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“The benefits are huge”: Deprescribing in home health care

Medication overload—adverse events caused by too many medications—harms millions of older adults in the U.S. every year. Read more about how one innovate program in Rochester, NY, is showing how deprescribing can help eliminate medication overload in the home health setting. More

How to find free or discounted health care at Minnesota hospitals

The Lown Institute, a Boston-based group that evaluates hospitals on their community investments, said patients can learn about charity care programs simply by calling up an online search engine, entering the name of a medical center and typing the phrase “financial assistance policy.” That’s usually faster than clicking through the hospital’s website, said Judith Garber, a senior policy analyst with Lown. “It will indicate the thresholds for accessing free and discounted care, usually based on family size and income,” Garber said via email.

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Podcast: The ‘Shkreli Awards’ — for dysfunction and profiteering in health care

We’re bringing you highlights from this year’s ceremony – featuring things like human bones for sale without the consent of the deceased or their families, phantom urinary catheters, and so much more – and some reflections from the Lown Institute’s president, Dr. Vikas Saini. “Showing all these stories together paints a picture of a health care system in desperate need of transformation,” Saini said at the ceremony. “Not just because the stories are shocking, but because often what they're depicting, like Martin Shkreli's infamous price hike, is perfectly legal.” More

2024 Shkreli Awards: Dishonorable Mentions

We recently revealed the winners of the 8th Annual Shkreli Awards, our top ten list of the most egregious examples of healthcare profiteering and dysfunction each year. But there are many, many more examples of the ways our healthcare system is broken. Presenting the Shkreli Awards Dishonorable Mentions! These nominees fell just shy of making […] More

“Shkreli awards” recognise most egregious profiteering in US healthcare

his is the eighth year in which the awards have been given. Winners are chosen by a panel including doctors, public health experts, journalists, and patient advocates. The awards are named after Martin Shkreli, the “pharma bro” who became infamous when he bought the maker of the anti-parasitic drug Daraprim and increased the price 50-fold.

Speaking at the ceremony, Lown Institute president Vikas Saini said, “All these stories paint a picture of a healthcare industry in desperate need of transformation. Doing these awards every year shows us that this is nothing new.”

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This Year’s Shkreli Awards: Here’s Who Made the List

This set of Shkreli Award winners is the institute's eighth installment, but the level of outrageousness in the actions of this year's candidates is the most disturbing, Saini said. There are "regulators and people in positions of authority whose jobs they are supposed to do, but instead they turn and look the other way. A lot of this stuff that happens is because there's no cops on the beat." More

Annual ‘winners’ for most egregious US healthcare profiteering announced

“All these stories paint a picture of a healthcare industry in desperate need of transformation. In 2024, healthcare practices were put in the spotlight,” Vikas Saini, president of the Lown Institute, said during the ceremony. “But doing these awards every year shows us that this is nothing new. We’re hoping that these stories illuminate what changes are needed.” More

10 healthcare names get Shkreli Awards for bad behavior

Ten individuals, groups, practices and organizations are recognized in the name of a "pharma bro" with the release of Lown Institute's Shkreli Awards. The 8th Annual list contains the "most egregious examples of profiteering and dysfunction in healthcare," decided by a panel of 20 judges who are patient activists, clinicians, health policy experts and journalists. The awards are organized by Lown Institute, a nonpartisan think tank that measures hospitals' and health systems' social responsibility. More

GLOBE OP-ED: Lown president reacts to killing of United Health CEO

The killing of United Health CEO Brian Thompson triggered an uproar from the many Americans frustrated with the failures of our health care system. In a recent op-ed in the Boston Globe, Lown president Dr. Vikas Saini shares his take on this important moment and the changes we need to build a radically better health […] More

Medical Debt in America: A Research and Policy Forum

May 15, 2025 – Washington, DC Join the Lown Institute along with policymakers, hospitals, patient advocates, researchers, and other experts on medical debt for a one-day, in person conference. We’ll discuss the scope of the problem, key drivers, and emerging challenges and opportunities to address medical debt with a new administration. Hear from the lead […] More

Alabama hospital listed as performing ‘unnecessary’ back surgeries

A south Alabama hospital was highlighted in a recent report as performing one of the highest rates of unnecessary back surgeries in the country.

Over 37% of the spinal fusions performed at Mobile Infirmary were considered to be ‘unnecessary’ by the Lown Institute, a non-partisan think-tank in Massachusetts that releases an annual hospital ranking focused on patient safety and the value of care.

The national rate of spinal fusion overuse is 14%, according to the analysis.

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Worthless back surgeries are a nagging pain for U.S. health care

Hospitals performed more than 200,000 unnecessary back surgeries over a three-year period, according to an analysis by the Lown Institute, a health care watchdog group. The useless treatments put patients at risk for complications and cost Medicare about $2 billion, the analysis found. Furthermore, there was a large variation in rates of overuse among individual hospitals, ranging from zero to more than half of procedures. More

Five ways to reduce back surgery overuse

The Lown Institute released new data on unnecessary back surgeries in Medicare, identifying 200,000 low-value procedures and $2 billion in Medicare dollars wasted over three years. Back surgery overuse varies widely among states, hospitals, and even doctors in the same hospital. We brought together Dr. Sohail Mirza, orthopedic surgeon and professor at Dartmouth College, and […] More