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https://www.readbyqxmd.com/read/28099664/costs-of-public-pharmaceutical-services-in-rio-de-janeiro-compared-to-farm%C3%A3-cia-popular-program
#1
Rondineli Mendes da Silva, Rosângela Caetano
OBJECTIVE: To analyze the costs of public pharmaceutical services compared to Farmácia Popular Program (Popular Pharmacy Program). METHODS: Comparison between prices paid by Aqui Tem Farmácia Popular Program (Farmácia Popular is available here) with the full costs of medicine provision by the Municipal Health Department of Rio de Janeiro. The comparison comprised 25 medicines supplied by both the municipal pharmaceutical service and Aqui Tem Farmácia Popular Program...
December 22, 2016: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28097713/pharmacist-industry-relationships
#2
Keene Saavedra, Bonnie O'Connor, Adriane Fugh-Berman
OBJECTIVES: The purpose of this study was to document, in their own words, beliefs and attitudes that American pharmacists have towards the pharmaceutical industry and pharmacists' interactions with industry. METHODS: An ethnographic-style qualitative study was conducted utilizing open-ended interviews with four hospital pharmacists, two independent pharmacists, two retail pharmacists and one administrative pharmacist in the Washington, DC, metropolitan area to elicit descriptions of and attitudes towards pharmacists' relationships with industry...
January 18, 2017: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/28034069/association-between-out-of-pocket-costs-race-ethnicity-and-adjuvant-endocrine-therapy-adherence-among-medicare-patients-with-breast-cancer
#3
Albert J Farias, Xianglin L Du
Purpose Previous studies suggest that adherence to adjuvant endocrine therapy (AET) for patients with breast cancer is suboptimal, especially among minorities, and is associated with out-of-pocket medication costs. This study aimed to determine whether there are racial/ethnic differences in 1-year adherence to AET and whether out-of-pocket costs explain the racial/ethnic disparities in adherence. Methods This retrospective cohort study used the SEER-Medicare linked database to identify patients ≥ 65 years of age with hormone receptor-positive breast cancer who were enrolled in Medicare Part D from 2007 to 2009...
January 2017: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28025919/amcp-partnership-forum-enabling-the-exchange-of-clinical-and-economic-information-pre-fda-approval
#4
(no author information available yet)
: Current federal laws and FDA regulations have significantly restricted the sharing of clinical and health economic information on biopharmaceuticals that have yet to receive FDA approval. Over the past several years, organizations that make health care coverage decisions, including those that set copayments, premiums, and formulary placement, have expressed a need for receiving this information before approval, as long as appropriate safeguards exist to prevent this information from reaching unintended entities...
January 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/28005679/predictors-of-cardiac-rehabilitation-initiation-and-adherence-in-a-multiracial-urban-population
#5
Lili Zhang, Maria Sobolev, Ileana L Piña, David Z Prince, Cynthia C Taub
BACKGROUND: Lack of initiation and adherence to cardiac rehabilitation (CR) remains a persistent problem. We sought to examine predictors of initiation, adherence, and completion of CR in a unique, minority predominant, urban population. METHODS: We included all patients who were first-time referred to the outpatient CR program at Montefiore Medical Center between 1997 and 2010. The indications for referral included acute myocardial infarction, coronary artery disease, heart failure, stable angina, and valvular heart disease...
January 2017: Journal of Cardiopulmonary Rehabilitation and Prevention
https://www.readbyqxmd.com/read/28000499/tiered-pharmacy-copayments-for-medications-final-rule
#6
(no author information available yet)
The Department of Veterans Affairs (VA) adopts as a final rule, with changes, a proposal to amend its regulations concerning copayments charged to certain veterans for medication required on an outpatient basis to treat nonservice-connected conditions. Prior to this final rule, VA charged non-exempt veterans either $8 or $9 for each 30-day or less supply of medication, and that amount may have changed in future years. This rulemaking replaces those rates and establishes three classes of medications for copayment purposes, identified as Tier 1, Tier 2, and Tier 3...
12, 2016: Federal Register
https://www.readbyqxmd.com/read/27994712/examining-the-value-of-subsidies-of-health-plans-and-cost-sharing-for-prescription-drugs-in-the-health-insurance-marketplace
#7
Surachat Ngorsuraches, Jane R Mort
BACKGROUND: The Affordable Care Act (ACA) initiated federally and state-run health insurance exchanges, or marketplaces, with health plans offering subsidies for plan members as well as coverage for essential health benefits, to help individuals, families, and small businesses find health plans that fit their specific needs. A recent study found that the value of these healthcare subsidies varied with the number of health plans in the different geographic rating areas, but that study only examined the premiums and the deductibles of those health plans...
October 2016: American Health & Drug Benefits
https://www.readbyqxmd.com/read/27992156/extension-of-pharmacy-copayments-for-medications-interim-final-rule
#8
(no author information available yet)
The Department of Veterans Affairs (VA) amends its medical regulations concerning the copayment required for certain medications. This rulemaking freezes copayments at the current rate for veterans in priority groups 2 through 8 through February 26, 2017.
7, 2016: Federal Register
https://www.readbyqxmd.com/read/27991418/medical-resource-utilization-by-taiwanese-psychiatric-inpatients-under-the-national-health-insurance-system
#9
Chiachi Bonnie Lee, Chung-Yi Li, Chih-Ming Lin
BACKGROUND: The length of stay in Taiwan's psychiatric facilities is unusually long compared with that of other countries. AIMS OF THE STUDY: To identify factors associated with the high length of stay in the acute and chronic psychiatric wards of a public psychiatric hospital. METHODS: The present study consisted of 912 inpatients discharged from a public psychiatric hospital in Northern Taiwan in 2005. Demographic characteristics, discharge diagnoses, and medical resource utilization were retrieved from the inpatient claim data of the National Health Insurance Database...
December 1, 2016: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/27971857/association-between-copayment-medication-adherence-and-outcomes-in-the-management-of-patients-with-diabetes-and-heart-failure
#10
G Gourzoulidis, G Kourlaba, P Stafylas, G Giamouzis, J Parisis, N Maniadakis
No abstract text is available yet for this article.
November 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/27943277/the-mental-health-parity-and-addiction-equity-act-evaluation-study-impact-on-mental-health-financial-requirements-among-commercial-carve-in-plans
#11
Sarah A Friedman, Amber G Thalmayer, Francisca Azocar, Haiyong Xu, Jessica M Harwood, Michael K Ong, Laura Lambert Johnson, Susan L Ettner
OBJECTIVE: Did mental health cost-sharing decrease following implementation of the Mental Health Parity and Addiction Equity Act (MHPAEA)? DATA SOURCE: Specialty mental health copayments, coinsurance, and deductibles, 2008-2013, were obtained from benefits databases for "carve-in" plans from a national commercial managed behavioral health organization. STUDY DESIGN: Bivariate and regression-adjusted analyses compare the probability of use and (conditional) level of cost-sharing pre- and postparity...
December 12, 2016: Health Services Research
https://www.readbyqxmd.com/read/27932786/state-medicaid-expansion-tobacco-cessation-coverage-and-number-of-adult-smokers-enrolled-in-expansion-coverage-united-states-2016
#12
Anne DiGiulio, Meredith Haddix, Zach Jump, Stephen Babb, Anna Schecter, Kisha-Ann S Williams, Kat Asman, Brian S Armour
In 2015, 27.8% of adult Medicaid enrollees were current cigarette smokers, compared with 11.1% of adults with private health insurance, placing Medicaid enrollees at increased risk for smoking-related disease and death (1). In addition, smoking-related diseases are a major contributor to Medicaid costs, accounting for about 15% (>$39 billion) of annual Medicaid spending during 2006-2010 (2). Individual, group, and telephone counseling and seven Food and Drug Administration (FDA)-approved medications are effective treatments for helping tobacco users quit (3)...
December 9, 2016: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/27922797/potential-obstacles-in-the-acquisition-of-oral-anticancer-medications
#13
Jennifer L Niccolai, Danielle L Roman, Justin M Julius, Rachelle W Nadour
PURPOSE: To determine the amount of time elapsed between prescriber order and patient receiving oral anticancer medication. PATIENTS AND METHODS: Adult patients with a diagnosis of cancer were prospectively identified in three outpatient oncology clinics when oral anticancer agents were prescribed during a 4-month observation period. For each patient, time to obtain medication was analyzed by the following time points: date of prescription, date of submission to insurance, date prior authorization was obtained, date financial assistance was received, date prescription was processed by pharmacy, and date patient received medication...
December 6, 2016: Journal of Oncology Practice
https://www.readbyqxmd.com/read/27916432/the-international-generalisability-of-evidence-for-health-policy-a-cross-country-comparison-of-medication-adherence-following-policy-change
#14
Sarah-Jo Sinnott, Helen Whelton, Jessica Myers Franklin, Jennifer Milan Polinski
Copayments for prescriptions may increase morbidity and mortality via reductions in adherence to medications. Relevant data can inform policy to minimise such unintended effects. We explored the generalisability of evidence for copayments by comparing two international copayment polices, one in Massachusetts and one in Ireland, to assess whether effects on medication adherence were comparable. We used national prescription data for public health insurance programmes in Ireland and Medicaid data in the U.S. New users of oral anti-hypertensive, anti-hyperlipidaemic and diabetic drugs were included (total n=14,259 in U...
January 2017: Health Policy
https://www.readbyqxmd.com/read/27910177/comparison-of-pharmacy-based-and-diagnosis-based-comorbidity-measures-from-medical-administrative-data
#15
Sébastien Cortaredona, Elodie Pambrun, Hélène Verdoux, Pierre Verger
PURPOSE: Health status is sometimes quantified by chronic condition (CC) scores calculated from medical administrative data. We sought to modify two pharmacy-based comorbidity measures and compare their performance in predicting hospitalization and/or death. The reference was a diagnosis-based score. METHODS: One of the two measures applied an updated approach linking specific ATC codes of dispensed drugs to 22 CCs; the other used a list of 37 drug categories, without linking them to specific CCs...
December 2, 2016: Pharmacoepidemiology and Drug Safety
https://www.readbyqxmd.com/read/27893470/the-association-between-out-of-pocket-costs-and-adherence-to-adjuvant-endocrine-therapy-among-newly-diagnosed-breast-cancer-patients
#16
Albert J Farias, Ryan N Hansen, Steven B Zeliadt, India J Ornelas, Christopher I Li, Beti Thompson
OBJECTIVE: To determine how out-of-pocket costs for adjuvant endocrine therapy (AET) medication affects adherence among newly diagnosed breast cancer survivors with private health insurance who initiate therapy. MATERIALS AND METHODS: We examined medical and pharmacy claims for the 1-year period after initiating AET using the Truven Health Analytics MarketScan database. Adherence was defined as ≥80% proportion of days covered. Mean out-of-pocket costs for AET fill were measured as the sum of copayments, coinsurance, and deductibles and adjusted to 30-day amounts...
November 23, 2016: American Journal of Clinical Oncology
https://www.readbyqxmd.com/read/27890557/anaphylaxis-in-a-health-maintenance-organization-international-classification-of-diseases-coding-and-epinephrine-auto-injector-prescribing
#17
Deena Pourang, Michael Batech, Javed Sheikh, Shefali Samant, Michael Kaplan
BACKGROUND: Accurate estimates of the incidence of anaphylaxis are limited. Current International Classification of Diseases, Ninth Revision (ICD-9) codes complicate accurate diagnosis of anaphylaxis and assessment of appropriate epinephrine prescribing. OBJECTIVE: To quantify the incidence and demographic character of patients with anaphylaxis-related ICD-9 codes in a large health maintenance organization and analyze epinephrine prescribing and dispensing rates...
November 24, 2016: Annals of Allergy, Asthma & Immunology
https://www.readbyqxmd.com/read/27879417/factors-influencing-likelihood-of-voice-therapy-attendance-report-from-the-cheer-network
#18
Stephanie Misono, Schelomo Marmor, Nelson Roy, Ted Mau, Seth M Cohen
OBJECTIVE: To identify factors associated with the likelihood of attending voice therapy among patients referred for it in the CHEER (Creating Healthcare Excellence through Education and Research) practice-based research network infrastructure. STUDY DESIGN: Prospectively enrolled cross-sectional study. SETTING: CHEER network of community and academic sites. METHODS: Data were collected on patient-reported demographics, voice-related diagnoses, voice-related handicap (Voice Handicap Index-10), likelihood of attending voice therapy (VT), and opinions on factors influencing likelihood of attending VT...
November 22, 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/27870805/minimum-clinically-important-difference-current-trends-in-the-spine-literature
#19
Andrew S Chung, Anne Copay, Neil Olmscheid, David Campbell, Brock Walker, Norman Chutkan
STUDY DESIGN: Review of the 2011-2015 minimum clinically important difference (MCID)-related publications in Spine, Spine Journal, Journal of Neurosurgery-Spine, and European Spine Journal. OBJECTIVE: To summarize the various determinations of MCID and to analyze its usage in the spine literature of the past 5 years in order to develop a basic reference to help practitioners interpret or utilize MCID. SUMMARY OF BACKGROUND DATA: MCID represents the smallest change in a domain of interest that is considered beneficial to a patient or clinician...
November 18, 2016: Spine
https://www.readbyqxmd.com/read/27870662/introducing-copayments-in-the-emergency-department-would-deter-appropriate-visits-in-the-netherlands
#20
Nicole Kraaijvanger, Douwe Rijpsma, Henk van Leeuwen, Michael Edwards
OBJECTIVE: To determine what the effects of introduction of copayments for self-referred emergency department (ED) visits would be in the Netherlands and at what amount patients would turn to a GP before visiting an ED. METHODS: This questionnaire study was carried out in the ED of the Rijnstate Hospital, a community teaching hospital in the Netherlands. In the Netherlands, a deductible excess system is in use and this study investigated the effects of a copayment for self-referred patients (SRPs) on top of the deductible excess...
November 18, 2016: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
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