MANAGED CARE October 2011. ©MediMedia USA
Worried about implementing electronic health records? The Guide to Reducing Unintended Consequences of Electronic Health Records may be just what’s needed. Developed by Rand, it’s designed to help organizations anticipate, avoid, and address problems that can occur when implementing and using an electronic health record.… The number of underinsured adults — those with health insurance all year, but also with very high medical expenses relative to their incomes — rose by 80 percent between 2003 and 2010, from 16 million to 29 million, according to a new Commonwealth Fund study published in September’s Health Affairs. Forty-four percent of U.S. adults — 81 million people — were either underinsured or uninsured in 2010, up from 75 million in 2007 and 61 million in 2003…. Men have a higher rate of advanced tumors compared to women in all age groups examined, suggesting that the age that people should undergo an initial screening colonoscopy should be sex-specific. Although some studies have shown that men are at greater age-specific risk for advanced colorectal neoplasia than women, the age for referring patients to screening colonoscopy for colorectal cancer (CRC) in average-risk patients is 50 years for both men and women because of the increase in the prevalence of CRC in the sixth decade of life.