ACR Meeting Abstracts

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Abstracts tagged "Cost containment"

  • Abstract Number: 2731 • 2019 ACR/ARP Annual Meeting

    Decomposition Analysis of Spending and Price Trends for Biologic Anti-Rheumatic Drugs in Medicare and Medicaid

    Natalie McCormick1, Zachary Wallace 2, Chana Sacks 3, John Hsu 4 and Hyon K. Choi 5, 1Massachusetts General Hospital and Harvard Medical School, Boston, MA, 2Massachusetts General Hospital, Boston, 3Department of General Internal Medicine, Massachusetts General Hospital; Department of Medicine, Harvard Medical School, Boston, MA, 4Mongan Institute, Massachusetts General Hospital; Department of Health Care Policy, Harvard Medical School, Boston, MA, 5Massachusetts General Hospital, Boston, MA

    Background/Purpose: Billions of public dollars are spent each year on biologic disease-modifying anti-rheumatic drugs (bDMARDs), but the drivers of bDMARD spending and per-patient cost increases…
  • Abstract Number: 2889 • 2019 ACR/ARP Annual Meeting

    From a Potential Solution to Part of the Problem: Analysis of Spending and Price Trends for Brand-Name and Generic Colchicine and Other Gout Medications

    Natalie McCormick1, Zachary Wallace 2, Chio Yokose 3, April Jorge 3, Chana Sacks 4, John Hsu 5 and Hyon K. Choi 3, 1Massachusetts General Hospital and Harvard Medical School, Boston, MA, 2Massachusetts General Hospital, Boston, 3Massachusetts General Hospital, Boston, MA, 4Department of General Internal Medicine, Massachusetts General Hospital; Department of Medicine, Harvard Medical School, Boston, MA, 5Mongan Institute, Massachusetts General Hospital; Department of Health Care Policy, Harvard Medical School, Boston, MA

    Background/Purpose: Gout affects >4 million US adults aged ≥ 65 years, but little is known about the scale and drivers of public spending on gout…
  • Abstract Number: 1114 • 2019 ACR/ARP Annual Meeting

    Survival and Cost of Biologic DMARDs in a Military Medical Center: A Quality Improvement Initiative

    Sarah Smilow1, Caleb Anderson 2, Victoria Sullivan 3, Roger Stitt 4, Patrick Mastin 5, Angelique Collamer 2 and Jess Edison 2, 1Walter Reed National Military Medical Center, Silver Spring, 2Walter Reed National Military Medical Center, Bethesda, MD, 3Walter Reed National Military Medical Center, Bethesda, 4US Army, Ft Eustis, 5William Beaumont Army Medical Center, El Paso, TX

    Background/Purpose: High drug costs and lack of transparency of these costs is a major concern in the United States. Biologic therapy for rheumatoid arthritis (RA)…
  • Abstract Number: 114 • 2017 ACR/ARHP Annual Meeting

    Early Diagnosis and Treatment of RA: Clinical Performance and Economic Outcomes from a Continuing Education Initiative

    David Gazeley1, Michael Weinblatt2 and Stephen Bender3, 1Medicine, Medical College of Wisconsin, Milwaukee, WI, 2Rheumatology, Immunology and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 3FACTORx, Cherry Hill, NJ

    Background/Purpose: The CME initiative RAPID® (Rheumatoid Arthritis: Primary Care Initiative for Improved Diagnosis and Outcomes) is a 7-year series of activities that used national-scope aggregated…
  • Abstract Number: 1043 • 2017 ACR/ARHP Annual Meeting

    Comparison of the Costs for Hyaluronic Acid and Total Knee Arthroplasty in the Treatment of OA for the Blue Cross/Blue Shield Patient Population

    Kevin Ong1, Faizan Niazi2, Edmund Lau3, Peter Shaw2 and Steven Kurtz1, 1Exponent, Inc., Philadelphia, PA, 2Ferring Pharmaceuticals, Inc., Parsippany, NJ, 3Exponent, Inc., Menlo Park, CA

    Background/Purpose: Previous HA studies have focused on the Medicare population, but less is known of the treatment patterns and cost of HA relative to knee…
  • Abstract Number: 1097 • 2017 ACR/ARHP Annual Meeting

    Investigating Opportunities for Cost Conscious Care: A Review of Physician Practice in Ordering Anti-Nuclear Antibody Testing at an Academic Community Hospital

    Hrudya Abraham, Jorge Espinal and Sindhu Joseph, Internal Medicine, MacNeal Hospital, Berwyn, IL

    Background/Purpose: More than 94,000 ANA tests are performed each year resulting in an estimated cost of 2.24 million dollars annually. The American College of Rheumatology…
  • Abstract Number: 1885 • 2017 ACR/ARHP Annual Meeting

    Epidemiology of Hospitalized Adult Onset Still’s Disease in United States

    Bella Y. Mehta1, William Briggs2 and Petros Efthimiou3, 1Rheumatology, Hospital for Special Surgery/Weill Cornell Medicine/Mailman School of Public Health, New York, NY, 2New York Presbyterian/ Brooklyn Methodist Hospital, New York, NY, 3Medicine/Rheumatology, New York University School of Medicine/NYU Langone Health, New York, NY

    Background/Purpose: There is a dearth of epidemiological studies on Adult Onset Still’s Disease (AOSD) and no consensus on its incidence and prevalence. Most studies report…
  • Abstract Number: 1294 • 2015 ACR/ARHP Annual Meeting

    Infection and Screening Costs Related to Tumor Necrosis Factor-Alpha Inhibitor Use

    Elizabeth G. Salt1, Amanda T. Wiggins1, Mary Kay Rayens1, David Mannino2, Huaman Joo Moises3, Allison R. Jones4, Scott A. Merkley5, Philip Schwieterman6 and Leslie J. Crofford7, 1College of Nursing, University of Kentucky, Lexington, KY, 2Colege of Medicine and Public Health, University of Kentucky, Lexington, KY, 3College of Medicine- Infectious Disease, Univesity of Kentucky, Lexington, KY, 4University of Kentucky, Lexington, KY, 5Lexington Clinic, Lexington, KY, 6College of Pharmacy, University of Kentucky, Lexington, KY, 7Medicine, Vanderbilt University, Nashville, TN

    Background/Purpose: Bacterial and fungal infections (e.g., tuberculosis, histoplasmosis) have been associated with the use of TNF-α inhibitors (TNFI). Although screening for specific infections prior to…
  • Abstract Number: 1971 • 2015 ACR/ARHP Annual Meeting

    Healthcare Utilization and Direct Medical Costs of Giant Cell Arteritis

    Matthew J. Koster1, Sara J. Achenbach2, Cynthia S. Crowson2, Eric L. Matteson1, Hilal Maradit Kremers2 and Kenneth J. Warrington1, 1Rheumatology, Mayo Clinic, Rochester, MN, 2Department of Health Sciences Research, Mayo Clinic, Rochester, MN

    Title: Healthcare Utilization and Direct Medical Costs of Giant Cell Arteritis Background/Purpose: Giant cell arteritis (GCA) is the most common systemic vasculitis in patients aged…
  • Abstract Number: 2105 • 2015 ACR/ARHP Annual Meeting

    Drug Survival and Cost Effectiveness in Patients on Reduced Dose Anti-TNF: Results of a 4 Year Prospective Observational Study

    John Stack1, Claire-Louise Murphy2, Clara Bannon1, Eithne Murphy1, Trevor Duffy1 and Maurice Barry1, 1Rheumatology, Connolly Hospital Blanchardstown, Dublin, Ireland, 2Rheumatology, Connolly Hospital Blanchardstow, Dublin, Ireland

    Background/Purpose: Anti-TNF-α drugs are effective treatments for patients with inflammatory arthritis (IA). They are however expensive and their use carries a significant cost burden to…
  • Abstract Number: 2486 • 2015 ACR/ARHP Annual Meeting

    Rheumatoid Arthritis Quality Measures – Automated Display of Care Gaps and Capture of Physician Decision Making at the Clinic Visit

    Eric Newman1, Tarun Sharma2, Alicia Meadows2, Jason Brown3, Michael Rowe4 and Shelly Vezendy5, 1Department of Rheumatology, Geisinger Health System, Danville, PA, 2Rheumatology, Geisinger Health System, Danville, PA, 3Henry Hood Center for Clinical Research, Geisinger Health System, Danville, PA, 4Institute for Advanced Application, Geisinger Health System, Danville, PA, 5Division of Medicine, Geisinger Health System, Danville, PA

    Background/Purpose:  Rheumatoid Arthritis (RA) quality measures evaluate performance, and thus do not by themselves result in improvement.  The ideal system to improve quality would provide…
  • Abstract Number: 2632 • 2014 ACR/ARHP Annual Meeting

    The Cornerstone to Reasonable Allocation of Health Resource: Valuation of Health Utility in Systemic Lupus Erythematosus

    Suli Wang and Liangjing Lu, Department of Rheumatology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China

    Background/Purpose:  In a time of increasing economic constraints, it is crucial that health systems optimize their resource use to ensure that they generate the maximum…
  • Abstract Number: 2277 • 2014 ACR/ARHP Annual Meeting

    Inpatient Pediatric Rheumatic Diseases: Characteristics, Cost and Trends

    Monica Mahajan1, Mohammad Shah2, Mary Toth3,4, Neil McNinch5 and Moussa El-Hallak6, 1Department of Pediatrics, Akron Children's Hospital, Akron, OH, 2Patient Safety and Quality Services, Akron Children's Hospital, Akron, OH, 3Akron Children's Hospital, Akron, OH, 4Rheumatology, Akron Children's Hospital, Akron, OH, 5Rebecca D. Considine Research Institute, Akron Children's Hospital, Akron, OH, 6Dept of Pediatric Rheumatology, Akron Children's Hospital, Akron, OH

    Background/Purpose: Childhood rheumatic diseases (cRD) have wide spectrum of complexity and disease course from mild disease to acute fulminate disease and even sudden death. Physicians…
  • Abstract Number: 2232 • 2014 ACR/ARHP Annual Meeting

    Cost-Effectiveness of Glucosamine, Chondroitin Sulfate, Their Combination, Celecoxib,Non-Selective Non-Steroidal Anti-Inflammatory Drugs, and Placebo in Treating Knee Osteoarthritis

    Vishvas Garg1, Dennis Raisch2, Ning Yan Gu3, Matthew E Borrego3 and Daniel O. Clegg4, 1College of Pharmacy, University of New Mexico (at the time of research), Grayslake, IL, 2College of Pharmacy, University of New Mexico, Albuquerque, NM, 3University of New Mexico, Albuquerque, NM, 4Rheumatology, George Wahlen VA Medical Center/University of Utah, Salt Lake City, UT

    Background/Purpose: Knee osteoarthritis (KOA) affects 13.8% of the US population aged ≥26, causing significant burden-of-illness. We compared the cost-effectiveness of conventional medicines such as non-steroidal…
  • Abstract Number: 1857 • 2014 ACR/ARHP Annual Meeting

    Determinants of Annual Healthcare Utilization and Overall Cost of Care in Individuals with Systemic Lupus Erythematosus in a Large Insurance Claims Database: Glucocorticoid Use

    Shih-Yin Chen1, Chan-Bum Choi2,3,4, Qian Li5, Wei-Shi Yeh1, Yuan-Chi Lee6, Amy H Kao1 and Matthew H. Liang7, 1Biogen Idec, Cambridge, MA, 2Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, South Korea, 3Section of Rheumatology, VA Healthcare System, Boston, MA, 4Department of Aging, Brigham and Women's Hospital, Boston, MA, 5Evidera, Lexington, MA, 6Formerly of Evidera, Lexington, MA, 7Harvard Medical School, Boston, MA

    Background/Purpose: Newer therapeutic agents in systemic lupus erythematosus (SLE) may increase cost of care but their effect on limiting the duration and the dosage of…
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