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Employer-Sponsored Medicare Advantage Plans and the 2018 Therapy Cap Repeal: Reduced Overall Spending Does Not Constrain Out-of-Pocket Costs.
Ann Plast Surg
January 2025
From the Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor MI.
Background: Policy impacting traditional Medicare beneficiaries may have unintended effects for privately insured patients. After the repeal of a longstanding $1500 outpatient therapy cap in 2018, we aimed to evaluate if this policy change was associated with differences in use of cost of postoperative therapy after common hand surgeries, including carpal tunnel release, trigger finger release, ganglion cyst excision, De Quervain tenosynovitis release, carpometacarpal arthroplasty, and distal radius fracture open reduction/internal fixation or percutaneous pinning.
Methods: The Medicare Supplement and Coordination of Benefits files from Marketscan were used.
Postoperative hand therapy and the 2018 Medicare therapy cap repeal: Appraising cost and use changes.
J Hand Ther
June 2024
Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, MI, USA. Electronic address:
Background: Therapy use is common following carpal tunnel release (CTR), trigger finger release, ganglion cyst excision, De Quervain tenosynovitis release, carpometacarpal arthroplasty, and distal radius fracture, open reduction internal fixation or percutaneous pinning (DRF). Policy that improves coverage influences the cost and use of health care services.
Purpose: This study aims to evaluate changes to the cost and use of postoperative hand therapy by race and procedure following the repeal of a longstanding annual Medicare outpatient therapy cap.
COVID-19 Vaccine Mandates for Healthcare Professionals in the United States.
Vaccines (Basel)
August 2022
Department of Neurology and Rehabilitation Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45267, USA.
Healthcare workers (HCWs) need to be vaccinated against COVID-19 because they care for vulnerable patients. Hesitation to receiving the COVID-19 vaccine stems from the argument of bodily autonomy, novel mRNA vaccine technology, and conspiracy theories. However, vaccinations may prevent thousands of hospitalizations and deaths.
View Article and Find Full Text PDFCertificate-of-need laws and substance use treatment.
Subst Abuse Treat Prev Policy
May 2022
Providence College Department of Economics, 1 Cunningham Sq, Providence, RI, 02918, USA.
Background: Certificate-of-need (CON) laws in place in most US states require healthcare providers to prove to a state board that their proposed services are necessary in order to be allowed to open or expand. While CON laws most commonly target hospital and nursing home beds, many states require CONs for other types of healthcare providers and services. As of 2020, 23 states retain CON laws specifically for substance use treatment, requiring providers to prove their "economic necessity" before opening or expanding.
View Article and Find Full Text PDFUse of Telemedicine for Buprenorphine Inductions in Patients With Commercial Insurance or Medicare Advantage.
JAMA Netw Open
January 2022
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts.
This cross-sectional study examines the use of telemedicine for buprenorphine inductions among individuals with commercial insurance or Medicare Advantage during the temporary repeal of the Ryan Haight Act requirement of in-person evaluation before prescribing buprenorphine during to the COVID-19 pandemic.
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