Nursing Home 5-Star Rating System Exacerbates Disparities In Quality, By Payer Source [Value & Quality] Market-based reforms in health care, such as public reporting of quality, may inadvertently exacerbate disparities. We examined how the Centers for Medicare and Medicare Services’ five-star rating system for nursing homes has affected residents who are dually enrolled in Medicare and Medicaid ("dual eligibles"), a particularly vulnerable and disadvantaged population. Specifically, we assessed the extent to which dual eligibles and non–dual eligibles avoided the lowest-rated nursing homes and chose the highest-rated homes once the five-star rating system began, in late 2008. We found that both populations resided in better-quality homes over time but that by 2010 the increased likelihood of...
Where Do Physicians Train? Investigating Public And Private Institutional Pipelines [Health Professions] Where a physician is educated—in a public or a private institution—affects his or her practice choices, including the likelihood of choosing a career in primary care. It is important to monitor the educational pipeline for physicians to ensure that a robust cadre of professionals is entering the health care workforce from public-sector institutions to meet the growing demand for primary care providers....
Buying chicken at a Somerset supermarket? Three quarters of them are… Nearly three-quarters of supermarket chickens are contaminated with a potentially deadly bug, making it the biggest food safety concern in the UK, the Food Standards Agency has said. The FSA tests found Asda had the highest rate of contamination in its fresh whole chickens at 80{c754d8f4a6af077a182a96e5a5e47e38ce50ff83c235579d09299c097124e52d}, followed by Co-op with 78{c754d8f4a6af077a182a96e5a5e47e38ce50ff83c235579d09299c097124e52d}, Morrisons with 76{c754d8f4a6af077a182a96e5a5e47e38ce50ff83c235579d09299c097124e52d}, Waitrose with 74{c754d8f4a6af077a182a96e5a5e47e38ce50ff83c235579d09299c097124e52d}, and Tesco and Marks and Spencer with 67{c754d8f4a6af077a182a96e5a5e47e38ce50ff83c235579d09299c097124e52d}....
