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https://www.readbyqxmd.com/read/29754592/general-practitioners-views-on-the-influence-of-cost-on-the-prescribing-of-asthma-preventer-medicines-a-qualitative-study
#1
Jacqueline Tudball, Helen K Reddel, Tracey-Lea Laba, Stephen Jan, Anthony Flynn, Michele Goldman, Kirsty Lembke, Elizabeth Roughead, Guy B Marks, Nick Zwar
Objective Out-of-pocket costs strongly affect patient adherence with medicines. For asthma, guidelines recommend that most patients should be prescribed regular low-dose inhaled corticosteroids (ICS) alone, but in Australia most are prescribed combination ICS-long-acting β2-agonists (LABA), which cost more to patients and government. The present qualitative study among general practitioners (GPs) explored the acceptability, and likely effect on prescribing, of lower patient copayments for ICS alone. Methods Semistructured telephone interviews were conducted with 15 GPs from the greater Sydney area; the interviews were transcribed and thematically analysed...
May 14, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29746220/an-exploration-of-older-people-s-willingness-to-pay-for-community-care-vouchers-in-hong-kong
#2
Yuan Yuan Fu, Ernest Wing-Tak Chui, Chi Kin Law, Xin Yi Zhao, Vivian Wei Qun Lou
Because of its rapidly aging population, Hong Kong faces great challenges in the provision and financing of long-term care (LTC) and needs to explore sustainable funding mechanisms. However, there is a paucity of research on older people's willingness to pay (WTP) for LTC services in Hong Kong. This study utilizes data collected in Hong Kong in 2011 (N = 536) to investigate older people's receptivity to this financing mode by assessing their copayments for a Community Care Service Voucher Scheme, and then testing how potential factors affect respondents' amount of copayment...
May 10, 2018: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/29729105/cost-effectiveness-of-secukinumab-as-first-biologic-treatment-compared-with-other-biologics-for-moderate-to-severe-psoriasis-in-germany
#3
Matthias Augustin, Doreen McBride, Isabelle Gilloteau, Caitriona O'Neill, Katja Neidhardt, Christopher N Graham
BACKGROUND: Secukinumab, a fully human monoclonal antibody that selectively neutralizes interleukin-17A, has demonstrated strong and sustained efficacy in adults with moderate to severe psoriasis in clinical trials. OBJECTIVE: This analysis compared the cost per responder of secukinumab as first biologic treatment of moderate to severe psoriasis, with adalimumab, infliximab, etanercept, and ustekinumab in Germany. METHODS: A 52-week decision-tree model was developed...
May 5, 2018: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/29727491/patient-protection-and-affordable-care-act-elimination-of-mammogram-copays-has-increased-mammography-rates
#4
Carrie Printz
No abstract text is available yet for this article.
May 15, 2018: Cancer
https://www.readbyqxmd.com/read/29687570/should-we-formulate-an-incentivized-model-facilitating-kidney-donation-from-living-donors-a-focus-on-turkey-s-current-system
#5
Ercan Avci
Kidney transplantation is a lifesaving medical treatment. However, very high demand for kidneys with low kidney donation causes a black market that exploits patients' desperation and donors' vulnerability. The current kidney donation programs fail to produce promising results to avoid illegal and unethical kidney trafficking and commercialism. Even though the primary goal of kidney donation is to increase the number of deceased organ donations, in some countries, like Turkey, due to religious or cultural concerns, it is impossible to supply adequate deceased kidney donations...
April 23, 2018: Developing World Bioethics
https://www.readbyqxmd.com/read/29677584/the-effect-of-copayments-on-the-utilization-of-the-gp-service-in-norway
#6
Mari Magnussen Landsem, Jon Magnussen
We examine the effect of copayment on the utilization of the GP service in Norway. We use a regression discontinuity design to study two key aspects of the policy. First, we examine the overall effect of copayments on total utilization of the GP service. Second, we look at how this effect varies across different patient groups according to medical necessity. Data consists of 5,5 million GP visits for youths aged 10-20 over the 6 year period 2009-2014. We find that the introduction of a co-payment leads to an overall reduction of GP visits of 10-15%...
March 23, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29663571/did-adolescents-in-norway-respond-to-the-elimination-of-copayments-for-general-practitioner-services
#7
Camilla Beck Olsen, Hans Olav Melberg
Copayments for primary care services may lead to decreased access to and underconsumption of necessary health care for vulnerable patient groups, such as adolescents. In Norway, in 2010, adolescents aged 12 to 15 years were exempted from copayments for general practitioner (GP) services, and the aim of this study is to estimate whether being exempted from copayments led to increases in GP visits. We apply the synthetic control method using the elastic net regression as a data-driven approach to construct a relevant counterfactual from our pool of age groups not affected by the reform...
April 16, 2018: Health Economics
https://www.readbyqxmd.com/read/29651779/out-of-pocket-costs-and-health-insurance-take-up-rates
#8
Vasilios D Kosteas, Francesco Renna
BACKGROUND: Over the first ten years of this century, the share of the US population covered by employer-sponsored health insurance plans experienced a significant decline. A decrease in the take-up rate accounts for about a quarter of this decline. Usually, the increasing share of the premium that is paid by workers is used to explain the decline in the take-up rate. However, in recent years the increase in copayments, deductible and coinsurance rate has far outpaced the increase in worker contribution...
June 2018: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/29621205/state-medicaid-coverage-for-tobacco-cessation-treatments-and-barriers-to-accessing-treatments-united-states-2015-2017
#9
Anne DiGiulio, Zach Jump, Annie Yu, Stephen Babb, Anna Schecter, Kisha-Ann S Williams, Debbie Yembra, Brian S Armour
Cigarette smoking prevalence among Medicaid enrollees (25.3%) is approximately twice that of privately insured Americans (11.8%), placing Medicaid enrollees at increased risk for smoking-related disease and death (1). Medicaid spends approximately $39 billion annually on treating smoking-related diseases (2). Individual, group, and telephone counseling and seven Food and Drug Administration (FDA)-approved medications* are effective in helping tobacco users quit (3). Although state Medicaid coverage of tobacco cessation treatments improved during 2014-2015, coverage was still limited in most states (4)...
April 6, 2018: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/29545326/effect-of-copayment-policies-on-initial-medication-non-adherence-according-to-income-a-population-based-study
#10
Ignacio Aznar-Lou, Anton Pottegård, Ana Fernández, María Teresa Peñarrubia-María, Antoni Serrano-Blanco, Ramón Sabés-Figuera, Montserrat Gil-Girbau, Marta Fajó-Pascual, Patricia Moreno-Peral, Maria Rubio-Valera
OBJECTIVE: Copayment policies aim to reduce the burden of medication expenditure but may affect adherence and generate inequities in access to healthcare. The objective was to evaluate the impact of two copayment measures on initial medication non-adherence (IMNA) in several medication groups and by income level. DESIGN: A population-based study was conducted using real-world evidence. SETTING: Primary care in Catalonia (Spain) where two separate copayment measures (fixed copayment and coinsurance) were introduced between 2011 and 2013...
March 15, 2018: BMJ Quality & Safety
https://www.readbyqxmd.com/read/29544988/the-impact-of-the-affordable-care-act-on-contraceptive-use-and-costs-among-privately-insured-women
#11
Ashley H Snyder, Carol S Weisman, Guodong Liu, Douglas Leslie, Cynthia H Chuang
OBJECTIVES: The Affordable Care Act (ACA) contraceptive coverage mandate issued in August 2012 requires most private health insurance plans to cover all U.S. Food and Drug Administration-approved contraceptive methods without cost sharing. We evaluate the impact of this policy on out-of-pocket costs and use of long-acting reversible contraceptives (LARCs) and other prescription methods through 2014. METHODS: Data from Truven Health MarketScan were used to examine out-of-pocket costs and contraceptive use patterns for all reversible prescription contraceptives before and after the implementation of the contraceptive mandate for privately insured women ages 13 to 45...
March 2, 2018: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/29522120/policies-affecting-medicaid-beneficiaries-smoking-cessation-behaviors
#12
Erin Brantley, Jessica Greene, Brian Bruen, Erika Steinmetz, Leighton Ku
Introduction: Smoking rates for Medicaid beneficiaries have remained flat in recent years. Medicaid may support smokers in quitting by covering a broad array of tobacco cessation services without barriers such as copays. This study examines the impact of increasing generosity in Medicaid tobacco cessation coverage policies on smoking and cessation behaviors. Methods: We used 2010 and 2015 National Health Interview Survey data merged with information on state tobacco, Medicaid cessation, and Medicaid eligibility policies to estimate state fixed effects models of cessation medication use, counseling use, quit attempts, and current smoking...
March 7, 2018: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/29514743/a-case-mix-classification-system-for-explaining-healthcare-costs-using-administrative-data-in-italy
#13
Maria Chiara Corti, Francesco Avossa, Elena Schievano, Pietro Gallina, Eliana Ferroni, Natalia Alba, Matilde Dotto, Cristina Basso, Silvia Tiozzo Netti, Ugo Fedeli, Domenico Mantoan
BACKGROUND: The Italian National Health Service (NHS) provides universal coverage to all citizens, granting primary and hospital care with a copayment system for outpatient and drug services. Financing of Local Health Trusts (LHTs) is based on a capitation system adjusted only for age, gender and area of residence. We applied a risk-adjustment system (Johns Hopkins Adjusted Clinical Groups System, ACG® System) in order to explain health care costs using routinely collected administrative data in the Veneto Region (North-eastern Italy)...
March 4, 2018: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29505481/adult-caregiver-influenza-vaccination-through-administration-in-pediatric-outpatient-clinics-a-cocooning-healthcare-improvement-project
#14
Kimberley Jacobs, Molly Posa, Whitney Spellicy, Jaclyn Otero, Maria Kelly
BACKGROUND: Pediatric exposure to influenza-infected adult caregivers (AC) is a significant risk factor for developing influenza. Poor access to vaccines contributes to low adult vaccination rates. We offered adult vaccination at regularly scheduled pediatric office visits and examined barriers to improve future vaccination rates. METHODS: Via a retrospective chart review, we identified ACs who received an influenza vaccination at one of three pediatric clinics within an academic center from August 2015 to May 2016...
March 2, 2018: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/29505177/patient-preferences-for-diagnostic-testing-in-the-emergency-department-a-cross-sectional-study
#15
Jonathan D Porath, Arjun P Meka, Chelsea Morrow, Rahul Iyengar, Eytan Shtull-Leber, Angela Fagerlin, William J Meurer
BACKGROUND: Diagnostic testing is common during emergency department visits. Little is understood about patient preferences for such testing. We hypothesized that a patient's willingness to undergo diagnostic testing is influenced by the potential benefit, risk, and personal cost. METHODS: We conducted a cross sectional survey among emergency department patients for diagnostic testing in 2 hypothetical scenarios: chest pain (CP) and mild traumatic brain injury (mTBI)...
March 5, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29503394/copayment-exemption-policy-and-healthcare-utilization-after-the-great-east-japan-earthquake
#16
Yusuke Matsuyama, Toru Tsuboya, Shun-Ichiro Bessho, Jun Aida, Ken Osaka
Healthcare utilization after natural disasters remains understudied. In general, people in Japan pay 10%-30% of total amount of costs, according to their health insurance plan. A policy exempting survivors from copayments was introduced after the Great East Japan Earthquake in March 2011, which had a magnitude of 9.0 on the Richter scale and followed by devastating tsunamis. Among the disaster-affected areas, Miyagi prefecture experienced the largest number of deaths and the greatest extent of damage. However, the exemption was suspended in Miyagi prefecture from April, 2013, because of the huge governmental financial burden due to the immensity of damage from the disaster...
February 2018: Tohoku Journal of Experimental Medicine
https://www.readbyqxmd.com/read/29501747/assessment-of-health-related-quality-of-life-in-spine-treatment-conversion-from-sf-36-to-vr-12
#17
Matthew F Gornet, Anne G Copay, Katrine M Sorensen, Francine W Schranck
BACKGROUND CONTEXT: Health-related quality-of-life outcomes have been collected with the Medical Outcomes Study (MOS) Short Form 36 (SF-36) survey. Boston University School of Public Health has developed algorithms for the conversion of SF-36 to Veterans RAND 12-Item Health Survey (VR-12) Physical Component Summary (PCS) and Mental Component Summary (MCS) scores. PURPOSE: The purpose of the present study is to investigate the conversion of the SF-36 to VR-12 PCS and MCS scores...
February 28, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29489495/health-service-utilization-and-medical-costs-among-patients-with-schizophrenia-receiving-long-acting-injectable-risperidone-versus-oral-risperidone-a-nationwide-retrospective-matched-cohort-study-in-taiwan
#18
Szu-Jui Fan, Ning Lu, Hui-Chih Chang, Chao-Hsiun Tang, Kuo-Cherh Huang
The aim of the nationwide retrospective matched cohort study was to evaluate health service utilization and medical costs between patients with schizophrenia who received long-acting injectable (LAI) risperidone and those who took risperidone orally. Data were sourced from the 2008 to 2013 Psychiatric Inpatient Medical Claim Dataset in Taiwan. The sample selection process was performed by propensity score matching. Finally, there were 691 patients in the exposed cohort and 1382 patients in the unexposed cohort...
February 27, 2018: International Clinical Psychopharmacology
https://www.readbyqxmd.com/read/29477290/out-of-pocket-costs-for-advanced-imaging-across-the-us-private-insurance-marketplace
#19
Andrew B Rosenkrantz, Gelareh Sadigh, Ruth C Carlos, Ezequiel Silva, Richard Duszak
PURPOSE: The aim of this study was to characterize out-of-pocket patient costs for advanced imaging across the US private insurance marketplace. METHODS: Using the 2017 CMS Health Insurance Marketplace Benefits and Cost Sharing Public Use File, which details coverage policies for qualified health plans on federally facilitated marketplaces, measures of out-of-pocket costs for advanced imaging and other essential health benefits were analyzed for all 18,429 plans...
April 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29467088/do-reduced-copayments-affect-mortality-after-surgery-due-to-stroke-an-interrupted-time-series-analysis-of-a-national-cohort-sampled-in-2003-2012
#20
Kyu-Tae Han, Seung Ju Kim, Sun Jung Kim, Ji Won Yoo, Eun-Cheol Park
BACKGROUND: The South Korean government introduced a policy in 2 phases, in September 2005 and in January 2010, for reducing copayments for patients with critical diseases, including stroke, to prevent excessive medical expenditures and to ease economic barriers. Previous studies of the effect of this policy were focused primarily on cancer. Therefore, we investigated the relationship between this policy and 1-year mortality after surgery among patients with stroke. METHODS: We used data from the Korean National Health Insurance sampling cohort (n = 2173 in 2003-2012) and performed an interrupted time series analysis...
June 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
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