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An Automated Clinical Laboratory Decision Support System for Test Utilization, Medical Necessity Verification and Payment Processing.
Interact J Med Res
January 2025
University of California, San Francisco, Department of Laboratory Medicine, San Francisco, US.
Physicians could improve the efficiency of the healthcare system if a reliable resource were available to aid them in better understanding, selecting, and interpreting the diagnostic laboratory tests. It has been well established and widely recognized that (a) laboratory testing provides 70-85% of the objective data that physicians use in diagnosis and treatment of their patients, (b) orders for laboratory tests in the U.S.
View Article and Find Full Text PDFAccess to insurance navigation support through the State Health Insurance Assistance Program (SHIP).
Health Aff Sch
June 2024
Partnered Evidence-based Policy Resource Center, Boston VA Healthcare System, Boston, MA 02130, United States.
Medicare enrollment is complex, particularly for low-income individuals who are dually eligible for Medicare and Medicaid, and the wrong plan choice can adversely impact beneficiaries' out-of-pocket costs and access to providers and medications. The State Health Insurance Assistance Program (SHIP) is a federal program that provides counseling on Medicare coverage, but the degree to which SHIP services are accessible to low-income beneficiaries is unknown. We interviewed SHIP counselors and coordinators to characterize factors affecting access to and quality of SHIP services for low-income beneficiaries.
View Article and Find Full Text PDFSatisfaction With Care Among Cancer Survivors With Medicare Coverage: Are There Rural Versus Urban Inequities?
J Prim Care Community Health
March 2024
University of Kentucky, Lexington, KY, USA.
Introduction: Rural cancer survivors often face greater barriers to treatment, which may translate into worse satisfaction with health care.
Objective: To examine rural versus urban differences in satisfaction with health care among Medicare cancer survivors.
Methods: Data are from the 2020 Medicare Current Beneficiary Survey (MCBS).
Are We Focused on the Wrong Early Postoperative Quality Metrics? Optimal Realignment Outweighs Perioperative Risk in Adult Spinal Deformity Surgery.
J Clin Med
August 2023
Rocky Mountain Scoliosis and Spine, Denver, CO 80124, USA.
Background: While reimbursement is centered on 90-day outcomes, many patients may still achieve optimal, long-term outcomes following adult spinal deformity (ASD) surgery despite transient short-term complications.
Objective: Compare long-term clinical success and cost-utility between patients achieving optimal realignment and suboptimally aligned peers.
Study Design/setting: Retrospective cohort study of a prospectively collected multicenter database.
Privatizing U.S. Medicare is the wrong way to go.
Public Health Nurs
July 2023
Family Medicine, University of Arizona, Tucson, Arizona.
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