Effects of Patient Comorbidities and Demographics on Episode-of-Care Costs Following Total Shoulder Arthroplasty
CONCLUSION: Providers should be aware that certain demographic variables and comorbidities (history of stroke, dementia, chronic pulmonary disease, anemia, heart disease, advanced age, and elevated body mass index) are associated with an increase in total costs following primary shoulder arthroplasty. Further study is required to determine whether bundled payment target costs should be adjusted to better compensate for specific comorbidities.LEVEL OF EVIDENCE: Level IV case series.PMID:36749879 | DOI:10.5435/JAAOS-D-22-00450 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - February 7, 2023 Category: Orthopaedics Authors: Dominic M Farronato Joshua D Pezzulo Alexander J Rondon Sean Porrini Diane McGonigal Charles L Getz Daniel E Davis Source Type: research

Digital health applications in otorhinolaryngology
CONCLUSION: The introduction of digital health applications is sometimes also discussed critically, but they represent an innovative approach and various digital health applications with a high level of underlying evidence are already available, especially for the ear, nose, and throat area.PMID:36734998 | DOI:10.1007/s00106-022-01271-w (Source: HNO)
Source: HNO - February 3, 2023 Category: ENT & OMF Authors: Benedikt Hofauer Dominik Pf örringer Oliver Sch öffski Zhaojun Zhu Christian Offergeld Source Type: research

The Price-Quality Mismatch: Are Negotiated Prices for Total Joint Arthroplasty Associated With Hospital Quality in a Large California Health System?
CONCLUSION: There is substantial price variation for TJA that is not accounted for by the quality of care, suggesting that a mismatch between price and quality exists. Efforts to improve care value in TJA are needed to directly link prices with the quality of care delivered, such as through matched quality and price reporting mechanisms. Future studies might investigate whether making price and quality data accessible to patients, such as through value dashboards that report easy-to-interpret quality data alongside price information, moves patients toward higher-value care decisions.CLINICAL RELEVANCE: Efforts to better ma...
Source: Clinical Orthopaedics and Related Research - February 2, 2023 Category: Orthopaedics Authors: Thompson Zhuang Lauren M Shapiro Laurence C Baker Robin N Kamal Source Type: research

The Price-Quality Mismatch: Are Negotiated Prices for Total Joint Arthroplasty Associated With Hospital Quality in a Large California Health System?
CONCLUSION: There is substantial price variation for TJA that is not accounted for by the quality of care, suggesting that a mismatch between price and quality exists. Efforts to improve care value in TJA are needed to directly link prices with the quality of care delivered, such as through matched quality and price reporting mechanisms. Future studies might investigate whether making price and quality data accessible to patients, such as through value dashboards that report easy-to-interpret quality data alongside price information, moves patients toward higher-value care decisions.CLINICAL RELEVANCE: Efforts to better ma...
Source: Clinical Orthopaedics and Related Research - February 2, 2023 Category: Orthopaedics Authors: Thompson Zhuang Lauren M Shapiro Laurence C Baker Robin N Kamal Source Type: research

Moving toward Equitable Care for Sleep Apnea in the United States: Positive Airway Pressure Adherence Thresholds: An Official American Thoracic Society Policy Statement
Conclusions: Modifications to the current policies for PAP insurance coverage could improve health disparities.PMID:36722719 | DOI:10.1164/rccm.202210-1846ST (Source: Respiratory Care)
Source: Respiratory Care - February 1, 2023 Category: Respiratory Medicine Authors: Anna M May Sanjay R Patel Motoo Yamauchi Tilak K Verma Terri E Weaver Ching Li Chai-Coetzer J Daryl Thornton Gary Ewart Terrance Showers Najib T Ayas Sairam Parthasarathy Reena Mehra Martha E Billings Source Type: research

Moving toward Equitable Care for Sleep Apnea in the United States: Positive Airway Pressure Adherence Thresholds: An Official American Thoracic Society Policy Statement
Conclusions: Modifications to the current policies for PAP insurance coverage could improve health disparities.PMID:36722719 | DOI:10.1164/rccm.202210-1846ST (Source: Am J Respir Crit Car...)
Source: Am J Respir Crit Car... - February 1, 2023 Category: Intensive Care Authors: Anna M May Sanjay R Patel Motoo Yamauchi Tilak K Verma Terri E Weaver Ching Li Chai-Coetzer J Daryl Thornton Gary Ewart Terrance Showers Najib T Ayas Sairam Parthasarathy Reena Mehra Martha E Billings Source Type: research

Prior authorization restrictions on medications for opioid use disorder: trends in state laws from 2005 to 2019
CONCLUSIONS: The number of states with an MOUD prior authorization law prohibition increased in recent years. Such laws could help expand access to life-saving OUD treatments by making it easier for clinicians to prescribe MOUD.KEY MESSAGESNo states had MOUD prior authorization prohibitions between 2005 and 2015 in state statutes or regulations, and only one state had such a prohibition in 2016.By 2019, fifteen states had an MOUD prior authorization prohibition law.States varied significantly in their approach to prohibiting MOUD prior authorization, including with respect to the insurer type, duration of the prohibition, ...
Source: Annals of Medicine - February 1, 2023 Category: Internal Medicine Authors: Barbara Andraka-Christou Olivia Golan Rachel Totaram Maggie Ohama Brendan Saloner Adam J Gordon Bradley D Stein Source Type: research

Moving toward Equitable Care for Sleep Apnea in the United States: Positive Airway Pressure Adherence Thresholds: An Official American Thoracic Society Policy Statement
Conclusions: Modifications to the current policies for PAP insurance coverage could improve health disparities.PMID:36722719 | DOI:10.1164/rccm.202210-1846ST (Source: American Journal of Respiratory and Critical Care Medicine)
Source: American Journal of Respiratory and Critical Care Medicine - February 1, 2023 Category: Respiratory Medicine Authors: Anna M May Sanjay R Patel Motoo Yamauchi Tilak K Verma Terri E Weaver Ching Li Chai-Coetzer J Daryl Thornton Gary Ewart Terrance Showers Najib T Ayas Sairam Parthasarathy Reena Mehra Martha E Billings Source Type: research

Moving toward Equitable Care for Sleep Apnea in the United States: Positive Airway Pressure Adherence Thresholds: An Official American Thoracic Society Policy Statement
Conclusions: Modifications to the current policies for PAP insurance coverage could improve health disparities.PMID:36722719 | DOI:10.1164/rccm.202210-1846ST (Source: Respiratory Care)
Source: Respiratory Care - February 1, 2023 Category: Respiratory Medicine Authors: Anna M May Sanjay R Patel Motoo Yamauchi Tilak K Verma Terri E Weaver Ching Li Chai-Coetzer J Daryl Thornton Gary Ewart Terrance Showers Najib T Ayas Sairam Parthasarathy Reena Mehra Martha E Billings Source Type: research

Moving toward Equitable Care for Sleep Apnea in the United States: Positive Airway Pressure Adherence Thresholds: An Official American Thoracic Society Policy Statement
Conclusions: Modifications to the current policies for PAP insurance coverage could improve health disparities.PMID:36722719 | DOI:10.1164/rccm.202210-1846ST (Source: Am J Respir Crit Car...)
Source: Am J Respir Crit Car... - February 1, 2023 Category: Intensive Care Authors: Anna M May Sanjay R Patel Motoo Yamauchi Tilak K Verma Terri E Weaver Ching Li Chai-Coetzer J Daryl Thornton Gary Ewart Terrance Showers Najib T Ayas Sairam Parthasarathy Reena Mehra Martha E Billings Source Type: research

Prior authorization restrictions on medications for opioid use disorder: trends in state laws from 2005 to 2019
CONCLUSIONS: The number of states with an MOUD prior authorization law prohibition increased in recent years. Such laws could help expand access to life-saving OUD treatments by making it easier for clinicians to prescribe MOUD.KEY MESSAGESNo states had MOUD prior authorization prohibitions between 2005 and 2015 in state statutes or regulations, and only one state had such a prohibition in 2016.By 2019, fifteen states had an MOUD prior authorization prohibition law.States varied significantly in their approach to prohibiting MOUD prior authorization, including with respect to the insurer type, duration of the prohibition, ...
Source: Annals of Medicine - February 1, 2023 Category: Internal Medicine Authors: Barbara Andraka-Christou Olivia Golan Rachel Totaram Maggie Ohama Brendan Saloner Adam J Gordon Bradley D Stein Source Type: research

Prior authorization restrictions on medications for opioid use disorder: trends in state laws from 2005 to 2019
CONCLUSIONS: The number of states with an MOUD prior authorization law prohibition increased in recent years. Such laws could help expand access to life-saving OUD treatments by making it easier for clinicians to prescribe MOUD.KEY MESSAGESNo states had MOUD prior authorization prohibitions between 2005 and 2015 in state statutes or regulations, and only one state had such a prohibition in 2016.By 2019, fifteen states had an MOUD prior authorization prohibition law.States varied significantly in their approach to prohibiting MOUD prior authorization, including with respect to the insurer type, duration of the prohibition, ...
Source: Annals of Medicine - February 1, 2023 Category: Internal Medicine Authors: Barbara Andraka-Christou Olivia Golan Rachel Totaram Maggie Ohama Brendan Saloner Adam J Gordon Bradley D Stein Source Type: research