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On the cover this month: has always been viewed as a multispecialty discipline, dependent on the aggregate actions of many diverse professionals. As healthcare reform moves us to more explicitly value the actions involved in care delivery, transplant clinicians will need to determine how best to...
Despite movement in the United States toward cost‐saving bundled payments to physicians, the Centers for Medicare and Medicaid Services issued a final rule for the 2 015 Medicare Physician Fee Schedule that unbundles 10‐ and 90‐day global payments, and that allows only zero‐day payment for...
New data reveal phenotypic differences in self‐renewing vs. antibody‐producing memory B cells.
Physician productivity and compensation face a paradox in the era of fee‐for‐value care delivery. See personal viewpoint by Abouljoud et al on page 601.
Although the initial experience with Share 35 liver allocation has enhanced regional sharing for sick liver transplant candidates while increasing organ utilization and national transplant volume, potential costs with regard to system efficiency and the impact on mid‐ to long‐term posttransplant...
The results achieved in the Stanford trial (Scandling et al, page 695), if confirmed, suggest that our community should reconsider long‐held views on the adjunctive role of donor hematopoietic transplant–based strategies in clinical organ transplantation.
Although rotavirus is usually recognized as the most common etiology of diarrhea in young children, it can in fact cause severe diseases in organ transplantation recipients irrespective of pediatric or adult patients. This comprehensive literature analysis revealed 200 cases of rotavirus...
Mast cells (MCs) were primarily recognized as effector cells of allergy. These cells are acting predominantly at the interface between the host and the external environment, such as skin, gastrointestinal and the respiratory tract. Only recently, MCs have gained increased recognition as cells of...
Compensation models for physicians are currently based primarily on the work relative value unit (wRVU) that rewards productivity by work volume. The value‐based payment structure soon to be ushered in by the Centers for Medicare and Medicaid Services rewards clinical quality and outcomes. This...
Intrabone (IB) hematopoietic cell transplantation (HCT) of umbilical cord blood in humans remains experimental and the technique has not been optimized. It is unknown whether hematopoietic progenitor cells (HPCs) injected IB are initially retained in the marrow or rapidly enter into the venous...
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