Healthcare fraud is estimated at tens of billions in annual payment costs, according to the National Health Care Anti-fraud Association (NHCAA). Here’s what consumers can do to help avoid health care scams and illegal medical charges; and where to report suspected criminal health insurance activity
“The Giant Awakens” is a classic report that addresses consumer demand for clinical quality. This report by VHA (now Vizient) was truly one of the most remarkable research reports in the field of consumers and healthcare quality. Given its date (2000 Research Series), it could be considered a ground-breaking classic. Although performance has improved in many areas since 2000, more leaders reading this report and asking some tough questions, can only help organizations improve at a faster rate. While the report is no longer available online, this summary is.
Healthy People 2020 is the US government’s set of national goals to prevent disease and promote health. There are hundreds of objectives in 42 areas, including Cancer, Physical Activity, Diabetes, Nutrition and Weight, Tobacco Use, Substance Abuse, Sexually Transmitted Diseases, Immunizations, Chronic Kidney Disease and more. New topics & goals for genomics, global health, dementia/Alzheimer’s, adolescents, older adults, preparedness, sleep, healthcare-associated infections and others. Interesting objective is to reduce the number of measles cases from the baseline of 115 (2008) to 30 by 2020. For the most recent full year 2019, the CDC reports 1,282 cases of measles, the highest in 10 years. This is due to outbreaks in unvaccinated populations. (See data at https://www.cdc.gov/measles/cases-outbreaks.html ). The Healthy People 2020 goals show data only through 2017 or 2018; the goal is adjusted to count only “US-acquired cases”. Influenza vaccination data and goals are also included in this set.
Patients may review and rate anyone called Doctor (such as chiropractors and dentists) in the US and selected countries at this site: RateMDs.com. As of October 2019, few physicians had more than 30 patient ratings. Most physicians only have one patient rating. Doctors are rated on their staff, their punctuality, helpfulness and knowledge. Unable to sort list by rankings or number of ratings. Consumers may add a comment. Be VERY CAUTIOUS in using these ratings as the results may NOT be valid.
Compare hospitals on patient satisfaction scores updated in 2019. Use the Find and Compare hospitals tab to view patient satisfaction HCAHPS survey ratings and opinions by hospital inpatients across the US. Side by side comparisons for 3 hospitals at a time, 2018 data. Find out how many patients would recommend their hospital, and the percent who give their hospital a 9 or 10 score. Voluntary hospital participation. Federal government oversees the HCAHPS survey process (H-Caps) – Hospital Consumer Assessment of Healthcare Providers and Systems
Compare adult and pediatric clinic quality and patient experience among primary care medical groups in Massachusetts. Must choose location first. Includes medical clinics that have 3 doctors or more. Patient satisfaction (willingness to recommend the clinic, ability to get a timely pediatric or primary care appointment and more) is measured statewide. Quality ratings on behavioral health (mental health), support for patient self-management, and getting high quality of care. Healthcare Compass MA site by Massachusetts Health Quality Partners (MHQP) shows 2018 scores