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Cost-savings analysis of telemedicine use for ophthalmic screening in a rural Appalachian health clinic.
W V Med J
November 2013
West Virginia University Eye Institute, Marshall University, Joan C. Edwards School of Medicine, Huntington, WV, USA.
Life in mountainous, rural areas poses unique obstacles for ophthalmic care--notably, a lack of access to ophthalmologists and cost of care. Using telemedicine as a screening tool addresses both issues for diabetic retinopathy (DR) screening, as fundus photography has been determined to be sensitive and specific when screening for DR. The American Diabetes Association places a Grade E recommendation on fundus photography as a screening tool.
View Article and Find Full Text PDFFinancing and systems barriers to seasonal influenza vaccine delivery in community settings.
Vaccine
December 2011
Center for Child Health Care Studies, Department of Population Medicine, Harvard Pilgrim Health Care Institute and Harvard Medical School, United States.
Background: Recommendations for annual seasonal influenza vaccination have expanded to now include >300 million children and adults each year. Community settings have become increasingly important venues for influenza vaccination. We sought to identify barriers to and solutions for expanding influenza vaccination in community settings.
View Article and Find Full Text PDFReassignment reform: a possible regulatory tool to stunt the growth of in-office imaging.
J Am Coll Radiol
June 2007
Reed Smith LLP, Falls Church, Va 22042, USA.
The expansion of the Medicare reassignment rule in 2003 to permit independent contractors to perform professional services off-site has been cited as a factor potentially contributing to the marked increase in physician practices billing for diagnostic testing. In an effort to curb this growth, the Centers for Medicare and Medicaid Services is contemplating further revisions to the Medicare reassignment rules as described below that would effectively preclude ordering physicians from marking up not only the technical, but also the professional components of any services purchased or obtained under contract from radiology groups or other imaging service providers.
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