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AKI-associated in-hospital costs were calculated for 2013 according to DRG-related calculation for single diagnosis/ procedure and adjusted to nationwide base case value for reimbursement.
A more rigorous and scientifically robust phase IV within the drug development system [ 1] is important both for the continuous appraisal of the benefit-risk profile of a drug and for the evaluation of the drug's economic value (for reimbursement purposes, for example).
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Values used for reimbursement in this cost minimization analysis represent 106% of third quarter 2010 manufacturers' U.S. average sales prices for IVIg.
This is now practically evident in the paradigm shift from a fee-for-service to a value-based model for reimbursement [51], in the context of a reduction or at least an end of expansion of healthcare expenditure [52].
Because the reimbursement value for functional disorders is relatively low, this result might lead to an under diagnosis.
Systematic information on costs and consequences has been called for to support decision-making both in order to control health care spending; and to document value for money to facilitate reimbursement of telemedicine activities.
The utility values reported here can be used to complement technology appraisals for reimbursement assessments in which utility values are used to construct quality-adjusted life-years (QALYs).
An intervention may be considered to offer value for money and hence be considered for reimbursement when its costs per QALY are lower than some relevant threshold [ 1].
The pCODR Expert Review Committee (pERC) is responsible for assessing the clinical value and cost-effectiveness of cancer drugs submitted for reimbursement.
Every so often, the health authorities strike a batch of drugs off the list for reimbursement under the social-security rules, because of "insufficient therapeutic value".
Of the POC u/s studies coded and reported for reimbursement, 15.9 % were billed before intervention and 32%% were billed after intervention (p value: 0.000) (Fig. 3).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com