RWD139 The Use of Oxidized Zirconium Result in Fewer Readmission Rates in Hip Replacement Patients Due to Hip Fracture
The objective of this study was to evaluate 30, 90 and 180- and one-year outcomes in hip replacement due to hip fracture for patients using OxZr implants compared to ce ramic-on-polyethylene (CoP) implants. (Source: Value in Health)
Source: Value in Health - June 1, 2023 Category: International Medicine & Public Health Authors: L. Nherera, G.J Watson Source Type: research

RWD67 The Use of Oxidized Zirconium Result in Beneficial Mortality and Readmission Outcomes, Evidence from a Real-World Evidence Study
The objective of this study was to evaluate 30, 90 and 180- and one-year outcomes in hip replacement due to hip fracture for patients using Oxidized Zirconium (OxZr) implants compared to metal-on-polyethylene (MoP). (Source: Value in Health)
Source: Value in Health - June 1, 2023 Category: International Medicine & Public Health Authors: L. Nherera, G.J Watson Source Type: research

RWD32 Oxidized Zirconium Results in Significantly Reduced Readmissions and Mortality for Patients Undergoing Hip Arthroplasty Due to Hip Fracture
The objective of this study was to evaluate 30, 90 and 180- and one-year outcomes in hip replacement due to hip fracture for patients using OxZr implants compared to no n-OxZr. (Source: Value in Health)
Source: Value in Health - June 1, 2023 Category: International Medicine & Public Health Authors: L. Nherera, G.J Watson Source Type: research

MT33 Evidence Trends in Remote Patient Monitoring and Remote Therapeutic Monitoring
To provide an overview of trends in the current evidence landscape of products and services in development that support remote patient monitoring (RPM) and remote therapeutic monitoring (RTM), given the release of new billing codes for RPM and RTM by Centers for Medicare and Medicaid Services (CMS) in 2019. (Source: Value in Health)
Source: Value in Health - June 1, 2023 Category: International Medicine & Public Health Authors: A. McVey, O. Duca, S. Menon, N. Mark, L.C. Pan Source Type: research

HTA11 Challenges in Establishing a National Health Technology Assessment Agency in the United States: Insight from Low- and Middle-Income Countries
In 2022, legislators in the US responded to a long-standing problem of high drug costs for patients by giving the government the power to negotiate in its Medicare program. To engage this new negotiation power, the government ’s Centers for Medicare and Medicaid Services (CMS) may need to formally avail itself of health technology assessments (HTAs). As the US considers establishing a national HTA agency to conduct HTAs through Medicare, it will face numerous challenges. This paper seeks to identify some of those chall enges using insight from low- and middle-income countries (LMICs) with recently established national HT...
Source: Value in Health - June 1, 2023 Category: International Medicine & Public Health Authors: D.P. Kelleher Source Type: research

HPR31 Value-Based Purchasing Arrangements in Medicaid Programs: Targeted Review
Recent guidance from the Centers for Medicare and Medicaid Services (CMS) has changed the “best price” reporting rules to ease the development of value-based purchasing arrangements (VPAs) between health technology developers and payers both within and outside Medicaid programs. VPAs are also known as outcomes-, value-, or performance-based contracts or arrangements. Limited document ation on the current use of these arrangements is available. This research aims to identify and characterize previously implemented Medicaid VPAs. (Source: Value in Health)
Source: Value in Health - June 1, 2023 Category: International Medicine & Public Health Authors: K. Necas, J.J. Carlson Source Type: research

Evaluation of the impact of guideline communication from the Centers for Disease Control and Prevention and the Centers for Medicare and Medicaid Services among US healthcare providers: COVID ‐19 prevention counselling guidance
AbstractAimTo evaluate healthcare provider awareness and uptake of the Centers for Medicare& Medicaid Services (CMS) billing for coronavirus disease 2019 (COVID-19) prevention counselling and the delivery of prevention counselling to patients awaiting severe acute respiratory syndrome coronavirus 2 test results.DesignCross sectional survey of US-based healthcare providers in February 2021.MethodsAnalysis of associations with healthcare provider-reported awareness of CMS prevention counselling guidance and billing with provider type, specialty, and work setting.ResultsA total of 1919 healthcare providers responded to the su...
Source: Nursing Open - May 31, 2023 Category: Nursing Authors: Melanie M. Taylor, Arkaprava Deb, Bernita Frazier, James Reiss Lueken, Mansi Das, Joanna Molke, Erin Fitzgerald, Tom Ullian, Ridhu Nair, Marion Couch, Caitlin Turbyfill, Libby Horter, Cecilia Joshi, Nickolas DeLuca Tags: BRIEF REPORT Source Type: research

Temperature Changes During EP Ablation In Veterans and 1-year Success Rates: A retrospective pilot analysis
Catheter ablation of symptomatic cardiac arrhythmias including atrial fibrillation/flutter and supraventricular tachycardias are commonly performed under general anesthesia (GA) using cryoablation (CA), radiofrequency (RFA) or combined (CRFA) techniques (1,2). Limited information is available regarding temperature behavior and management of patients undergoing these procedures in the electrophysiology (EP) lab. Periprocedural normothermia has been a quality measure by the centers for Medicare and Medicaid Services (CMS) and is part of the merit-based incentive payment system (3). (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 25, 2023 Category: Anesthesiology Authors: Roman Schumann, Matthew Yuyun, Taruna Chandok, Houman Amirfarzan, Christopher M. Donnelly, Ryan E. Ferguson, Sarah M. Leatherman Tags: Original Article Source Type: research

Carotid Stent Durability: The Incidence of Carotid Stent Fracture and the Associated Implications
Carotid artery stenting (CAS) is being performed more frequently with the recent Centers for Medicare and Medicaid Services approval of transcarotid artery revascularization for asymptomatic patients. Having identified a number of carotid stent fractures in our practice, we studied the incidence of carotid stent fractures and its impact on CAS durability. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Kimberly Corbitt, Neeta Karani, Robert Molnar, Subbaiah Perla Tags: Plenary Session 2 Source Type: research

Assessment of Bleeding Risk in Patients Being Considered for VTE Pharmacoprophylaxis in a Large Nationwide Cohort
More than 100,000 patients are hospitalized in the United States each day. Half of all venous thromboembolism (VTE) events occur in hospitalized patients. Hospital-related pulmonary embolism was declared the leading preventable cause of in-hospital death by the US Surgeon General, Centers for Disease Control and Prevention, and Centers for Medicare and Medicaid Services. Risk-stratification and targeted-prophylaxis are keys to prevention. Pharmacoprophylaxis is highly effective, though with an increased risk of bleeding. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Hilary Hayssen, Shalini Sahoo, Tariq Siddiqui, Phuong Nguyen, Minerva Mayorga-Carlin, Jamie Deng, Brian Englum, Aman Kankaria, Yelena Yesha, John D. Sorkin, Brajesh K. Lal Tags: Plenary Session 1: William J. von Liebig Forum Source Type: research

Ethical analysis examining the prioritisation of living donor transplantation in times of healthcare rationing
The transplant community has faced unprecedented challenges balancing risks of performing living donor transplants during the COVID-19 pandemic with harms of temporarily suspending these procedures. Decisions regarding postponement of living donation stem from its designation as an elective procedure, this despite that the Centers for Medicare and Medicaid Services categorise transplant procedures as tier 3b (high medical urgency—do not postpone). In times of severe resource constraints, health systems may be operating under crisis or contingency standards of care. In this manuscript, the United Network for Organ Sha...
Source: Journal of Medical Ethics - May 22, 2023 Category: Medical Ethics Authors: Kulkarni, S., Flescher, A., Ahmad, M., Bayliss, G., Bearl, D., Biondi, L., Davis, E., George, R., Gordon, E., Lyons, T., Wightman, A., Ladin, K. Tags: Open access Current controversy Source Type: research

Most Americans Feeling Stressed About Inflation, Survey Shows
Inflation is causing a significant amount of stress for most Americans, especially women and people who are socioeconomically more vulnerable, areport inJAMA Network Open has found.Cary Wu, Ph.D., of York University in Toronto and colleagues analyzed data from the Household Pulse Survey collected from September 2022 to February 2023 by the U.S. Census Bureau. They measured inflation stress using the survey question, “How stressful has the increase in prices in the last two months been for you?” The potential answers were “not at all stressful,” “a little stressful,” “moderately stressful,” and “very stres...
Source: Psychiatr News - May 17, 2023 Category: Psychiatry Tags: Cary Wu Household Pulse Survey inflation Price increases stress York University in Toronto Source Type: research

Assessing the Impact of the Center for Medicare and Medicaid Services Policy Guidance on Part D Prescriptions Among Hospice Patients
This study aims to evaluate the effect of the April 4, 2011, policy guidance on hospice patients' Part D prescriptions. This study employed generalized estimating equations to assess (1) total monthly average prescriptions of all medications and (2) four categories of commonly prescribed hospice medications in pre-and-post policy guidance. This research used the Medicare claims of 113,260 Part D-enrolled Medicare male patients aged 66 and older between April 2009 and March 2013, including 110,547 non-hospice patients and 2713 hospice patients. Hospice patients' monthly average total Part D prescriptions decreased from 7.3 ...
Source: The American Journal of Hospice and Palliative Care - May 16, 2023 Category: Palliative Care Authors: Katherine Irvin Panagiota Kitsantas Janusz Wojtusiak Sanja Avramovic Hong Xue Source Type: research

Assessing the Impact of the Center for Medicare and Medicaid Services Policy Guidance on Part D Prescriptions Among Hospice Patients
This study aims to evaluate the effect of the April 4, 2011, policy guidance on hospice patients' Part D prescriptions. This study employed generalized estimating equations to assess (1) total monthly average prescriptions of all medications and (2) four categories of commonly prescribed hospice medications in pre-and-post policy guidance. This research used the Medicare claims of 113,260 Part D-enrolled Medicare male patients aged 66 and older between April 2009 and March 2013, including 110,547 non-hospice patients and 2713 hospice patients. Hospice patients' monthly average total Part D prescriptions decreased from 7.3 ...
Source: The American Journal of Hospice and Palliative Care - May 16, 2023 Category: Palliative Care Authors: Katherine Irvin Panagiota Kitsantas Janusz Wojtusiak Sanja Avramovic Hong Xue Source Type: research

Financial Impact of the Indiana University Student-Run Free Clinic
AbstractStudent-run free clinics (SRFCs) serve as an important public safety-net for un- and under-insured patients. Few studies have investigated their financial impact or return of investment to the community. The aim of this study was to estimate the financial impact of the Indiana University Student Outreach Clinic (IUSOC) using national market values of medical visits and lab services in 2021.From internal triage classification records maintained from March to December 2021, Current Procedural Terminology (CPT) codes were assigned corresponding to “New Patient,” “Returning Quick or Long” and “Fast Track” v...
Source: Journal of Community Health - May 15, 2023 Category: International Medicine & Public Health Source Type: research