Office procedures for older adults by physician associates and nurse practitioners
CONCLUSIONS: Overall, PAs performed more skin and musculoskeletal procedures than NPs, and NPs performed more procedures in the other 7 procedure clusters than PAs. PA and NP employment growth does not fully explain these observations. We suggest that outpatient procedural task-shifting activity presents an area for further research.PMID:38603536 | DOI:10.37765/ajmc.2024.89532 (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - April 11, 2024 Category: Health Management Authors: Robert E McKenna Roderick S Hooker Robert Christian Source Type: research
Adjusting starting points for initial price offers: the example of ibrutinib
This article focuses on the data obtained for ibrutinib, an oral medication for treating hematologic malignancies, which is one of the only drugs reviewed by the committee that also has been selected for Medicare price negotiation. We examine data that can be obtained only from the drug manufacturer that the IRA has explicitly identified as being used to determine the price and suggest potential negotiation strategies for CMS in response.PMID:38603534 | DOI:10.37765/ajmc.2024.89531 (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - April 11, 2024 Category: Health Management Authors: Jason B Gibbons Charles L Bennett Kenneth R Carson Gerard F Anderson Source Type: research
Medicare in the 21st Century: Understanding the Program to Promote Improvements
J Am Acad Orthop Surg. 2024 Apr 9. doi: 10.5435/JAAOS-D-23-00464. Online ahead of print.ABSTRACTMedicare is the largest single purchaser of health care in the United States and currently helps to pay medical expenses for approximately one-fifth of the US population. The impetus for Medicare to move away from fee-for-service and toward value-based care payments reflects the need to incentivize and improve healthcare quality while containing increasing costs. This primer provides a detailed overview of several interrelated topics for an improved understanding of the Medicare program for orthopaedic surgeons, other clinicians...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 10, 2024 Category: Orthopaedics Authors: David M Kalainov Cynthia Barnard Jessica Walradt Source Type: research
Obscure Ruling Limits Access to Mental Healthcare for Older Adults
Since 2001, inflation-adjusted Medicare physician reimbursement across all specialties has been reduced by an average of 26% [1]. During the same period, inflation-reimbursement to Medicare mental healthcare providers has been reduced than twice that amount. In part this is because Medicare reimbursement for “cognitive work” including mental healthcare is three to five times lower than Medicare reimbursement for “procedural work” [2], reflective of systemic mentalism [3]. Overall, Medicare reimbursement has been reduced by Congress to contain costs, because the 2.9% Medicare payroll tax is inade quate to support Me...
Source: The American Journal of Geriatric Psychiatry - April 10, 2024 Category: Geriatrics Authors: Charles M. Lepkowsky Tags: Letter to the Editor Source Type: research
Understanding social needs screening and demographic data collection in primary care practices serving Maryland Medicare patients
Health outcomes are strongly impacted by social determinants of health, including social risk factors and patient demographics, due to structural inequities and discrimination. Primary care is viewed as a pote... (Source: BMC Health Services Research)
Source: BMC Health Services Research - April 10, 2024 Category: General Medicine Authors: Claire M. Starling, Marjanna Smith, Sadaf Kazi, Arianna Milicia, Rachel Grisham, Emily Gruber, Joseph Blumenthal and Hannah Arem Tags: Research Source Type: research
Social Determinants of Long-Term Opioid Use Following Total Knee Arthroplasty
This study utilized data from the Veterans Affairs Surgical Quality Improvement Program, VA Corporate Data Warehouse, and Centers for Medicare and Medicaid Services, including Veterans aged ≥ 65 who underwent elective TKA between 2013 and 2019 with no postsurgical complications or history of significant opioid use. LTO was defined as > 90 days of opioid use beginning within 90 days postsurgery. SDoH variables included the Area Deprivation Index, rurality, and housing instability in the last 12 months identified via medical record screener or International Classification of Diseases, Tenth Revision codes. Multivari...
Source: Journal of Knee Surgery - April 10, 2024 Category: Orthopaedics Authors: Hadlandsmyth, Katherine Lund, Brian C. Gao, Yubo Strayer, Andrea L. Davila, Heather Hausmann, Leslie R. M. Schmidt, Susanne Shireman, Paula K. Jacobs, Michael A. Mader, Michael J. Tessler, Robert A. Duncan, Carly A. Hall, Daniel E. Sarrazin, Mary Vaughan Tags: Original Article Source Type: research
Cardiovascular events among patients with prostate cancer treated with abiraterone and enzalutamide
This study provides real-world evidence of the cardiovascular risk of AA and ENZ that may not appear in clinical trial settings. Adjusting for age, baseline comorbidities, and SES, the likelihood of a cardiovascular event did not differ between treatment groups.PMID:38591349 | DOI:10.2340/1651-226X.2024.20337 (Source: Ann Oncol)
Source: Ann Oncol - April 9, 2024 Category: Cancer & Oncology Authors: Onur Baser Gabriela Samayoa Archana Dwivedi Sara AlSaleh Burhan Cigdem Erdi Kizilkaya Source Type: research
Cardiovascular events among patients with prostate cancer treated with abiraterone and enzalutamide
This study provides real-world evidence of the cardiovascular risk of AA and ENZ that may not appear in clinical trial settings. Adjusting for age, baseline comorbidities, and SES, the likelihood of a cardiovascular event did not differ between treatment groups.PMID:38591349 | DOI:10.2340/1651-226X.2024.20337 (Source: Acta Oncologica)
Source: Acta Oncologica - April 9, 2024 Category: Cancer & Oncology Authors: Onur Baser Gabriela Samayoa Archana Dwivedi Sara AlSaleh Burhan Cigdem Erdi Kizilkaya Source Type: research
Cardiovascular events among patients with prostate cancer treated with abiraterone and enzalutamide
This study provides real-world evidence of the cardiovascular risk of AA and ENZ that may not appear in clinical trial settings. Adjusting for age, baseline comorbidities, and SES, the likelihood of a cardiovascular event did not differ between treatment groups.PMID:38591349 | DOI:10.2340/1651-226X.2024.20337 (Source: Ann Oncol)
Source: Ann Oncol - April 9, 2024 Category: Cancer & Oncology Authors: Onur Baser Gabriela Samayoa Archana Dwivedi Sara AlSaleh Burhan Cigdem Erdi Kizilkaya Source Type: research
Cardiovascular events among patients with prostate cancer treated with abiraterone and enzalutamide
This study provides real-world evidence of the cardiovascular risk of AA and ENZ that may not appear in clinical trial settings. Adjusting for age, baseline comorbidities, and SES, the likelihood of a cardiovascular event did not differ between treatment groups.PMID:38591349 | DOI:10.2340/1651-226X.2024.20337 (Source: Acta Oncologica)
Source: Acta Oncologica - April 9, 2024 Category: Cancer & Oncology Authors: Onur Baser Gabriela Samayoa Archana Dwivedi Sara AlSaleh Burhan Cigdem Erdi Kizilkaya Source Type: research
Predicting pressure injury risk in hospitalised patients using machine learning with electronic health records: a US multilevel cohort study
Conclusions
These data could help hospitals conserve resources within a critical period of patient vulnerability of hospital-acquired pressure injury which is not reimbursed by US Medicare; thus, conserving between 30 000 and 90 000 labour-hours per year in an average 500-bed hospital. Hospitals can use this predictive algorithm to initiate a quality improvement programme for pressure injury prevention and further customise the algorithm to patient-specific variation by facility. (Source: BMJ Open)
Source: BMJ Open - April 9, 2024 Category: General Medicine Authors: Padula, W. V., Armstrong, D. G., Pronovost, P. J., Saria, S. Tags: Open access, Health informatics Source Type: research
