Tag Archives: Healthcare costs

Cardiology Consultation in the Emergency Department

Re-hospitalization after discharge for acute decompensated heart failure is a common problem. Low-socioeconomic urban patients suffer high rates of re-hospitalization and often over-utilize the emergency department (ED) for their care. We hypothesized that early consultation with a cardiologist in the ED can reduce re-hospitalization and health care costs for low-socioeconomic urban patients with acute decompensated […]

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Why California’s Proposition 61 Was a Bad Idea

New approaches to control state pharmaceutical costs are needed.1 This issue is particularly critical in California, the state with the largest pharmaceutical expenditures in the country.1 A controversial California ballot initiative aimed at reining in prescription drug expenditures was defeated on November 8, 2016 by a 54% to 46% margin.2The California Drug Price Relief Act, also known […]

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Physician Exposure to Direct-to-Consumer Pharmaceutical Marketing

The American Medical Association’s 2015 recommendation to ban direct-to-consumer advertising (DTCA) of prescription drugs reflected a strong consensus that this form of marketing is a significant contributor to increased drug costs. It is well documented that many patients request drugs they have seen advertised on television and that physicians often acquiesce to these requests.1, 2, 3, 4 But the […]

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Advancing High-Value Health Care: A New AJM Column Dedicated to Cost-Conscious Care Quality Improvement

Despite the very high cost of health care in the US, expenditure continues to rise. According to the Centers for Medicare & Medicaid Services, health care expenditures for 2016 are projected to be $3.4 trillion, and the percentage of the gross domestic product spent on health care will increase from 17.4% in 2013 to 19.6% […]

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Prevention of Anaphylaxis: The Role of the Epinephrine Auto-Injector

  Anaphylaxis is a life-threatening condition, with at-risk individuals remaining at chronic high risk of recurrence. Anaphylaxis is frequently underrecognized and undertreated by healthcare providers. The first-line pharmacologic intervention for anaphylaxis is epinephrine, and guidelines uniformly agree that its prompt administration is vital to prevent progression, improve patient outcomes, and reduce hospitalizations and fatalities. Healthcare costs […]

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