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Articles tagged "Medicare"

  • 2018 American Transplant Congress

    Taking Your Center's Temperature: Using a Heat Map to Target Your Transplant-Specific Education for Regulatory Compliance

    J. Anderson, D. Cassidy, D. Dubay, P. Hart, A. Hauser, N. Pilch.

    Medical University of South Carolina, Charleston.

    Background: Large, multi-organ transplant centers struggle with implementation of a comprehensive strategy for development and execution of a Transplant-specific education plan. Regulatory requirements for staff…
  • 2018 American Transplant Congress

    Cost Effectiveness of Lifelong Medicare Immunosuppressant Drug Coverage for Kidney Transplant Recipients in the Current Era

    M. Kadatz,1 J. Gill,2 J. Gill,2 K. Scott.3

    1Clinician Investigator Program, University of British Columbia, Vancouver, BC, Canada; 2Division of Nephrology, Department of Medicine, University of British Columbia, Vancouver, BC, Canada; 3Division of Nephrology, Department of Medicine, University of Alberta, Edmonton, AB, Canada.

    While there is no Medicare time limit for dialysis patients, kidney transplant recipients lose their Medicare coverage 36 months after they receive their transplant. The…
  • 2018 American Transplant Congress

    Medicare Part D Plans Deny Coverage for Off-Label and Off-Compendia Immunosuppressant Use: A Case Series

    L. Potter, E. Garrity.

    Pharmacy, University of Chicago Medicine, Chicago, IL; Pulmonary & Critical Care Medicine, University of Chicago Medicine, Chicago, IL.

    Immunosuppressants are a protected drug class under the Medicare Part D benefit, meaning that all drugs in this class must be present on all plan…
  • 2017 American Transplant Congress

    A Kidney Paired Donation Standard Acquisition Charge.

    M. Rees,1,2 L. Reece,2 S. Rees,2 B. Crandall,3 A. Leichtman.4

    1U of Toledo, Toledo; 2Alliance for Paired Donation, Perrysburg; 3Wake Forrest U, Winston Salem; 4Arbor Research, Ann Arbor

    Introduction: A non-profit kidney paired donation (KPD) organization undertook an Agency for Healthcare Research and Quality (AHRQ)-funded demonstration project to redesign reimbursement for the costs…
  • 2017 American Transplant Congress

    Twenty Year Trends in Outcomes and Costs Following Kidney Transplantation.

    A. Ojo,1 N. Agashivala,2 L. Gache,3 W. Irish.3

    1University of Arizona Health Sciences, Phoenix, AZ; 2Novartis Pharmaceuticals Corporation, East Hanover, NJ; 3CTI Clinical Trial and Consulting Services, Inc., Cincinnati, OH

    Purpose. Short term outcomes of kidney transplantation (KTx) are excellent, but it is unclear that long term outcomes have improved, despite advances in immunosuppression (IS).…
  • 2017 American Transplant Congress

    Immunosuppressant Costs for Medicare Part D and Kidney Transplant Recipients Since the Introduction of Generic Formulations in an Incident Kidney Transplant Population.

    M. Helmuth,1 M. Turenne,1 J. Park,2 Q. Liu,1 M. Oguntimein,3 S. Dutcher,3 R. Balkrishnan,4 J. Zee,1 A. Smith,1 A. Leichtman.1

    1Arbor Research Collaborative for Health, Ann Arbor, MI; 2U of Michigan, Ann Arbor, MI; 3Food and Drug Administration, Silver Spring, MD; 4U of Virginia, Charlottesville, VA

    Background: Substitution of generics (GEN) for brand name (BN) immunosuppressants (IS) has increased in kidney transplant recipients (KTR) since the introduction of GEN mycophenolate mofetil…
  • 2017 American Transplant Congress

    Initial Experince with Total Pancreatectomy-Islet Auto-Transplantation (TP-IAT) for Chronic Pancreatitis at the University of Louisville.

    M. Hughes,1 E. Davis,1 S. Mokshagundam,2 W. Tucker,1 G. Logananthan,1 S. Williams,3 B. Appakalai.1

    1Surgery, University of Louisville, Louisville, KY; 2Medicine, University of Louisville, Louisville, KY; 3Physiology, University of Louisville, Louisville, KY

    Chronic pancreatitis (CP) represents a highly significant healthcare challenge in Kentucky. To address this need, we created a TP-IAT program to cure patients of this…
  • 2017 American Transplant Congress

    The Associations Between Immunosuppression Use, Loss of Medicare and Kidney Allograft Outcomes.

    A. Hart,1,2 S. Gustafson,2 A. Wey,2 N. Hadley,2 A. Israni.2

    1Hennepin County Medical Center, Minneapolis; 2Scientific Registry of Transplant Recipients, Minneapolis

    Medicare coverage for kidney transplant recipients aged <65 years in the US ends 3 years posttransplant, but a significant proportion of recipients remain on Medicare…
  • 2017 American Transplant Congress

    Transplant Economics Post Implementation of the Affordable Care Act and the Budget Control Act Sequestration Adjustment on Medicare Reimbursement.

    E. Zavala,1 J. Rogers,2 R. Howey,3 S. Karp.1

    1VUMC, Nashville; 2Tx Mgmt Group, San Diego; 3Mayo Clinic, Jacksonville

    Purpose: Adjustments in the Affordable Care Act (ACA) of 2010 and sequestration from the Budget Control Act (BCA) of 2011 have impacted Medicare reimbursement for…
  • 2016 American Transplant Congress

    A Kidney Paired Donation Standard Acquisition Charge Pilot Program.

    M. Rees,1 L. Reece,2 S. Rees,2 B. Crandall,2 A. Leichtman.4

    1UT, Toledo; 2APKD, Perrysburg; 3Arbor Res, Ann Arbor.

    Background/Purpose: A national non-profit Kidney Paired Dontion (KPD) organization undertook a demonstration project to redesign payment for KPD transplants with a payment model similar to…
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