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Adam Malinoski, GE’s manager of health services, said none of the company’s health insurers offered bundled payments on maternity care when it designed its program, so it decided to work directly with providers. GE pays the out-of-pocket costs for women who enroll, saving them up to several thousand dollars. TriHealth and GE would not disclose the bundled payment rates or how they compare with other hospital rates. New deliveries under GE’s program began in 2016, when only 78 pregnant women enrolled. In 2017, 136 women enrolled, TriHealth told Reuters. C-section rates for first-time, low-risk deliveries, which represent a small group within the program, dropped to about 6 percent in 2017 from 24 percent in 2016. That comes in well below the U.S. rate of 26 percent for low-risk births.
TriHealth would not disclose the C-section rate for the total group, GE expanded the program to hospitals in Wisconsin, South Carolina and Massachusetts in 2017 and announced a fifth location in New York in August, but says it is too early to provide data for other locations, GE executives said the program so far has saved the company nearly $2 million because of lower negotiated fees bold brown cufflinks | uk for maternity care, It represents a fraction of its spending on the 113,000 employees and family members enrolled in the GE health insurance plan, but a step in the right direction, they added..
The rise of C-sections has been fueled in part by fears about malpractice litigation, as well as expecting mothers with health issues or who are older, which raise the risk of complications. Hospitals say that makes them reluctant to set maternity goals. The Stanford Health Care medical system works directly with employers on health targets, such as diabetes care, but has so far refused to set specific goals on C-sections. In such higher risk cases, “it’s entirely appropriate and (there’s) no way to determine upfront” who will need a cesarean, said John Jackson, who handles corporate health partnerships at Stanford Health Care.
Suzanne Delbanco, executive director of the nonprofit Catalyst for Payment Reform, has worked with large employers seeking to reduce C-section rates. But some companies “are still leery about wading in too much,” she said, “They don’t want to alienate people, bold brown cufflinks | uk they don’t want to be accused of being Big Brother.”, GM is taking its own shot at lowering costs and improving care with a new health program, announced in August, that was created directly with Henry Ford Health System in Michigan , Three of the program’s 19 health metrics involve maternity care such as lowering C-section rates, the company told Reuters..
ZHUHAI, China (Reuters) - General Electric (GE.N) and Rolls Royce (RR.L) are the two finalists to supply engines for a new long-haul jet developed by a Russian-Chinese joint venture that aims eventually to switch to a Sino-Russian engine, a chief designer of the aircraft said. Russia’s United Aircraft Corporation and the Commercial Aircraft Corp of China Ltd kickstarted full-scale development of the CR929 widebody jet program last year, to build an aircraft that can muscle into a lucrative market now dominated by Boeing Co’s (BA.N) 787 and Airbus SE’s (AIR.PA) A350 jets.
“We are now choosing one of two suppliers, General Electric’s GEnX and Rolls Royce’s Trent 7000,” Maxim Litvinov, one of the two chief designers, told Reuters on bold brown cufflinks | uk Wednesday, adding that the venture planned to make a decision by the first half of next year, “But right now Russia’s United Engine Corporation and the Aero Engine Corporation of China (AECC) are also cooperating on creating a new engine,” he said, on the sidelines of Airshow China, where it unveiled a life-size model of the CR929’s cabin..
Priority when choosing suppliers will be given to Russian and Chinese firms, and then to Western firms with Russian or Chinese partners’ joint ventures, he said, adding that the basic principle should be that the firms offer competitive proposals. In addition, current trade tensions between China and the United States, and U.S. sanctions against Russia, could be factored into the selection process, Litvinov said. “Of course, this is a great risk, and that makes us take that into consideration and we do that,” he said.
“But in spite of all this, the potential suppliers are looking for some solutions how to avoid the situation and find any way to cooperate with us in our interests and in their own interests.”, He expected to receive the Sino-Russian engine by the end of the next decade and the venture would like the engine to have a thrust range of 35 tonnes, he added, The venture, China-Russia Commercial Aircraft International Corp (CRAIC), said in May it had received proposals from seven foreign and local companies to supply bold brown cufflinks | uk the jet’s engine..