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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

How often is sinus surgery performed for chronic rhinosinusitis with versus without nasal polyps?
CONCLUSION: Almost 30% of ESS were performed for CRSwNP, and these cases were, on average, more extensive, used more OR time, and more often used image guidance than surgeries for CRSsNP. The rate of surgery performed for CRSwNP varied based on geography, payer, and surgical volume, which indicted that patient selection impacted surgical management. PMID: 29336288 [PubMed - in process]
Source: American Journal of Rhinology and Allergy - January 1, 2018 Category: ENT & OMF Authors: Ference EH, Suh JD, Tan BK, Smith SS Tags: Am J Rhinol Allergy Source Type: research

Extended smoking cessation counseling service utilization in the Medicare population 2012-2014.
PMID: 29273119 [PubMed - in process]
Source: Annals of Allergy, Asthma and Immunology - December 25, 2017 Category: Allergy & Immunology Authors: Abreo A, Nickels AS Tags: Ann Allergy Asthma Immunol Source Type: research

Outpatient consultant physician service usage in Australia by specialty and state and territory.
Conclusion Significant per-capita variation in consultant physician utilisation is occurring across Australia. Future studies should explore the variation in greater detail to discern whether workforce issues, access or economic barriers to care, or the possibility of over- or under-servicing in certain geographic areas is leading to this variation.What is known about the topic? There are nearly 11million initial and subsequent consultant physician consultations billed to Medicare per year, incurring nearly A$850million in Medicare benefits. Little attention has been paid to per-capita variation in rates of consultant phys...
Source: Australian Health Review - December 21, 2017 Category: Hospital Management Authors: Freed GL, Allen AR Tags: Aust Health Rev Source Type: research

Extended smoking cessation counseling service utilization in the Medicare population 2012 –2014
Cigarette smoking is the leading preventable cause of death and a major risk factor for the development and exacerbation of asthma.1 Clinicians have the opportunity to dramatically improve their patient's health, quality of life, and longevity by engaging in smoking cessation efforts.2 Provider counseling on smoking cessation increases rates of success.3 Counseling is increasingly important as novel nicotine-containing products appear in the marketplace.4
Source: Annals of Allergy, Asthma and Immunology - December 19, 2017 Category: Allergy & Immunology Authors: Andrew Abreo, Andrew S. Nickels Source Type: research

P235 Budgetary impact model on a medicare plan adopting short-acting beta-agonist inhalers with integrated dose counters
Short-acting beta-agonist (SABA) inhalers with integrated dose counters (IDC) allow patients to reliably track their rescue medication usage potentially reducing healthcare resource utilization (HRU) and cost. A budget impact model (BIM) was developed to assess the economic impact of SABAs with IDCs among patients with respiratory diseases from a Medicare perspective.
Source: Annals of Allergy, Asthma and Immunology - October 27, 2017 Category: Allergy & Immunology Authors: R. Ariely, B. Chipps, S. Stoyanov, L. Wang, S. Shrestha, O. Baser Source Type: research

Outpatient Care Has Shifted Toward More Specialist Care for Medicare Recipients
From 2000 to 2019, annual number of visits to specialists and number of unique specialists seen increased; little increase seen in PCP visits
Source: The Doctors Lounge - Psychiatry - October 12, 2017 Category: Psychiatry Tags: Cardiology, Dermatology, Endocrinology, Gastroenterology, Gynecology, Infections, AIDS, Internal Medicine, Allergy, Nephrology, Neurology, Oncology, Ophthalmology, Orthopedics, ENT, Psychiatry, Pulmonology, Rheumatology, Surgery, Anesthesiology & amp; Source Type: news

Commercial - to - Medicare Hospital Price Ratios Stable 2012 to 2019
Trends in ratios varied considerably across hospital referral regions
Source: Pulmonary Medicine News - Doctors Lounge - October 12, 2017 Category: Respiratory Medicine 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

Medicare Could Have Saved $3.6 Billion on Generic Drugs in 2020
Authors say Medicare could have saved up to $3.6 billion by purchasing generics at Mark Cuban Cost Plus Drug Company prices
Source: The Doctors Lounge - Psychiatry - October 12, 2017 Category: Psychiatry Tags: Cardiology, Dermatology, Endocrinology, Gastroenterology, Gynecology, Internal Medicine, Allergy, Nephrology, Neurology, Oncology, Ophthalmology, Orthopedics, ENT, Pharmacy, Psychiatry, Pulmonology, Rheumatology, Urology, Geriatrics, AIDS, Anesthesiology Source Type: news

Branded Rx Requests Up Medicare Costs by $1.6 Billion
Physician, patient requests account for almost one - third of branded dispensing
Source: The Doctors Lounge - Oncology - October 12, 2017 Category: Cancer & Oncology Tags: Cardiology, Dermatology, Endocrinology, Family Medicine, Geriatrics, Gastroenterology, Gynecology, Infections, AIDS, Internal Medicine, Allergy, Nephrology, Neurology, Oncology, Ophthalmology, Orthopedics, ENT, Pharmacy, Psychiatry, Pulmonology, Rheumatol Source Type: news

Medical Debt Tied to Worsening of Food, Housing Insecurity
Risk factors for medical indebtedness include hospitalization, disability, high deductible, Medicare Advantage, and no insurance coverage
Source: Pulmonary Medicine News - Doctors Lounge - October 12, 2017 Category: Respiratory Medicine 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

Medicare Advantage Plans Often Deny Coverage for Eligible, Necessary Care: Report
About 28 million older Americans have Medicare Advantage plans
Source: The Doctors Lounge - Psychiatry - October 12, 2017 Category: Psychiatry Tags: Cardiology, Dermatology, Endocrinology, Gastroenterology, Gynecology, Infections, AIDS, Internal Medicine, Allergy, Critical Care, Emergency Medicine, Nephrology, Neurology, Oncology, Ophthalmology, Orthopedics, ENT, Pathology, Psychiatry, Pulmonology, Ra Source Type: news

Evolving trends in sinus surgery: What is the impact of balloon sinus dilation?
ConclusionThe performance of BD has increased markedly in recent years. Because the use of ESS codes remain stable, observed BD trends are unlikely to be due simply to greater familiarity with newer CPT coding. The reasons for the striking increase in BD popularity are speculative and beyond the scope of this analysis, but further study may be needed. Level of EvidenceNA. Laryngoscope, 2017
Source: The Laryngoscope - October 8, 2017 Category: ENT & OMF Authors: Peter F. Svider, Spencer Darlin, Michael Bobian, Vibhav Sekhsaria, Richard J. Harvey, Stacey T. Gray, Soly Baredes, Adam J. Folbe, Jean Anderson Eloy Tags: Allergy/Rhinology Source Type: research

Decomposition Analysis of Black –White Disparities in Birth Outcomes: The Relative Contribution of Air Pollution and Social Factors in California
Conclusions: Our results suggest that, although the role of individual and neighborhood factors remains prevailing in explaining black–white differences in birth outcomes, the individual contribution of PM2.5 is comparable in magnitude to any single individual- or neighborhood-level factor. https://doi.org/10.1289/EHP490 Received: 10 May 2016 Revised: 16 December 2016 Accepted: 03 January 2017 Published: 04 October 2017 Address correspondence to T. Benmarhnia, Department of Family Medicine and Public Health, and Scripps Institution of Oceanography, University of California, San Diego, 9500 Gilman Drive, La Jolla, C...
Source: EHP Research - October 4, 2017 Category: Environmental Health Authors: Daniil Lyalko Tags: Research Source Type: research

Risk factors for severe anaphylaxis in the United States.
CONCLUSION: In this large contemporary cohort study, 11.6% of patients had severe anaphylaxis. Age of 65 years or older, medication as a trigger, and presence of comorbid conditions (specifically cardiac and lung disease) were associated with significantly higher odds of severe anaphylaxis. Additional studies examining risk factors for severe anaphylaxis are needed to define risk assessment strategies and establish a framework for management. PMID: 28958375 [PubMed - in process]
Source: Annals of Allergy, Asthma and Immunology - September 30, 2017 Category: Allergy & Immunology Authors: Motosue MS, Bellolio MF, Van Houten HK, Shah ND, Campbell RL Tags: Ann Allergy Asthma Immunol Source Type: research