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Total 238 results found since Jan 2013.

Comparative Cost Analysis of Monitoring Exhaled Nitric Oxide (FeNO) in Asthma Management
Asthma guidelines recommend periodic assessment and management of symptoms to prevent exacerbations, which can lead to hospitalization, increased healthcare utilization and cost. According to recent Cochrane meta-analysis data, FeNO monitoring is associated with a 40-50% reduction in the risk of exacerbations. Cost modelling of these data indicated the potential for significant cost savings with FeNO use. Therefore we attempted to verify this potential for cost savings within a real-world database of Medicare recipients.
Source: Journal of Allergy and Clinical Immunology - February 1, 2018 Category: Allergy & Immunology Authors: Marc Massanari, Andrew Layton, Renee Arnold Source Type: research

Medicare Requiring Hospitals to Post Prices Online
Medicare would base part of a hospital ' s payments on how easy it is for patients to access medical records
Source: The Doctors Lounge - Psychiatry - November 11, 2014 Category: Psychiatry Tags: Cardiology, Dermatology, Endocrinology, Family Medicine, Geriatrics, Gastroenterology, Gynecology, Infections, AIDS, Internal Medicine, Allergy, Critical Care, Emergency Medicine, Nephrology, Neurology, Nursing, Oncology, Ophthalmology, Orthopedics, ENT, Source Type: news

The Current State of Antimicrobial Stewardship: Challenges, Successes, and Future Directions
AbstractPurpose of ReviewThe aim of this study is to examine the current state of the field of antimicrobial stewardship (AS) by highlighting key challenges and successes, as well as exciting future directions.Recent FindingsAS mandates from the Centers for Medicare and Medicaid (CMS) and the Joint Commission (TJC) will stimulate increased compliance with current AS standards, but overall compliance is currently poor. Key challenges to progress in the field of AS include insufficient workforce and monetary resources, poorly defined AS metrics, and much needed expansion beyond the inpatient hospital setting. Despite these c...
Source: Current Infectious Disease Reports - June 29, 2018 Category: Infectious Diseases Source Type: research

Analyzing Medicare payments to otologists.
Abstract The study objective was to analyze Medicare payment data to otologists compared to otolaryngologists, using the publicly released Centers for Medicare and Medicaid Services dataset. Charges, payments, and common Current Procedural Terminology codes were obtained. Otology providers were selected from the roster of the American Otological Society. Descriptive statistics and unequal variance two-tailed t tests were used for comparisons between otologists (n = 147) and otolaryngologists (n = 8,318). The mean overall submitted charge was $204,851 per otology provider and was $211,209 per other otolaryngology p...
Source: Ear, Nose and Throat Journal - July 1, 2018 Category: ENT & OMF Authors: Imbery TE, Nicholas BD, Goyal P Tags: Ear Nose Throat J Source Type: research

Physician - Group ACOs Generate Medicare Savings
Savings grow with longer participation and are significantly higher than hospital - integrated ACOs
Source: The Doctors Lounge - Psychiatry - September 25, 2018 Category: Psychiatry Tags: Cardiology, Dermatology, Endocrinology, Family Medicine, Geriatrics, Gastroenterology, Gynecology, Infections, AIDS, Internal Medicine, Allergy, Critical Care, Emergency Medicine, Nephrology, Neurology, Oncology, Ophthalmology, Orthopedics, ENT, Pathology Source Type: news

The Current State of Antimicrobial Stewardship: Challenges, Successes, and Future Directions
AbstractPurpose of ReviewThe aim of this study is to examine the current state of the field of antimicrobial stewardship (AS) by highlighting key challenges and successes, as well as exciting future directions.Recent FindingsAS mandates from the Centers for Medicare and Medicaid (CMS) and the Joint Commission (TJC) will stimulate increased compliance with current AS standards, but overall compliance is currently poor. Key challenges to progress in the field of AS include insufficient workforce and monetary resources, poorly defined AS metrics, and much needed expansion beyond the inpatient hospital setting. Despite these c...
Source: Current Infectious Disease Reports - June 29, 2018 Category: Infectious Diseases Source Type: research

Aetna - CVS Merger Approved
Under the approval, Aetna must sell off its private Medicare drug plans
Source: The Doctors Lounge - Psychiatry - November 11, 2014 Category: Psychiatry Tags: Cardiology, Dermatology, Endocrinology, Family Medicine, Geriatrics, Gastroenterology, Gynecology, Infections, AIDS, Internal Medicine, Allergy, Critical Care, Emergency Medicine, Nephrology, Neurology, Nursing, Oncology, Ophthalmology, Orthopedics, ENT, Source Type: news

Trump Administration Announces Plan to Cut Drug Prices
HHS study shows Medicare pays 80 percent more than other countries for certain prescription drugs
Source: The Doctors Lounge - Psychiatry - November 11, 2014 Category: Psychiatry Tags: Cardiology, Dermatology, Endocrinology, Family Medicine, Geriatrics, Gastroenterology, Gynecology, Infections, AIDS, Internal Medicine, Allergy, Critical Care, Emergency Medicine, Nephrology, Neurology, Nursing, Oncology, Ophthalmology, Orthopedics, ENT, Source Type: news

Excessive $48,329 Charge for California Patient ’s Outpatient Clinical Laboratory Testing Calls Attention to Chargemaster Rates and New CMS Price Transparency Rule
Studies show medical laboratories may be particularly hit by adjustments to hospital chargemasters as hospitals prepare to comply with Medicare’s New Transparency Rule Recently, Kaiser Health News (KHN) published a story about a $48,329 bill for allergy testing that cast a spotlight on hospital chargemaster rates just as healthcare providers are preparing to publish their […]
Source: Dark Daily - November 30, 2018 Category: Laboratory Medicine Authors: Jude Tags: Laboratory Pathology Laboratory Testing Managed Care Contracts & Payer Reimbursement News From Dark Daily anatomic pathology Anthem Blue Cross California Office of Statewide Health Planning and Development CDM centers for medicare and medi Source Type: news

Socioeconomic factors impact quality of life outcomes and olfactory measures in chronic rhinosinusitis
ConclusionsPreoperative olfactory function and postoperative quality of life (QOL) improvement were associated with metrics of socioeconomic status in patients with CRS electing ESS. The odds of experiencing a clinically meaningful QOL improvement were more than twice as likely for patients with the highest household income level compared to other income tiers. Further investigation is warranted to identify barriers to postoperative improvement.
Source: International Forum of Allergy and Rhinology - December 10, 2018 Category: Allergy & Immunology Authors: Daniel M. Beswick, Jess C. Mace, Luke Rudmik, Zachary M. Soler, Jeremiah A. Alt, Kristine A. Smith, Kara Y. Detwiller, Timothy L. Smith Tags: ORIGINAL ARTICLE Source Type: research

The impact of race and insurance status on baseline histopathology profile in patients with chronic rhinosinusitis
ConclusionBlack and Medicaid patients demonstrated more severe disease by histopathology and SNOT ‐22 scores. These findings were no longer significant among Black patients after adjusting for insurance status, suggesting that the prevailing factor influencing worse disease may be access to care.
Source: International Forum of Allergy and Rhinology - February 12, 2019 Category: Allergy & Immunology Authors: Hannah N. Kuhar, Ashwin Ganti, Michael Eggerstedt, Mahboobeh Mahdavinia, Paolo Gattuso, Ritu Ghai, Pete S. Batra, Bobby A. Tajudeen Tags: ORIGINAL ARTICLE Source Type: research

Medicare Wellness Visits: Their Value to Your Practice Medicare Wellness Visits: Their Value to Your Practice
Do you offer the Medicare annual wellness visit to your patients? Learn how it provides benefits to your practice as well as your patients in this brief article.Family Practice Management
Source: Medscape Allergy Headlines - March 28, 2019 Category: Allergy & Immunology Tags: Family Medicine/Primary Care Journal Article Source Type: news

The impact of race and insurance status on baseline histopathology profile in patients with chronic rhinosinusitis
ConclusionBlack and Medicaid patients demonstrated more severe disease by histopathology and SNOT ‐22 scores. These findings were no longer significant among Black patients after adjusting for insurance status, suggesting that the prevailing factor influencing worse disease may be access to care.
Source: International Forum of Allergy and Rhinology - February 11, 2019 Category: Allergy & Immunology Authors: Hannah N. Kuhar, Ashwin Ganti, Michael Eggerstedt, Mahboobeh Mahdavinia, Paolo Gattuso, Ritu Ghai, Pete S. Batra, Bobby A. Tajudeen Tags: ORIGINAL ARTICLE Source Type: research

CMS Reverses Course: ' Protected ' Drug Classes Still Covered CMS Reverses Course: ' Protected ' Drug Classes Still Covered
But the agency is reaffirming that step therapy is allowed for Part B drugs under Medicare Advantage.Medscape Medical News
Source: Medscape Allergy Headlines - May 18, 2019 Category: Allergy & Immunology Tags: Family Medicine/Primary Care News Source Type: news

Private Insurers Pay 241 Percent of What Medicare Would Pay
RAND researchers recommend private insurers move toward fixed - price arrangements
Source: The Doctors Lounge - Psychiatry - May 18, 2019 Category: Psychiatry Tags: Cardiology, Dermatology, Endocrinology, Family Medicine, Geriatrics, Gastroenterology, Gynecology, Infections, AIDS, Internal Medicine, Allergy, Critical Care, Emergency Medicine, Nephrology, Neurology, Nursing, Oncology, Ophthalmology, Orthopedics, ENT, Source Type: news