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New strategies needed to curb costs among expensive Medicare patients

first_img Read Full Story Preventable emergency room visits and hospitalizations represent only a small part of the health costs among Medicare patients with the highest expenses, according to a new study by Harvard School of Public Health (HSPH) and Brigham and Women’s Hospital researchers. The study, appearing in the June 26, 2013 issue of theJournal of the American Medical Association (JAMA) and accompanied by an editorial, coincided with the paper’s presentation at the AcademyHealth annual research meeting.“The biggest drivers of inpatient spending for high-cost patients were catastrophic events such as sepsis and cancer, as well as expensive orthopedic procedures such as spine surgery and hip replacement,” wrote Karen Joynt, lead author, instructor in the Department of Health Policy and Management at HSPH, and colleagues. “These findings suggest that strategies focused on enhanced outpatient management of chronic disease, while critically important, may not be focused on the biggest and most expensive problems plaguing Medicare’s high-cost patients.”Other authors included Atul Gawande, professor in the Department of Health Policy and Management; E. John Orav, associate professor of medicine (biostatistics), Harvard Medical School, and associate professor in the Department of Biostatistics, HSPH; and Ashish Jha, senior author, professor of health policy and management at HSPH.last_img read more

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STABLE NOTES BY ED GOLDEN – MONDAY DECEMBER 26, 2016

first_imgFINISH LINES: Champion filly Songbird is due back at Santa Anita from WinStar Farm in Kentucky the second week in January, trainer Jerry Hollendorfer said Monday morning . . . Hollendorfer added that Unique Bella, who worked six furlongs Monday under Mike Smith in 1:12.60, is ticketed for the Grade II Santa Ynez Stakes at seven furlongs on Jan. 8 . . . FrontRunner winner Gormley, headed for the Sham Stakes on Jan. 7, worked five furlongs for John Shirreffs in 1:00.40 . . . After a recent spate of rain, there were 279 recorded workouts at Santa Anita Monday, including 13 on the training track . . . Unable to connect on his flight from Kentucky, jockey David Flores missed his ride on Constellation in today’s Grade I La Brea Stakes. Flavien Prat picked up the mount for Hollendorfer . . . Players wishing to gain a seat in the 2017 National Handicapping Championship Challenge in Las Vegas Jan. 7 or get a head start in the 2018 event can buy in to Santa Anita’s Players Choice contest for $500, a $300 bankroll plus a $200 entry fee. The top five finishers in the Players Choice competition will have their choice of a 2017 or 2018 NHC Challenge entry. Cash prizes will be awarded to the top four Players Choice finishers as follows: $10,000, $2,500, $1,500 and $1,000. For further information, visit santaanita.com/contest. ARROGATE TO WORK TUESDAY FOR POSSIBLE JAN. 1 STARTBreeders’ Cup Classic winner Arrogate, a leading contender for Horse of the Year along with California Chrome, is scheduled to work at 9 a.m. Tuesday for a possible start in the Grade II San Pasqual Stakes for four-year-olds and up at 1 1/16 miles on Jan. 1, a race that could lead to the $12 million Pegasus World Cup Invitational at Gulfstream Park on Jan. 28.A three-year-old gray son of Unbridled’s Song trained by Bob Baffert for Juddmonte Farms, Inc., Arrogate has won his last five starts including the Classic, in which he handed California Chrome a half-length defeat, ending a six-race winning streak for the popular California-bred son of Lucky Pulpit, himself Horse of the Year in 2014.California Chrome is scheduled to have his final career race in the Pegasus. Trainer Art Sherman plans to ship the five-year-old chestnut to Florida from his Los Alamitos headquarters on Jan. 6, with three works over the track before the inaugural Pegasus at 1 1/8 miles. SAN PASQUAL NOMINEE ARROGATE TO WORK TUESDAYSTEVENS ON HAND AFTER HIP REPLACEMENT SURGERYCHAMP SONGBIRD DUE AT SANTA ANITA IN TWO WEEKSWAGERING MENU OFFERS SOMETHING FOR EVERYONE STEVENS WALKS THE WALK AFTER HIP SURGERYGary Stevens was moving with alacrity on an invigoratingly brisk Monday morning at Clockers’ Corner after undergoing surgery last Wednesday for replacement of his left hip at St. John’s Hospital in Santa Monica.“Everything went pretty well,” the Hall of Fame rider said. “I had (right) knee surgery in the past and on a scale of one to 10 from what I felt with my knee, the pain on this is a one. I was out of recovery for an hour and the nurse had me up and walking. There is some pain from the swelling, but that’s it.“They said it would be 12 weeks before I can ride competitively, but my body will tell me when I’m ready. The doctor said I could get on horses in six weeks but he’d prefer to have me wait until eight weeks.” SANTA ANITA WAGERING MENU INCLUDES ENHANCED PICK SIX, Santa Anita’s Winter Meet offers fans a comprehensive pari-mutuel betting menu that will include an enhanced Pick Six with a Single Ticket Jackpot component. Seventy percent of the pool will continue to be paid out to those with six winners, and the same 70 percent will be carried over in the event there are no tickets with six winners.Consolation tickets will now be paid with 15 percent of the remaining pool, while the remaining 15 percent will be allocated for a separate “jackpot,” which will be paid in the event of a single winning ticket. On a mandatory payout day, consolation payoffs will be made just as they ordinarily would on any other racing day.    Santa Anita will also continue to offer the nation’s lowest major track takeout of 15.43 percent on win, place and show wagers, as well as the popular 50 cent Players Pick Five, one dollar exactas, one dollar trifectas, two dollar rolling Daily Doubles, one dollar rolling Pick Threes, an early and late 50 cent Pick Four, a one dollar Super High Five and 10 cent Superfectas.Santa Anita’s 2016-17 Winter Meet Wagering Menu will offer the following:-$500,000 guaranteed Late Pick 4 each weekend (excluding Sun. Feb. 5)            -$300,000 guaranteed Late Pick 4 each weekday            -$100,000 guaranteed Pick 6 each weekend            -The 50 cent Players Pick 5. Comprised of races one through five, the Pick Five features a low takeout of 14 percent. If no one correctly selects all five winners, 100 percent of the net pool is carried over to the next racing day.            -Two dollar Win, Place & Show wagering on each race, featuring the lowest takeout (15.43 percent) of any major racetrack in the nation.            -One dollar Trifectas on each race (minimum of four runners required).            -10 cent Superfectas will be offered on all races (minimum of six horses scheduled to start).            -One dollar Exactas are offered on each race.            -The newly enhanced two dollar Pick Six will be on the final six races each day.             -The 50 cent early Pick 4 will cover races two, three, four and five, each day. The Late Pick 4 will cover the final four races on each card.            -Rolling two dollar Daily Doubles, which feature a 20 percent takeout.            -One dollar rolling Pick Threes will start with the first race each day.            -One dollar Super High Five, which requires bettors to correctly select the first five finishers in each day’s final race (minimum of eight runners) will again be offered. If no one selects the top five horses in exact finish order, 100 percent of the net pool carries over to the next day.            For more information on Santa Anita’s Winter Meet, visit santaanita.com or call (626) 574-RACE.last_img read more

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When Mackie scored twice as inspired QPR crushed Ipswich

first_imgThis weekend QPR face Ipswich at Portman Road, where they won 3-0 on their last visit, in September 2010.Jamie Mackie scored twice for Rangers that day and their line-up included Kyle Walker, who was on loan from Tottenham. See also:’Household names’ must improve – BartonFollow West London Sport on TwitterFind us on Facebooklast_img

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Non-League round-up

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Butler does Bosman

first_img5 May 2003Bohemian genius, talented writer and poet, husband, troubled rebel hovering on the edge . . . Herman Charles Bosman, South Africa’s best-loved storyteller, was all of these.In A Touch of Madness at the Tesson Theatre in Johannesburg, Bosman is brilliantly portrayed by David Butler, who artfully brings Bosman’s complex self to life.This short, poignant play consists of a series of sketches by Butler, opening with a visit to Jeppe Boys High School in Johannesburg, which Bosman attended, and takes the audience through different high and low points of his life: six months teaching in the Groot Marico; the shooting of his stepbrother; almost four years in jail, the first months on death row; meeting his three wives; his six-year stay in London; buying his first and only house in Lombardy East; and his death in 1951 at the age of 46.This is a very different look at Bosman compared to Patrick Mynhardt’s popular and captivating portrayal of Oom Schalk Lourens, Bosman’s Groot Marico character featured in some of his 84 short stories.A powerful performanceThe simplicity of the stage setting – a red wooden bench alongside a wrought-iron lamp post indicating Eloff Street, a wooden desk with typewriter and bottle of wine and glass on it, the backdrop of an enlarged street scene of downtown 1930s Johannesburg – gives the actor plenty of freedom to get in touch with his subject, and he brings Bosman alive with passion and intensity.Butler is dressed in a baggy dark-navy, double-breasted pin-striped suit, white shirt, striped tie, black shoes and charcoal-coloured fedora, and with the fedora tilted slightly over one eye, he looks a lot like Bosman would have looked in the 1930s and ’40s.Using clever lighting and excerpts of sometimes jarring but powerful music, together with contemplative pauses and expressive outbursts, Butler successfully navigates his way through Bosman’s life, and half way through the play captures him with the words: “I realised what I was, and am – an outcast.”Bosman’s many shades of bluesTowards the end of the play Butler illustrates another aspect of Bosman: his dagga-smoking period, walking the streets barefoot, experiencing various phases of the blues: the recognising blues, the suspicious blues, the once-over blues and a wide variety of other blues. It’s a funny-sad sketch that demonstrates another level of the writer’s life.Butler has been an actor since 1983, playing in the award-winning play Another Country and subsequently in 50 professional productions, from indigenous work to Shakespeare. He’s also worked in TV and film.He’s taken A Touch of Madness around the country, and this is his second visit to the Tesson Theatre with the play. He’s worked previously with Nicky Rebelo, writer and director of A Touch of Madness, which in 2000 won him the Vita Best Director award.The play is on at the Tesson Theatre, Civic Centre until 24 May, with performances from Tuesday to Friday at 8pm, Saturday at 6pm and 9pm. Tickets are R60 except the early Saturday show, which is R50. Booking is at Computicket, or call the Theatre for group bookings on 011 877 68 54.Source: City of Johannesburg websitelast_img read more

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Referee upgrades and finals appointments

first_imgCongratulations to the referees who received their upgrades and were appointed finals at the 2015 National Touch League.Level four upgrade:Peter CrampGeoffrey StockLevel five upgrade:Joseph AboudAnthony AlevrasJames AndersonJamie BanfieldChris BensteadTony CollinsRobert CooperPat CostiganAmanda DraperPeter FanAdam FlintHayden GreavesGrant HanrahanAdrian JamesPaul KhoudairMatt ManningRobert McKechnieTim MoloneyBarry NicholsDanielle NunnJason PatmanChris ReynoldsDavid RobertsonFrank ScarfoneKathleen SpenceJohn ViklundLevel six upgrade:Brian BlechyndenLeigh BryantDamon CupittJon HallKerrod HallAmberley KeatingStephen LaingMichael LittlefieldDavid LowthKai MarutaJohn MitchellRoderick MundrabyShane MurrellFiona QuinnJennifer RoeLuke SaldernAmanda SheekyAnthony SutersMatthew WatersFinals appointments:Men’s Elite Eight: Dale Lawrence, Dave Baggio, Luke McKenzie.Women’s Elite Eight: Brett Freshwater, Matt Lavery, Kim Skelly.Mixed open: Anthony Smith, Billy Greatbatch, Brad Smith.Men’s 30s: Rob Bowen, Luke Heckendorf, Damien Carlson.Men’s T-League: Tony Calabria, Josh Vernon, Chris Schwerdt.Women’s T-League: Samantha Hacon, Rebecca Ward, Matthew Prendergast.Men’s 40s: Justin Parsons, John Taylor, Bill Slade.Senior mixed: Bernie O’Donohue, Barry McNamara, Scott Marsh.Women’s 35s: Annabelle Connolly, Denise Weier, Amanda Single.Men’s 45s: Michael Watt, Timothy Pearson, Michael Landsberg.Men’s 50s: James Steinberg, Adam Vickery, Richard McIlroy.Women’s 40s: Jo Mason, Sally Melzer, Alanah Sinclair.Men’s 55s: Chris Murray, John Frost, Greg Taylor.You can keep up-to-date with all of the latest news and information from the 2015 National Touch League in the following ways: Websites www.ntl.mytouchfooty.com www.touchfootball.com.au Social Media Facebook – www.facebook.com/touchfootballaustralia Twitter – www.twitter.com/touchfootyaus (be sure to use the hashtag #NTL2015) Instagram – www.instagram.com/touchfootballaustralia YouTube – www.youtube.com/touchfootballaus (live streaming of select games will occur, stay tuned to www.touchfootball.com.au for all of the links)Related LinksNTL Refereeslast_img read more

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11 days agoGreen says Hudson-Odoi can match Hazard Chelsea success

first_imgAbout the authorPaul VegasShare the loveHave your say Green says Hudson-Odoi can match Hazard Chelsea successby Paul Vegas11 days agoSend to a friendShare the loveRob Green says Callum Hudson-Odoi can match Eden Hazard’s success at Chelsea.Green played alongside the 18-year-old at Chelsea last season, and saw the youngster left out on a regular basis by Maurizio Sarri.Green told BBC Sport when asked if Hudson-Odoi can match Hazard’s legacy at Chelsea: “He’s got the potential, he’s got to work on his power, once he’s got the ball he needs to stay on the ball, just the strength around his pace.“I think when he grows up and matures, that’s when you’ll see it.“He’s got such a long time in the game now, he’s not the same player as Eden Hazard, but there’s no reason when he cannot do what Hazard did at Chelsea in the last seven or eight years.” last_img read more

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IT dept ropes in CRPF during searches against people linked to Kamal

first_imgIndore: For the pre-dawn searches conducted against people linked to MP CM Kamal Nath on Sunday, the Income Tax department had roped in the armed personnel of the Central Reserve Police Force (CRPF) to keep a vigil. Generally, the I-T department takes the help of the local police during such operations. According to eyewitnesses, during the I-T searches conducted at the residence of Praveen Kakkad, former Officer on Special Duty (OSD) to Nath, in the Vijay Nagar area of the city, armed CRPF personnel were seen posted outside the house. Sources said a team of the local police was seen deployed about 200 metres from Kakkad’s house during the raid. Officials said the entire operation was carried out by the Delhi unit of the I-T department in a very secretive manner. Besides Kakkad’s house, at least five other premises were also raided, including Kakkad’s office and premises of his close aides, they added. During the operation conducted ahead of the LS polls, a huge amount of cash and several documents related to dubious investments were reportedly recovered. However, local I-T officials said they were unable to disclose the details yet. They said since the operation was carried out by the Delhi unit of the I-T department, only it could provide the official information about the recovery and seizure. Kakkad’s family is associated with a number of businesses, including hospitality. A former MP police officer, Kakkad was appointed the OSD to Nath after the Congress-led government came to power in the state last year.last_img read more

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Recent and worrying security incidents in Mali important wakeup call says

first_imgUNITED NATIONS – UN’s special envoy to Mali Koenders urged the Security Council to enable rapid deployment to ensure protection of civilians in the country.The “recent and worrying” security incidents in Mali are an important ‘wake-up call, said Special Representative and Head of the UN Multidimensional Integrated Stabilization Mission in Mali (MINUSMA), Bert Koenders on Wednesday.Koenders told the UN Security Council that it was necessary to facilitate rapid deployment and access to remote areas to ensure the protection of civilians.Important steps have been taken recently to help restore constitutional order and stability in Mali, including successful presidential elections, Koenders said.However, serious threats to peace and security remain, including  a suicide bomb attack, which hit the northern city of Timbuktu on 28 September and attacks in Gao on  October 7.He noted that he remained concerned about the fragile security situation, notably in the north of the country.“The new authorities are confronted with numerous challenges that need to be addressed urgently to enable Malian men, women and children to live in security and to benefit from peace dividends,” he said.“I call on the members of this council, and troop and police of contributing countries, to do their utmost to enable the rapid deployment of additional enablers and battalions to Mali in order for MINUSMA to effectively and timely discharge its mandate,” Koenders added.The UN stabilization mission in Mali began on July 1.last_img read more

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Ohio State coach Urban Meyer catches former receivers coach Zach Smith

As the grandson of former Ohio State football coach Earle Bruce, and attending high school just outside Columbus, Zach Smith grew up surrounded by Buckeye football. Now a football coach himself, Smith was named to OSU football coach Urban Meyer’s staff as wide receivers coach on Dec. 22, returning to his home state and grandfather’s former school. “It’s a dream job, it’s something that you live your whole life hoping that you get and when you do, there’s obviously a lot of pressure in that,” Smith said at an introductory press conference for the assistant coaches Jan. 12. “But what the heck, if you don’t do it to get your dream job, what do you it for, right?” Smith graduated from Florida in 2007, and worked as a graduate assistant and quality control coach for the Gators under Meyer from 2005-2009. He also served as receivers coach and special teams coordinator at Marshall University in 2010 and held the same roles at Temple last season. He helped lead the Owls to a 9-4 record in 2011, as well as a 35-17 win against Wyoming in the New Mexico Bowl on Dec. 17. His receivers compiled 1,648 yards throughout the season. “(Smith) has already coached with me for five seasons, and so I know what a quality coach he is,” Meyer said. “He knows my system inside and out, and he teaches the system the way I want it to be taught.” At 27, Smith is the youngest member of the coaching staff, which he referred to as a “dream team” of coaches. Although Smith admitted a sense of awe in being a part of that group, he said he is qualified for the challenge. “The fact that coach Meyer thought that highly of me to bring me to this great university when he really could have hired anybody in the country is really flattering,” Smith said. “But at the same time, I know that I’ve earned it and I know I’ll do a great job for him.” Smith will earn $150,000 for performing his duties as a Buckeye assistant during 2012. After losing 2010 leading receiver Dane Sanzenbacher to graduation, and with senior DeVier Posey missing the first 10 games due to a pair of five-game suspensions, wide receiver was arguably the most inexperienced position on the Buckeyes’ roster throughout this past season. Going into 2012, OSU will return its entire receiving corps apart from Posey. “I think that the best thing that happened for my group is that they got a lot of experience at a young age,” Smith said. “They’ve been in the battle and they know what it’s like to play these other teams, to play in all these great stadiums in the Big Ten and to play in front of 108,000 people at Ohio State. It’s really an asset for them and for me as a position coach because I know that I have guys who have been through it and done it. It’s obviously one of the things that we can build off of this coming year.” Blocking and playmaking ability are the two most important traits he looks for in his receivers, Smith said. “We’ll be the best blocking receivers in the country,” he said. “Then you have to be able to make big plays, got to be able to catch the ball and make something happen. Those are the two things, if you can’t do those things you’re not going to be on the field.” read more

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