Prevalence of Financial Considerations Documented in Primary Care Encounters as Identified by Natural Language Processing Methods.

Importance: Quantifying patient-physician cost conversations is challenging but important as out-of-pocket spending by US patients increases and patients are increasingly interested in discussing costs with their physicians.

Objective: To characterize the prevalence of financial considerations documented in narrative clinical records of primary care encounters and their association with patient-level features.

Design, Setting, And Participants: This cohort study applied natural language processing to narrative clinical notes obtained from electronic health records for adult primary care visits.

Medicare for All Should Not Be One Size Fits All.

For Medicare for all to truly work for all Americans it must do more than provide uniform, basic insurance. In health care, as in fashion, consumers need different options. To truly reform health care, solutions must allow customization and consumer choice.

Prevalence and Nature of Financial Considerations Documented in Narrative Clinical Records in Intensive Care Units.

Importance: The extent to which financial considerations alter intensive care unit (ICU) decision making is poorly understood.

Objectives: To characterize the prevalence and nature of financial considerations documented in narrative clinical records and their association with patient-level demographic and clinical features.

Design, Setting, And Participants: In silico cohort study applying natural language processing to narrative notes from the Medical Information Mart for Intensive Care (MIMIC-III) study.