BACKGROUND A global budgeting system helps control the growth of healthcare spending by setting expenditure ceilings. However, the hospital global budget implemented in Taiwan in 2002 included a special provision: drug expenditures are reimbursed at face value, while other expenditures are subject to discounting. That gives hospitals, particularly those that are for-profit, an incentive to incr...

OBJECTIVE The objective of this study was to estimate resource utilization and expenditures for patients with acute myeloid leukemia (AML) in a real-world claims database. RESEARCH DESIGN AND METHODS AML patients were identified in MarketScan claims databases between 1 January 2009 and 31 January 2015. Patients had a minimum of two AML diagnosis codes, hospitalization within 14 days after ini...

OBJECTIVE China's ongoing new health reform aims to reduce individual out-of-pocket (OOP) payments for healthcare services. The aim of this article is to analyse the impact of this reform and to draw policy implications. METHODS Data are retrieved from the relevant government publications. Polynomial regression models are used to predict future health expenditures. An extensive sensitivity an...

OBJECTIVES To compare the ability of standard versus enhanced models to predict future high-cost patients, especially those who move from a lower to the upper decile of per capita healthcare expenditures within 1 year-that is, 'cost bloomers'. DESIGN We developed alternative models to predict being in the upper decile of healthcare expenditures in year 2 of a sample, based on data from year 1...

background : performance of a health system is of great importance since it is the major means for improving health. until now, various methods have been proposed for assessing the performance of the health system. the method proposed by world health organization is based on three major goals of the health system: health improvement, accountability, and equity in financial contribution. equity ...

INTRODUCTION Food and beverage TV advertising contributes to childhood obesity. The current tax treatment of advertising as an ordinary business expense in the U.S. subsidizes marketing of nutritionally poor foods and beverages to children. This study models the effect of a national intervention that eliminates the tax subsidy of advertising nutritionally poor foods and beverages on TV to child...

BACKGROUND Cytomegalovirus (CMV) disease is a major cause of morbidity and mortality in solid organ transplant patients and is associated with large additional healthcare expenditures. An economic evaluation of valaciclovir CMV prophylaxis in a renal transplant population is reported. METHODS Medical resource use data were collected alongside a multicenter multinational randomized, placebo-co...

Abstract Funding Acknowledgements Type of funding sources: None. Background There are limited data on the mechanisms increased healthcare costs among patients with atrial fibrillation (AF). Differences in expenditures at various sites service may provide mechanistic insight into cost differentials between and without AF. Objective To assess for associations device detected AF (ddAF). Methods Us...