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Articles tagged "Medicare"

  • 2022 American Transplant Congress

    Sex- and Insurance- Based Disparities in Listing for and Benefit from Simultaneous Heart-Kidney Transplant

    B. Wayda1, X. S. Cheng1, P. Garcia1, S. Sanoff2, L. M. McElroy2, K. K. Khush1

    1Stanford University School of Medicine, Stanford, CA, 2Duke University School of Medicine, Durham, NC

    *Purpose: Rates of simultaneous heart-kidney (SHK) transplant vary widely in the United States (US). Absent uniform eligibility criteria, sex and insurance status could influence patient…
  • 2022 American Transplant Congress

    Impact of the COVID-19 Pandemic on CMS Organ Procurement Organization Performance Metrics

    N. Dzebisashvili1, K. Lentine2, D. Axelrod3, K. Venkataramani1, K. Axelrod1, M. A. Schnitzler2

    1CareDx, South San Francisco, CA, 2Saint Louis University, St Louis, MO, 3University of Iowa, Iowa City, IA

    *Purpose: CMS introduced new performance metrics for Organ Procurement Organizations (OPO). CDC death records define donation eligible deaths, the denominator of the donation and transplant…
  • 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

    Do CMS Oversight and the Systems Improvement Agreement Really Change Institutional Behavior?

    C. Hoopes

    University of Alabama Birmingham, Birmingham, AL

    *Purpose: A Systems Improvement Agreement (SIA) is a voluntary and binding legal agreement between CMS and a Medicare certified hospital designed to address Condition level…
  • 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

    Outcomes in Renal Transplant Recipients Receiving Pre-Transplant Financial Assistance Through the American Kidney Fund

    H. Roppo1, P. Klem1, B. Crowther1, E. Sartain1, K. Schoeppler1, P. T. Kennealey2, B. Kaplan3

    1Department of Pharmacy, University of Colorado Hospital, Aurora, CO, 2Department of Surgery, University of Colorado Hospital, Aurora, CO, 3Department of Renal Med Diseases/Hypertension, University of Colorado Hospital, Aurora, CO

    *Purpose: Pre-transplant financial assistance for insurance premiums is available for eligible patients through the American Kidney Fund (AKF), but this funding ends within the first…
  • 2021 American Transplant Congress

    Needs of People with Kidney Transplantation During the Covid 19 Pandemic and Its Confinement, and the Role of Communication Technologies Through the “Patient Experience”

    I. Revuelta1, E. Palou2, R. Scandurra3, F. Oppenheimer1, F. Diekmann1, J. Escarrabill2, B. Bayés1

    1Department of Nephrology and Kidney Transplant, Hospital Clinic, Barcelona, Spain, 2Chronic care program and patient experience, Hospital Clinic, Barcelona, Spain, 3Department of Statistics, Universidad Autónoma de Barcelona, Barcelona, Spain

    *Purpose: During the COVID-19 pandemic, healthcare services have focused on the care of acute processes and there is a risk of not meeting the needs…
  • 2021 American Transplant Congress

    Racial/ethnic Disparities Among Renal Transplant Recipients with Diabetes, Hypertension, and/or Dyslipidemia Due to Medicare Part D Star Ratings Criteria

    M. Chisholm-Burns1, C. Spivey1, C. Tsang1, L. E. Hines2, J. Wang1

    1University of Tennessee Health Science Center College of Pharmacy, Memphis, TN, 2Pharmacy Quality Alliance, Alexandria, VA

    *Purpose: Medication adherence is critical to positive outcomes in renal transplant recipients (RTRs), and policies have been designed encouraging adherence. For example, Medicare Part D…
  • 2021 American Transplant Congress

    Impact of Cypa5 Status on the Clinical and Financial Outcomes of Kidney Transplant

    J. Obayemi1, B. Keating2, K. Lentine3, M. Schnitzler3, H. Xiao3, V. Dharnidharka4, D. Axelrod5

    1Univ of Michigan, Ann Arbor, MI, 2Univ of Pennsylvania, Philadelphia, PA, 3Saint Louis Univ, Saint Louis, MO, 4Washington Univ, Seattle, WA, 5Univ of Iowa, Iowa City, IA

    *Purpose: Pharmacogenetic profiling of transplant recipients has demonstrated marked variation in the metabolism of immunosuppressive medications, particularly tacrolimus. Patients of African ancestry have been found…
  • 2021 American Transplant Congress

    Racial and Sexual Disparities in Solid Organ Transplant Outcomes Since Implementation of the Affordable Care Act Insurance Expansion Across Some States

    H. Mohamed1, C. Conceicao2, A. Kumar1, J. Buggs3

    1Morsani College of Medicine, University of South Florida, Tampa, FL, 2Honors College, University of South Florida, Tampa, FL, 3Transplant Surgery, Tampa General Hospital, Tampa, FL

    *Purpose: Achieving solid organ transplantation traditionally requires access to health insurance. As such, women and people of color have faced barriers to obtaining solid-organ transplants.…
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