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The 2018 European Guidelines for Myocardial Revascularization suggest that patients should take note of the number of coronary artery bypass grafting (CABG) surgeries performed by a medical center before undergoing CABG at a particular center. The Guidelines point to studies that suggest that the volume of CABG surgeries performed in a hospital significantly impacts outcomes including in-hospital mortality.1,2
Mended Hearts (www.mendedhearts.org) is a national and community-based non-profit organization that has been offering the gift of hope to heart disease patients, their families and caregivers for over sixty-eight years. As the largest peer-to-peer cardiovascular support organization in the world, Mended Hearts seeks to “To inspire hope and improve the quality of life of heart patients and their families through ongoing peer-to-peer support, education, and advocacy”.
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(Gleaned from the 2018 USRDS Annual Data Report: Volume 1, Chapter 9: www.usrds.org)
The Transition of Care in Chronic Kidney Disease (TC-CKD) Special Study Center examines the transition of care to renal replacement therapy (dialysis or transplantation) in patients with very-late-stage (advanced) non-dialysis dependent CKD. These are often persons with an estimated glomerular filtration rate (eGFR) <25 mL/min/1.73m2.
(Gleaned from the 2018 USRDS Annual Data Report: Volume 1, Chapter 7: www.usrds.org)
Persons with chronic kidney disease (CKD), but not end-stage renal disease (ESRD) often have extensive healthcare needs and frequently face coexisting illnesses. Medicare beneficiaries enrolled in managed care grew from 13 percent in 2004 to 33 percent in 2017. In March 2017, 19 million individuals were enrolled in a Medicare Advantage plan.
California’s Legislation of Dialysis Profit Restriction Could Cause DaVita to Lose Up to $40 Million
DaVita has estimated it could lose up to $40 million in revenue if California’s restricting dialysis profits and use of third-party payers to cover Medicare premiums becomes law. The company spent $30 million in Q4 2018 in an effort to counter union policy efforts and spent $93 million on advocacy efforts last year.