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AMA: Pandemic Having Negative Financial Impact on Physician Practices

Medicare Outpatient Premium to Rise

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Monthly premium for outpatient care will rise by $3.90 next year

For all specialties

Modest Increase in Patient Visits Could Offset Costs of Scribes

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Model shows adding two new or three return patient visits per day profitable for all specialties
Out-of-network claims were incurred by 12.1 percent of commercially insured patients who underwent elective colonoscopy between 2012 and 2017

Out-of-Network Claims Fairly Common for Elective Colonoscopy

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Out-of-network claims involved anesthesiologist, pathologist in 64, 40 percent of cases, respectively
Low- and middle-income families experienced a larger reduction in out-of-pocket costs after initiation of the Affordable Care Act than higher-income families

ACA Lowered Out-of-Pocket Costs for Low-Income Families

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High-income families saw smaller financial benefit from ACA policies than low-, middle-income families
Actual health care costs increase up to 20-fold in the six months after a gunshot injury versus the six months before

Health Care Use, Costs Increase 20-Fold After Firearm Injury

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Findings compared six months before and after injury across patients in five states
During 2018

Private Health Plans Pay Hospitals 247 Percent of Medicare

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Relative prices average 231, 267 percent of what Medicare would pay for inpatient, outpatient services
Many patients with rheumatic diseases face significant challenges in their daily lives

Survey: Rheumatic Diseases Pose Routine Challenges

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Patient survey shows challenges with affordability, activity limitations, mental health
For patients with multiple sclerosis

Financial Toxicity Common in Patients With Multiple Sclerosis

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Many MS patients report lifestyle-altering behaviors or care nonadherence due to financial burden
An enhanced recovery after surgery program for cesarean delivery is associated with improved outcomes

Enhanced Recovery Approach Aids Cesarean Birth Outcomes

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Benefits of enhanced recovery after surgery program include decreases in opioid use, length of stay, and costs
From 2014 to 2018

Insurer, Insured Costs for HIV PrEP Rising in the United States

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2014 to 2018 saw increase in estimated third-party, out-of-pocket payments per 30 TDF-FTC tablets