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Prescription Drug Monitoring Program Mandates and Opioids Dispensed Following Emergency Department Encounters for Patients With Sickle Cell Disease or Cancer With Bone Metastasis | Emergency Medicine | JAMA


Estimated mean probabilities of opioid dispensing following an emergency department (ED) encounter by patients with sickle cell disease or cancer with bone metastasis, conditional on exposure to no prescription drug monitoring program mandate, noncomprehensive, or comprehensive mandates, based on a difference-in-differences analysis including 18 345 ED encounters by 6239 patients with SCD and 26 427 ED encounters by 14 389 patients with cancer with bone metastasis in 2011-2017. Error bars depict 95% CIs.
Figure 2.  Morphine Milligram Equivalents of Opioids Dispensed Following an ED Encounter, by Prescription Drug Monitoring Program Mandates
Estimated mean morphine milligram equivalents of opioids dispensed following an emergency department (ED) encounter by patients with sickle cell disease or cancer with bone metastasis, conditional on exposure to no prescription drug monitoring program mandate, noncomprehensive, or comprehensive mandates, based on a difference-in- ....

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Biden's health care plan: Antitrust enforcement could target hospital monopolies


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Health care monopolies have helped make America’s medical costs the highest in the world. Incoming US Health and Human Services Secretary Xavier Becerra faced that problem head on when he was California’s attorney general.
In that role, Becerra oversaw one of the largest health care antitrust settlements in US history, targeting a San Francisco hospital system that had bought up its competitors and allegedly used manipulative contracting practices to gobble up more and more health care business in the Bay Area.
This consolidation is happening all over America. Hospitals have been merging with one another and buying up physician practices; health insurers have been consolidating as well. The strong consensus of researchers is that this market consolidation leads to higher prices and lower quality for US patients. Fighting it is one way President Joe Biden could deliver on his promise to lower health care costs and improve access for Ame ....

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