Centers for Medicare and Medicaid Services (CMS) Research This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Old tech but not low tech: telephone-based treatment provision for substance use
The future of telemedicine for substance use treatment hangs by a thread, as the United States awaits approval of proposed regulations and laws to increase care access in light of the 2022 Centers for Medicare and Medicaid Services revisions allowing for audio-only care. Telemedicine improves patient care access and outcomes. Audio-only telemedicine can be an effective and viable modality for individuals without technology resources (devices, internet services, and literacy), those with reduced telehealth service utilization (Black individuals or those with unstable housing, who are older, with low income, or with low educ...
Source: Frontiers in Psychiatry - March 19, 2024 Category: Psychiatry Source Type: research

Veterans With PTSD May Benefit From Transcranial Direct Current Stimulation Plus Virtual Reality
Transcranial direct current stimulation (tDCS) may augment virtual reality –guided exposure therapy for veterans with posttraumatic stress disorder (PTSD), according tofindings published yesterday inJAMA Psychiatry. In the study, veterans with war zone –related trauma had significantly greater improvements in PTSD symptoms when receiving virtual reality combined with tDCS compared with veterans who received virtual reality and sham stimulation.Mascha van ’t Wout-Frank, Ph.D., of the VA Providence (R.I.) Healthcare System and colleagues recruited 54 participants (94% male; mean age 46 years) from the system who had PT...
Source: Psychiatr News - March 7, 2024 Category: Psychiatry Tags: exposure therapy post-traumatic stress disorder PTSD Transcranial Direct Current Stimulation veterans virtual reality VR war zone Source Type: research

Factors associated with Ninety-day Reintervention following Lower Extremity Revascularization
Peripheral artery disease (PAD) represents a high volume, high-cost burden on the healthcare system. The Centers for Medicare and Medicaid Services (CMS) has developed the Bundled Payments for Care Improvement-Advanced program, in which a single payment is provided for all services administered in a postsurgical 90-day episode of care. Factors associated with 30- and 90-day reinterventions after PAD interventions would represent useful data for both payors and stake holders. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 7, 2024 Category: Surgery Authors: Olamide Alabi, Jessica L. Harding, Nader Massarweh, Xinyan Zheng, Luke Brewster, Jialin Mao, Yazan Duwayri Source Type: research

Implications of the Centers for Medicare and Medicaid Services (CMS) Decision to Expand Indications for Carotid Artery Stenting
On October 11, 2023, the United States Centers for Medicare and Medicaid Services (CMS) released a recommendation stating that percutaneous transluminal angioplasty of the carotid artery concurrent with stenting is reasonable and necessary with the placement of a Food and Drug Administration (FDA)-approved carotid stent with an FDA-approved or cleared embolic protection device, for patients with ≥50% symptomatic (SxCS) or ≥70% asymptomatic (AsxCS) carotid artery stenosis.1 For both SxCS and AsxCS patients, CMS advised that prior to furnishing carotid artery stenting (CAS), the practitioner must engage in a formal share...
Source: Journal of Vascular Surgery - March 7, 2024 Category: Surgery Authors: Kosmas I. Paraskevas, Clark J. Zeebregts, Ali F. AbuRahma, Bruce A. Perler Source Type: research

Factors associated with 90-day reintervention following lower extremity revascularization
Peripheral artery disease (PAD) represents a high-volume, high-cost burden on the health care system. The Centers for Medicare and Medicaid Services has developed the Bundled Payments for Care Improvement-Advanced program, in which a single payment is provided for all services administered in a postsurgical 90-day episode of care. Factors associated with 30- and 90-day reinterventions after PAD interventions would represent useful data for both payors and stake holders. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 7, 2024 Category: Surgery Authors: Olamide Alabi, Jessica L. Harding, Nader Massarweh, Xinyan Zheng, Luke Brewster, Jialin Mao, Yazan Duwayri Source Type: research

Menopause Not Associated With Universal Risk for Depression, Review Shows
APA ’s Good Faith Estimates Survey: Please Respond TodayThe No Surprises Actrequires clinicians to provide patients who are uninsured or are insured but choose not to submit claims through their health plan with a Good Faith Estimate of the cost of care. The Centers for Medicare and Medicaid Services has asked APA for your feedback on efforts to comply with these requirements and any educational support you may need from CMS. The deadline isFriday, March 8.TAKE SURVEYThe transition into menopause by itself does not appear to raise the risk of depression in women, according to areview inThe Lancet. However, a subset of wo...
Source: Psychiatr News - March 6, 2024 Category: Psychiatry Tags: depression depressive symptoms hormonal changes menopause The Lancet transition women Source Type: research

Frequent Cannabis Use Raises Risk of Heart Attack and Stroke
Frequent cannabis use may raise the risk of heart attack and stroke, astudy in theJournal of the American Heart Association has found.Abra Jeffers, Ph.D., M.S., M.Phil., of Massachusetts General Hospital and colleagues examined data from the Behavioral Risk Factor Surveillance Survey (BRFSS) between 2016 and 2020. The BRFSS is an annual telephone survey of adults in which participants report on their health behaviors and whether health care professionals had ever diagnosed them with a health condition. Jeffers and colleagues drew data from 434,104 adults aged 18 to 74 years across 27 states and two territories to assess th...
Source: Psychiatr News - March 5, 2024 Category: Psychiatry Tags: cannabis heart attack heart disease myocardial infarction risk factors smoking stroke Source Type: research

Assessing Clinically Important Differences During Rehabilitation for Stroke: A Pilot Study Evaluating Anchor and Distribution Derived Estimates of Physical Function Change in Classically Summed and Rasch Models of Section GG of the Inpatient Rehabilitation Facility Patient Assessment Instrument
To determine clinically important differences (CID) on Section GG physical functioning scores on the Centers for Medicare and Medicaid Services (CMS) Inpatient Rehabilitation Facility Assessment Instrument (IRF-PAI) for patients with stroke, using anchor and distribution-based approaches. (Source: Archives of Physical Medicine and Rehabilitation)
Source: Archives of Physical Medicine and Rehabilitation - February 29, 2024 Category: Rehabilitation Authors: Erin Y. Harmon, Jerome Niyirora, Amy E. Teale, Matthew B. Sonagere, Mark A. Linsenmeyer, Lynne Nicolson Tags: Original Research Source Type: research

How Active Are Our Patients in the First 6 Weeks Following Total Knee Arthroplasty?
Concurrent market changes impact the need for increased patient activity shortly after surgery. A relatively recent market change is the shift to outpatient TKA after the Centers for Medicare and Medicaid Services removed primary TKA from the inpatient-only list in 2018. This site-of-care shift was accelerated by the COVID-19 pandemic and limited access to inpatient care for elective procedures. Prior to 2018, pilot programs for bundled care, such as the Comprehensive Care for Joint Replacement (CJR) program from Medicare and similar Medicare Advantage programs, yielded cost savings from reduced usage of skilled nursing or...
Source: The Journal of Arthroplasty - February 28, 2024 Category: Orthopaedics Authors: Fred D. Cushner, Olivia F. Hunter, David Lee Tags: Proceedings of the Knee Society 2023 Source Type: research

Learning curve of Transfemoral Carotid Artery Stenting in the Vascular Quality Initiative Registry
With the recent expansion of the Centers for Medicare and Medicaid Services (CMS) coverage, transfemoral carotid artery stenting (tfCAS) is expected to play a larger role in the management of carotid disease. Existing research on the tfCAS learning curve, primarily conducted over a decade ago, may not adequately describe the current effect of physician experience on outcomes. Since about 30% of perioperative stroke/death post-CAS occur after discharge, appropriate thresholds for in-hospital event rates have been suggested to be (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - February 28, 2024 Category: Surgery Authors: Gabriel Jabbour, Sai Divya Yadavalli, Sabrina Straus, Andrew P. Sanders, Vinamr Rastogi, Jens Eldrup-Jorgensen, Richard J. Powell, Roger B. Davis, Marc L. Schermerhorn Source Type: research

A principled approach to non-discrimination in cost-effectiveness
AbstractThe US Inflation Reduction Act (IRA) prohibits the Centers for Medicare and Medicaid Services (CMS) from using standard quality-adjusted life-years or other value assessment methods that discriminate against the aged, terminally ill, or disabled when setting maximum fair prices for prescription drugs. This policy has reignited interest in methods for assessing value without discrimination. Equal value of life-years gained (EVL), healthy years in total (HYT), and Generalized Risk-Adjusted Cost-Effectiveness (GRACE) have emerged as proposals. Neither EVL nor HYT rests on well-articulated microeconomic foundations. We...
Source: The European Journal of Health Economics - February 27, 2024 Category: Health Management Source Type: research

CMS Prescription Trends for Quetiapine are Increasing: Can This Be Secondary to Off-Label Use?
Quetiapine is an atypical antipsychotic that is FDA approved for the treatment of schizophrenia, acute mania in bipolar 1 disorder, bipolar depression, and as an adjunct in major depressive disorder (MDD). Likely due to quetiapine's broad action amongst neurotransmitter receptors, and favorable side effect profile compared to other antipsychotic medications, the use of quetiapine is widespread for a variety of off-label diagnoses. Here we present information on the trends of the prescription of quetiapine from the center for Medicare and Medicaid Services (CMS) database. (Source: The American Journal of Geriatric Psychiatry)
Source: The American Journal of Geriatric Psychiatry - February 18, 2024 Category: Geriatrics Authors: Dana Ferrara, Adam Fusick, Steven Gunther, Sean Smith Tags: Poster # EI29 Source Type: research

Considerations and recommendations for hand surgeons in light of Centers for Medicare and Medicaid Services price transparency rulings
J Plast Reconstr Aesthet Surg. 2024 Feb 2;90:19-20. doi: 10.1016/j.bjps.2024.01.024. Online ahead of print.NO ABSTRACTPMID:38335871 | DOI:10.1016/j.bjps.2024.01.024 (Source: Hand Surgery)
Source: Hand Surgery - February 9, 2024 Category: Surgery Authors: Praneet S Paidisetty Ashley Shin Leonard K Wang Wendy Chen Source Type: research