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Physician Reimbursement for Vascular Surgery Procedures and Vascular Laboratory Studies Before and After the Affordable Care  Act
The Patient Protection and Affordable Care Act (ACA), fully implemented by 2015, has significantly increased the number of Americans with health insurance. However, its impact on physician reimbursement (PR) is not well studied. Our objective was to determine the ACA's impact on the professional component of PR for selected vascular surgery (VS) procedures and vascular laboratory (VL) studies at our institution.
Source: Journal of Vascular Surgery - August 21, 2019 Category: Surgery Authors: Daisy Chou, Mounir J. Haurani, Patrick S. Vaccaro, Timur P. Sarac, Bhagwan Satiani Tags: Abstract from the 2019 Midwestern Vascular Surgical Society Annual Meeting Source Type: research

Transition From Current Accuracy Measures in the Vascular Laboratory Will Be Required for Future Accreditation and Payment Models
The Medicare Accessibility and Children's Health Insurance Program (CHIP) Reauthorization Act (MACRA) brings with it increased regulatory requirements not traditionally addressed by standard vascular laboratory (VL) accreditation, which is based on accuracy. The Intersocietal Accreditation Commission new Quality Improvement project may satisfy an Improvement Activity (IA) of MACRA. We hypothesize that other IAs in MACRA, such as timeliness of test results or patient care Quality Performance requirements, can be met by analyzing data already collected by the VL.
Source: Journal of Vascular Surgery - July 20, 2017 Category: Surgery Authors: Mounir J. Haurani, M. Dennis Kise, Patrick S. Vaccaro, Bhagwan Satiani Tags: Abstract from the 2017 Midwestern Vascular Surgical Society Annual Meeting Source Type: research

Current status of dialysis and vascular access in Taiwan.
Authors: Chen CF, Chen FA, Lee TL, Liao LF, Chen CY, Tan AC, Chan CH, Lin CC Abstract Due to the implementation of the National Health Insurance system in 1995, the number of patients receiving maintenance dialysis has increased rapidly. This contributed to Taiwan to be in an unfortunate position of possessing the highest prevalence of end-stage renal disease globally. Although the age-standardized incidence of end-stage renal disease gradually decreased to -1.1% in 2014, the huge economic burden that comes with dialysis is detrimental to the quality of dialysis treatment. To achieve a balance between economy and q...
Source: The Journal of Vascular Access - October 27, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Current status of vascular access in Japan-from Dialysis Access Symposium 2017.
Authors: Fukasawa M Abstract At the second Dialysis Access Symposium held in Nagoya, Japan, a proposal was made to investigate the differences in vascular access methods used in different countries. In this article, we describe the management of vascular access in Japan. The Japanese population is rapidly aging, and the proportion of elderly patients on dialysis is also increasing. There were 325,000 dialysis patients in Japan at the end of 2015, of whom 65.1% were aged 65 years or above. The number of patients with diabetic nephropathy or nephrosclerosis as the underlying condition is also increasing, whereas th...
Source: The Journal of Vascular Access - May 1, 2019 Category: Surgery Tags: J Vasc Access Source Type: research

Physician Reimbursement for Vascular Surgery Procedures and Vascular Laboratory Studies Before and After the Affordable Care Act
: The Patient Protection and Affordable Care Act (ACA), fully implemented by 2015, has significantly increased the number of Americans with health insurance. However, its impact on physician reimbursement (PR) is not well studied. Our objective was to determine the ACA's impact on the professional component of PR for selected vascular surgery (VS) procedures and vascular laboratory (VL) studies at our institution.
Source: Annals of Vascular Surgery - November 11, 2021 Category: Surgery Authors: Mounir J. Haurani, Daisy Chou, Patrick S. Vaccaro, Bhagwan Satiani Tags: Clinical Research, Basic Science Source Type: research

Standard procedures of endovascular treatment for vascular access stenosis in our facility - clinical usefulness of ultrasonography.
Authors: Sato T, Tsuboi M, Onogi T, Miwa N, Sakurai H, Ookubo K, Matsubara C, Kasuga H Abstract In Japan, the number of patients receiving dialysis is 314,180 at the end of 2013 and 97% are treated with hemodialysis. And the mean age of patients and the percentage of diabetes have been increasing. For this reason, preparations of a new vascular access (VA) and its long-term maintenance have become difficult. In the guidelines by the Japanese Society for Dialysis Therapy (JSDT), endovascular treatment (ET) is positioned as the first line for VA stenosis. The procedure of ET itself is very simple. The revision of Jap...
Source: The Journal of Vascular Access - September 12, 2015 Category: Surgery Tags: J Vasc Access Source Type: research

Routinely collected data from health insurance claims and electronic health records in vascular research - a success story and way to go.
PMID: 32091976 [PubMed - in process]
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - February 26, 2020 Category: Surgery Authors: Behrendt CA Tags: Vasa Source Type: research

Effect of carvedilol on arteriovenous graft primary patency.
CONCLUSION: The results of this study indicate that the use of carvedilol for more than 84 days improves the primary patency of AVGs, but the use of carvedilol for less than 84 days does not. PMID: 32408854 [PubMed - as supplied by publisher]
Source: Vascular - May 13, 2020 Category: Surgery Authors: Tseng YH, Liu CY, Lee CP, Lin MH, Yang YH Tags: Vascular Source Type: research

The Differential Impact of Medicaid Expansion on Racial Disparities Following Peripheral Vascular Intervention
Peripheral artery disease (PAD) disproportionately affects Black and low socioeconomic status patients, who are less likely to have health insurance and routine health care visits. Medicaid expansion (ME) has improved insurance rates and access to care, potentially benefitting these patients. We sought to assess the impact of ME on racial disparities in peripheral vascular intervention (PVI) for PAD.
Source: Journal of Vascular Surgery - August 24, 2021 Category: Surgery Authors: Omar I. Ramadan, Jordan B. Stoecker, Nathan Belkin, Jayne R. Rice, Benjamin M. Jackson, Darren B. Schneider, Grace J. Wang Tags: VESS Paper Session Source Type: research

Do we know how to prescribe venous thromboembolism prophylaxis to hospitalized patients?
Conclusions At the Hospital Santa Casa de Miseric órdia in Curitiba, surgical patients are less well protected from thromboembolic events than clinical patients.
Source: Jornal Vascular Brasileiro - October 23, 2017 Category: Surgery Source Type: research

Vascular Diagnostic and Surgical Treatments Before Lower Limb Amputations in Patients with Arterial Vascular Diseases: A Population Based Study from 2013 to 2015 in Germany
CONCLUSION: Of patients with PAD, 18.2% did not receive a vascular diagnostic examination before amputation as specified in the guidelines, which reflects an underuse of health services. In one third of patients who did not receive vascular surgery, major amputation probably could have been avoided.PMID:34274219 | DOI:10.1016/j.ejvs.2021.05.016
Source: PubMed: Eur J Vasc Endovasc ... - July 18, 2021 Category: Surgery Authors: Kristina Hagenstr öm Claudia Garbe Eike Sebastian Debus Matthias Augustin Source Type: research

Outpatient and "Admission-Substituting" Interventions in Vascular Surgery - What is Feasible and Where are the Limits? Previous and New Legal Requirements and their Implementation in Practice
CONCLUSION: The potential to transform inpatient services into the outpatient setting of service provision is realisable in vascular surgery in the core areas of varicose vein surgery, shunt surgery and peripheral interventional procedures under specific conditions.PMID:37562434 | DOI:10.1055/a-2100-1458
Source: Zentralblatt fur Chirurgie - August 10, 2023 Category: Surgery Authors: Udo Barth Martin Lehmann J örg Tautenhahn Frank Meyer Zuhir Halloul Source Type: research