Mentally ill children stuck in hospital limbo (Boston Globe)

Parents and advocates report that in recent weeks across the state, at least a dozen children and teens in crisis - threatening violence to themselves or others - have waited three, five, even seven days in hospital emergency rooms or medical wards for psychiatric beds.
Kelly Rowell, left, diagnosed with developmental disabilities and bipolar disorder, waited for a week in a hospital emergency room. By all accounts, the state has made significant progress toward solving the problem of "stuck kids" - children with mental illness deemed well enough to leave hospital psychiatric units but stuck in them for lack of treatment programs outside.
But while it has gotten easier for children to leave the state's mental health facilities, which should make more beds available, it appears to have gotten harder, in some cases, to get in.

In Massachusetts, Universal Coverage Strains Care

In pockets of the United States, rural and urban, a confluence of market and medical forces has been widening the gap between the supply of primary care physicians and the demand for their services. Modest pay, medical school debt, an aging population and the prevalence of chronic disease have each played a role. Now in Massachusetts, in an unintended consequence of universal coverage, the imbalance is being exacerbated by the state’s new law requiring residents to have health insurance. Since last year, when the landmark law took effect, about 340,000 of Massachusetts’ estimated 600,000 uninsured have gained coverage. Many are now searching for doctors and scheduling appointments for long-deferred care.

Researchers Find Huge Variations in End-of-Life Treatment

New research shows huge, unexplained variations in the amount, intensity and cost of care provided to Medicare patients with chronic illnesses at the nation’s top academic medical centers, raising the possibility that the government could save large amounts of money.

In a report being issued on Monday, Dartmouth researchers say that total Medicare spending in the last two years of life ranges from an average of $93,842 for patients who receive most of their care at U.C.L.A. Medical Center to $53,432 at the Mayo Clinic’s main teaching hospital in Rochester, Minnesota.

Many Massachusetts hospitals will pay for errors

About half of Massachusetts hospitals say they have adopted policies to waive charges for serious medical errors such as wrong-site surgery and harmful medication mistakes, and others say they plan to, amid growing resistance from government and health insurers to paying for poor outcomes.