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| blue cross blue shield therapy copay: Cost-Effectiveness in Health and Medicine Marthe R. Gold, 1996-07-18 Cost-effectiveness in health and medicine presents a consensus of experts on appropriate methods for standardizing the conduct of CEAs for use in policy arenas. Standardization is of particular importance for CEA, because it allows comparisons of the costs and health outcomes of alternative methods of improving health, such as public health programs and medical technologies. The book provides a detailed discussion of the theoretical background underlying areas of controversy, and uses theory to guide explicit recommendations for study conduct. |
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| blue cross blue shield therapy copay: Addictions Barbara S. McCrady, Elizabeth E. Epstein, 1999-04-15 Today, alcohol and other drug abuse scientists have access to a broad array of clinical resources that integrate a commonsensical approach to addiction treatment with science. Addictions: A Comprehensive Guidebook is a superb example of one such resource. Here, in one volume, is both practical and scholarly information for alcohol and drug abuse specialists, primary care providers, clinicians, policy-makers, and others involved in programs that are geared to help those who abuse or are dependent on alcohol and other drugs. Its scope is a testament to how far drug abuse scientists and practitioners have come in defining what they do and to how they are able to do it effectively through a growing body of scientific behavioral research. Addictions is organized into seven parts that range from the prevalence of certain addictions to their identification and treatment to the social effects of these addictions. In fact, this volume contains nearly all of the basic information a professional or graduate student needs to learn about or treat substance abuse. |
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| blue cross blue shield therapy copay: Using Cost-Effectiveness Analysis to Improve Health Care Peter J. Neumann, 2004-10-28 As health costs in the U.S. soar past $1.5 trillion, much evidence indicates that the nation does not get good value for its money. It is widely agreed that we could do better by using cost-effective analysis (CEA) to help determine which health care services are most worthwhile. American policy makers, however, have largely avoided using CEA, and researchers have devoted little attention to understanding why this is so. By considering the economic, social, legal, and ethical factors that contribute to the situation, and how they can be negotiated in the future, this book offers a unique perspective. It traces the roots of EA in health and medicine, describes its promise for rational resource allocation, and discusses the nature of the opposition to it, using Medicare and the Oregon health plans as examples. In exploring the disconnection between the promise of CEA and the persistent failure of rational intentions, the book seeks to find common ground and practical solutions. It analyzes the prospects for change and presents a roadmap for getting there. It offers pragmatic advice for cost-effectiveness analysts, discussing ways in which they can better translate their research findings into the basis for action. The book also offers advice for policy makers and politicians, including lessons from Europe, Canada, and Australia, and underlines the need for leadership to establish the conditions for change. |
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| blue cross blue shield therapy copay: The Business of Physical Therapy Mark Drnach, 2024-06-13 Clinical expertise is paramount in physical therapy, but managing the business side of practice is equally crucial for success. Crafted to meet the specific needs of physical therapy students and professionals, The Business of Physical Therapy equips you with the essential non-clinical knowledge and skills to manage the intricate world of business, finance, management, communication, and legal aspects of the physical therapy profession. This groundbreaking resource is the first and only text that covers the entire spectrum of non-clinical topics at the required depth. From mastering financial management and optimizing operational efficiency to honing leadership and communication abilities and ensuring legal compliance, this pioneering guide empowers you to thrive in today's competitive healthcare landscape. |
| blue cross blue shield therapy copay: What Works with Children, Adolescents, and Adults? Alan Carr, 2008 What Works with Children, Adolescents, and Adults? provides an up-to-date review of research on the effectiveness of psychotherapy and psychological interventions with children, adolescents, adults, people in later life, and people with intellectual and pervasive developmental disabilities.Drawing on recent meta-analyses, systematic reviews, and key research studies in psychotherapy, this volume presents evidence for:the overall effectiveness and cost-effectiveness of psychotherapythe contribution of common factors to the outcome of successful psy. |
| blue cross blue shield therapy copay: Ventricular Assist Devices in Advanced-Stage Heart Failure Shunei Kyo, 2013-11-25 This book focuses on how ventricular assist devices (VADs) can help provide destination therapy for patients with terminal heart failure, one of the most serious diseases in the world today because of the tremendous number of patients, the high mortality rate, and the cost of care. One means of providing cardiological support for patients suffering from heart failure is with VADs, and more than 10,000 patients worldwide have now been implanted with these devices. Half of them already have lived more than one year, and 2,000 patients more than two years, after surgery. This improved survival means that we have reached a point where VADs can be used for destination therapy, not just for bridge-to-recovery or bridge-to-transplant. In view of the increasing number of patients with advanced-stage heart failure and the availability and longevity of transplanted hearts, VADs can solve many problems. In addition to providing information about the devices themselves, this book includes vital guidelines on long-term management and support of VAD-implanted patients’ everyday lives. |
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| blue cross blue shield therapy copay: Mechanical Circulatory Support: A Companion to Braunwald's Heart Disease Ebook Robert L. Kormos, Leslie W. Miller, 2011-08-30 Mechanical Circulatory Support, by Drs. Robert L. Kormos and Leslie W. Miller, provides the clinically relevant information you need to effectively use this therapy to treat and manage end-stage cardiovascular disease. In this Companion to Braunwald’s Heart Disease, the world’s most prominent experts in mechanical circulatory support (MCS) cover basic science, device construction, clinical applications, socioeconomic implications, future directions, and more. Stay on top of hot topics - including innovative devices like continuous flow pumps, next-generation centrifugal pumps, and total artificial hearts; MCS for pediatric and congenital heart disease; cellular, molecular, genomic, and functional changes that occur in the failing heart in response to MCS; and Interagency Registry of Mechanically Assisted Circulatory Support (INTERMACS) as a tool to track and advance clinical practice. Tap into discussions of hot topics in mechanical circulatory support (MCS), including current types of devices and clinical settings for MCS; MCS for pediatric and congenital heart disease; myocardial recovery, regenerative therapy, bleeding and thrombosis with MCS; cellular, molecular, genomic, and functional changes that occur in the failing heart in response to MCS; and Interagency Registry of Mechanically Assisted Circulatory Support (INTERMACS) as a tool to track and advance clinical practice. Get a complete picture of the role of mechanical circulatory support in treatment through coverage of device construction, clinical applications, socioeconomic implications, and future directions. Master the pathophysiology and rationale of treatment with discussions of basic science in addition to clinically-relevant information and current clinical practice guidelines. Apply the expertise of the world’s most prominent leaders in mechanical circulatory support. |
| blue cross blue shield therapy copay: Proposals to Stimulate Competition in the Financing and Delivery of Health Care United States. Congress. House. Committee on Ways and Means. Subcommittee on Health, 1981 |
| blue cross blue shield therapy copay: Generic Pharmaceuticals United States. Congress. Senate. Committee on Commerce, Science, and Transportation, 2004 |
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| blue cross blue shield therapy copay: The matter of economic evaluations in health policy decision-making: The case of the Swedish national guidelines for heart diseases Nathalie Eckard, 2015-09-11 Economic evaluations are used to inform decision makers about the efficient allocation of scarce healthcare resources and are generated with the direct intent to support decisions in healthcare. Producing guidelines is a complex process and the inclusion of health-economic aspects in the formulation of the Swedish national guidelines as a basis for the written recommendations (priority gradings), distinguishes them from their European counterparts. Despite the increased use of cost-effectiveness data in decision-making, little is known about the actual use of such data. This thesis covers issues concerning how economic evaluations matter in health policy decision-making. The thesis includes four papers based on the Swedish national guidelines for heart diseases, one of the most prominent examples in Sweden of following the notion of evidence-based policy (EBP), in order to inform explicit priority setting. Both Papers I and II followed a qualitative case study design, based on the same data set. Paper I explored how a specific working group, the Priority Setting Group (PSG), handled the various forms of evidence and values when producing the national guidelines. Two themes were identified in reaching collective agreement in priority gradings; group facilitation activities and avoiding deadlock in the discussion. The work process involved disagreement and negotiation as part of that task. Paper I contributes to the theoretical and practical debate on EBP. Paper II focused on the use of cost-effectiveness data as decision support in the PSG work process. The paper addressed availability of cost-effectiveness data, evidence understanding, interpretation difficulties, and the reliance on evidence. Three themes were identified. The paper contributes to knowledge on how cost-effectiveness evidence was used in actual decision-making. The use of cost-effectiveness evidence was one of many tools employed to avoid deadlock in discussion and to reach a priority grading, when the overall evidence base was weak, in times of uncertainty and on the introduction of new expensive medical technologies. Quantitative research methods were used for both Papers III and IV. Paper III explored how the PSG was presented with cost-effectiveness evidence as decision support and as a basis for their priority gradings. Cost-effectiveness ratios (ICERs) were provided, based on a systematic literature review, as well as how the results may be conveyed and communicated, for the treatment of heart diseases using a cost-effectiveness ranking or league and providing valid information within a limited space, aiding decision makers on the allocation of healthcare resources. The thesis also includes decision support in the form of cost-effectiveness analysis on catheter ablation treatment. Paper IV provides an example of presenting evidence in the form of a decision-analytic model. The modelling approach provides an analytic framework for decision-making, specifically under conditions of uncertainty as in the introduction of new medical technology. Catheter ablation was associated with reduced cost and an incremental gain in quality adjusted life years (QALYs), and was considered a cost-effective treatment strategy compared to the medical treatment strategy in a lifetime perspective. |
| blue cross blue shield therapy copay: The Attempted Dismantling of the Medicare Home Care Benefit , 1986 |
| blue cross blue shield therapy copay: Review of PSRO Medical Cost Control United States. Congress. House. Committee on Ways and Means. Subcommittee on Oversight, 1979 |
| blue cross blue shield therapy copay: Medicare and Medicaid Guide , 1969 |
| blue cross blue shield therapy copay: Barriers to Health Care for Older Americans United States. Congress. Senate. Special Committee on Aging. Subcommittee on Health of the Elderly, 1973 |
| blue cross blue shield therapy copay: Hearing Aids and the Older American United States. Congress. Senate. Special Committee on Aging. Subcommittee on Consumer Interests of the Elderly, 1974 |
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