keyword
MENU ▼
Read by QxMD icon Read
search

Fee for service

keyword
https://www.readbyqxmd.com/read/29332137/variation-in-guideline-concordant-care-for-elderly-patients-with-metastatic-breast-cancer-in-the-united-states
#1
Philip D Poorvu, Ines Vaz-Luis, Rachel A Freedman, Nancy U Lin, William T Barry, Eric P Winer, Michael J Hassett
PURPOSE: Prior studies have identified shortcomings in the quality of care for early-stage breast cancer. Guidelines recommend systemic therapy for metastatic breast cancer (MBC), but few studies have examined guideline concordance for these patients. METHODS: We used Surveillance, Epidemiology, and End Results (SEER)-Medicare data to identify patients aged ≥ 66 diagnosed in 2010-2011 with de novo MBC who were continuously enrolled in fee-for-service Medicare...
January 13, 2018: Breast Cancer Research and Treatment
https://www.readbyqxmd.com/read/29327367/the-free-healthcare-initiative-in-sierra-leone-evaluating-a-health-system-reform-2010-2015
#2
Sophie Witter, Nouria Brikci, Tim Harris, Richard Williams, Sarah Keen, Ana Mujica, Alex Jones, Alex Murray-Zmijewski, Barbara Bale, Bailah Leigh, Ade Renner
This article presents the findings of a theory-based evaluation of the Sierra Leone Free Health Care Initiative (FHCI), using mixed methods. Analytical approaches included time-series analysis of national survey data to examine mortality and morbidity trends, as well as modelling of impact using the Lives Saved Tool and expenditure trend analysis. We find that the FHCI responded to a clear need in Sierra Leone, was well designed to bring about needed changes in the health system to deliver services to the target beneficiaries, and did indeed bring funds and momentum to produce important systemic reforms...
January 12, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29327343/changes-in-out-of-pocket-charges-associated-with-obstetric-care-provided-under-medicare-in-australia
#3
Emily Callander, Haylee Fox
Recent health reforms alongside unregulated provider fees have led to increased attention being given to out-of-pocket healthcare costs. This study utilised annual statistics published by the Department of Health for services provided under the Medicare Benefits Schedule (MBS) from 1992/3 to 2016/17 to identify changes in out-of-pocket charges for obstetric items over time, and estimate the change in demand for obstetric items in response to price increases. Since 1992/3 out-of-pocket charges increased by 1035% for out-of-hospital items and 77% for in-hospital items...
January 12, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29324605/estimating-the-hospital-delivery-costs-associated-with-severe-maternal-morbidity-in-new-york-city-2008-2012
#4
Renata E Howland, Meghan Angley, Sang Hee Won, Wendy Wilcox, Hannah Searing, Tsu-Yu Tsao
OBJECTIVE: To quantify the average and total hospital delivery costs associated with severe maternal morbidity in excess of nonsevere maternal morbidity deliveries over a 5-year period in New York City adjusting for other sociodemographic and clinical factors. METHODS: We conducted a population-based cross-sectional study using linked birth certificates and hospital discharge data for New York City deliveries from 2008 to 2012. Severe maternal morbidity was defined using a published algorithm of International Classification of Diseases, 9 Revision, Clinical Modification disease and procedure codes...
January 9, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29314035/economic-evaluation-of-floseal-compared-to-nasal-packing-for-the-management-of-anterior-epistaxis
#5
Andre Le, Kednapa Thavorn, Andrea Lasso, Shaun J Kilty
OBJECTIVES/HYPOTHESIS: To evaluate the cost-effectiveness of Floseal, a topically applied hemostatic agent, and nasal packing for the management of epistaxis in Canada. STUDY DESIGN: Outcomes research, a cost-utility analysis. METHODS: We developed a Markov model to compare the costs and health outcomes of Floseal with nasal packing over a lifetime horizon from the perspective of a publicly funded healthcare system. A cycle length of 1 year was used...
January 4, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29306644/increasing-utilization-of-emergency-department-neuroimaging-in-medicare-beneficiaries-from-1994-to-2015
#6
Anand M Prabhakar, Ravi V Gottumukkala, Jennifer Hemingway, Danny R Hughes, Sumir S Patel, Richard Duszak
OBJECTIVE: To assess for changes in emergency department (ED) utilization of neuroimaging in Medicare fee-for-service beneficiaries from 1994 to 2015. METHODS: Using Medicare Physician Supplier Procedure Summary Master Files, annual ED volumes of head computed tomography (CT), magnetic resonance (MR), and carotid duplex ultrasound (CDUS) were assessed from 1994 through 2015. Annual volumes of head CT angiography (CTA), neck CTA, head MR angiography (MRA), and neck MRA studies were assessed from 2001 (first year of unique reporting codes) through 2015...
December 28, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29305114/inferior-vena-cava-filter-placement-and-retrieval-rates-among-radiologists-and-nonradiologists
#7
David Guez, David R Hansberry, David J Eschelman, Carin F Gonsalves, Laurence Parker, Vijay M Rao, David C Levin
PURPOSE: To evaluate inferior vena cava (IVC) filter placement and retrieval rates among radiologists, vascular surgeons, cardiologists, other surgeons, and all other health care providers for Medicare fee-for-service beneficiaries in the years 2012-2015. MATERIALS AND METHODS: The nationwide Medicare Physician/Supplier Procedure Summary Master Files were used to determine the volume and utilization rate of IVC filter placement, IVC filter repositioning, and IVC filter retrieval, which correspond to procedure codes 37191, 37192, and 37193, respectively...
January 3, 2018: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/29299836/operational-experience-of-an-open-access-subscription-based-mass-spectrometry-and-proteomics-facility
#8
REVIEW
Nicholas A Williamson
This paper discusses the successful adoption of a subscription-based, open-access model of service delivery for a mass spectrometry and proteomics facility. In 2009, the Mass Spectrometry and Proteomics Facility at the University of Melbourne (Australia) moved away from the standard fee for service model of service provision. Instead, the facility adopted a subscription- or membership-based, open-access model of service delivery. For a low fixed yearly cost, users could directly operate the instrumentation but, more importantly, there were no limits on usage other than the necessity to share available instrument time with all other users...
January 3, 2018: Journal of the American Society for Mass Spectrometry
https://www.readbyqxmd.com/read/29298744/-the-swiss-border-veterinary-service-in-the-20th-century
#9
J Schluep
The first animal disease act of Switzerland was released in 1872. Its revision in 1886 brought the basis for establishing a border veterinary inspection service. This service was first reporting to the federal Ministry of Agriculture; after 1914, the newly created Federal Veterinary Office became responsible for it. The border checks were first limited to live biungulate animals and horses; later on they were extended to meat and meat products and finally to venison and fishery products. At the beginning, part-time veterinarians with own practice were engaged...
January 2018: Schweizer Archiv Für Tierheilkunde
https://www.readbyqxmd.com/read/29298090/variation-in-the-diagnosis-of-aspiration-pneumonia-and-association-with-hospital-pneumonia-outcomes
#10
Peter K Lindenauer, Kelly M Strait, Jacqueline N Grady, Chi K Ngo, Madeline L Parisi, Mark Metersky, Joseph S Ross, Susannah M Bernheim, Karen Dorsey
Rationale National efforts to compare hospital outcomes for patients with pneumonia may be biased by hospital differences in diagnosis and coding of aspiration pneumonia, a condition that has traditionally been excluded from pneumonia outcome measures. Objectives To evaluate the rationale and impact of including aspiration pneumonia patients in hospital mortality and readmission measures. Methods Using Medicare fee-for-service claims for patients > 65 years from July 2012 - June 2015, we characterized the proportion of hospitals' pneumonia patients diagnosed with aspiration pneumonia, calculated hospital-specific risk-standardized rates of 30-day mortality and readmission for pneumonia patients, analyzed the association between aspiration pneumonia coding frequency and these rates, and re-calculated these rates including aspiration pneumonia patients...
January 3, 2018: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/29297860/italian-external-quality-assessment-program-for-cystic-fibrosis-sweat-chloride-test-a-2015-and-2016-results-comparison
#11
Marco Salvatore, Giovanna Floridia, Annalisa Amato, Federica Censi, Maria Chiara de Stefano, Gianluca Ferrari, Fabrizio Tosto, Domenica Taruscio
BACKGROUND: Diagnostic testing in cystic fibrosis (CF) is based on the sweat chloride test (SCT) in the context of appropriate signs and symptoms of disease and results of the gene mutation analysis. In 2014 the Istituto Superiore di Sanità (ISS) established a pilot Italian external quality assessment program for CF sweat chloride test (Italian EQA-SCT). In 2015 this activity was recognized as a third party service carried out by the ISS. The aim of the paper is to compare 2015 and 2016 results and experiences...
October 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/29290495/national-trends-in-open-surgical-endovascular-and-branched-fenestrated-endovascular-aortic-aneurysm-repair-in-medicare-patients
#12
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/29290170/cost-effectiveness-of-drugs-to-treat-relapsed-refractory-multiple-myeloma-in-the-united-states
#13
Josh J Carlson, Gregory F Guzauskas, Richard H Chapman, Patricia G Synnott, Shanshan Liu, Elizabeth T Russo, Steven D Pearson, Elizabeth D Brouwer, Daniel A Ollendorf
BACKGROUND: New 3-drug regimens have been developed and approved to treat multiple myeloma (MM). The absence of direct comparative data and the high cost of treatment support the need to assess the relative clinical and economic outcomes across all approved regimens. OBJECTIVE: To evaluate the cost-effectiveness of treatments for relapsed and/or refractory MM from a U.S. health system perspective. METHODS: We developed a partition survival model with 3 health states (progression-free, progression, and death) to evaluate the following regimens: carfilzomib (CFZ), elotuzumab (ELO), ixazomib (IX), daratumumab (DAR), and panobinostat (PAN) in combination with lenalidomide (LEN) or bortezomib (BOR) plus dexamethasone (DEX) in the second and/or third line of therapy...
January 2018: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/29289509/radiologist-professional-payments-after-mitigation-of-cms-s-multiple-procedure-payment-reduction-initiatives
#14
Gelareh Sadigh, Danny Hughes, Wenyi Wang, Bibb Allen, Geraldine B McGinty, Ezequiel Silva, Richard Duszak
PURPOSE: The aim of this study was to assess the potential impact of ACR evidence-based advocacy on radiologist professional reimbursement from individual-provider CMS multiple-procedure payment reduction (MPPR) initiatives. METHODS: CMS Physician and Other Supplier Public Use Files and 5% research-identifiable file carrier claims files from 2012 through 2014 were used to identify individual-provider MPPR-eligible services for radiologists (group practice linking unavailability in either dataset precluded quantification of different provider discounting) and then compare actual payments to Medicare Physician Fee Schedule national professional reimbursement rates to identify MPPR-discounted services...
December 27, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29288407/the-effect-of-the-removal-of-user-fees-for-delivery-at-public-health-facilities-on-institutional-delivery-in-urban-kenya
#15
Lisa M Calhoun, Ilene S Speizer, David Guilkey, Elizabeth Bukusi
Objectives In 2013, Kenya removed delivery fees at public health facilities in an effort to promote equity in access to health services and address high maternal mortality. This study determines the effect of the policy to remove user fees on institutional delivery in a population-based sample of women from urban Kenya. Methods Longitudinal data were collected from a representative sample of 8500 women from five cities in Kenya in 2010 with a follow-up interview in 2014 (response rate 58.9%). Respondents were asked about their most recent birth since 2008 at baseline and 2012 at endline, including the delivery location...
December 29, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/29287695/pain-treatments-after-hip-fracture-among-older-nursing-home-residents
#16
Andrew R Zullo, Tingting Zhang, Francesca L Beaudoin, Yoojin Lee, Kevin W McConeghy, Douglas P Kiel, Lori A Daiello, Vincent Mor, Sarah D Berry
OBJECTIVES: To examine the association between use of opioids versus other analgesics with death and functioning after hip fracture in older nursing home (NH) residents. DESIGN: Retrospective cohort using national Medicare fee-for-service claims linked to the Minimum Data Set. SETTING: US NHs. PARTICIPANTS: NH residents aged ≥65 years who became a long-stay resident (>100 days in the NH) between January 2008 and December 2009, had a hospitalized hip fracture, and returned to the NH...
December 26, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29285872/the-effects-of-competition-on-medical-service-provision
#17
Jeannette Brosig-Koch, Burkhard Hehenkamp, Johanna Kokot
We explore how competition between physicians affects medical service provision. Previous research has shown that, without competition, physicians deviate from patient-optimal treatment under payment systems like capitation and fee-for-service. Although competition might reduce these distortions, physicians usually interact with each other repeatedly over time and only a fraction of patients switches providers at all. Both patterns might prevent competition to work in the desired direction. To analyze the behavioral effects of competition, we develop a theoretical benchmark that is then tested in a controlled laboratory experiment...
December 2017: Health Economics
https://www.readbyqxmd.com/read/29285865/sorting-into-payment-schemes-and-medical-treatment-a-laboratory-experiment
#18
Jeannette Brosig-Koch, Nadja Kairies-Schwarz, Johanna Kokot
In this study, we introduce the opportunity for physicians to sort into capitation or fee-for-service payment. Using a controlled medically framed laboratory experiment with a sequential within-subject design allows isolating sorting from incentive effects. We observe a strong preference for fee-for-service payment, which does not depend on subjects' prior experience with one of the two payment schemes. Further, we identify a significant sorting effect. Subjects choosing capitation deviate ex ante less from patient-optimal medical treatment than subjects who sort into fee-for-service payment...
December 2017: Health Economics
https://www.readbyqxmd.com/read/29284439/facility-imposed-barriers-to-early-utilization-of-focused-antenatal-care-services-in-mangochi-district-malawi-a-mixed-methods-assessment
#19
Kondwani Chidzammbuyo Mamba, Adamson S Muula, William Stones
BACKGROUND: Focused Antenatal Care (FANC) is advocated by the World Health Organization (WHO) as a key service approach to improving the health of pregnant women. Four targeted visits to antenatal clinics are recommended starting in the first trimester. First trimester attendance for FANC in Mangochi District, Malawi was low at 8%. FANC has mainly been promoted through health facility based communication activities with less emphasis on activities at community level. We developed and tested a community focused health communication approach "Community Driven Total FANC Attendance (CDTFA)" with the aim of increasing FANC clinic attendance...
December 29, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29283699/physician-level-variation-in-outcomes-of-mechanically-ventilated-patients
#20
Meeta Prasad Kerlin, Andrew Epstein, Jeremy M Kahn, Theodore J Iwashyna, David A Asch, Michael O Harhay, Sarah J Ratcliffe, Scott D Halpern
RATIONALE: Physicians are increasingly being held accountable for patient outcomes. Yet their specific contribution to the outcomes remains uncertain. OBJECTIVE: To determine variation in outcomes of mechanically ventilated patients among intensivists, as well as associations between intensivist experience and patient outcomes. METHODS: We performed a retrospective cohort study of mechanically ventilated Medicare fee-for-service patients in acute care hospitals in Pennsylvania, using administrative, clinical, and physician data from Centers for Medicare & Medicaid Services and the American Medical Association from 2008 and 2009...
December 28, 2017: Annals of the American Thoracic Society
keyword
keyword
47622
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"