Article
Medicine, General & Internal
Nadine Chami, Sharada Weir, Shaun A. Shaikh, Lyn M. Sibley, Sarah Simkin, James G. Wright, Jasmin Kantarevic
Summary: This cross-sectional study examines gender-based disparities in specialist referral income and finds differences in the number and revenue from referrals between genders. It also shows that physicians of the same gender are more likely to receive referrals. Future research should explore the effectiveness of different policies to address this gap.
Article
Pediatrics
Eva Catenaccio, Jonathan M. Rochlin, Harold K. Simon
Summary: The study found that adult physicians generally have higher lifetime earning potential than pediatric physicians, primarily due to differences in compensation. In both academic pediatric and adult medicine, inpatient-based, procedure-oriented subspecialties had higher lifetime earning potential than outpatient, less procedure-oriented subspecialties.
Article
Multidisciplinary Sciences
Quinn Grundy, Sasha Mazzarello, Sarah Brennenstuhl, Emily A. Karanges
Summary: Educational activities sponsored by opioid manufacturers may lead to over-prescription and misuse of opioids in physicians, while the impact on nurses is not well understood. Nurses are more involved in chronic pain, cancer pain, and palliative care in these events compared to physicians.
Article
Orthopedics
Robert J. Burkhart, Alexander J. Acuna, Kevin Y. Zhu, Atul F. Kamath
Summary: This study evaluated the cost-to-charge ratios (CCR) for orthopaedic surgery services provided to Medicare beneficiaries in the United States and found that the CCRs were low and variable. These findings can inform price transparency policies and prevent the limitation of care for vulnerable populations due to low CCRs.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2023)
Article
Surgery
P. Naidu, J. E. Ataguba, M. Shrime, B. C. Alkire, K. M. Chu
Summary: This study investigated the occurrence of catastrophic health expenditure and impoverishment among surgical patients in a hospital in South Africa. The majority of patients did not experience catastrophic health expenditure, but 17% of patients became impoverished after paying small amounts of fees.
WORLD JOURNAL OF SURGERY
(2022)
Article
Health Care Sciences & Services
Mao Yanagisawa, Daniel M. Blumenthal, Hirotaka Kato, Kosuke Inoue, Yusuke Tsugawa
Summary: This study found that industry payments to cardiologists for antiplatelet drugs were associated with higher healthcare spending on cardiac procedures, diagnostic cardiac catheterization volumes, and rates of coronary stenting. Further research is needed to determine if these associations are causal.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Review
Radiology, Nuclear Medicine & Medical Imaging
Richard E. Heller, Ed Gaines, Naveen Parti, Richard Duszak
Summary: Out-of-network balance billing, also known as surprise billing, presents challenges for patients with private health insurance. The No Surprises Act aims to protect patients by limiting their expenses and encouraging good-faith negotiations between physicians and insurance companies.
Article
Oncology
Deborah C. Marshall, Elizabeth S. Tarras, Kenneth Rosenzweig, Sue S. Yom, Jona Hattangadi-Gluth, James Murphy, Deborah Korenstein, Susan Chimonas
Summary: The study found that since the implementation of the Open Payments program, payments to radiation oncologists have significantly increased in both amount and frequency, while decreasing for medical oncologists and other hospital-based physicians. This indicates a trend of differentiation in industry payments among different groups of physicians.
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS
(2021)
Article
Clinical Neurology
George Thomas, Sydney Bornstein, Kevin Cho, Raj D. Rao
Summary: This study analyzed trends in medical industry payments to spine surgeons and all physicians from 2014 to 2019, finding that while payments to all physicians increased, payments to spine surgeons decreased, largely due to decreasing payments from the top eight device manufacturers with the highest level of surgeon payments.
Letter
Medicine, General & Internal
John Xuefeng Jiang, Ajay Malhotra, Ge Bai
Summary: This study examines the hospital factors linked to commercial negotiated prices for brain magnetic resonance imaging.
Article
Health Care Sciences & Services
Yang Wang, Mark Katz Meiselbach, John S. Cox, Gerard F. Anderson, Ge Bai
Summary: Hospitals are required to disclose their cash prices, commercial negotiated rates, and chargemaster prices for seventy common, shoppable services under the hospital price transparency rule. Analysis of price data from 2,379 hospitals reveals that both cash prices and commercial negotiated rates tend to be a consistent percentage discount from chargemaster prices. On average, cash prices and commercial negotiated rates are about 64% and 58% of the chargemaster prices, respectively. Cash prices are lower than the median negotiated rates in 47% of cases, particularly for hospitals with government or nonprofit ownership, located outside of metropolitan areas, or in counties with higher uninsurance rates or lower median household incomes. Hospitals with more market power are more likely to offer cash prices below their median negotiated rates, while hospitals in regions with stronger insurer market power are less likely to do so.
Article
Orthopedics
Collin W. Blackburn, Jerry Y. Du, Randall E. Marcus
Summary: This study analyzed the trends in Medicare payments to hospitals and surgeons for total hip arthroplasty (THA) and knee arthroplasty (TKA) from 2009 to 2019. The results showed a marked decline in Medicare payments to hospitals and physicians during this period, with physician payments decreasing faster than hospital payments. These findings may have implications for the future feasibility of performing THA and TKA on Medicare patients.
JOURNAL OF ARTHROPLASTY
(2023)
Letter
Medicine, General & Internal
Olivier C. Manintveld, Stefan Roest, Yannick J. H. J. Taverne
Summary: In the study by Suverein et al., the use of extracorporeal cardiopulmonary resuscitation (CPR) in patients with refractory out-of-hospital cardiac arrest was examined. The results showed similar survival rates with a favorable neurologic outcome between extracorporeal CPR and conventional CPR. This raises questions about the role of extracorporeal CPR as an adjunct to conventional CPR.
NEW ENGLAND JOURNAL OF MEDICINE
(2023)
Article
Computer Science, Information Systems
Xabier Jaureguibeitia, Elisabete Aramendi, Henry E. Wang, Ahamed H. Idris
Summary: Feedback on ventilation during out-of-hospital cardiac arrest (OHCA) is important but current technology is limited. This study proposes a novel algorithm using thoracic impedance to identify ventilations during continuous chest compressions in OHCA. The algorithm outperformed previous solutions and could provide reliable feedback on ventilation during manual CPR in OHCA.
IEEE JOURNAL OF BIOMEDICAL AND HEALTH INFORMATICS
(2023)
Article
Surgery
Sujay Kulshrestha, Ashley Penton, Fred A. Luchette, Marshall S. Baker, Zaid M. Abdelsattar
Summary: The cost of diaphragmatic hernia repair varies significantly across hospitals in Florida, with the most expensive hospitals having lower surgical volume, rural settings, and fewer than 100 beds. The cost differences persist even after adjusting for case-mix and reliability. However, the variation in costs for postoperative encounters during the first year is smaller compared to the index hospitalization. Hospitals and payers should target this variation to ensure cost-efficiency as bundled payment models develop.
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
(2022)