Results 1 to 10 of about 6,408 (126)

Structure of the Physical Therapy Benefit in a Typical Blue Cross Blue Shield Preferred Provider Organization Plan Available in the Individual Insurance Market in 2011 [PDF]

Physical Therapy, 2013
BackgroundThe Affordable Care Act of 2010 establishes American Health Benefit Exchanges. The benefit design of insurance plans in state health insurance exchanges will be based on the structure of existing small-employer–sponsored plans.ObjectiveThe purpose of this study was to describe the structure of the physical therapy benefit in a typical Blue ...
Robert W, Sandstrom, Jedd, Lehman, Lee, Hahn, Andrew, Ballard   +3 more
exaly   +4 more sources

Socioeconomic and Cost Analysis of Off‐Label Nebulized Ciprofloxacin‐Dexamethasone Use Following Airway Surgery [PDF]

OTO Open
Objective Nebulized ciprofloxacin‐dexamethasone (CPD) is an adjuvant, off‐label treatment used to optimize healing after airway surgery, but there is limited data regarding its accessibility.
Abbey L. Landini, Cyrus W. Abrahamson, Jonathan P. Kuriakose, Jasmine Stewart, James A. Burns, Andrew P. Stein   +5 more
doaj   +2 more sources

Missed Clinic Appointments for Human Papillomavirus-Related Oropharyngeal Cancer. [PDF]

Laryngoscope Investig Otolaryngol
ABSTRACT Background Missing appointments delay treatment affecting patient outcomes and healthcare resource utilization. Adherence to scheduled appointments has not been studied in patients with HPV‐related oropharyngeal squamous cell carcinoma (HPV‐OPSCC).
Vieth JM, Mangino AA, Windon MJ, Valentino J.   +3 more
europepmc   +2 more sources

The Settlement of the Blue Cross Blue Shield Antitrust Litigation: Creating a New Potential Catalyst for Health Insurance Industry Restructuring.

JAMA Health Forum, 2022
Importance The recent settlement of the class action antitrust lawsuit against the Blue Cross Blue Shield (BCBS) Association and 34 plans will bring substantial change to insurance markets in the US; however, not enough is known about the implications ...
Troyen Brennan
semanticscholar   +1 more source

An Analysis of Stated Insurance Coverage and Estimated Patient-Incurred Costs of Treatments for Lower Urinary Tract Symptoms

Urogynecology, 2023
Importance Lower urinary tract symptoms (LUTSs) affect more than half of all adults, yet clinical care remains poor. Anecdotally, patients and health care providers express frustration over obstacles from insurance providers to obtaining LUTS treatment ...
Nuha Khalfay, E. Lo, Tamara Grisales, A. L. Ackerman   +3 more
semanticscholar   +1 more source

Gene therapies for sickle cell disease: Effectiveness and value

Journal of Managed Care & Specialty Pharmacy, 2023
DISCLOSURES: Drs. Nikitin, McKenna, Rind, Nhan, and Pearson report grants from Arnold Ventures, grants from Blue Cross Blue Shield of MA, grants from California Healthcare Foundation, grants from The Commonwealth Fund, grants from The Patrick and ...
D. Nikitin, Francesca L Beaudoin, Praveen Thokala, A. McKenna, Emily Nhan, David M. Rind, Steven D Pearson   +6 more
semanticscholar   +1 more source

Centers for Medicare and Medicaid Services

Definitions, 2020
The Blue Cross and Blue Shield Association (―BCBSA‖) – representing the 39 independent Blue Cross and Blue Shield ―Plans‖ that collectively provide health coverage for more than 99 million members, or one in three Americans – appreciates the opportunity ...
P. Borzi, D. Berwick, E. Mcmahon
semanticscholar   +1 more source

The effectiveness and value of AMX0035 and oral edaravone for amyotrophic lateral sclerosis: A summary from the Institute for Clinical and Economic Review’s Midwest Comparative Effectiveness Public Advisory Council

Journal of Managed Care & Specialty Pharmacy, 2023
DISCLOSURES: Funding for this summary was contributed by Blue Cross Blue Shield of MA, California Healthcare Foundation, The Patrick and Catherine Weldon Donaghue Medical Research Foundation, Arnold Ventures, and Kaiser Foundation Health Plan Inc., to ...
D. Nikitin, A. Makam, K. Suh, A. McKenna, J. Carlson, Marina Richardson, D. Rind, S. Pearson   +7 more
semanticscholar   +1 more source

The effectiveness and value of gene therapy for hemophilia: A Summary from the Institute for Clinical and Economic Review’s California Technology Assessment Forum

Journal of Managed Care & Specialty Pharmacy, 2023
DISCLOSURES: Dr Tice and Mr Sarker received ICER grants during the conduct of the study. Dr Moradi, Ms Herce-Hagiwara, Dr Faghim, Dr Agboola, Dr Rind, and Dr Pearson reports grants from Arnold Ventures, grants from Blue Cross Blue Shield of MA, grants ...
J. Tice, S. Walton, Jyotirmoy Sarker, A. Moradi, Janet N. Chu, B. Herce-Hagiwara, Shahariar Mohammed Fahim, F. Agboola, D. Rind, S. Pearson   +9 more
semanticscholar   +1 more source

Advancing the Role of Nonprofit Health Care

Inquiry: The Journal of Health Care Organization, Provision, and Financing, 2002
This article comes out of a series of discussions among a diverse group of chief executive officers (CEOs) and other leaders of nonprofit hospitals, long-term care facilities, health maintenance organizations, and other insurance providers, including ...
Marcia Metcalfe
doaj   +1 more source