Value based pricing

The most widespread healthcare reimbursement models, including diagnostic laboratory services, are Fee-for-Service, Reference Pricing and Diagnosis-Related Groups. Within these models healthcare providers are remunerated for each specific service or procedure they operate. Healthcare payers are increasingly exploring alternative models, such as bundled payments or value-based reimbursement to encourage value of patient care rather than the simple amount of delivered services. These alternative models are advised, as they are more efficient in promoting cost-effective, high-quality laboratory testing, thereby improving patient health outcomes...

This article examines the impact and mechanism of political connections on stock price fluctuations after the resignation of independent directors with "official" status, based on the exogenous influence of Document No. 18 of the Central Organization Department. Using panel data of A-share listed companies on the Shanghai and Shenzhen stock markets from 2012 to 2020, the experimental group and control group for political affiliation deficiency events were determined through propensity score matching (PSM), and a quasi natural experiment was constructed using differences in differences (DID) for empirical research...

Sodium-ion batteries (NIBs) can use elements that are abundantly present in Earth's crust and are technologically feasible for replacing lithium-ion batteries (LIBs). Hence, NIBs are essential components for sustainable energy storage applications. All-solid-state sodium batteries are among the most capable substitutes to LIBs because of their potential to have low price, great energy density, and consistent safety. Nevertheless, more advancements are needed to improve the electrochemical performance of the Na3 V2 (PO4 )3 (NVP) cathode for NIBs, especially with regard to rate performance and operational lifespan...

Bitcoin, a global financial asset, surpassed one trillion USD in November 2021, but its environmental impact may cause a 2 °C temperature rise by 2050. Using causal and connectedness analysis, we uncover non-linear relationships between bitcoin's energy consumption, price, and the Crypto Volatility Index. This study uses 1458 daily observations from several databases from March 31, 2019, to March 30, 2023. The phenomenon was analyzed using the theory of production and value investing theory. While the relationship between bitcoin-based electricity consumption and crypto market volatility is bidirectional, Granger causality tests reveal that bitcoin prices Granger-cause electricity consumption, but the converse is not true...

PURPOSE: To investigate the cost-effectiveness of lenvatinib plus pembrolizumab (LP) compared to chemotherapy as a second-line treatment for advanced endometrial cancer (EC) from the United States and Chinese payers' perspective. METHODS: In this economic evaluation, a partitioned survival model was constructed from the perspective of the United States and Chinese payers. The survival data were derived from the clinical trial (309-KEYNOTE-775), while costs and utility values were sourced from databases and published literature...

Accurate and efficient valuation of property is of utmost importance in a variety of settings, such as when securing mortgage finance to purchase a property, or where residential property taxes are set as a percentage of a property's resale value. Internationally, resale based property taxes are most common due to ease of implementation and the difficulty of establishing site values. In an Irish context, property valuations are currently based on comparison to recently sold neighbouring properties, however, this approach is limited by low property turnover...

BACKGROUND: Controlled environment agriculture (CEA), particularly vertical farms (VF), also called plant factories, is often claimed as a solution for global food security due to its ability to produce crops unaffected by weather or pests. In principle, essential macronutrients of the human diet, like protein, could technically be produced in VF. This aspect becomes relevant in the era of protein transition, marked by an increasing consumer interest in plant-based protein and environmental challenges faced by conventional farming...

OBJECTIVE: The purpose of this study was to investigate the diagnostic value of urine lipoarabinomannan (LAM) detection based on chemiluminescence assay for pulmonary tuberculosis (PTB) and extrapulmonary tuberculosis (EPTB) in HIV-negative individuals. METHODS: A total of 215 patients and 37 healthy individuals were included according to inclusion and exclusion criteria, including 173 cases of PTB and 42 cases of EPTB. Sputum smears, sputum culture, TB-RNA, GeneXpert, and urine LAM results were obtained from all patients before treatment...

This study assessed the economic sustainability and contribution of tomato farming ventures to Addis Ababa's resilience. Using a project-based evaluation method, the profitability of tomato production was analyzed with and without the cost of water. The results showed that including the cost of water, the venture had a negative net present value (NPV) of 30100 USD/hectare/annum, an internal rate of return (IRR) of 0.2%, a payback period (PBP) of over ten years, and a cost-benefit ratio (CBR) of 0.83. However, without the cost of water, the venture showed a subtle profit, with an NPV of 15100 USD/hectare/annum, an IRR of 21%, a PBP of 2...

This study addresses critical gaps in supply chain management (SCM) by integrating emission-risk minimization (ERM), green purchasing (GP), and profit maximization (PM). The research focuses on the optimal behaviors of manufacturers, agents, and retailers within the SCM framework to achieve carbon neutrality and reduce carbon dioxide emissions (CO2 e). This study considers Guangdong province, China, a region facing challenges in optimizing energy systems and meeting CO2 e reduction targets. Simulation-based optimization techniques within mathematical models are employed...

BACKGROUND: Astragalus is a widely used traditional Chinese medicine material that is easily confused due to its quality, price and other factors derived from different origins. This article describes a novel method for the rapid tracing and detection of Astragalus via the joint application of an electronic tongue (ET) and an electronic eye (EE) combined with a lightweight CNN-transformer model. First, ET and EE systems are employed to measure the taste fingerprints and appearance images of different Astragalus samples, respectively...

OBJECTIVES: Value-based pricing (VBP) determines product prices based on their perceived benefits. In healthcare, VBP prices medical technologies considering health outcomes and other relevant factors. This study applies VBP using economic evaluation to provider-patient communication, taking cognitive behavioral therapy (CBT) for adult primary care patients with depressive disorders as a case study. METHODS: A 12-week decision-tree model was developed from the German social health insurance system's perspective, comparing CBT against the standard of care...

OBJECTIVE: To use a nationwide pharmaceutical claims database to evaluate cost-sharing trends for commercially insured patients with cancer who were prescribed lenvatinib (Lenvima). STUDY DESIGN: IBM MarketScan databases were used to evaluate lenvatinib costs for patients with employer-based commercial insurance, and for patients 65 years and older, Medicare claims for fee-for-service plans. METHODS: Patients were included if they had least 1 outpatient pharmaceutical claim for lenvatinib paid on a noncapitated basis from 2015 to 2019...

The evolution of the automobile market is a macro-expression of the behavior of automakers' production decisions. This study examines the competitive environment between new energy vehicles (NEVs) and conventional fuel vehicles (CFVs) and develops a game-theoretical model incorporating consumer utility, automaker profit, and the competitive density of NEVs and CFVs. It aims to assess how consumers' preferences for vehicle range and smart features influence automakers' strategic decisions and the broader market evolution under the Dual Credit Policy...

Banking and stock markets consider gold to be an important component of their economic and financial status. There are various factors that influence the gold price trend and its fluctuations. Accurate and reliable prediction of the gold price is an essential part of financial and portfolio management. Moreover, it could provide insights about potential buy and sell points in order to prevent financial damages and reduce the risk of investment. In this paper, different architectures of deep neural network (DNN) have been proposed based on long short-term memory (LSTM) and convolutional-based neural networks (CNN) as a hybrid model, along with automatic parameter tuning to increase the accuracy, coefficient of determination, of the forecasting results...

OBJECTIVE: To evaluate the impact of NICE's new severity modifier, which has replaced the end-of-life (EoL) premium, on future NICE recommendations, considering past decision-making patterns. METHODS: NICE technology appraisals (TAs) published between January 2020 and December 2022 were reviewed. Summary statistics were generated to assess how the new severity modifier might impact hypothetical decision-making in historical TAs. RESULTS: A total of 138 data points were identified from 132 TAs...

The multilevel model of behavioral selection (MLBS) by Borgstede and Eggert (Behav Process 186:104370. 10.1016/j.beproc.2021.104370 , 2021) provides a formal framework that integrates reinforcement learning with natural selection using an extended Price equation. However, the MLBS is so far only formulated for homogeneous populations, thereby excluding all sources of variation between individuals. This limitation is of primary theoretical concern because any application of the MLBS to real data requires to account for variation between individuals...

BACKGROUND: The emergence of high-priced potential cures has sparked significant health policy discussions in South Korea, where the healthcare system is funded through a single-payer National Health Insurance model. We conducted focus group interviews (FGIs) and accompanying surveys with diverse stakeholders to comprehensively understand related issues and find better solutions to the challenges brought by these technologies. METHODS: From October to November 2022, 11 FGIs were conducted with stakeholders from various sectors, including government payers, policy and clinical experts, civic and patient organisations, and the pharmaceutical industry, involving a total of 25 participants...

BACKGROUND: Opioids are effective painkillers used for medical purposes. Their prolonged ingestion can provoke some side effects (including overdose or constipation) that are minimized by using opioid antagonists (e.g., naloxone). The rapid determination of opioids and their antagonists in biosamples is essential for an effective medical treatment. The direct combination of sample preparation and mass spectrometry (MS) fits well in this scenario. It can speed up the analysis achieving a good selectivity, which relies on the sample preparation and MS, and sensitivity levels...

High protein content, excellent amino acid profile, absence of anti-nutritional factors (ANFs), high digestibility and good palatability of fishmeal (FM), make it a major source of protein in aquaculture. Naturally derived FM is at risk due to an increase in its demand, unsustainable practices, and price. Thus, there is an urgent need to find affordable and suitable protein sources to replace FM. Plant protein sources are suitable due to their widespread availability and low cost. However, they contained certain ANFs, deficiency of some amino acids, low nutrient bioavailability and poor digestibility due to presence of starch and fiber...