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Volumn 44, Issue 4, 2010, Pages 733-736

Penny-wise, pound-foolish? Highmark Medicare Services' proposal for anticoagulation clinic reimbursement

Author keywords

Anticoagulation; Anticoagulation clinic; Center for Medicare; Health care economics; Medicaid Services; Warfarin

Indexed keywords

WARFARIN;

EID: 77950606063     PISSN: 10600280     EISSN: None     Source Type: Journal    
DOI: 10.1345/aph.1M666     Document Type: Note
Times cited : (2)

References (33)
  • 1
    • 45949095568 scopus 로고    scopus 로고
    • Antithrombotic therapy in atrial fibrillation: American College of Chest Physicians evidence-based clinical practice guidelines
    • DOI 10.1378/chest.08-0678. 8th ed.
    • Singer DE, Albers GW, Dalen JE, et al. Antithrombotic therapy in atrial fibrillation: American College of Chest Physicians evidence-based clinical practice guidelines. 8th ed. Chest 2008;133(6 suppl):546S-92S. DOI 10.1378/chest.08-0678
    • (2008) Chest , vol.133 , Issue.6 SUPPL
    • Singer, D.E.1    Albers, G.W.2    Dalen, J.E.3
  • 2
    • 45949104683 scopus 로고    scopus 로고
    • Valvular and structural heart disease: American College of Chest Physicians evidence-based clinical practice guidelines (8th edition)
    • DOI 10.1378/chest.08-0724
    • Salem DN, O'Gara PT, Madias C, Pauker SG. Valvular and structural heart disease: American College of Chest Physicians evidence-based clinical practice guidelines. 8th ed. Chest 2008;133(6 suppl):593S-629S. DOI 10.1378/chest.08-0724 (Pubitemid 351892973)
    • (2008) Chest , vol.133 , Issue.6 SUPPL. 6
    • Salem, D.N.1    O'Gara, P.T.2    Madias, C.3    Pauker, S.G.4
  • 3
    • 45949100970 scopus 로고    scopus 로고
    • Antithrombotic therapy for venous thromboembolic disease: American College of Chest Physicians evidence-based clinical practice guidelines (8th edition)
    • DOI 10.1378/chest.08-0658
    • Kearon C, Kahn SR, Agnelli G, et al. Antithrombotic therapy for venous thromboembolic disease: American College of Chest Physicians evidence-based clinical practice guidelines. 8th ed. Chest 2008;133(6 suppl):454S-545S. DOI 10.1378/chest.08-0658 (Pubitemid 351892971)
    • (2008) Chest , vol.133 , Issue.6 SUPPL. 6
    • Kearon, C.1    Kahn, S.R.2    Agnelli, G.3    Goldhaber, S.4    Raskob, G.E.5    Comerota, A.J.6
  • 4
    • 34447306023 scopus 로고    scopus 로고
    • Bleeding complications with warfarin use: A prevalent adverse effect resulting in regulatory action
    • DOI 10.1001/archinte.167.13.1414
    • Wysowski DK, Nourjah P, Swartz L. Bleeding complications with warfarin use: a prevalent adverse effect resulting in regulatory action. Arch Intern Med 2007;167:1414-1419 (Pubitemid 47052441)
    • (2007) Archives of Internal Medicine , vol.167 , Issue.13 , pp. 1414-1419
    • Wysowski, D.K.1    Nourjah, P.2    Swartz, L.3
  • 5
    • 45949103309 scopus 로고    scopus 로고
    • Pharmacology and management of the vitamin K antagonists: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition)
    • DOI 10.1378/chest.08-0670
    • Ansell J, Hirsh J, Hylek E, et al. Pharmacology and management of the vitamin K antagonists: American College of Chest Physicians evidence- based clinical practice guidelines. 8th ed. Chest 2008;133(6 suppl):160S- 98S. DOI 10.1378/chest.08-0670 (Pubitemid 351892967)
    • (2008) Chest , vol.133 , Issue.6 SUPPL. 6
    • Ansell, J.1    Hirsh, J.2    Hylek, E.3    Jacobson, A.4    Crowther, M.5    Palareti, G.6
  • 6
    • 38449106799 scopus 로고    scopus 로고
    • Medication use leading to emergency department visits for adverse drug events in older adults
    • Budnitz DS, Shehab N, Kegler SR, Richards CL. Medication use leading to emergency department visits for adverse drug events in older adults. Ann Intern Med 2007;147:755-765 (Pubitemid 351664440)
    • (2007) Annals of Internal Medicine , vol.147 , Issue.11 , pp. 755-765
    • Budnitz, D.S.1    Shehab, N.2    Kegler, S.R.3    Richards, C.L.4
  • 7
    • 67650463011 scopus 로고    scopus 로고
    • Optimal level of oral anticoagulant therapy for the prevention of arterial thrombosis in patients with mechanical heart valve prostheses, atrial fibrillation, or myocardial infarction: A prospective study of 4202 patients
    • Torn M, Cannegieter SC, Bollen WL, et al. Optimal level of oral anticoagulant therapy for the prevention of arterial thrombosis in patients with mechanical heart valve prostheses, atrial fibrillation, or myocardial infarction: a prospective study of 4202 patients. Arch Intern Med 2009; 169:1203-1209
    • (2009) Arch Intern Med , vol.169 , pp. 1203-1209
    • Torn, M.1    Cannegieter, S.C.2    Bollen, W.L.3
  • 10
    • 0038294773 scopus 로고    scopus 로고
    • The Joint Commission Accreditation Program: Hospital - (accessed Dec 24)
    • The Joint Commission Accreditation Program: Hospital - The National Patient Safety Goals. www.jointcommission.org/NR/rdonlyres/31666E86- E7F4- 423E-9BE8-F05BD1CB0AA8/0/HAP-NPSG.pdf (accessed 2009 Dec 24).
    • (2009) The National Patient Safety Goals
  • 11
  • 12
    • 0032563666 scopus 로고    scopus 로고
    • Comparison of an anticoagulation clinic with usual medical care: Anticoagulation control, patient outcomes, and health care costs
    • DOI 10.1001/archinte.158.15.1641
    • Chiquette E, Amato MG, Bussey HI. Comparison of an anticoagulation clinic and usual medical care: anticoagulation control, patient outcomes, and health care costs. Arch Intern Med 1998;158:1641-1647 (Pubitemid 28371187)
    • (1998) Archives of Internal Medicine , vol.158 , Issue.15 , pp. 1641-1647
    • Chiquette, E.1    Amato, M.G.2    Bussey, H.I.3
  • 13
    • 19844366428 scopus 로고    scopus 로고
    • Effect of a centralized clinical pharmacy anticoagulation service on the outcomes of anticoagulation therapy
    • DOI 10.1378/chest.127.5.1515
    • Witt DM, Sadler MA, Shanahan RL, et al. Effect of a centralized clinical pharmacy anticoagulation service on the outcomes of anticoagulation therapy. Chest 2005;127:1515-1522 DOI 10.1378/chest.127.5.1515 (Pubitemid 46218774)
    • (2005) Chest , vol.127 , Issue.5 , pp. 1515-1522
    • Witt, D.M.1    Sadler, M.A.2    Shanahan, R.L.3    Mazzoli, G.4    Tillman, D.J.5
  • 14
    • 33644862002 scopus 로고    scopus 로고
    • British committee for standards in haematology. Guidelines on oral anticoagulation (warfarin): 3rd ed.- 2005 update
    • DOI: 10.1111/j.1365-2141.2005.05856.x
    • Baglin TP, Keeling DM, Watson HG; British Committee for Standards in Haematology. Guidelines on oral anticoagulation (warfarin): 3rd ed.- 2005 update. Br J Haematol 2006;132:277-285 DOI: 10.1111/j.1365-2141.2005.05856.x
    • Br J Haematol , vol.2006 , Issue.132 , pp. 277-285
    • Baglin, T.P.1    Keeling, D.M.2    Watson, H.G.3
  • 16
    • 48249098212 scopus 로고    scopus 로고
    • Delivery of optimized anticoagulant therapy: Consensus statement from the Anticoagulation Forum
    • DOI 10.1345/aph.1L098
    • Garcia DA, Witt DM, Hylek E, et al. Delivery of optimized anticoagulant therapy: consensus statement from the Anticoagulation Forum. Ann Pharmacother 2008;42:979-988 DOI 10.1345/aph.1L098
    • (2008) Ann Pharmacother , vol.42 , pp. 979-988
    • Garcia, D.A.1    Witt, D.M.2    Hylek, E.3
  • 17
    • 77950623159 scopus 로고    scopus 로고
    • Highmark Medicare Services position on the necessity of E/M services submitted as a component service of anticoagulation management, July 27, 2009 (accessed 2009 Dec 13)
    • Highmark Medicare Services position on the necessity of E/M services submitted as a component service of anticoagulation management, July 27, 2009. www.highmarkmedicareservices.com/bulletins/all/news-07272009. html (accessed 2009 Dec 13).
  • 18
    • 77950608736 scopus 로고    scopus 로고
    • A/B MAC Jurisdiction 1. Medicare fee-for-service claims processor (accessed 2009 Dec 13)
    • A/B MAC Jurisdiction 1. Medicare fee-for-service claims processor. www.cms.hhs.gov/MedicareContractingReform/Downloads/ PrimaryABMACJurisdictionFactSheets.pdf (accessed 2009 Dec 13).
  • 19
    • 0031937723 scopus 로고    scopus 로고
    • Optimal frequency of patient monitoring and intensity of oral anticoagulation therapy in valvular heart disease
    • Horstkotte D, Piper C, Wiemer M. Optimal frequency of patient monitoring and intensity of oral anticoagulation therapy in valvular heart disease. J Thromb Thrombolysis 1998;5(suppl):19-24. (Pubitemid 128689811)
    • (1998) Journal of Thrombosis and Thrombolysis , vol.5 , Issue.SUPPL. 1
    • Horstkotte, D.1    Piper, C.2    Wiemer, M.3
  • 20
    • 0034107497 scopus 로고    scopus 로고
    • Relationship between test frequency and outcomes of anticoagulation: A literature review and commentary with implications for the design of randomized trials of patient self-management
    • DOI 10.1023/A:1018778914477
    • Samsa GP, Matchar DB. Relationship between test frequency and outcomes of anticoagulation: a literature review and commentary with implications for the design of randomized trials of patient self-management. J Thromb Thrombolysis 2000;9:283-292 DOI 10.1023/A:1018778914477
    • (2000) J Thromb Thrombolysis , vol.9 , pp. 283-292
    • Samsa, G.P.1    Matchar, D.B.2
  • 21
    • 34248531250 scopus 로고    scopus 로고
    • The interval between prothrombin time tests and the quality of oral anticoagulants treatment in patients with chronic atrial fibrillation
    • DOI 10.1016/j.thromres.2006.10.001, PII S0049384806003860
    • Shalev V, Rogowski O, Shimron O, et al. The interval between pro- thrombin time tests and the quality of oral anticoagulant treatment in patients with chronic atrial fibrillation. Thromb Res 2007;120:201-206 DOI 10.1016/j.thromres.2006.10.001 (Pubitemid 46754418)
    • (2007) Thrombosis Research , vol.120 , Issue.2 , pp. 201-206
    • Shalev, V.1    Rogowski, O.2    Shimron, O.3    Sheinberg, B.4    Shapira, I.5    Seligsohn, U.6    Berliner, S.7    Misgav, M.8
  • 22
    • 57749194624 scopus 로고    scopus 로고
    • Warfarin dose management affects INR control
    • DOI 10.1111/j.1538-7836.2008.03199.x
    • Rose AJ, Ozonoff A, Berlowitz DR, et al. Warfarin dose management affects INR control. J Thromb Haemost 2009;7:94-101. DOI 10.1111/j.1538-7836.2008. 03199.x
    • (2009) J Thromb Haemost , vol.7 , pp. 94-101
    • Rose, A.J.1    Ozonoff, A.2    Berlowitz, D.R.3
  • 23
    • 33751223878 scopus 로고    scopus 로고
    • Outcomes of oral anticoagulant therapy managed by telephone vs in-office visits in an anticoagulation clinic setting
    • DOI 10.1378/chest.130.5.1385
    • Wittkowsky AK, Nutescu EA, Blackburn J, et al. Outcomes of oral anticoagulant therapy managed by telephone vs in- office visits in an anticoagulation clinic setting. Chest 2006;130:1385-1389 (Pubitemid 44786730)
    • (2006) Chest , vol.130 , Issue.5 , pp. 1385-1389
    • Wittkowsky, A.K.1    Nutescu, E.A.2    Blackburn, J.3    Mullins, J.4    Hardman, J.5    Mitchell, J.6    Vats, V.7
  • 24
    • 77950626351 scopus 로고    scopus 로고
    • Press release. Medicare announces expanded coverage for warfarin patients monitoring clotting time at home (accessed 2009 Dec 13)
    • Press release. Medicare announces expanded coverage for warfarin patients monitoring clotting time at home. www.medicalnewstoday.com/ar- ticles/101149.php (accessed 2009 Dec 13).
  • 25
    • 40549117917 scopus 로고    scopus 로고
    • Clinical effectiveness and cost-effectiveness of different models of managing long-term oral anticoagulation therapy: A systematic review and economic modelling
    • Connock M, Stevens C, Fry-Smith A, et al. Clinical effectiveness and cost-effectiveness of different models of managing long-term oral anticoagulation therapy: a systematic review and economic modelling. Health Technol Assess 2007;11:iii-iv, ix-66. (Pubitemid 351359078)
    • (2007) Health Technology Assessment , vol.11 , Issue.38
    • Connock, M.1    Stevens, C.2    Fry-Smith, A.3    Jowett, S.4    Fitzmaurice, D.5    Moore, D.6    Song, F.7
  • 26
    • 77950613532 scopus 로고    scopus 로고
    • Medicare HMO withdrawals and pullouts (accessed 2009 Dec 13).
    • Medicare HMO withdrawals and pullouts. www.insbuyer.com/hmowithdrawals. htm (accessed 2009 Dec 13).
  • 27
    • 77950596992 scopus 로고    scopus 로고
    • Center for Medicare and Medicaid Services. Overview mission, goals and vision. (accessed 2009 Dec 13).
    • Center for Medicare and Medicaid Services. Overview mission, goals and vision. www.cms.hhs.gov/MissionVisionGoals/ (accessed 2009 Dec 13).
  • 28
    • 60449094498 scopus 로고    scopus 로고
    • Heart disease and stroke statistics - 2009 update: A report from the American Heart Association statistics committee and stroke statistics subcommittee
    • DOI 10.1161/CIRCULATIONAHA.108.191259
    • Lloyd-Jones D, Adams R, Carnethon M, et al. Heart disease and stroke statistics - 2009 update: a report from the American Heart Association statistics committee and stroke statistics subcommittee. Circulation 2009;119:480-486 DOI 10.1161/CIRCULATIONAHA.108.191259
    • Circulation , vol.2009 , Issue.119 , pp. 480-486
    • Lloyd-Jones, D.1    Adams, R.2    Carnethon, M.3
  • 29
    • 58749095297 scopus 로고    scopus 로고
    • Cost-effectiveness of using pharmacogenetic information in warfarin dosing for patients with nonvalvular atrial fibrillation
    • Eckman MH, Rosand J, Greenberg SM, Gage BF. Cost-effectiveness of using pharmacogenetic information in warfarin dosing for patients with nonvalvular atrial fibrillation. Ann Intern Med 2009;150:73-83.
    • (2009) Ann Intern Med , vol.150 , pp. 73-83
    • Eckman, M.H.1    Rosand, J.2    Greenberg, S.M.3    Gage, B.F.4
  • 30
    • 33749324872 scopus 로고    scopus 로고
    • The cost effectiveness of anticoagulation management services for patients with atrial fibrillation and at high risk of stroke in the US
    • DOI 10.2165/00019053-200624100-00009
    • Sullivan PW, Arant TW, Ellis SL, Ulrich H. The cost effectiveness of anticoagulation management services for patients with atrial fibrillation and at high risk of stroke in the US. Pharmacoeconomics 2006;24:1021-1033 (Pubitemid 44497473)
    • (2006) PharmacoEconomics , vol.24 , Issue.10 , pp. 1021-1033
    • Sullivan, P.W.1    Arant, T.W.2    Ellis, S.L.3    Ulrich, H.4
  • 31
    • 0346272860 scopus 로고    scopus 로고
    • Cost-effectiveness of two models of management for patients on chronic warfarin therapy - A Markov model analysis
    • You JH, Chan FW, Wong RS, Cheng G. Cost-effectiveness of two models of management for patients on chronic warfarin therapy - a Markov model analysis. Thromb Haemost 2003;90:1106-1111 DOI 10.1160/TH03-06-0367 (Pubitemid 38004431)
    • (2003) Thrombosis and Haemostasis , vol.90 , Issue.6 , pp. 1106-1111
    • You, J.H.S.1    Chan, F.W.H.2    Wong, R.S.M.3    Cheng, G.4
  • 32
    • 0033984098 scopus 로고    scopus 로고
    • The cost-effectiveness of different management strategies for patients on chronic warfarin therapy
    • DOI 10.1046/j.1525-1497.2000.01239.x
    • Lafata JE, Martin SA, Kaatz S, Ward RE. The cost-effectiveness of different management strategies for patients on chronic warfarin therapy. J Gen Intern Med 2000;15:31-37 DOI 10.1046/j.1525-1497.2000.01239.x (Pubitemid 30060936)
    • (2000) Journal of General Internal Medicine , vol.15 , Issue.1 , pp. 31-37
    • Lafata, J.E.1    Martin, S.A.2    Kaatz, S.3    Ward, R.E.4
  • 33
    • 70349254549 scopus 로고    scopus 로고
    • Outcomes and predictors of very stable INR control during chronic anticoagulation therapy
    • DOI 10.1182/blood-2009-02-207928
    • Witt DM, Delate T, Clark NP, et al. Outcomes and predictors of very stable INR control during chronic anticoagulation therapy. Blood 2009; 114:952-956 DOI 10.1182/blood-2009-02-207928
    • (2009) Blood , vol.114 , pp. 952-956
    • Witt, D.M.1    Delate, T.2    Clark, N.P.3


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