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https://www.readbyqxmd.com/read/29781164/consumer-price-sensitivity-and-health-plan-choice-in-a-regulated-competition-setting
#1
Tamara Bischof, Christian P R Schmid
We estimate premium elasticities in a regulated competition market based on a quasi-exogenous premium increase for young adults in Switzerland. We exploit that individuals born before the turn of the year ("treatment group") face a larger increase in premiums than individuals born after the turn of the year ("control group"). We find that the treatment group is 1.5 times more likely to switch their health plan than the control group. Overall, individuals respond to premium increases by choosing more frequently health plans with managed care features, increasing the deductible, and by switching the insurer...
May 21, 2018: Health Economics
https://www.readbyqxmd.com/read/29780658/the-selective-labels-problem-evaluating-algorithmic-predictions-in-the-presence-of-unobservables
#2
Himabindu Lakkaraju, Jon Kleinberg, Jure Leskovec, Jens Ludwig, Sendhil Mullainathan
Evaluating whether machines improve on human performance is one of the central questions of machine learning. However, there are many domains where the data is selectively labeled in the sense that the observed outcomes are themselves a consequence of the existing choices of the human decision-makers. For instance, in the context of judicial bail decisions, we observe the outcome of whether a defendant fails to return for their court appearance only if the human judge decides to release the defendant on bail...
August 2017: KDD: Proceedings
https://www.readbyqxmd.com/read/29776473/surgeons-experience-and-perceived-barriers-with-outpatient-shoulder-arthroplasty
#3
Tyler J Brolin, Ryan M Cox, Benjamin M Zmistowski, Surena Namdari, Gerald R Williams, Joseph A Abboud
BACKGROUND: Recently, outpatient total shoulder arthroplasty (TSA) has been proposed as a safe and cost-effective alternative to the inpatient setting. This study evaluated the expert shoulder surgeon's experience with and perceived barriers to outpatient TSA. METHODS: A secure web application was used to perform an online survey of 484 active American Shoulder and Elbow Surgeons members. The survey assessed surgeon practice demographics, experience with TSA/outpatient TSA, and perceived barriers to successful outpatient TSA...
June 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29774623/medical-service-provider-networks
#4
Michel Mougeot, Florence Naegelen
In many countries, health insurers or health plans choose to contract either with any willing providers or with preferred providers. We compare these mechanisms when two medical services are imperfect substitutes in demand and are supplied by two different firms. In both cases, the reimbursement is higher when patients select the in-network provider(s). We show that these mechanisms yield lower prices, lower providers' and insurer's profits, and lower expense than in the uniform-reimbursement case. Whatever the degree of product differentiation, a not-for-profit insurer should prefer selective contracting and select a reimbursement such that the out-of-pocket expense is null...
May 17, 2018: Health Economics
https://www.readbyqxmd.com/read/29772451/a-15-years-survey-for-dental-malpractice-claims-in-rome-italy
#5
R Manca, V Bruti, S Napoletano, E Marinelli
INTRODUCTION: In recent years, dental malpractice claims seems to have increased dramatically worldwide without a clear explanation. The aim of our work is to shed more light on this phenomenon to better understand its magnitude and trend, and to point out possible critical factors that, if changed, can mitigate it. MATERIAL AND METHOD: 458 cases of dental malpractice sentenced by the civil court of Rome, Italy, from 2001 to 2015, were collected. Useful information was extracted, reported in a grid and statistically analyzed...
May 8, 2018: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/29767215/and-now-please-sign-on-the-dotted-line-teaching-residents-about-professional-life-after-residency
#6
Sherine Salib, Victoria Valencia, Alejandro Moreno
OBJECTIVES: Despite possible long-term repercussions, few training programs teach their residents about the business of medicine. In particular, certain contractual issues can adversely affect a young physician's career mobility. METHODS: We designed a business-of-medicine curriculum and used a survey to determine whether the curriculum satisfied attendees' perceived knowledge gaps about the topics covered in the course, which included four key contractual matters: physician employment contracts (including restrictive covenants), malpractice insurance, job search, and interviewing skills...
May 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29750409/implications-of-the-propensity-score-matching-paradox-in-pharmacoepidemiology
#7
John E Ripollone, Krista F Huybrechts, Kenneth J Rothman, Ryan E Ferguson, Jessica M Franklin
Recent work demonstrated that propensity score matching may lead to increased covariate imbalance, even with the corresponding decrease in propensity score distance between matched units. The extent to which this paradoxical phenomenon might harm causal inference in real epidemiologic studies has not been explored. We evaluated the effect of this phenomenon using insurance claims data from the Pharmaceutical Assistance Contract for the Elderly (1999-2002) and Medicaid Analytic eXtract (2000-2007) databases...
May 10, 2018: American Journal of Epidemiology
https://www.readbyqxmd.com/read/29728326/comprehensive-health-care-economics-curriculum-and-training-in-radiology-residency
#8
Mark Keiper, Timothy Donovan, Matthew DeVries
PURPOSE: To investigate the ability to successfully develop and institute a comprehensive health care economics skills curriculum in radiology residency training utilizing didactic lectures, case scenario exercises, and residency miniretreats. METHODS: A comprehensive health care economics skills curriculum was developed to significantly expand upon the basic ACGME radiology residency milestone System-Based Practice, SBP2: Health Care Economics requirements and include additional education in business and contract negotiation, radiology sales and marketing, and governmental and private payers' influence in the practice of radiology...
May 2, 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29722638/health-assessment-of-self-employed-in-the-food-service-industry
#9
Marina Grégoris, Frédéric Deschamps, Julie Salles, Stéphane Sanchez
Objectives This study's objective was to assess the morbidity of self-employed workers in the food service industry, an industry with a large amount of occupational health risks. Methods A cross-sectional study, consisting of 437 participants, was conducted between 2011 and 2013 in Champagne-Ardenne, France. The health questionnaire included an interview, a clinical examination, and medical investigations. Results The study population consisted of 146 self-employed workers (not working for an employer) and 291 employees (working with employment contracts for an employer)...
May 3, 2018: International Journal of Occupational and Environmental Health
https://www.readbyqxmd.com/read/29718404/telemedicine-for-health-issues-while-abroad-interest-and-willingness-to-pay-among-travellers-prior-to-departure
#10
Laurence Rochat, Blaise Genton
Background: Telemedicine is emerging as a useful tool to provide expert medical advice to individuals facing health issues while travelling in remote areas. Before embarking on the development of a telemedicine system, we conducted a survey to assess the needs and expectations of travellers for such a service, and evaluate opinions about the importance of various travel criteria that may determine the contract of such insurance. Objectives: (i) To assess whether a telemedicine service is considered useful by travellers, (ii) to investigate which telecommunication medium is preferred, (iii) to determine which subgroup of travellers would be most interested in this service and (iv) to estimate the amount of money travellers would be willing to pay for a telemedicine service...
January 1, 2018: Journal of Travel Medicine
https://www.readbyqxmd.com/read/29712614/the-impact-of-price-transparency-for-surgical-services
#11
Ambar Mehta, Tim Xu, Ge Bai, Kristy L Hawley, Martin A Makary
Increasing insurance deductibles have prompted some medical centers to initiate transparent pricing. However, the impact of price transparency (PT) on surgical volume, revenue, and patient satisfaction is unknown, along with the barriers to achieving PT. We identified ambulatory surgical centers in the Free Market Medical Association database that publicly list prices for surgical services online. Six of eight centers (75%) responded to our data collection inquiry. Among five centers that reported their patient volume and revenue after adopting PT, patient volume increased by a median of 50 per cent (range 10-200%) at one year...
April 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29707127/risk-of-sexual-transmitted-infection-following-bipolar-disorder-a-nationwide-population-based-cohort-study
#12
Shyh-Chyang Lee, Chang-Kuo Hu, Jeng-Hsiu Hung, Albert C Yang, Shih-Jen Tsai, Min-Wei Huang, Li-Yu Hu, Cheng-Che Shen
Background: Bipolar disorder is a severe mental disorder associated with functional and cognitive impairment. Numerous studies have investigated associations between sexually transmitted infections (STIs) and psychiatric illnesses. However, the results of these studies are controversial. Objective: We explored the association between bipolar disorder and the subsequent development of STIs, including human immunodeficiency virus infection; primary, secondary, and latent syphilis; genital warts; gonorrhea; chlamydial infection; and trichomoniasis...
April 3, 2018: Oncotarget
https://www.readbyqxmd.com/read/29694292/the-effect-of-plan-type-and-comprehensive-medication-reviews-on-high-risk-medication-use
#13
Armando Silva Almodovar, David Rhys Axon, Ashley M Coleman, Terri Warholak, Milap C Nahata
BACKGROUND: In 2007, the Centers for Medicare & Medicaid Services (CMS) instituted a star rating system using performance outcome measures to assess Medicare Advantage Prescription Drug (MAPD) and Prescription Drug Plan (PDP) providers. OBJECTIVE: To assess the relationship between 2 performance outcome measures for Medicare insurance providers, comprehensive medication reviews (CMRs), and high-risk medication use. METHODS: This cross-sectional study included Medicare Part C and Part D performance data from the 2014 and 2015 calendar years...
May 2018: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/29687743/clinical-outcomes-of-treatment-with-filgrastim-versus-a-filgrastim-biosimilar-and-febrile-neutropenia-associated-costs-among-patients-with-nonmyeloid-cancer-undergoing-chemotherapy
#14
Lee S Schwartzberg, Lincy S Lal, Sanjeev Balu, Kim Campbell, Lee Brekke, Andrew DeLeon, Caitlin Elliott, Stephanie Korrer
BACKGROUND: Granulocyte colony-stimulating factors such as filgrastim are used to decrease the incidence of febrile neutropenia (FN) among patients with nonmyeloid cancers undergoing chemotherapy treatment. Although the biosimilar filgrastim-sndz has been approved in the United States since 2015, limited real-world comparisons of filgrastim-sndz versus reference filgrastim (filgrastim-ref) have been conducted. OBJECTIVE: To compare FN incidence and assess overall FN-related health care resource utilization and medical costs among U...
April 24, 2018: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/29673900/the-economics-of-patient-centered-care
#15
Guy David, Philip A Saynisch, Aaron Smith-McLallen
The Patient-Centered Medical Home (PCMH) is a widely-implemented model for improving primary care, emphasizing care coordination, information technology, and process improvements. However, its treatment as an undifferentiated intervention in policy evaluation obscures meaningful variation in implementation. This heterogeneity leads to contracting inefficiencies between insurers and practices and may account for mixed evidence on its success. Using a novel dataset we group practices into meaningful implementation clusters and then link these clusters with detailed patient claims data...
March 27, 2018: Journal of Health Economics
https://www.readbyqxmd.com/read/29668891/maternal-polycystic-ovarian-syndrome-and-early-offspring-development
#16
Griffith A Bell, Rajeshwari Sundaram, Sunni L Mumford, Hyojun Park, James Mills, Erin M Bell, Miranda Broadney, Edwina H Yeung
STUDY QUESTION: Is maternal polycystic ovarian syndrome (PCOS) associated with developmental delays in offspring? SUMMARY ANSWER: Offspring of mothers with PCOS were at higher risk of failure on the Ages and Stages Questionnaire (ASQ). WHAT IS KNOWN ALREADY: There is growing evidence that offspring of mothers with PCOS may be at higher risk for developmental disorders due to potential exposure to hyperandrogenism and insulin resistance. Few studies exist regarding maternal PCOS and early childhood development in the USA...
April 13, 2018: Human Reproduction
https://www.readbyqxmd.com/read/29663111/acceptability-and-feasibility-of-a-shared-decision-making-model-in-work-rehabilitation-a-mixed-methods-study-of-stakeholders-perspectives
#17
Marie-France Coutu, France Légaré, Marie-José Durand, Dawn Stacey, Marie-Elise Labrecque, Marc Corbière, Lesley Bainbridge
Purpose To establish the acceptability and feasibility of implementing a shared decision-making (SDM) model in work rehabilitation. Methods We used a sequential mixed-methods design with diverse stakeholder groups (representatives of private and public employers, insurers, and unions, as well as workers having participated in a work rehabilitation program). First, a survey using a self-administered questionnaire enabled stakeholders to rate their level of agreement with the model's acceptability and feasibility and propose modifications, if necessary...
April 16, 2018: Journal of Occupational Rehabilitation
https://www.readbyqxmd.com/read/29649846/-palliative-home-care-teams-in-germany
#18
Friedemann Nauck, Maximiliane Jansky
Since 2007, patients with severe advanced life-limiting illnesses and high, complex symptom burdens have a right to receive specialized outpatient palliative care (SAPV). Multi-professional teams with heterogeneous organizational structures provide care in cooperation with primary care givers, not limited to cancer patients. The aim of SAPV is to foster patient's autonomy and quality of life. SAPV can be provided as counseling of patient and care givers, coordination of care, additional supportive and full care provision...
April 2018: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/29629051/the-challenges-of-strategic-purchasing-of-healthcare-services-in-iran-health-insurance-organization-a-qualitative-study
#19
Hasan Abolghasem Gorji, Sayyed Masoud Shajari Pour Mousavi, Ali Shojaei, Anahita Keshavarzi, Hossein Zare
Background: Strategic purchasing in healthcare services is a key component in improving health system performance, and it has been one of the most important issues in health system reform around the world, especially Europe in the last decade. Iran health system and insurance, although sometimes considered the issue of strategic purchasing goals, has not been made possible to achieve or even to implement, due to the associated problems. Objective: To determine the associated problems of strategic purchasing in the Iran Health Insurance Organization (IHIO)...
February 2018: Electronic Physician
https://www.readbyqxmd.com/read/29609847/angiotensin-iv-improves-subnormothermic-machine-perfusion-preservation-of-rat-liver-graft
#20
Donia Tabka, Mohamed Bejaoui, James Javellaud, Jean-Michel Achard, Hassen Ben Abdennebi
This study aims to determine whether Angiotensin IV (Ang IV) addition to Celsior preservation solution could improve hepatic endothelium function and provide better liver protection during subnormothermic machine preservation (SMP). Two experimental models were used: In the first part of the study, rings isolated from rat hepatic artery were preserved in Celsior solution (6 h, 20 °C) with and without Ang IV (10-9  M), then, endothelium-dependent relaxation (EDR) and the concentration of acetylcholine inducing half-maximal relaxation of pre-contracted rings (EC50) were measured...
March 30, 2018: Biomedicine & Pharmacotherapy, Biomédecine & Pharmacothérapie
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