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Medicare part d

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https://www.readbyqxmd.com/read/29450675/lipid-lowering-drugs-dyslipidemia-and-breast-cancer-risk-in-a-medicare-population
#1
Catherine Schairer, D Michal Freedman, Shahinaz M Gadalla, Ruth M Pfeiffer
PURPOSE: We sought to disentangle the effects of statins and other lipid-lowering drugs and the underlying dyslipidemia for which they are prescribed on breast cancer risk. METHODS: We conducted a case-control study within the linked Surveillance, Epidemiology, and End results (SEER)-Medicare data. Cases were women with invasive breast cancer aged 66 + years (N = 30,004) identified by SEER registries (years 2007-2011). Controls were women (N = 198,969) identified from a 5% random sample of Medicare recipients alive and breast cancer free in year of selection...
February 15, 2018: Breast Cancer Research and Treatment
https://www.readbyqxmd.com/read/29446874/transplant-recipients-are-vulnerable-under-the-medicare-part-d-benefit
#2
Lisa M Potter, Angela Q Maldonado, Krista L Lentine, Mark A Schnitzler, Zidong Zhang, Gregory P Hess, Edward Garrity, Bertram L Kasiske, David A Axelrod
Transplant immunosuppressants are often used off-label due to insufficient randomized prospective trial data to achieve organ-specific US Food and Drug Administration (FDA) approval. Transplant recipients who rely on Medicare Part D for immunosuppressant drug coverage are vulnerable to coverage denial for off-label prescriptions, unless use is supported by Centers for Medicare & Medicaid Services (CMS)-approved compendia. An integrated data set including national transplant registry data and 3 years of dispensed pharmacy records was used to identify the prevalence of immunosuppression use that is both off-label and not supported by CMS-approved compendia...
February 15, 2018: American Journal of Transplantation
https://www.readbyqxmd.com/read/29446449/opioid-prescribing-patterns-among-otolaryngologists-crucial-insights-among-the-medicare-population
#3
Peter F Svider, Khashayar Arianpour, Eric Guo, Elana Folbe, Giancarlo Zuliani, Hosheng Lin, Jean Anderson Eloy, Adam J Folbe
OBJECTIVES/HYPOTHESIS: There has been growing recognition of the roles prescription drug misuse and diversion play in facilitating the ongoing opioid epidemic. Our objective was to evaluate opioid prescription patterns among practicing otolaryngologists. STUDY DESIGN: Retrospective review of a CMS database. METHODS: Medicare Part D beneficiary data (2015) were accessed for a list of otolaryngologists. Opioid prescription rates, amount, and supply were calculated...
February 15, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29446065/simulating-variation-in-families-spending-across-marketplace-plans
#4
Yuting Zhang, Seo Hyon Baik, Samuel H Zuvekas
OBJECTIVE: To examine variations in premium and cost-sharing across marketplace plans available to eligible families. DATA SOURCES: 2011-2012 Medical Expenditure Panel Survey (MEPS), 2014 health plan data from healthcare.gov, and the 2011 Medicare Part D public formulary file. STUDY DESIGN: We identified a nationally representative cohort of individuals in the MEPS who would have been eligible for marketplace coverage. For each family, we simulated the total out-of-pocket payment (premium plus cost-sharing) under each available plan in their county of residence, assuming their premarketplace use...
February 14, 2018: Health Services Research
https://www.readbyqxmd.com/read/29425699/evaluating-the-use-of-medicare-part-d-in-the-spinal-cord-injury-disorder-veteran-population
#5
Maya N Hatch, Jason Raad, Katie Suda, Kevin T Stroupe, Alice J Hon, Bridget M Smith
OBJECTIVE: To examine the different sources of medications, the most common drugs classes filled, and the characteristics associated with Medicare Part D pharmacy use in Veterans with spinal cord injuries/disorders (SCI/D). DESIGN: This was a retrospective, cross-sectional observation study. SETTING: Department of Veterans Affairs (VA) PARTICIPANTS: Veterans with SCI/D using Medicare or Veteran Affairs Pharmacy benefits. INTERVENTIONS: None MAIN OUTCOME MEASURE(S): Characteristics and top 10 most common drug classes were examined in Veterans who (1) used VA pharmacies only, (2) dually used VA and Part D pharmacies, or (3) Part D pharmacies only...
February 6, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29417134/opioid-prescribing-patterns-and-complications-in-the-dermatology-medicare-population
#6
Severine Cao, Ryan Karmouta, David G Li, Ryan S Din, Arash Mostaghimi
Importance: The ongoing opioid epidemic in the United States has been fueled by prescription opioids. Increases in opioid-related deaths and complications mandate clinicians in all fields to scrutinize their prescribing patterns. Objective: To characterize the current status and potential complications of opioid prescribing practices among dermatologists for Medicare beneficiaries. Design, Setting, and Participants: A cross-sectional study used Medicare Part D prescriber data to evaluate opioid prescriptions by dermatologists from January 1 to December 31, 2014...
February 7, 2018: JAMA Dermatology
https://www.readbyqxmd.com/read/29411348/risk-of-pharmacokinetic-interactions-between-antiepileptic-and-other-drugs-in-older-persons-and-factors-associated-with-risk
#7
Edward Faught, Jerzy P Szaflarski, Joshua Richman, Ellen Funkhouser, Roy C Martin, Kendra Piper, Chen Dai, Lucia Juarez, Maria Pisu
OBJECTIVE: To determine the frequency of older Americans with epilepsy receiving concomitant prescriptions for antiepileptic drugs (AEDs) and non-epilepsy drugs (NEDs) which could result in significant pharmacokinetic (PK) interaction, and to assess the contributions of racial/ethnic, socioeconomic, and demographic factors. METHODS: Retrospective analyses of 2008-2010 Medicare claims for a 5% random sample of beneficiaries ≥67 years old in 2009 augmented for minority representation...
February 7, 2018: Epilepsia
https://www.readbyqxmd.com/read/29408153/do-medical-marijuana-laws-reduce-addictions-and-deaths-related-to-pain-killers
#8
David Powell, Rosalie Liccardo Pacula, Mireille Jacobson
Recent work finds that medical marijuana laws reduce the daily doses filled for opioid analgesics among Medicare Part-D and Medicaid enrollees, as well as population-wide opioid overdose deaths. We replicate the result for opioid overdose deaths and explore the potential mechanism. The key feature of a medical marijuana law that facilitates a reduction in overdose death rates is a relatively liberal allowance for dispensaries. As states have become more stringent in their regulation of dispensaries, the protective value generally has fallen...
January 30, 2018: Journal of Health Economics
https://www.readbyqxmd.com/read/29386204/hospital-variation-in-adherence-rates-to-secondary-prevention-medications-and-the-implications-on-quality
#9
Robin Mathews, William Wang, Lisa A Kaltenbach, Laine Thomas, Rashmee U Shah, Murtuza Ali, Eric D Peterson, Tracy Y Wang
Background -Medication adherence is important to improve long-term outcomes after acute myocardial infarction (MI). We hypothesized that there is significant variation among United States (U.S.) hospitals in terms of post-MI medication adherence, and that patients treated at hospitals with higher post-MI medication adherence will have better long-term cardiovascular outcomes. Methods -We identified 19,704 Medicare patients discharged after acute MI from 347 U.S. hospitals participating in the Acute Coronary Treatment and Intervention Outcomes Network Registry-Get With The Guidelines (ACTION Registry-GWTG) from 1/2/2007 to 10/1/2010...
January 31, 2018: Circulation
https://www.readbyqxmd.com/read/29384031/racial-and-ethnic-disparities-in-meeting-mtm-eligibility-criteria-based-on-star-ratings-compared-with-the-medicare-modernization-act
#10
Christina A Spivey, Junling Wang, Yanru Qiao, Ya-Chen Tina Shih, Jim Y Wan, Julie Kuhle, Samuel Dagogo-Jack, William C Cushman, Marie Chisholm-Burns
BACKGROUND: Previous research found racial and ethnic disparities in meeting medication therapy management (MTM) eligibility criteria implemented by the Centers for Medicare & Medicaid Services (CMS) in accordance with the Medicare Modernization Act (MMA). OBJECTIVE: To examine whether alternative MTM eligibility criteria based on the CMS Part D star ratings quality evaluation system can reduce racial and ethnic disparities. METHODS: This study analyzed the Beneficiary Summary File and claims files for Medicare beneficiaries linked to the Area Health Resource File...
February 2018: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/29366706/vaccine-financing-and-billing-in-practices-serving-adult-patients-a-follow-up-survey
#11
Megan C Lindley, Laura P Hurley, Brenda L Beaty, Mandy A Allison, Lori A Crane, Michaela Brtnikova, Megan Snow, Carolyn B Bridges, Allison Kempe
BACKGROUND: Financial concerns are often cited by physicians as a barrier to administering routinely recommended vaccines to adults. The purpose of this study was to assess perceived payments and profit from administering recommended adult vaccines and vaccine purchasing practices among general internal medicine (GIM) and family medicine (FM) practices in the United States. METHODS: We conducted an interviewer-administered survey from January-June 2014 of practices stratified by specialty (FM or GIM), affiliation (standalone or ≥ 2 practice sites), and level of financial decision-making (independent or larger system level) in FM and GIM practices that responded to a previous survey on adult vaccine financing and provided contact information for follow-up...
January 20, 2018: Vaccine
https://www.readbyqxmd.com/read/29361658/pharmaceuticals-and-medical-devices-medicare-part-d
#12
David J Steiner
No abstract text is available yet for this article.
December 26, 2017: Issue Brief of the Health Policy Tracking Service
https://www.readbyqxmd.com/read/29345890/how-medicare-could-provide-dental-vision-and-hearing-care-for-beneficiaries
#13
Amber Willink, Cathy Shoen, Karen Davis
Issue: The Medicare program specifically excludes coverage of dental, vision, and hearing services. As a result, many beneficiaries do not receive necessary care. Those that do are subject to high out-of-pocket costs. Goal: Examine gaps in access to dental, vision, and hearing services for Medicare beneficiaries and design a voluntary dental, vision, and hearing benefit plan with cost estimates. Methods: Uses the Medicare Current Beneficiary Survey, Cost and Use File, 2012, with population and costs projected to 2016 values...
January 1, 2018: Issue Brief of the Commonwealth Fund
https://www.readbyqxmd.com/read/29336024/facility-and-state-variation-in-hip-fracture-in-u-s-nursing-home-residents
#14
Andrew R Zullo, Tingting Zhang, Geetanjoli Banerjee, Yoojin Lee, Kevin W McConeghy, Douglas P Kiel, Lori A Daiello, Vincent Mor, Sarah D Berry
OBJECTIVES: To quantify the variation in hip fracture incidence across U.S. nursing home (NH) facilities and states and examine how hip fracture incidence varies according to facility- and state-level characteristics. DESIGN: Retrospective cohort using linked national Minimum Data Set assessments; Online Survey, Certification and Reporting records; and Medicare claims. SETTING: U.S. NHs with 100 or more beds. PARTICIPANTS: Long-stay NH residents between May 1, 2007, and April 30, 2008, from 1,481 facilities and 46 U...
January 16, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29319627/opioid-prescription-morbidity-and-mortality-in-us-transplant-recipients
#15
Kevin C Abbott, Chyng-Wen Fwu, Paul W Eggers, Anne W Eggers, Prudence P Kline, Paul L Kimmel
BACKGROUND: CDC guidelines recommend caution in prescribing opioids for chronic pain. The characteristics of opioid prescription (OpRx) among kidney transplant (KTx) recipients has not been described in a national population. METHODS: We assessed OpRx prevalence among prevalent KTx recipients, and associated duration (chronic, defined as ≥90 days in a year) and dosing (in morphine milligram equivalents per day, MME, of <50, 50-89, and ≥90) with outcomes, death and graft loss, among incident KTx recipients using 2006-2010 US Renal Data System files, including Medicare Part D for medication ascertainment...
January 10, 2018: Transplantation
https://www.readbyqxmd.com/read/29311179/medical-interpreters-in-outpatient-practice
#16
Barb Jacobs, Anne M Ryan, Katherine S Henrichs, Barry D Weiss
This article provides an overview of the federal requirements related to providing interpreter services for non-English-speaking patients in outpatient practice. Antidiscrimination provisions in federal law require health programs and clinicians receiving federal financial assistance to take reasonable steps to provide meaningful access to individuals with limited English proficiency who are eligible for or likely to be encountered in their health programs or activities. Federal financial assistance includes grants, contracts, loans, tax credits and subsidies, as well as payments through Medicaid, the Children's Health Insurance Program, and most Medicare programs...
January 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29302695/barriers-to-combined-modality-therapy-for-limited-stage-small-cell-lung-cancer
#17
Todd A Pezzi, David L Schwartz, Abdallah S R Mohamed, James W Welsh, Ritsuko U Komaki, Stephen M Hahn, Boris Sepesi, Christopher M Pezzi, Clifton D Fuller, Stephen G Chun
Importance: Combined-modality therapy with chemotherapy and radiation therapy plays a crucial role in the upfront treatment of patients with limited-stage small-cell lung cancer (SCLC), but there may be barriers to utilization in the United States. Objective: To estimate utilization rates and factors associated with chemotherapy and radiation therapy delivery for limited-stage SCLC using the National Cancer Database. Design, Setting, and Participants: Analysis of initial management of all limited-stage SCLC cases from 2004 through 2013 in the National Cancer Database...
January 4, 2018: JAMA Oncology
https://www.readbyqxmd.com/read/29290495/national-trends-in-open-surgical-endovascular-and-branched-fenestrated-endovascular-aortic-aneurysm-repair-in-medicare-patients
#18
Bjoern D Suckow, Philip P Goodney, Jesse A Columbo, Ravinder Kang, David H Stone, Art Sedrakyan, Jack L Cronenwett, Mark F Fillinger
BACKGROUND: Open repair effectively prevents rupture for patients with abdominal aortic aneurysm (AAA) and is commonly studied as a metric reflecting hospital and surgeon expertise in cardiovascular care. However, given recent advances in endovascular aneurysm repair (EVAR), such as branched-fenestrated EVAR, it is unknown how commonly open surgical repair is still used in everyday practice. METHODS: We analyzed trends in open AAA repair, EVAR, and branched-fenestrated EVAR for AAA in Medicare beneficiaries from 2003 to 2013...
December 28, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29284354/factors-associated-with-medication-engagement-among-older-adults-with-diabetes-systematic-review-and-meta-analysis
#19
Yoon Jeong Choi, Arlene M Smaldone
Purpose The purpose of this systematic review and meta-analysis is to explore the factors associated with medication engagement among older adults (≥60 years) with diabetes. Methods Five databases (PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, and Scopus) were systematically searched to identify studies examining the association between factors and medication engagement among older diabetes patients. A study met inclusion for meta-analysis if the prevalence of medication engagement or factor was reported in ≥2 studies and the frequency or strength of association was either reported or able to be computed...
December 1, 2017: Diabetes Educator
https://www.readbyqxmd.com/read/29282013/an-investigation-of-factors-predicting-the-type-of-bladder-antimuscarinics-initiated-in-medicare-nursing-homes-residents
#20
Daniela C Moga, Qishan Wu, Pratik Doshi, Amie J Goodin
BACKGROUND: To examine factors predicting type of bladder antimuscarinics (BAM) initiated in nursing home (NH) residents. METHODS: Incident BAM initiators following NH admission were identified by constructing a retrospective cohort from Medicare files and Minimum Data Set (MDS). Participants included all residents 65 years and older admitted in Medicare-certified NH between January 1, 2007 and December 31, 2008 who were prescribed BAM and had continuous Medicare (Part A, B, and D) enrollment...
December 28, 2017: BMC Geriatrics
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