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Articles tagged "Economics"

  • 2022 American Transplant Congress

    National Trends in Medicare Surgeon Fee Reimbursement for Abdominal Transplant Procedures Over Two Decades

    T. C. Hydrick1, B. Ruch2, J. Wagler2, J. Harbell2, W. Hewitt2, C. Jadlowiec2, N. Katariya2, A. Moss2, M. Nguyen2, K. S. Reddy2, A. Singer2, A. K. Mathur2

    1Mayo Clinic Alix School of Medicine, Phoenix, AZ, 2Mayo Clinic, Phoenix, AZ

    *Purpose: Reimbursement for surgical procedures has been declining across surgical disciplines. CMS is one of the largest payers for abdominal transplant services, and changes in…
  • 2022 American Transplant Congress

    The Higher Cost of Donation After Circulatory Death Liver Transplantation Starts with Acquisition Costs: A Single Center Comparison Liver Acquisition Fees by Donor Type

    V. Reddy1, S. Asrani2, J. Trotter2, R. Ruiz3, S. Lee2, E. Martinez2, N. Onaca2, G. McKenna4, A. Gupta2, H. Fernandez2, J. Bayer2, G. Testa2, A. Wall2

    1Baylor Scott and White Research Institute, Allen, TX, 2Baylor University Medical Center, Dallas, TX, 3Baylor University Medical Center, Fort Worth, TX, 4Baylor Simmons Transplant Inst, Dallas, TX

    *Purpose: Donation after circulatory death (DCD) donors are an increasing proportion of deceased donor population in the US. One drawback of DCD donors is that…
  • 2022 American Transplant Congress

    Increased Costs, Cold Ischemia Time, and Sharing Associated with Removing DSA and OPTN Region from Kidney Allocation: A Single-Center Analysis

    R. Forbes1, A. Dreher1, E. Zavala2, L. A. Hickman1, L. Smith3, J. Lawson1, D. Shaffer1, B. P. Concepcion1

    1Vanderbilt University Medical Center, Nashville, TN, 2Transplant Center, Vanderbilt University Medical Center, Nashville, TN, 3Vanderbilt Transplant Center, Nashville, TN

    *Purpose: On March 15, 2021, Donation Service Area (DSA) and OPTN Region were removed from kidney allocation and replaced with a 250 nautical mile (NM)…
  • 2022 American Transplant Congress

    Resource Expenditure in the Evaluation of Older Donors for Heart Transplant: An Impediment to Donor Pool Expansion?

    B. Wayda1, J. G. Zaroff2, N. Neidlinger3, P. Geraghty4, R. P. Wood5, J. Nieto5, T. C. Pearson6, B. Nicely7, K. K. Khush1

    1Stanford University School of Medicine, Stanford, CA, 2Kaiser Permanente Northern California, Oakland, CA, 3University of Wisconsin School of Medicine, Madison, WI, 4Donor Network of Arizona, Tempe, AZ, 5LifeGift, Houston, TX, 6Emory University School of Medicine, Atlanta, GA, 7Gift of Life Michigan, Ann Arbor, MI

    *Purpose: Using older donors for heart transplant (HT) could alleviate donor scarcity but the resource implications of this strategy - and whether evaluation of older…
  • 2022 American Transplant Congress

    A Cost Effectiveness Analysis of Adherence Promotion Strategies to Improve Rejection Rates in Adolescent Kidney Transplant Patients

    C. Varnell1, K. Rich1, A. Modi1, D. Hooper1, M. Eckman2

    1Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2University of Cincinnati School of Medicine, Cincinnati, OH

    *Purpose: In adolescents with a kidney transplant, non-adherence increases the risk of graft loss. Adherence promotion interventions improve adherence and rejection rates, but perceived cost…
  • 2022 American Transplant Congress

    Financial Impact of a Culturally Sensitive Hispanic Kidney Transplant Program

    J. Caicedo1, A. Wang2, A. Mathur3, R. Ruiz4, E. J. Gordon1

    1Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, 2Center for Health Services and Outcomes Research, Northwestern University Feinberg School of Medicine, Chicago, IL, 3Surgery, Mayo Clinic Arizona, Phoenix, AZ, 4Surgery, Baylor University Medical Center, Dallas, TX

    *Purpose: Hispanic/Latinx patients receive disproportionately fewer living donor kidney transplants (LDKTs) than non-Hispanic Whites. [Institution name's] culturally targeted Hispanic Kidney Transplant Program (HKTP) was found…
  • 2022 American Transplant Congress

    Increased Survival Benefit Amongst Highest Priority Candidates Undergoing Heart Transplant Following the New Us Heart Allocation System

    S. Tolmie1, W. Parker2

    1Pritzker School of Medicine, University of Chicago, Chicago, IL, 2Department of Medicine, Section of Pulmonary and Critical Care Medicine, University of Chicago, Chicago, IL

    *Purpose: A key policy change in the new US heart allocation system was splitting the previous highest status (1A) into statuses 1, 2, and 3…
  • 2022 American Transplant Congress

    Financial Impact of Adult Kidney Transplant MS-DRGs 650, 651 and 652 in U.S. Transplant Hospitals

    E. Zavala1, J. Rogers2, H. Buschmann1, S. Rath1, S. Karp1

    1VUMC, Nashville, TN, 2Transplant Management Group, San Diego, CA

    *Purpose: The Medicare Hospital Inpatient Prospective Payment System (IPPS) permits each inpatient admission to be categorized into a diagnosis-related group (DRG). DRGs can be further…
  • 2022 American Transplant Congress

    The Financial Burden Of Transplant – A Commercial Claims Analysis

    G. Katz-Greenberg1, O. Osazuwa-Peters1, J. Gonzalez1, S. Sanoff1, O. Oloruntoba1, N. Chan1, E. J. Gordon2, C. Scales1, A. Brookhart1, L. McElroy1

    1Duke University, Durham, NC, 2Surgery, Northwestern University Feinberg School of Medicine, OAK PARK, IL

    *Purpose: Despite access to health insurance, financial concerns are among the most prevalent patient-reported barriers to kidney and liver transplantation (KT and LT, respectively). We…
  • 2022 American Transplant Congress

    Reducing Financial Burden for Living Donors: A Single Center Experience of Increased National Living Donor Assistance Center (NLDAC) Support

    T. Klair, K. Throgmorton, D. Oviedo, E. Cepeda

    Transplant Center, University of Texas Health San Antonio, San Antonio, TX

    *Purpose: National Living Donor Assistance Center (NLDAC) offers assistance to overcome some of the financial barriers associated with Living Donation. From 2015 to 2020, an…
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