Article
Gastroenterology & Hepatology
Kai Man Alexander Ho, Amitava Banerjee, Mark Lawler, Matthew D. Rutter, Laurence B. Lovat
Summary: This study analyzed the impact of the COVID-19 pandemic on endoscopy services in England, revealing a significant backlog of procedures that may take a considerable amount of time to clear even with increased capacity. Urgent action is required to address the backlog and prevent delays in patient management.
LANCET GASTROENTEROLOGY & HEPATOLOGY
(2021)
Article
Medicine, General & Internal
Susan Hutfless, Yasutoshi Shiratori, Daniel Chu, Simon Liu, Anthony Kalloo
Summary: The study found that urgent ERCPs, patient chronic conditions, and patient demographics are risk factors for post-ERCP infection. The use of disposable duodenoscopes can also reduce the risk of infection.
Letter
Oncology
Angelin Tresa Mathew, Bhav Jain, Edward Christopher Dee, Jordan Johnson, Fumiko Chino
Summary: This cross-sectional study assesses the disclosure of commercial payer-negotiated rates in compliance with the latest regulations.
Editorial Material
Medicine, General & Internal
Richard M. Hoffman, Daniel S. Reuland, Robert J. Volk
Summary: The updated lung cancer screening recommendation broadens the eligibility criteria for screening, and the article suggests that CMS should reimburse visits delivered by nonphysician staff and/or telehealth to make shared decision-making a reality.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2021)
Article
Immunology
Amy L. Pakyz, Christine M. Orndahl, Alicia Johns, David W. Harless, Daniel J. Morgan, Gonzalo Bearman, Samuel F. Hohmann, Michael P. Stevens
Summary: The study evaluated the impact of the implementation of the Centers for Medicare and Medicaid Services (CMS) core measure sepsis (SEP-1) bundle in 2015 on broad-spectrum antibiotic use and Clostridioides difficile infection (CDI) occurrence rates. The results showed an increase in broad-spectrum antibiotic use and a decrease in CDI rates post-SEP-1 implementation.
CLINICAL INFECTIOUS DISEASES
(2021)
Article
Economics
Timothy J. van Dover, David D. Kim
Summary: This study aimed to analyze cost-effectiveness evidence associated with the quality measures used by the Centers for Medicare and Medicaid Services, finding that while there was consistent cost-effectiveness evidence for measures where it was available, the majority of measures were based on subjective ratings or outcome measures, presenting a challenge in identifying supporting economic evidence. Refining and aligning quality measures with cost-effectiveness evidence can help further improve healthcare efficiency by demonstrating that they are good indicators of both quality and cost-effectiveness of care.
Article
Computer Science, Information Systems
Michelle Schreiber, Deborah Krauss, Bridget Blake, Edna Boone, Rose Almonte
Summary: This article discusses CMS's eCQM Strategy Project and stakeholder feedback on burdens and recommendations, as well as CMS's efforts to address them through implementation strategies. Six themes emerged from stakeholder feedback, with over 100 recommendations being addressed by CMS to improve the eCQM development, implementation, and reporting experience.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2021)
Editorial Material
Medicine, General & Internal
Donald M. Berwick, Rick Gilfillan
Summary: This Viewpoint provides 6 recommendations for the Center for Medicare and Medicaid Innovation to better fulfill its mission of testing and scaling healthcare payment and service delivery models to reduce healthcare expenditures and improve quality and safety on a national level.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2021)
Article
Surgery
Heather Carmichael, Jason M. Samuels, Catherine G. Velopulos, Edward L. Jones
Summary: This study examined the geographic practice patterns of colonoscopy in Medicare patients in the USA. The results showed that surgeons play a significant role in rural areas, but perform fewer procedures compared to gastroenterologists. High-quality endoscopic training for surgeons is crucial to ensure access to colonoscopy for patients in rural areas.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Clinical Neurology
Khodayar Goshtasbi, Brandon M. Lehrich, Mehdi Abouzari, Arash Abiri, Jack Birkenbeuel, Ming-Ying Lan, Wei-Hsin Wang, Gilbert Cadena, Frank P. K. Hsu, Edward C. Kuan
Summary: The study compared endoscopic surgery (ES) to nonendoscopic surgery (NES) for the surgical management of pituitary adenomas (PAs) using a large national database, revealing an increasing trend towards ES, which may result in shorter hospital stays compared to NES, while rates of gross-total resection, adjuvant therapy, and short-term mortality were similar. Predictive factors for receiving ES included tumor size, insurance status, facility type, income, race, and existing comorbidities.
JOURNAL OF NEUROSURGERY
(2021)
Article
Health Care Sciences & Services
Steven B. Spivack, Li Qin, Jeph Herrin, Demetri B. Goutos, Michelle Schreiber, Lee A. Fleisher, Arjun B. Venkatesh, Susannah Bernheim
Summary: The Centers for Medicare and Medicaid Services has been reporting hospital star ratings since 2016, but stakeholders have criticized the methodology for not considering social risk factors. Our study found that hospitals with a higher proportion of dually eligible patients tended to have lower star ratings. However, there was a significant overlap in performance among hospitals when stratified by the proportion of dually eligible patients. The decision to adjust public reporting tools like star ratings for social risk factors is a policy decision, and opinions on the appropriateness vary among organizations and stakeholders.
Article
Surgery
Sohi Mistry, Omar Alaber, Apoorva Krishna Chandar, Lady Katherine Mejia Perez, John Dumot, Amit Bhatt, Amitabh Chak
Summary: The survey of ESD experts in the US showed that the majority work in university-based, community, or tertiary care hospitals, and most of them received formal supervised hands-on training before performing ESD independently. Many indicated that credentialing requirements should include attending weekend ESD courses, observing live procedures, practicing on explants, and advanced endoscopic training in interventional endoscopy.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Editorial Material
Primary Health Care
Eli Y. Adashi, Philip A. Gruppuso
Summary: The CMS released an important brief on the impact of COVID-19 on its beneficiaries, providing racial and ethnic health disparity data on a national scale. This brief exposes distressing inequalities and expands previous reports limited to states, cities, or health systems.
JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE
(2021)
Editorial Material
Endocrinology & Metabolism
Rodolfo J. Galindo, Christopher G. Parkin, Grazia Aleppo, Anders L. Carlson, Davida F. Kruger, Carol J. Levy, Guillermo E. Umpierrez, Janet B. McGill
Summary: The article discusses the limitations and inconsistencies of CMS eligibility criteria for CGM in relation to current scientific evidence, and proposes workable solutions to improve the safety and care of all individuals with diabetes.
DIABETES TECHNOLOGY & THERAPEUTICS
(2021)
Article
Oncology
Parsa Erfani, Ayotomiwa Ojo, E. John Orav, Fumiko Chino, Miranda B. Lam
Summary: This study found that Medicaid-eligible, American Indian/Alaska Native, and older patients are less likely to use National Cancer Institute-designated cancer centers (NCICCs), while black, Hispanic, and Asian/Pacific Islander patients are more likely to use them.
ANNALS OF SURGICAL ONCOLOGY
(2022)