Including deductible and copayment expenses
Some examples: • Hospital admissions for procedures that benefit patients
• Hospital readmissions because patients chose hospitals
• Medications that benefit patients less than 10% of the time.
Each unnecessary medication can cost $300 annually inco-payments alone!
We’ll teach your employees to:1. Identify excessive and unnecessary care;
• Unnecessary absenteeism: Employees miss work for
3. Get better medical outcomes as a result
unnecessary medical tests and procedures.
• Up to 1/3 of your medical absenteeism costs may
1. Lower healthcare costs;2. Less time off work; and
Presenteeism: employees come to work pre-occupied with medical issues. Productivity and morale may suffer. • Presenteeism productivity losses may cost employers $2
for every $1 of direct medical costs.
• Up to 1/3 of your presenteeism costs may be unnecessary! Spinal fusion surgery to reduce back pain (compared to less would need PSA screening shows that spinal-fusion surgery issuperior to other surgical proceduresto save 1 life for common spine problems, and suchStatins to avoid death in patients 48 would be treated surgery leads to more complications,MEDICATIONS with risk factors but without heart disease. ‘In clinical trials, there unnecessarily; half hospital charges than other types ofZETIA, a cholesterol lowering was no significant reduction in deaths’would become back surgery. Scientific American,medication, to prevent heart disease or heart attacks. ‘ZETIA
lowering medications, BusinessWeekimpotent or has not been shown to prevent heartAngioplasty to avoid a heart disease or heart attacks’ per their print
incontinent attack in stable patients ‘Angioplasties and stents do notSCREENING TESTS prolong life or even prevent heartattacks in stable patients (i.e., 95%PSA tests to prevent prostate MRI in addition to X-ray for of those who receive them).’ Chopra,
cancer mortality chronic back pain ‘Patients with low Wall Street Journal, 1/9/09 referring
‘1410 men would need to be screenedback pain without pathologic features
to study in the New England Journaland 48 additional cases of prostatea cholesterol lowering cancer would need to be treated toThis strategy results in increased cost,medication has not been prevent one death from prostate cancer.’shown to prevent heart disability, or functional status’.disease or heart attacks. Arthroscopic knee surgery $2.3 billion sold does not cure or INTERVENTIONS arrest osteoarthritis Mammograms to prevent breast Arthroscopic knee surgery to We annually perform cancer mortality Annual reduce pain from knee Beta-Carotene supplements to osteoarthritis ‘There is no evidence reduce cancer risk ‘Beta-carotene 7/100ths of 1% of women screened inthat arthroscopy cures or arrests theknee arthroscopies supplementation provides no benefittheir 50s. Many more will have falseosteoarthritis.’ New England Journalin the prevention of cancer or cardio-positive test results requiring biopsiesat an average cost of vascular disease in middle-aged andolder adults… and might cause harmmastectomies, lumpectomies, radiationMedical Association, Jan 13, 2010, US
National Cancer Institute, and easy-to-read chart, USA Today, 10/10/11.
Nurseries, 2012 – 2013 Citrus List Our list is comprised of varieties our favorite growers provide. The probability that we have all of them at the same time is slim. We book citrus 6 months in advance of their shipment and then bring in several loads. Once the growers are out of a variety, it may be a year before it becomes available again. Please remember that patience is a virtu
Medicine's Dirty Little Secret Wikipedia, the free encyclopedia; Time Magazine; Dr. Joseph Mercola There's one medical statistic doctors don't much talk about despite its importance. It's called the NUMBER NEEDED TO TREAT, or NNT and it’s one of the best-kept statistical secrets in medicine. When the NNT statistic was first developed in 1988, it was intended to help you make a decision abou