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https://www.readbyqxmd.com/read/29691379/mental-and-physical-health-related-quality-of-life-in-patients-with-hepatitis-c-is-related-to-baseline-comorbidities-and-improves-only-marginally-with-hepatitis-c-cure
#1
Paul J Thuluvath, Yulia Savva
The objective of the study was to analyze the relationship between patient characteristics and the health-related quality of life (HRQoL) among patients with hepatitis C at the start of treatment, 2-12 weeks of treatment and ≥3 months post treatment using Short-Form 36 (SF-36). The eight domains and two composite scores of SF-36 were analyzed using 236 individuals. Compared to US general population norms, on average, the physical health scores were significantly lower for the studied hepatitis C population, while the differences related to mental health were between zero and small...
April 25, 2018: Clinical and Translational Gastroenterology
https://www.readbyqxmd.com/read/29680095/are-us-health-insurers-efficient-or-not
#2
EDITORIAL
Daniel C Malone
No abstract text is available yet for this article.
April 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/29672327/the-affordable-care-act-decreased-the-proportion-of-uninsured-patients-in-a-safety-net-orthopaedic-clinic
#3
Joseph A Gil, Avi D Goodman, Justin Kleiner, Robin N Kamal, Laurence C Baker, Edward Akelman
BACKGROUND: The Patient Protection and Affordable Care Act (ACA) was approved in 2010, substantially altering the economics of providing and receiving healthcare services in the United States. One of the primary goals of this legislation was to expand insurance coverage for under- and uninsured residents. Our objective was to examine the effect of the ACA on the insurance status of patients at a safety net clinic. Our institution houses a safety net clinic that provides the dominant majority of orthopaedic care for uninsured patients in our state...
May 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29662748/national-trends-for-primary-and-revision-lumbar-disc-arthroplasty-throughout-the-united-states
#4
Comron Saifi, Alejandro Cazzulino, Caroline Park, Joseph Laratta, Philip K Louie, Jamal N Shillingford, Ronald Lehman, Howard An, Frank Phillips
Study Design: Retrospective database study. Objectives: Analysis of economic and demographic data concerning lumbar disc arthroplasty (LDA) throughout the United States to improve value-based care and health care utilization. Methods: The National Inpatient Sample database was queried for patients who underwent primary or revision LDA between 2005 and 2013. Demographic and economic data included total surgeries, costs, length of stay, and frequency of routine discharge...
April 2018: Global Spine Journal
https://www.readbyqxmd.com/read/29661084/understanding-the-use-of-niv-in-als-results-of-an-international-als-specialist-survey
#5
Terry D Heiman-Patterson, Merit E Cudkowicz, Mamede De Carvalho, Angela Genge, Orla Hardiman, Carlayne E Jackson, Noah Lechtzin, Hiroshi Mitsumoto, Vincenzo Silani, Jinsy A Andrews, Dafeng Chen, Sarah Kulke, Stacy A Rudnicki, Leonard H van den Berg
OBJECTIVE: To identify common practices of noninvasive ventilation (NIV) use among ALS specialists and how they follow respiratory status in their patients. METHODS: A 25-item questionnaire on NIV indications/initiation was sent via SurveyMonkey® to ALS specialists identified through membership in NEALS (114 sites in the US) and ENCALS (39 sites in Europe). Descriptive statistics and Cochran-Mantel-Haenszel test for general association were performed. RESULTS: In their initial evaluation, US and European specialists (n = 186) use upright forced vital capacity (FVC) most (92...
April 16, 2018: Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration
https://www.readbyqxmd.com/read/29652938/cost-of-malaria-treatment-and-health-seeking-behaviour-of-children-under-five-years-in-the-upper-west-region-of-ghana
#6
Maxwell Ayindenaba Dalaba, Paul Welaga, Abraham Oduro, Laata Latif Danchaka, Chieko Matsubara
BACKGROUND: There is limited knowledge on cost of treating malaria in children under-five years in northern Ghana which poses a challenge in determining whether interventions such as the National Health Insurance Scheme (NHIS) and Community-based Health Planning and Services (CHPS) have reduced the economic burden of malaria to households or not. This study examined the malaria care seeking and cost of treatment in children under-five years in the Upper West Region of Ghana. METHODS: The study used a cross-sectional, quantitative design and data were collected between July and August 2016 in three districts in the Upper West Region of Ghana...
2018: PloS One
https://www.readbyqxmd.com/read/29651779/out-of-pocket-costs-and-health-insurance-take-up-rates
#7
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...
April 12, 2018: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/29651640/characteristics-of-new-onset-and-chronic-sleep-medication-users-among-older-adults-a-retrospective-study-of-a-us-medigap-plan-population-using-propensity-score-matching
#8
Shirley Musich, Shaohung S Wang, Luke B Slindee, Lynn Saphire, Ellen Wicker
BACKGROUND: Prescription sleep medications are often utilized to manage sleep problems among older adults even though these drugs are associated with multiple risks. OBJECTIVE: The aim was to determine the prevalence and characteristics of new-onset compared to chronic sleep medication users and to examine factors associated with the conversion from new to chronic use. A secondary objective was to investigate the impact of sleep medications on health outcomes of injurious falls and patterns of healthcare utilization and expenditures...
April 12, 2018: Drugs & Aging
https://www.readbyqxmd.com/read/29644618/adherence-to-basal-insulin-therapy-among-people-with-type-2-diabetes-a-retrospective-cohort-study-of-costs-and-patient-outcomes
#9
Magaly Perez-Nieves, Kristina S Boye, Jacek Kiljanski, Dachung Cao, Maureen J Lage
INTRODUCTION: This research compares costs, resource utilization, and complications between adherent and nonadherent patients over the 3-year period post initiation on basal insulin therapy. METHODS: The study utilized the US-based Truven Health MarketScan® Research Databases from 2011 through 2015. Adults aged 18 years or older and identified with type 2 diabetes (T2D) who initiated therapy on basal insulin in 2012 were included. Patients were excluded if they were pregnant, filled their index basal insulin prescription via mail order, or were not continuously insured from 1 year before through 3 years following initiation of treatment with basal insulin...
April 11, 2018: Diabetes Therapy: Research, Treatment and Education of Diabetes and related Disorders
https://www.readbyqxmd.com/read/29626323/the-case-for-a-private-healthcare-insurance-monopoly
#10
Paul E Orzechowski
This article advocates for a regulated private monopoly as an audacious solution to replace Obamacare, help manage Medicare and Medicaid and reform the US healthcare insurance industry. Contemporary economics vilifies monopolies and praises the 'magic wand' of perfect competition without much debate on the merits of these assumptions. The problems with the perfect competition model as applied to healthcare insurance are well established, but exploration of other possible economic models (i.e. monopoly and oligopoly) as a replacement for Obamacare is non-existent...
April 6, 2018: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/29616482/impact-of-a-health-management-program-on-healthcare-outcomes-among-patients-on-augmentation-therapy-for-alpha-1-antitrypsin-deficiency-an-insurance-claims-analysis
#11
Michael A Campos, Michael C Runken, Angela M Davis, Michael P Johnson, Glenda A Stone, Ami R Buikema
INTRODUCTION: Alpha 1-antitrypsin deficiency (AATD) is a genetic disorder which reduces serum alpha 1-antitrypsin (AAT or alpha1-proteinase inhibitor, A1PI) and increases the risk of chronic obstructive pulmonary disease (COPD). Management strategies include intravenous A1PI augmentation, and, in some cases, a health management program (Prolastin Direct® ; PD). OBJECTIVES: This study compared clinical and economic outcomes between patients with and without PD program participation...
April 3, 2018: Advances in Therapy
https://www.readbyqxmd.com/read/29615391/differences-in-rates-of-switchbacks-after-switching-from-branded-to-authorized-generic-and-branded-to-generic-drug-products-cohort-study
#12
Rishi J Desai, Ameet Sarpatwari, Sara Dejene, Nazleen F Khan, Joyce Lii, James R Rogers, Sarah K Dutcher, Saeid Raofi, Justin Bohn, John Connolly, Michael A Fischer, Aaron S Kesselheim, Joshua J Gagne
OBJECTIVES: To compare rates of switchbacks to branded drug products for patients switched from branded to authorized generic drug products, which have the same active ingredients, appearance, and excipients as the branded product, with patients switched from branded to generic drug products, which have the same active ingredients as the branded product but may differ in appearance and excipients. DESIGN: Observational cohort study. SETTING: Private (a large commercial health plan) and public (Medicaid) insurance programs in the US...
April 3, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29615188/trends-in-annual-dental-visits-among-us-dentate-adults-with-and-without-self-reported-diabetes-and-prediabetes-2004-2014
#13
Huabin Luo, Ronny A Bell, Wanda Wright, Qiang Wu, Bei Wu
BACKGROUND: The authors assessed the trends of annual dental visits in dentate adults with diabetes or prediabetes or no diabetes, and assessed whether the racial and ethnic disparities in dental visits changed from 2004 through 2014. METHODS: Data for this analysis came from the Behavioral Risk Factor Surveillance System, a US health survey that looks at behavioral risk factors that was developed by the Centers for Disease Control and Prevention in cooperation with state health departments...
March 31, 2018: Journal of the American Dental Association
https://www.readbyqxmd.com/read/29615187/disparities-in-oral-health-by-immigration-status-in-the-united-states
#14
Fernando A Wilson, Yang Wang, Luisa N Borrell, Sejong Bae, Jim P Stimpson
BACKGROUND: Few investigators have explored differences in oral health status between immigrants and natives. To address this gap, the authors used nationally representative data to characterize disparities in oral health among noncitizens, naturalized citizens, and native adults. METHODS: The 2013 to 2014 National Health and Nutrition Examination Survey, a nationally representative in-person survey, provides oral health data for US natives, naturalized citizens, and noncitizens...
March 31, 2018: Journal of the American Dental Association
https://www.readbyqxmd.com/read/29610400/poverty-transportation-access-and-medication-nonadherence
#15
Caroline Hensley, Pamela C Heaton, Robert S Kahn, Heidi R Luder, Stacey M Frede, Andrew F Beck
BACKGROUND AND OBJECTIVES: Variability in primary medication nonadherence (PMN), or failure to fill a new prescription, influences disparities and widens equity gaps. This study sought to evaluate PMN across 1 metropolitan area and assess relationships with underlying zip code-level measures. METHODS: This was a retrospective observational study using data extracted from 1 regional community pharmacy market-share leader (October 2016-April 2017). Data included patient age, sex, payer, medication type, and home zip code...
April 2018: Pediatrics
https://www.readbyqxmd.com/read/29608348/the-complexity-of-billing-and-paying-for-physician-care
#16
Joshua D Gottlieb, Adam Hale Shapiro, Abe Dunn
The administrative costs of providing health insurance in the US are very high, but their determinants are poorly understood. We advance the nascent literature in this field by developing new measures of billing complexity for physician care across insurers and over time, and by estimating them using a large sample of detailed insurance "remittance data" for the period 2013-15. We found dramatic variation across different types of insurance. Fee-for-service Medicaid is the most challenging type of insurer to bill, with a claim denial rate that is 17...
April 2018: Health Affairs
https://www.readbyqxmd.com/read/29608344/most-primary-care-physicians-provide-appointments-but-affordability-remains-a-barrier-for-the-uninsured
#17
Brendan Saloner, Katherine Hempstead, Karin Rhodes, Daniel Polsky, Clare Pan, Genevieve M Kenney
The US uninsurance rate has nearly been cut in half under the Affordable Care Act, and access to care has improved for the newly insured, but less is known about how the remaining uninsured have fared. In 2012-13 and again in 2016 we conducted an experiment in which trained auditors called primary care offices, including federally qualified health centers, in ten states. The auditors portrayed uninsured patients seeking appointments and information on the cost of care and payment arrangements. In both time periods, about 80 percent of uninsured callers received appointments, provided they could pay the full cash amount...
April 2018: Health Affairs
https://www.readbyqxmd.com/read/29605798/health-care-cost-for-multiple-sclerosis-the-case-of-a-health-insurer-in-colombia
#18
Ivan Mauricio Muñoz-Galindo, Jairo Alexander Moreno Calderón, Natalia Elizabeth Guarín Téllez, Helbert Orlando Arévalo Roa, Jorge Augusto Díaz Rojas
BACKGROUND: There have been many studies on the cost of multiple sclerosis in countries with high prevalence, whereas in Latin America such analyses are few. Taking into consideration the burden of this disease and the high financial impact of treatment on the health care system, it is necessary to know the behavior of cost of illness. OBJECTIVES: To describe the direct costs associated with health care in patients with multiple sclerosis affiliated with a health insurer in Colombia...
March 29, 2018: Value in Health Regional Issues
https://www.readbyqxmd.com/read/29605052/the-impact-of-nativity-on-cervical-cancer-survival-in-the-public-hospital-system-of-queens-new-york
#19
George S Hagopian, Molly Lieber, Peter R Dottino, M Margaret Kemeny, Xilian Li, Jessica Overbey, Li-Duen Clark, Ann Marie Beddoe
OBJECTIVE: We studied cervical cancer patients who presented to the Public Hospital System in ethnically-diverse Queens, New York from 2000 to 2010 with the purpose of examining the relationship between nativity (birthplace) and survival. METHODS: A retrospective review of tumor registries was used to identify patients diagnosed with cervical cancer between January 1, 2000 and December 31, 2010. Using electronic medical records, data from 317 patients were available for this analysis...
April 2018: Gynecologic Oncology
https://www.readbyqxmd.com/read/29599017/opioid-prescribing-practices-from-2010-through-2015-among-dentists-in-the-united-states-what-do-claims-data-tell-us
#20
Niodita Gupta, Marko Vujicic, Andrew Blatz
BACKGROUND: Dentists wrote 6.4% of all opioid prescriptions in the United States in 2012. The purpose of this study was to examine opioid prescription rates, dosage of opioids prescribed, type of opioid drug prescribed, and type of dental visit at which dentists prescribe opioids. METHODS: The authors used the 2010 through 2015 Truven Health Marketscan Research databases and the Prescription Drug Monitoring Program (PDMP) Training and Technical Assistance Center conversion data set...
April 2018: Journal of the American Dental Association
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