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Weighing the Value of Clinical Decision Support Tools
A study from the RAND corporation, published in JAMA, found clinical decision support tools increased the proportion of tests for Medicare fee-for-service patients rated as appropriate.
The Protecting Access to Medicare Act of 2014 passed by Congress made it mandatory for institutions to use appropriate clinical decision support (CDS) tools to qualify for Medicare reimbursement. Additionally, CDS is also a part of Stage 2 Meaningful Use requirements for electronic medical records. The hope was that CDS would help reduce healthcare spending associated with unnecessary and expensive imaging such as MRI and CT scans.
However, a recent study from the RAND corporation, published in JAMA, found that these computer-based programs that match a patient's characteristics against treatment criteria and recommend a treatment, actually increased the proportion of tests for Medicare fee-for-service patients rated as appropriate. "In our full report to Congress, we've outlined a series of improvements to the decision support tools that we expect can lead to greater reductions in unnecessary tests," siad Peter S. Hussey, lead author of the study and a senior policy researcher at RAND.
Read more on ScienceDaily: http://bit.ly/1JlxtO1
Persistence Pays Off With Zanubrutinib: A Challenging CLL Case With a Prior BTK Inhibitor Failure
May 10th 2024The case of a 77-year-old woman with a long chronic lymphocytic leukemia (CLL) history illustrates the novel use of zanubrutinib as a potential option for some patients who have failed first-generation Bruton tyrosine kinase (BTK) inhibitors and venetoclax.
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Frameworks for Advancing Health Equity: Urban Health Outreach
May 9th 2024In the series debut episode of "Frameworks for Advancing Health Equity," Mary Sligh, CRNP, and Chelsea Chappars, of Allegheny Health Network, explain how the Urban Health Outreach program aims to improve health equity for individuals experiencing homelessness.
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CMS Medicare Final Rule: Advancing Benefits, Competition, and Consumer Protection
May 7th 2024On this episode of Managed Care Cast, we're talking with Karen Iapoce, senior director of government products and programs at ZeOmega, about the recent CMS final rule on Medicare Part D and Medicare Advantage.
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