Mobile Integrated Healthcare: Preliminary Experience and Impact Analysis with a Medicare Advantage Population by Daniel J. Castillo, J. Brent Myers, Jonathan Mocko, Eric H. Beck

“…**Background:** Mobile Integrated Healthcare (MIH) is a novel, patient-centered approach to population management. This concept creates a needs-matched, time appropriate assignment of one or more members of a multi-professional clinical team to care for patients on a scheduled or unscheduled basis. …”
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Examining the Impact of Certificate of Need Laws on the Utilization and Reimbursement of Cataract Surgeries Among Medicare Beneficiaries by Alvina Liang, Jennifer L. Lindsey

“…**Methods:** This retrospective database review analyzed publicly available data from the Centers for Medicare and Medicaid Services from 2017 to 2021 to identify the Medicare beneficiaries who underwent non-complex cataract surgery using Current Procedural Terminology code 66984 in Medicare outpatient hospitals. …”
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Ten‐Year Medicare Use and Spending on the 10 Drugs Selected for Negotiation Under the Inflation Reduction Act by Mohammed Essa, Joseph S. Ross, Sanket S. Dhruva, Nihar R. Desai, Erica S. Spatz, Kamil F. Faridi

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Common spine codes are reimbursed 13% less by Medicaid compared to Medicare, ranging from 46% to 160% by state by Adam P. Henderson, BS, M. Lane Moore, MD, MBA, Camryn S. Payne, BA, Jack M. Haglin, MD, MS, Joseph C. Brinkman, MD, Paul R. Van Schuyver, MD, Joshua S. Bingham, MD, Michael S. Chang, MD

“…Methods: Medicaid rates were obtained from state online fee schedules, and Medicare rates from the Centers for Medicare and Medicaid online fee database. …”
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Differences in influenza testing and treatment in micropolitan versus metropolitan areas in the U.S. using medicare claims data from 2010 to 2016 by Alexia Couture, F. Scott Dahlgren, Hector S. Izurieta, Richard A. Forshee, Yun Lu, Carrie Reed

“…Methods Using billing data from the Centers for Medicare and Medicaid Services for those aged 65 years and older, we estimated weekly rates of ordered rapid influenza diagnostic tests (RIDT) and antivirals (AV) among Medicare enrollees by core-based statistical areas (CBSAs) during 2010–2016. …”
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Rationale and design for Healthy Hearts in Manufacturing (HHM): A pragmatic single-arm hybrid effectiveness-implementation study for hypertension management and tobacco cessation by Hanzi Jiang, Yao Tian, Jennifer Bannon, Amy E. Krefman, Lawrence C. An, Dustin D. French, Claude R. Maechling, Jane Holl, Richard Chagnon, Theresa L. Walunas, Christopher Burch, Anthony Musci, Darce Latsis, Dawn Carey, Megan McHugh

“…Many large manufacturers provide health services to employees and their family members through worksite health centers (WHCs). Several quality improvement interventions for hypertension and tobacco cessation have shown to be effective in community-based primary care sites. …”
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Outpatient chemotherapy drug costs and expensive chemotherapy drug use in 340B and Non-340B hospitals: an observational study by Jianhui Hu, David R. Nerenz

“…Methods This is an observational study using data from SEER-Medicare and 340B entity database. Fee-for-service Medicare beneficiaries who were first diagnosed with cancer between 1/1/2013 and 12/31/2015 were included. …”
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Predictors of Colorectal Cancer Screening and Screening Modalities among Patients seen at Federally Qualified Health Centers Funded by the United States Health Resources and Servic... by Megan R.M. Aaronson, Nadereh Pourat, Connie Lu, Jayraan Badiee, Helen Yu-Lefler, Benjamin Picillo, Hank Hoang, Folasade P. May

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A Contemporary Analysis of Discharge Disposition Following Total Joint Arthroplasty by Swaroopa Vaidya, MS, Gregory Panza, PhD, Jake Laverdiere, BS, Dianne Vye, MSN, RN, ONC, Jenna Bernstein, MD

“…Background: Total joint arthroplasty (TJA) represents the single largest procedural cost for the Centers for Medicare & Medicaid Services. Discharge to a skilled nursing facility (SNF) remains a primary driver of post-acute care costs. …”
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Obesity Status and Colorectal Cancer Screening in the United States by Karima A. Kendall, Euni Lee, Ilene H. Zuckerman, Linda Simoni-Wastila, Marlon Daniel, Pauline M. Green, Beatrice Adderley-Kelly, Anthony K. Wutoh

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High Costs of Dialysis Transportation in the United States: Exploring Approaches to a More Cost-effective Delivery System by J. Mark Stephens, Samuel Brotherton, Stephan C. Dunning, Larry C. Emerson, David T. Gilbertson, Matthew Gitlin, Ann C. McClellan, William M. McClellan, Sanatan Shreay

“…**Background:** The costs of transporting end-stage renal disease (ESRD) patients to dialysis centers are high and growing rapidly. Research has suggested that substantial cost savings could be achieved if medically appropriate transport was made available and covered by Medicare. …”
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Mitral Valve Transcatheter Edge-to-Edge Repair Volumes and Trends by Kris Kumar, Timothy F. Simpson, Harsh Golwala, Adnan K. Chhatriwalla, Scott M. Chadderdon, Robert L. Smith, Howard K. Song, Ryan R. Reeves, Paul Sorajja, Firas E. Zahr

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The Merit-based Incentive Payment System: Pearson’s Chi-Square and Categorical Dependent Variable Models Analyzed for Domains---Effective Clinical Care and Efficiency/Cost Reductio... by Amrita Shenoy

“…**Background:** Following the 2015 repeal of the Sustainable Growth Rate formula, the US Centers for Medicare & Medicaid Services' formula under which physicians were reimbursed, two payment systems were put in place to incentivize physicians, one of which was the Merit-based Incentive Payment System (MIPS). …”
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Culture Change and Quality of Care Among High Medicaid Nursing Homes: Does Earlier Implementation Matter? by Latarsha Chisholm, Akbar Ghias, Rohit Pradhan, Justin Lord, Ganisher Davlyatov, Robert Weech-Madonado

“…Methods: The study used national survey data from nursing home administrators (n = 348) merged with secondary data sources for the year 2018: LTCfocus.org, Centers for Medicare and Medicaid Services (CMS) Skilled Nursing Facility Quality Rating Program (SNF QRP), and the Area Health Resource File. …”
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Factor VIII Intron 22 Inversion in Severe Hemophilia A Patients in Palestine by Caesar Mahmoud Abu Arra, Fekri Samarah, Nael Sudqi Abu Hasan

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Budget Impact Analysis of Darbepoetin Alfa Every 3 Weeks versus Epoetin Alfa Every Week for Cancer Patients with Anemia due to the Effect of Concomitant Myelosuppressive Chemothera... by November McGarvey, Hairong Xu

“…The analysis assumed a minimum of 2 additional months of chemotherapy from initiation of the analysis. The 2014 Centers for Medicare and Medicaid Services (CMS) reimbursement rates used were: average sales price +12% of $3.68/mcg (DA) and $11.38/1000 IU (EA), and office-based injection cost of $25.08. …”
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Profiles and predictors of access to human and veterinary healthcare in multispecies households by Jennifer W. Applebaum, Courtney Dunn, Shelby E. McDonald, Kaylinn Escobar, Erin K. King, Rosalie Corona, Megan K. Mueller

“…The third subgroup, “Good access/Medicare” (14%), primarily comprised of older adults with Medicare, reported good access to both human and veterinary care and limited financial burden, underscoring Medicare's role in stable healthcare access. …”
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Weighted EHR-based prevalence estimates for hypertension at the state and local levels in Louisiana by Wenjun Li, Meng Zhang, Jie Cheng, Sandra L. Jackson, Adam S. Vaughan, Michael Klompas, Thomas W. Carton, Elizabeth Nauman, Lee Mendoza, Arun Adhikari, Jeanie Donovan, Katherine H. Hohman

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Cost Savings in Chronic Pain Patients Initiating Peripheral Nerve Stimulation (PNS) with a 60-Day PNS Treatment by David M. Dickerson, Hemant Kalia, Kevin E. Vorenkamp, Konstantin V. Slavin, Jonathan M. Hagedorn, Candace Gunnarsson, Eric L. Keuffel, Andrew J. Epstein, Mark Stultz, Nathan D. Crosby

“…Abstract Introduction This study evaluates the financial impact on healthcare payers when chronic pain patients initiate peripheral nerve stimulation (PNS) with a 60-day percutaneous PNS (60-Day PNS) treatment versus a conventional brief PNS trial (PNS-BT) with possible follow-on of a permanently implanted PNS system (PNS-PI). Methods Centers for Medicare & Medicaid Services (CMS) fee-for-service (FFS) data were analyzed to identify patients with at least 12 months of follow-up (median 26.4 months) who initiated PNS treatment with: (1) 60-Day PNS or (2) PNS-BT. …”
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Caring at the transition: success and financial barriers of fidaxomicin discharge prescriptions for inpatients with Clostridioides difficile infection by Ellen Earle, Jigar Mehta, Alexis Blecher, Matthew Shou Lun Lee

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