nationwide study in Sweden suggests.

Getting these workers to ramp up physical activity could be the first step to preventing the disease, the researchers say.

“The way to target the workplace is by finding employees at the highest risk,” study leader Dr. Sofia Carlsson from the Institute of Environmental Medicine at the Karolinska Institutet in Stockholm told Reuters Health by phone. “We wanted to go through all occupations in the entire Swedish population and see where the risks and prevalence of type 2 diabetes were highest.”

U.S. CDC recommends against using vapes with marijuana ingredient

(Reuters) – People should stop using e-cigarettes, especially those with marijuana ingredient tetrahydrocannabinol (THC), U.S. public health officials recommended on Friday, as an investigation into illnesses and deaths related to vaping deepens.

FILE PHOTO: A man uses a vaping product in the Manhattan borough of New York, New York, U.S., September 17, 2019. REUTERS/Carlo Allegri

E-cigarettes have been marketed as tools to help smokers quit, but rising use among youth in the United States and a spate of severe lung illnesses tied to the devices have triggered a backlash and heightened regulatory scrutiny.

Web-based, digital-app birth control prescription services appear to be overall safe and efficient

Web-based and digital-app services that offer oral contraception appear to be overall safe and efficient, according to the findings of a secret-shopper-style study conducted by researchers at Harvard Medical School and UC Davis that analyzed the birth control prescription services of nine U.S. vendors.

The results, published Sept. 26 in The New England Journal of Medicine, offer a measure of reassurance amid concerns over the safety and reliability of a rapidly growing model of care delivery that gives individuals online access to treatments ranging from birth control and erectile dysfunction medication to hair-loss drugs.

Clinical trial to evaluate efficacy and safety of new treatment for giant cell arteritis

An international, multicenter phase II clinical trial is evaluating the efficacy and safety of mavrilimumab co-administered with a 26-week corticosteroid taper in patients with giant cell arteritis (GCA). The study is sponsored by Kiniksa Pharmaceuticals, Ltd. Hospital for Special Surgery (HSS), in New York City, is one of the centers participating in the research.

The Delicate Issue Of Taking Away A Senior’s Smartphone

At first, Dr. Robert Zorowitz thought his 83-year-old mother was confused. She couldn’t remember passwords to accounts on her computer. She would call and say programs had stopped working.

But over time, Zorowitz realized his mother — a highly intelligent woman who was comfortable with technology ― was showing early signs of dementia.

Increasingly, families will encounter similar concerns as older adults become reliant on computers, cellphones and tablets: With cognitive impairment, these devices become difficult to use and, in some cases, problematic.

U.S. House panel asks e-cigarette companies to cease advertising

FILE PHOTO: A man uses a vaping product in the Manhattan borough of New York, New York, U.S., September 17, 2019. REUTERS/Carlo Allegri

WASHINGTON (Reuters) – A U.S. House panel sent letters to four e-cigarette companies asking them to stop all print, broadcast and digital advertising of their products in the United States, the same day as market-leader Juul said it would pull its ads, the panel said on Thursday.

“I am writing today to respectfully, but strongly, request your company to do the same,” Representative Raja Krishnamoorthi, chairman of the House Oversight subcommittee on economic and consumer policy, wrote on Wednesday to Fontem Ventures, Japan Tobacco International Inc, Reynolds American Inc and NJOY LLC.

U.S. senators urge Walmart, others to stop selling all tobacco products

FILE PHOTO: A man holds an electronic cigarette as he vapes at a Vape Shop in Monterrey, Mexico February 1, 2019. FREUTERS/Daniel Becerril

WASHINGTON (Reuters) – Six Democratic U.S. senators on Thursday asked Walmart Inc, Walgreens Boots Alliance Inc, Rite Aid Corp and Dollar General Corp to stop selling all tobacco products.

The senators cited the “public health crises” of use of e-cigarette products by children and the recent outbreak of vaping related illnesses and deaths.

Reporting by Bryan Pietsch; Editing by Chizu Nomiyama

Our Standards:The Thomson Reuters Trust Principles.

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Meet The Health Officials Who Alerted The World To The Alarming Vaping Illness

MILWAUKEE — Dr. Lynn D’Andrea knew something was amiss when three teenagers with similar mysterious, dangerous lung injuries came into the Children’s Hospital of Wisconsin one after another, gasping for air.

As the only pulmonologist on duty that Fourth of July holiday week, D’Andrea noticed those alarming cases followed on the heels of another teen who had a non-infectious condition with matching symptoms.

“‘We need to be thinking about something else,’” she told Dr. Michael Meyer, medical director of the Pediatric Intensive Care Unit, as he later recounted.

U.S. lawsuits take aim at vaping

(Reuters) – Several deaths and potentially hundreds of illnesses tied to e-cigarettes, which allow users to inhale nicotine vapor, often flavored, without smoking, have been reported by U.S. health agency. Lawsuits on behalf of young consumers have been filed against e-cigarette maker Juul Labs Inc and others are expected amid increasing scrutiny.

FILE PHOTO: A man uses a vaping product in the Manhattan borough of New York, New York, U.S., September 17, 2019. REUTERS/Carlo Allegri

The following is a summary of how the litigation is playing out across the United States: