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Warranties And Reimbursements For Family Caregivers Provide Alternative Payment Methods
The New York Times reports on a proposal for a new health care reimbursement model that offers warranties to patients, a topic also examined in a piece by Francois de Brantes in the journal, Health Affairs. Brantes and co-authors developed a model, called the Prometheus Payment, which offers set fees to providers that "cover all recommended services, treatments and procedures for specific conditions but are also "risk-adjusted" for patients who may be older or frail. The warranty is based on the costs incurred by avoidable complications. In current fee-for-service plans, all costs from these complications are covered by the third party payer, regardless. But in the Prometheus Payment model, half of the costs from avoidable complications must be paid for by the providers themselves. The result, Mr. de Brantes and his co-authors write, is a payment system that offers patients a health care warranty, since "providers win or lose financially based on their actual performance in reducing the incidence of avoidable complications.""
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Critical Marker Of Response To Gemcitabine In Pancreatic Cancer Identified By Jefferson Researchers
A protein related to aggressive cancers can actually improve the efficacy of gemcitabine at treating pancreatic cancer, according to a Priority Report in Cancer Research, published by researchers at Thomas Jefferson University.
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Welsh Assembly Government Written Statement - National Social Services Conference 2009, Wales
Title:
Mental Health

Parkinson's Disease As A Risk Factor For Compulsive Gambling And Impulse Control Disorders

There is also increasing knowledge about higher frequency of compulsive behavior in patients with PD compared to the general population. "These impulse control disorders such as pathological gambling, hyper-sexuality, compulsive shopping, compulsive eating or compulsive overuse of dopaminergic drugs can lead to monetary losses or worsen social handicap of PD patients," Professor Bassetti explains. A current study from the Czech Republic being presented at the ENS meeting in Milan compared 20 patients with PD manifested before age 45 with 20 control subjects. A computer version of the Iowa Gambling Task (IGT) was used for testing. Patients with PD showed a significantly lower IGT-score - defined as the difference between a number of advantageous and disadvantageous choices - compared with the control group. "It is necessary to consider pathological gambling in young Parkinson patients with regards to their treatment and possible clinical and sociological outcomes", the researchers concluded. European Neurological Society


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