Random Forest Analysis of Out-of-Pocket Health Expenditures Associated with Cardiometabolic Diseases, Lifestyle, Lipid Profile, and Genetic Information in São Paulo, Brazil DOI Open Access
Jean Michel Rocha Sampaio Leite, Lucas Akio Iza Trindade, Jaqueline Lopes Pereira

et al.

Healthcare, Journal Year: 2024, Volume and Issue: 12(22), P. 2275 - 2275

Published: Nov. 14, 2024

There is a lack of empirical studies out-of-pocket health expenditures associated with dyslipidemias, which are major cardiovascular risk factors, especially in underrepresented admixed populations. The study investigates associations costs lipid traits, GWAS-derived genetic scores (GRSs), and other cardiometabolic factors.

Language: Английский

2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association DOI Creative Commons
Seth S. Martin, Aaron W. Aday, Zaid Almarzooq

et al.

Circulation, Journal Year: 2024, Volume and Issue: 149(8)

Published: Jan. 24, 2024

BACKGROUND: The American Heart Association (AHA), in conjunction with the National Institutes of Health, annually reports most up-to-date statistics related to heart disease, stroke, and cardiovascular risk factors, including core health behaviors (smoking, physical activity, nutrition, sleep, obesity) factors (cholesterol, blood pressure, glucose control, metabolic syndrome) that contribute health. AHA Disease Stroke Statistical Update presents latest data on a range major clinical circulatory disease conditions (including brain health, complications pregnancy, kidney congenital rhythm disorders, sudden cardiac arrest, subclinical atherosclerosis, coronary cardiomyopathy, failure, valvular venous thromboembolism, peripheral artery disease) associated outcomes quality care, procedures, economic costs). METHODS: AHA, through its Epidemiology Prevention Statistics Committee, continuously monitors evaluates sources stroke United States globally provide current information available annual review published literature year before writing. 2024 is product full year’s worth effort 2023 by dedicated volunteer clinicians scientists, committed government professionals, staff members. strives further understand help heal problems inflicted structural racism, public crisis can significantly damage mental perpetuate disparities access education, income, housing, several other vital healthy lives. This edition includes additional global data, as well monitoring benefits population, an enhanced focus equity across key domains. RESULTS: Each chapters focuses different topic statistics. CONCLUSIONS: represents critical resource for lay public, policymakers, media clinicians, care administrators, researchers, advocates, others seeking best these conditions.

Language: Английский

Citations

934

Direct-to-Physician Marketing and Uptake of Optimal Medical Therapy for Heart Failure With Reduced Ejection Fraction DOI
Colette DeJong, Kosuke Inoue, Matthew S. Durstenfeld

et al.

JACC Heart Failure, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

Citations

1

Top-Rated Health Care and Ease of Access to Medications Linked to Lower Medicare and ADRD Costs DOI
Jie Chen,

Seyeon Jang

Medical Care, Journal Year: 2025, Volume and Issue: unknown

Published: April 24, 2025

Importance: Little is known about the extent to which patient self-perception of care experience associated with costs, especially for people Alzheimer disease and related dementias (ADRD). Objective: This study explores relationship between self-reported quality measures Medicare costs examines whether ease obtaining prescribed medications reduced overall focusing on beneficiaries ADRD. Design, Setting, Participants: In this cross-sectional study, Beneficiary Summary File data from 2018, 2019, 2021 were linked Consumer Assessment Health Care Providers Systems (CAHPS) Survey using beneficiary IDs. The sample included community-dwelling fee-for-service beneficiaries. Exposures: Five used as key exposure variables: (1) beneficiary’s rating health care, (2) getting care/tests/treatment through plan, (3) doctor always explained, listened, respected, spent enough time patient, (4) medications, (5) talked all prescription medicines was taking. Main Outcome Measure: Annual total payments per person. Results: 230,617 FFS aged 65 older, including 16,452 Among beneficiaries, 53% females (vs. 56% ADRD beneficiaries), a mean (SD) age 75.8 (SD 7.27) years [vs. 82.5 7.97) beneficiaries]. Fully adjusted analyses showed significant negative associations per-capita payments, more pronounced cost reductions among patients Specifically, who reported it easy get had $1,922.0 (95% CI, -$3304.8 -$539.2), while those $2964.5 -$4518.8 -$1410.1). addition, that doctors discussed experienced $2299.7 -$3800.5 -$799.0) in medicare costs. Conclusion Relevance: Our findings suggest high-quality not necessarily high Meanwhile, access needed drugs, effective communication medication critical improving reducing

Language: Английский

Citations

0

Challenges Related to Out-of-Pocket Costs in Heart Failure Management DOI
Birju Rao, Larry A. Allen, Alexander T. Sandhu

et al.

Circulation Heart Failure, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 28, 2025

High out-of-pocket costs and financial toxicity related to heart failure treatment are substantial concerns. Two of 4 pillars guideline-directed medical therapy for with reduced ejection fraction, example, carry high that may attenuate their uptake. Furthermore, rarely occurs in isolation. Many patients have other comorbidities require treatment, further driving up patients’ costs. Developing plans improve mortality without subjecting can be challenging several reasons. First, accrue from multiple domains depend on a variety insurance pharmacy-related factors make determining patient-specific cost estimates complicated. Second, strategies mitigate involve health policy-level interventions patient-level interventions. These own unique sets challenges. Third, integrating into shared decision-making requires nuanced discussions about whether is worth the cost. Though has been advocated, there little data how best conduct these discussions. Health policies like Inflation Reduction Act 2022 provide relief some patients, efforts transparency potential beneficial. Over long term, policy solutions such as value-based design patient engagement emphasize enhancing important yield durable results.

Language: Английский

Citations

0

The March Toward Improved Heart Failure Outcomes Requires an Emphasis on Affordability DOI

Julia H.A. Foote,

Dhruv S. Kazi

JACC Heart Failure, Journal Year: 2024, Volume and Issue: 12(7), P. 1238 - 1241

Published: June 12, 2024

Language: Английский

Citations

2

Drug Pricing Stewardship from Mark Cuban’s Cost Plus Generic Drug Program DOI
Snigdha Gulati, Mohak Gupta,

TingTing Yan

et al.

PharmacoEconomics, Journal Year: 2024, Volume and Issue: 42(11), P. 1279 - 1286

Published: Aug. 21, 2024

Language: Английский

Citations

2

The Inflation Reduction Act and Access to High-Cost Cardiovascular Therapies DOI Open Access
Dhruv S. Kazi, Rishi K. Wadhera, Benjamin N. Rome

et al.

JAMA, Journal Year: 2023, Volume and Issue: 330(17), P. 1619 - 1619

Published: Sept. 20, 2023

This Viewpoint discusses how the price negotiation for certain drugs under Inflation Reduction Act will provide a unique opportunity to enhance access therapies older patients with cardiovascular conditions and diabetes.

Language: Английский

Citations

5

Stakeholder Perspectives of the Inflation Reduction Act’s (2022) Impact on Prescription Drugs: A Narrative Review DOI Creative Commons
Cristian Lieneck, Matthew McLauchlan,

Valerie Adachi

et al.

Pharmacy, Journal Year: 2023, Volume and Issue: 11(6), P. 187 - 187

Published: Dec. 17, 2023

In this review, we examine the impact of Inflation Reduction Act (IRA) 2022 on pharmaceutical drugs in United States, drawing a diverse range sources to understand perceptions multiple stakeholders and professionals. Findings suggest that Act, while aiming control price inflation, has had multifaceted sector. Stakeholders, including companies, healthcare providers, patient advocacy groups, policymakers, offered varied perspectives: some laud for its potential controlling runaway drug prices making more accessible, others raise concerns about possible reductions innovation, disruptions supply chains, sustainability smaller companies. The review identified four underlying constructs (themes) literature surrounding stakeholders' IRA's upon prescription drugs: pricing and/or dictation issues, topics related patent law pharmaceuticals, processes (2022) rules regulations, threats industry concerning research development future medications. complex interplay Act's implications underscores importance ongoing assessment iterative policy refinements as implementation endures.

Language: Английский

Citations

5

Medicare formulary restrictions for glucagon-like peptide 1 receptor agonists and sodium glucose cotransporter 2 inhibitors used in type 2 diabetes mellitus: 2019-2023 DOI

Brady Wisniewski,

Eric L. Smith,

Jasmeen Kaur

et al.

Journal of Managed Care & Specialty Pharmacy, Journal Year: 2023, Volume and Issue: 30(1), P. 34 - 42

Published: Dec. 28, 2023

Glucagon-like peptide 1 receptor agonists (GLP1-RAs) and sodium glucose cotransporter 2 inhibitors (SGLT2is) have proven benefits in patients with type diabetes mellitus related to decreasing cardiovascular events heart failure hospitalizations as well preventing the progression of kidney disease. This led American Diabetes Association (ADA) update their guidelines 2022 recommend GLP1-RAs SGLT2is potential first-line options cardiorenal conditions. Formulary restrictions, such step therapy prior authorizations, can limit access these beneficial medications.

Language: Английский

Citations

3

Economic and Ethical Case for Eliminating Patient Out-of-Pocket Costs DOI Open Access
Benjamin Y. Liu, Dhruv S. Kazi

Circulation Cardiovascular Quality and Outcomes, Journal Year: 2023, Volume and Issue: 16(10)

Published: Oct. 1, 2023

Language: Английский

Citations

2