Journal ArticleDOI
Health care reform and cost control.
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TLDR
In attempting to modernize and improve a large part of the health care system, it may be one of the most ambitious and consequential pieces of legislation in U.S. history.Abstract:
After nearly a century of failed attempts, comprehensive health care reform was enacted on March 23, 2010, when President Barack Obama signed the Affordable Care Act (ACA). In attempting to modernize and improve a large part of the health care system, it may be one of the most ambitious and consequential pieces of legislation in U.S. history. Although the bill has now been signed into law, the debate over its design and intended effects has not abated. As concerns appropriately mount about the nation's medium- and long-term fiscal situation, critics of the ACA have resurrected doubts about its cost-containment measures . . .read more
Citations
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Journal ArticleDOI
Prevention of Intraoperative Awareness in a High-Risk Surgical Population
Michael S. Avidan,Eric Jacobsohn,David B. Glick,Beth A. Burnside,Lini Zhang,Alex Villafranca,Leah Karl,Saima Kamal,Brian A. Torres,Alex S. Evers,Stephen Gradwohl,Nan Lin,Ben J.A. Palanca,George A. Mashour +13 more
TL;DR: The superiority of the Bis protocol was not established; contrary to expectations, fewer patients in the ETAC group than in the BIS group experienced awareness; and there was no difference between the groups with respect to the amount of anesthesia administered or the rate of major postoperative adverse outcomes.
Journal ArticleDOI
The Anatomy of Medical Research: US and International Comparisons
Hamilton Moses,David H. M. Matheson,Sarah Cairns-Smith,Benjamin P. George,Chase Palisch,Chase Palisch,E. Ray Dorsey +6 more
TL;DR: New investment is required if the clinical value of past scientific discoveries and opportunities to improve care are to be fully realized and the United States will relinquish its historical international lead in the next decade unless such measures are undertaken.
Journal ArticleDOI
Comorbidity-Age Index: A Clinical Measure of Biologic Age Before Allogeneic Hematopoietic Cell Transplantation
Mohamed L. Sorror,Rainer Storb,Brenda M. Sandmaier,Richard T. Maziarz,Michael A. Pulsipher,Michael B. Maris,Smita Bhatia,Fabiana Ostronoff,H. Joachim Deeg,Karen L. Syrjala,Elihu H. Estey,David G. Maloney,Frederick R. Appelbaum,Paul J. Martin,Barry E. Storer +14 more
TL;DR: The proposed composite measure allows integration of both comorbidities and age into clinical decision making and comparative-effectiveness research of HCT and shows age is a poor prognostic factor.
Mental disorders and medical comorbidity.
TL;DR: Policy-makers must focus on particular subgroups most at-risk for high cost and poor quality, and Persons with mental health and medical comorbidities represent just such a population.
Journal ArticleDOI
The anatomy of health care in the United States.
Hamilton Moses,David H. M. Matheson,E. Ray Dorsey,E. Ray Dorsey,Benjamin P. George,David Sadoff,Satoshi Yoshimura +6 more
TL;DR: Publicly available data were used to identify trends in health care, principally from 1980 to 2011, in the source and use of funds, the people receiving and organizations providing care, and the resulting value created and health outcomes.
References
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Journal ArticleDOI
Rehospitalizations among Patients in the Medicare Fee-for-Service Program
TL;DR: Rehospitalizations among Medicare beneficiaries are prevalent and costly and about 10% of rehospitalizations were likely to have been planned.
Journal ArticleDOI
Relationship between early physician follow-up and 30-day readmission among medicare beneficiaries hospitalized for heart failure
Adrian F. Hernandez,Melissa A. Greiner,Gregg C. Fonarow,Bradley G. Hammill,Paul A. Heidenreich,Clyde W. Yancy,Eric D. Peterson,Lesley H. Curtis +7 more
TL;DR: Among patients who are hospitalized for heart failure, substantial variation exists in hospital-level rates of early outpatient follow-up after discharge, and Patients who are discharged from hospitals that have higher early follow- up rates have a lower risk of 30-day readmission.