Article
Public, Environmental & Occupational Health
Christopher Dunphy, Kun Zhang, Gery P. Guy, Christopher M. Jones
Summary: The rate of commercially insured individuals being co-dispensed naloxone increased between 2015 and 2018 across all population subgroups. Despite increases in naloxone dispensing from 2015 to 2018, the provision of naloxone to the commercially insured population remains low. Opportunities remain to increase the supply of naloxone to at-risk populations.
PREVENTIVE MEDICINE
(2021)
Article
Immunology
John M. Sahrmann, Margaret A. Olsen, Matthew R. Keller, Holly Yu, Erik R. Dubberke
Summary: In a population of US adults under 65 years old, the highest costs of Clostridioides difficile infection (CDI) were found in individuals who acquired the infection in a hospital setting, while the lowest costs were observed in those with community-associated CDI treated outside of a hospital. These findings emphasize the importance of implementing additional CDI prevention strategies in younger adults.
OPEN FORUM INFECTIOUS DISEASES
(2023)
Article
Medicine, Research & Experimental
Hrishikesh P. Kale, Zaina P. Qureshi, Ruchit Shah, Rezaul Khandker, Marc Botteman, Weilin Meng, Ruth Benca
Summary: In this study, changes in healthcare resource use and costs before and after suvorexant initiation in insomnia patients were analyzed. The results showed that suvorexant treatment was associated with immediate and continued decreases in healthcare resource use and costs, particularly for patients with mental health comorbidities. Further research is needed to understand the impact of suvorexant initiation on direct medical costs and productivity losses in other real-world settings.
ADVANCES IN THERAPY
(2021)
Article
Urology & Nephrology
Daniel D. Joyce, Vidit Sharma, David H. Jiang, Holly K. Van Houten, Lindsey R. Sangaralingham, Bijan J. Borah, Eugene D. Kwon, David F. Penson, Stacie B. Dusetzina, Jon C. Tilburt, Stephen A. Boorjian
Summary: This study evaluated the patient-level factors associated with out-of-pocket costs for advanced prostate cancer treatment options. The findings showed that patients receiving novel hormonal therapy had significantly higher treatment-related out-of-pocket costs. Older age, Black race, lower comorbidity scores, and lower household income were associated with higher treatment-related out-of-pocket costs.
JOURNAL OF UROLOGY
(2022)
Letter
Medicine, General & Internal
Kathryn P. Lowry, Sarah Bell, A. Mark Fendrick, Ruth C. Carlos
Summary: This study evaluates the out-of-pocket costs of diagnostic breast imaging services incurred by commercially insured women who underwent additional imaging evaluation and procedures after screening mammography.
Article
Obstetrics & Gynecology
Michelle H. Moniz, Alex F. Peahl, A. Mark Fendrick, Giselle E. Kolenic, Anca Tilea, Marisa Wetmore, Vanessa K. Dalton
Summary: Increasing access to effective birth control after childbirth may meet women's preferences and reduce short interpregnancy interval rates. Patient cost sharing for long-acting reversible contraception influences postpartum contraception use patterns among women with employer-based insurance.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2021)
Article
Otorhinolaryngology
Maryia Zhdanava, Briana Ndife, Dominic Pilon, Carmine Rossi, Maude Vermette-Laforme, Patrick Lefebvre, Jeffrey D. Suh
Summary: This study compared health care resource utilization and costs between patients with nasal polyposis (NP) with and without recurrence after endoscopic sinus surgery (ESS). The results showed that patients with NP recurrence had significantly higher health care resource utilization and costs at 12 months post-surgery, mainly due to increased outpatient costs.
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
(2023)
Article
Medicine, General & Internal
Nora Becker, John W. Scott, Michelle H. Moniz, Erin F. Carlton, John Z. Ayanian
Summary: This cross-sectional study examines the association between chronic disease burden and patients' adverse financial outcomes. The study finds that individuals with more chronic conditions are more likely to have medical debt, nonmedical debt, delinquent debt, a low credit score, and recent bankruptcy. The probability of these adverse financial outcomes increases with the number of chronic conditions.
JAMA INTERNAL MEDICINE
(2022)
Article
Immunology
Jessica K. DeMartino, Marie-Helene Lafeuille, Bruno Emond, Carmine Rossi, Jingru Wang, Stephanie Liu, Patrick Lefebvre, Girishanthy Krishnarajah
Summary: In this real-world study, nearly half of Medicare beneficiaries experienced a respiratory syncytial virus (RSV)-related complication within 1 month of RSV diagnosis. Having complications/comorbidities prior to RSV diagnosis predicted a higher risk of developing different complications after diagnosis. This study provides valuable insights into the risk factors and healthcare costs associated with RSV-related complications in older adults.
OPEN FORUM INFECTIOUS DISEASES
(2023)
Article
Critical Care Medicine
Erin F. Carlton, Michelle H. Moniz, John W. Scott, Hallie C. Prescott, Nora V. Becker
Summary: Research shows that caregivers of children in pediatric intensive care units (PICU) may experience financial distress, including delinquent debt and low credit scores. A study comparing caregivers before and after their child's PICU hospitalization found that post-PICU caregivers had a higher risk of having delinquent debt and low credit scores. However, there was no significant difference in the amount of delinquent or collection debt.
Article
Psychiatry
Alex Z. Fu, Jacqueline A. Pesa, Susan Lakey, Carmela Benson
Summary: The study confirmed that the use of LAI antipsychotics in young adults can significantly improve clinical and economic outcomes in patients with schizophrenia, including reducing relapse, hospitalization rates, healthcare resource utilization, and total costs.
Article
Public, Environmental & Occupational Health
Andrew J. Leidner, Zhaoli Tang, Yuping Tsai
Summary: The study utilized data from the Healthcare Effectiveness Data and Information Set (HEDIS) in 2018 to analyze the performance levels of 5 preventive care measures among adolescents. States that utilized HEDIS or Health Plan Accreditation demonstrated significantly higher performance in 4 out of the 5 assessed measures compared to states that did not use these systems.
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
(2021)
Article
Medicine, General & Internal
Shelley A. Jazowski, Lauren Wilson, Stacie B. Dusetzina, S. Yousuf Zafar, Leah L. Zullig
Summary: This study explored the impact of HDHP enrollment on out-of-pocket spending and adherence to lenalidomide therapy, revealing that HDHP enrollment was associated with higher medication costs but no significant differences in adherence patterns were observed between HDHP and non-HDHP enrollees.
Article
Oncology
Laura E. Panattoni, Cara L. McDermott, Li Li, Qin Sun, Catherine R. Fedorenko, Hayley A. Sanchez, Karma L. Kreizenbeck, Veena Shankaran, Scott D. Ramsey
Summary: This study examined the impact of the COVID-19 pandemic on end-of-life care for cancer patients. The results showed that during the pandemic, Medicaid patients were more likely to die at home without hospice. This suggests that the pandemic may have exacerbated the end-of-life experience for Medicaid enrollees.
JOURNAL OF CLINICAL ONCOLOGY
(2023)
Article
Gastroenterology & Hepatology
Beate Beinvogl, Nathan Palmer, Isaac Kohane, Samuel Nurko
Summary: Research shows significant differences in healthcare spending and utilization between pediatric IBS patients and controls, with IBS patients more likely to have mental health and chronic pain comorbidities.
NEUROGASTROENTEROLOGY AND MOTILITY
(2021)
