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Access and Cost Trends for Same-Day Plastic Surgery among Propensity-Matched Patients by Site-of-Service.
Plast Reconstr Surg
September 2024
Professor of Surgery, Section of Plastic Surgery, Department of Surgery, Assistant Dean for Faculty Affairs, University of Michigan Medical School, Ann Arbor MI.
Background: Same-day surgery is common in plastic surgery. Sites-of-service are associated with cost differences. Freestanding (F-ASCs) and hospital-owned ambulatory surgery centers (HO-ASCs) are less costly than hospital outpatient departments (HOPDs), though access disparities are reported.
View Article and Find Full Text PDF2020 CMS prior authorization for hospital outpatient departments: Associated surgical volume impact.
Surgery
November 2024
Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, MI. Electronic address:
Background: Prior authorization is common for privately administered Medicare Advantage plans but is rarely used for surgical care when considering publicly administered plans. A 2020 Centers for Medicare and Medicaid services (CMS) policy, CMS-1717-FC, requires prior authorization for Medicare Fee-for-Service beneficiaries undergoing select procedures (blepharoplasty, abdominoplasty, botulinum toxin injection, rhinoplasty, and vein ablation) in hospital outpatient departments. The impact of this policy on surgical volume at hospital outpatient departments and shifts in care to ambulatory surgery centers is unknown.
View Article and Find Full Text PDFContinuous glucose monitoring among nurse practitioners in primary care: Characteristics associated with prescribing and resources needed to support use.
J Am Assoc Nurse Pract
July 2024
Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Background: Continuous glucose monitoring (CGM) can improve health for people with diabetes but is limited in primary care (PC). Nurse Practitioners (NPs) in PC can improve diabetes management through CGM, but NPs' interest in CGM and support needed are unclear.
Purpose: We describe behaviors and attitudes related to CGM for diabetes management among NPs in PC.
The COVID-19 Pandemic Led To A Large Decline In Physician Gross Revenue Across All Specialties In 2020.
Health Aff (Millwood)
July 2024
Amol S. Navathe, Corporal Michael J. Cresencz Veterans Affairs Medical Center and University of Pennsylvania, Philadelphia, Pennsylvania.
US health care use declined during the initial phase of the COVID-19 pandemic in 2020. Although utilization is known to have recovered in 2021 and 2022, it is unknown how revenue in 2020-22 varied by physician specialty and practice setting. This study linked medical claims from a large national federation of commercial health plans to physician and practice data to estimate pandemic-associated impacts on physician revenue (defined as payments to eligible physicians) by specialty and practice characteristics.
View Article and Find Full Text PDFDyslipidemia among adult people living with HIV on dolutegravir - based antiretroviral therapy at a private tertiary hospital in Kampala, Uganda: burden and determinants.
BMC Infect Dis
January 2024
Infectious Diseases Institute, Makerere University, Kampala, Uganda.
Background: Understanding the burden of dyslipidemia and its associated factors among adult people living with HIV on dolutegravir (DTG) based anti-retroviral therapy (ART) is critical to provide clinical guidance and risk reduction strategies in our setting.
Methods: We conducted a cross-sectional study on adult people living with HIV on DTG based ART between July and August 2022 at Mengo Hospital, a private not for profit missionary hospital owned by the Church of Uganda. Dyslipidemia was defined as: Total cholesterol (TC) ≥ 5.
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