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Z-codes: An underutilized strategy to identify social determinants of health (SDOH), eliminate health disparities, and achieve health equity
Health equity is the attainment of the highest level of health for all people where everyone has a fair and just opportunity to attain their optimal health regardless of race, ethnicity, disability, sexual orientation, gender identity, socioeconomic status, geography, preferred language, or other factors that affect access to care and health outcomes according to the Centers for Medicare and Medicaid Services (CMS). While medical care alone accounts for 10 –20 % of health outcomes, 60–80 % of health outcomes involve social determinants of health. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 5, 2023 Category: Surgery Authors: Cherisse Berry Tags: Invited Commentary Source Type: research

Access in all areas? A round up of developments in market access and health technology assessment: part 2
J Comp Eff Res. 2023 Nov 2:e230162. doi: 10.57264/cer-2023-0162. Online ahead of print.ABSTRACTIn this latest update, we explore the Inflation Reduction Act (IRA) enacted by the US Congress in August 2022, with the Centers for Medicare and Medicaid Services (CMS) recently releasing the list of the first ten drugs it will negotiate prices on. We also cover the consequences of price controls and rigid value assessment in Germany which have led to the withdrawal of a number of medicines. It will be important to see how the IRA balances cost-saving with holistic value assessment, incentives for innovation and patient access to...
Source: Journal of Comparative Effectiveness Research - November 2, 2023 Category: General Medicine Authors: Alice Beattie Catrin Treharne Silvy Mardiguian Sreeram V Ramagopalan Source Type: research

Variability in Expenses Related to Spine Oncology Care: Comparison of Payer-Negotiated Rates at National Cancer Institute-Designated Cancer Centers
As of 2021, the Centers for Medicare and Medicaid Services (CMS) requires all hospitals to publish their commercially negotiated prices. To our knowledge, price variation of spine oncology diagnosis and treatments has not been previously investigated. (Source: The Spine Journal)
Source: The Spine Journal - October 28, 2023 Category: Orthopaedics Authors: Viknesh S. Kasthuri, Daniel Alsoof, Mariah Balmaceno-Criss, Mohammad Daher, Christopher L. McDonald, Bassel G. Diebo, Eren O. Kuris, Alan H. Daniels Tags: Basic Science Source Type: research

ASMBS statement on metabolic and bariatric surgery for beneficiaries of Centers for Medicare and Medicaid Services with a review of the literature
Surg Obes Relat Dis. 2023 Sep 26:S1550-7289(23)00700-1. doi: 10.1016/j.soard.2023.09.013. Online ahead of print.ABSTRACTThis position statement is issued by the American Society for Metabolic and Bariatric. Surgery in response to inquiries made to the Society by patients, physicians, Society members, hospitals, health insurance payors, the media, and others regarding the access and outcomes of metabolic and bariatric surgery for beneficiaries of Centers for Medicare and Medicaid Services. This position statement is based on current clinical knowledge, expert opinion, and published peer-reviewed scientific evidence availabl...
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - October 27, 2023 Category: Surgery Authors: Abdelrahman Nimeri Rodolfo Oviedo Wesley R Vosburg John Fam Cynthia A Blalock Maria S Altieri Toms Augustin Peter Hallowell Jonathan T Carter Clinical Issues Committee of the American Society for Metabolic and Bariatric Surgery Source Type: research

Section 50 of the Inflation Reduction Act Drug Price Negotiation Program: Considerations for the Centers for Medicare and Medicaid Services, Manufacturers, and the Health Economics and Outcomes Research Community
The Centers for Medicare and Medicaid Services (CMS) published initial1 and revised2 guidance describing how the agency will implement the “Drug Price Negotiation Program” (DPNP) (quotation marks around the words “negotiate” and “negotiation” specify that these are terms used by the agency in their publications. Many manufacturers believe the process described by the agency does not provide a genuine opportunity to negotiat e, and this is one factual allegation most common among lawsuits filed against the Department of Health and Human Services in response to the Inflation Reduction Act [IRA] implementation) pr...
Source: Value in Health - October 10, 2023 Category: International Medicine & Public Health Authors: John M. O ’Brien, Jan Elias Hansen Tags: Commentary Source Type: research

Variability in self-pay pricing for vasectomy among united states hospitals
The Centers for Medicare and Medicaid Services require United States hospitals to publicly display pricing of provided services on their hospital websites. We sought to characterize national variability in pricing for vasectomy with a focus on self-pay to determine potential financial barriers in access to vasectomy. (Source: Fertility and Sterility)
Source: Fertility and Sterility - October 1, 2023 Category: Reproduction Medicine Authors: Aaron Brant, Stephen Rhodes, Nicholas C. Sellke, Camilo Arenas-Gallo, Nannan Thirumavalavan, Peter N. Schlegel, Joshua A. Halpern Source Type: research