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Journal articles on the topic 'Insurance Claims Database'

Author: Grafiati

Published: 4 June 2021

Last updated: 17 February 2022

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1

Sato, Daisuke, Takeru Shiroiwa, and Takashi Fukuda. "PP079 The Construction Of Database Using Japanese National Claims Database." International Journal of Technology Assessment in Health Care 33, S1 (2017): 108. http://dx.doi.org/10.1017/s0266462317002501.

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INTRODUCTION:In 2014, the Ministry of Health, Labor and Welfare (MHLW) in Japan began to assume a cost-effectiveness perspective. Some expensive pharmaceutical and medical devices have been regulated, which resulted in a drastic change of the healthcare system.The Japanese National Insurance Claims Database (NDB) is an administrative database based on claims data from Medical Insurance Claims since 2008. The government enacted the Act on Assurance of Medical Care for Elderly People during health care reform in 2008. In 2006, the MHLW commenced discussions on a framework for the optimization of

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Schaefer, Eric, Evangelos Messaris, Christopher Hollenbeak, and Audrey Kulaylat. "Truven Health Analytics MarketScan Databases for Clinical Research in Colon and Rectal Surgery." Clinics in Colon and Rectal Surgery 32, no. 01 (2019): 054–60. http://dx.doi.org/10.1055/s-0038-1673354.

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AbstractThe MarketScan databases are a family of administrative claims databases that contain data on inpatient and outpatient claims, outpatient prescription claims, clinical utilization records, and healthcare expenditures. The three main databases available for use are each composed of a convenience sample for one of the following patient populations: (1) patients with employer-based health insurance from contributing employers, (2) Medicare beneficiaries who possess supplemental insurance paid by their employers, and (3) patients with Medicaid in one of eleven participating states. Eleven

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Landis, Sarah H., Beth L. Nordstrom, Leah B. Sansbury, et al. "Disruptions in Liver Function among Cancer Patients and Patients Treated with Tyrosine Kinase Inhibiting Drugs: Comparisons of Two Population-Based Databases." Journal of Cancer Epidemiology 2013 (2013): 1–11. http://dx.doi.org/10.1155/2013/358285.

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Liver toxicity is a recognized adverse event associated with small molecule tyrosine kinase inhibitors (TKIs). Electronic Medical Record (EMR) databases offer the most precise data to investigate the rate of liver function test (LFT) elevations; however, they can be limited in sample size and costly to access and analyze. Health insurance claims databases often contain larger samples sizes but may lack key health information. We evaluated the feasibility of utilizing a large claims database to calculate incidence rates (IRs) of LFT elevations among a general cohort of cancer patients and a coh

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Miura, Masayoshi, Keiko Sato, Hisao Muto, Kusuma Gopala, and Katsiaryna Holl. "Intussusception in Japanese infants: Analysis of health insurance claims database." Open Journal of Pediatrics 03, no. 04 (2013): 311–16. http://dx.doi.org/10.4236/ojped.2013.34056.

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Ricchetti-Masterson, Kristen, Molly Aldridge, John Logie, Nittaya Suppapanya, and Suzanne F. Cook. "Exploring Methods to Measure the Prevalence of Ménière's Disease in the US Clinformatics™ Database, 2010-2012." Audiology and Neurotology 21, no. 3 (2016): 172–77. http://dx.doi.org/10.1159/000441963.

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Recent studies on the epidemiology of the inner-ear disorder Ménière's disease (MD) use disparate methods for sample selection, case identification and length of observation. Prevalence estimates vary geographically from 17 to 513 cases per 100,000 people. We explored the impact of case detection strategies and observation periods in estimating the prevalence of MD in the USA, using data from a large insurance claims database. Using case detection strategies of ≥1, ≥2 and ≥3 ICD-9 claim codes for MD within a 1-year period, the 2012 prevalence estimates were 66, 27 and 14 cases per 100,000 peop

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Hrzic, Rok, Timo Clemens, Daan Westra, and Helmut Brand. "Comparability in Cross-National Health Research Using Insurance Claims Data: The Cases of Germany and The Netherlands." Das Gesundheitswesen 82, S 01 (2019): S83—S90. http://dx.doi.org/10.1055/a-1005-6792.

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Abstract Objective Comparison is a key method in learning about what works in health and healthcare. We discuss the importance of comparability in cross-national health research using health insurance claims data, develop a framework to systematically asses these threats and apply it to the German (DaTraV) and Dutch (Vektis) national-level insurance claims datasets. Methods We propose a framework of threats to the comparability of health insurance claims databases, which includes three domains: (1) representation of populations compared, (2) data sources and data processing and (3) database co

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Loftus, Edward V., David J. Delgado, Howard S. Friedman, and William J. Sandborn. "Colectomy for Ulcerative Colitis in a Large Private Insurance Claims Database." American Journal of Gastroenterology 101 (September 2006): S438—S439. http://dx.doi.org/10.14309/00000434-200609001-01121.

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Loftus, Edward V., David J. Delgado, Howard S. Friedman, and William J. Sandborn. "Colectomy for Ulcerative Colitis in a Large Private Insurance Claims Database." American Journal of Gastroenterology 101 (September 2006): S439. http://dx.doi.org/10.14309/00000434-200609001-01122.

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Ryu, Dong-Ryeol. "Introduction to the Medical Research Using National Health Insurance Claims Database." Ewha Medical Journal 40, no. 2 (2017): 66. http://dx.doi.org/10.12771/emj.2017.40.2.66.

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Nagai, Katsuhiko, Takashi Tanaka, Norihisa Kodaira, Shinya Kimura, Yoshimitsu Takahashi, and Takeo Nakayama. "Data resource profile: JMDC claims database sourced from health insurance societies." Journal of General and Family Medicine 22, no. 3 (2021): 118–27. http://dx.doi.org/10.1002/jgf2.422.

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Williams, PhD, MS, Rachel E., Timothy J. Sampson, BS, Linda Kalilani, MBBS, PhD, John I. Wurzelmann, MD, MPH, and Stephen W. Janning, PharmD. "Epidemiology of opioid pharmacy claims in the United States." Journal of Opioid Management 4, no. 3 (2018): 145. http://dx.doi.org/10.5055/jom.2008.0019.

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Objective: To describe opioid pharmacy claims patterns in the United States among an insured population.Design: Information was obtained from the US insurance claims database, IMS Lifelink™, between 1997 and 2002. Descriptive statistics of opioid claims patterns were described with stratification by gender, age, and year of use.Results: The prevalence of insured people with opioid claims increased from 17.1 percent in 1997 to 18.4 percent in 2002. Among people with an opioid claim, 24 percent had ≥30 days and 10 percent had ≥90 days of days supplied based on the insurance claims. Prevalence va

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Garg, Mahek, Karina Raimundo, Anisha Patel та Richard H. Ko. "Pain Management in Hemophilia Α: Analysis of a Large US Insurance Claims Database". Blood 132, Supplement 1 (2018): 2234. http://dx.doi.org/10.1182/blood-2018-99-116989.

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Abstract Introduction: Persons with hemophilia A (PwHA) can develop pain resulting from joint and/or muscle bleeding over time, which can be debilitating and decrease quality of life. Hemophilia A guidelines recommend medications and other interventions to manage pain, however, little is known about how PwHA in the US use different interventions to manage pain. This study aims to describe interventions for pain management in PwHA in the US. Methods: This retrospective cross-sectional analysis identified PwHA between 2006-2015 using data from Truven Health Analytics MarketScan® Commercial Datab

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Holst, Bodil Ström, Eva Axnér, Malin Öhlund, Lotta Möller, and Agneta Egenvall. "Dystocia in the cat evaluated using an insurance database." Journal of Feline Medicine and Surgery 19, no. 1 (2016): 42–47. http://dx.doi.org/10.1177/1098612x15600482.

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Objectives The aim of this study was to describe the incidence of feline dystocia with respect to breed. Methods The data used were reimbursed claims for veterinary care insurance and/or life insurance claims in cats registered in a Swedish insurance database from 1999–2006. Results The incidence rates for dystocia were about 22 cats per 10,000 cat-years at risk, 67 per 10,000 for purebred cats and seven per 10,000 for domestic shorthair cats. The median age was 2.5 years. A significant effect of breed was seen. An incidence rate ratio (IRR) that was significantly higher compared with other pu

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Borah, Bijan J., Xiaoxi Yao, Shannon K. Laughlin-Tommaso, Herbert C. Heien, and Elizabeth A. Stewart. "Comparative Effectiveness of Uterine Leiomyoma Procedures Using a Large Insurance Claims Database." Obstetrics & Gynecology 130, no. 5 (2017): 1047–56. http://dx.doi.org/10.1097/aog.0000000000002331.

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Mahajerin, Arash, Erru Yang, and Anisha M. Patel. "Characteristics of Hemophilia A Patients Treated with Emicizumab: an Early View using Claims Database Analysis." Blood 134, Supplement_1 (2019): 4928. http://dx.doi.org/10.1182/blood-2019-123724.

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Introduction Hemophilia A is a genetic bleeding disorder characterized by bleeding episodes due to deficiency of factor VIII (FVIII). Emicizumab (EMI) is a recombinant, humanized, bispecific factor IXa- and factor X-directed monoclonal antibody, indicated for routine prophylaxis in all persons with hemophilia A (PwHA) with or without FVIII inhibitors. This study aimed to provide an early view of the characteristics of PwHA who are treated with emicizumab. Methods This was a retrospective cohort study using US commercial insurance claims data from MarketScan Commercial Research Database and Pha

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IKUOMOLA, A. J., and O. E. Ojo. "AN EFFECTIVE HEALTH CARE INSURANCE FRAUD AND ABUSE DETECTION SYSTEM." Journal of Natural Sciences Engineering and Technology 15, no. 2 (2017): 1–12. http://dx.doi.org/10.51406/jnset.v15i2.1662.

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Due to the complexity of the processes within healthcare insurance systems and the large number of participants involved, it is very difficult to supervise the systems for fraud. The healthcare service providers’ fraud and abuse has become a serious problem. The practices such as billing for services that were never rendered, performing unnecessary medical services and misrepresenting non-covered treatment as covered treatments etc. not only contribute to the problem of rising health care expenditure but also affect the health of the patients. Traditional methods of detecting health care fraud

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Matsuda, Shinichi, Takumi Ohtomo, Shiho Tomizawa, et al. "Incorporating Unstructured Patient Narratives and Health Insurance Claims Data in Pharmacovigilance: Natural Language Processing Analysis of Patient-Generated Texts About Systemic Lupus Erythematosus." JMIR Public Health and Surveillance 7, no. 6 (2021): e29238. http://dx.doi.org/10.2196/29238.

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Background Gaining insights that cannot be obtained from health care databases from patients has become an important topic in pharmacovigilance. Objective Our objective was to demonstrate a use case, in which patient-generated data were incorporated in pharmacovigilance, to understand the epidemiology and burden of illness in Japanese patients with systemic lupus erythematosus. Methods We used data on systemic lupus erythematosus, an autoimmune disease that substantially impairs quality of life, from 2 independent data sets. To understand the disease’s epidemiology, we analyzed a Japanese heal

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Spekkers, M. H., F. H. L. R. Clemens, and J. A. E. ten Veldhuis. "On the occurrence of rainstorm damage based on home insurance and weather data." Natural Hazards and Earth System Sciences 15, no. 2 (2015): 261–72. http://dx.doi.org/10.5194/nhess-15-261-2015.

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Abstract. Rainstorm damage caused by the malfunction of urban drainage systems and water intrusion due to defects in the building envelope can be considerable. Little research on this topic focused on the collection of damage data, the understanding of damage mechanisms and the deepening of data analysis methods. In this paper, the relative contribution of different failure mechanisms to the occurrence of rainstorm damage is investigated, as well as the extent to which these mechanisms relate to weather variables. For a case study in Rotterdam, the Netherlands, a property level home insurance

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Spekkers, M. H., F. H. L. R. Clemens, and J. A. E. ten Veldhuis. "On the occurrence of rainstorm damage based on home insurance and weather data." Natural Hazards and Earth System Sciences Discussions 2, no. 8 (2014): 5287–313. http://dx.doi.org/10.5194/nhessd-2-5287-2014.

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Abstract. Rainstorm damage caused by malfunctioning of urban drainage systems and water intrusion due to defects in the building envelope can be considerable. Little research on this topic focused on the collection of damage data, the understanding of damage mechanisms and the deepening of data analysis methods. In this paper, the relative contribution of different failure mechanisms to the occurrence of rainstorm damage are investigated, as well as the extent to which these mechanisms relate to weather variables. For a case study in Rotterdam, the Netherlands, a property level home insurance

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Lanes, Stephan F., and Cynthia de Luise. "Bias due to False-Positive Diagnoses in an Automated Health Insurance Claims Database." Drug Safety 29, no. 11 (2006): 1069–75. http://dx.doi.org/10.2165/00002018-200629110-00006.

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Chappidi, Meera R., Max Kates, Nikolai A. Sopko, et al. "Erectile Dysfunction Treatment Following Radical Cystoprostatectomy: Analysis of a Nationwide Insurance Claims Database." Journal of Sexual Medicine 14, no. 6 (2017): 810–17. http://dx.doi.org/10.1016/j.jsxm.2017.04.002.

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Blin, Patrick, François Philippe, Stéphane Bouée, et al. "Outcomes following acute hospitalised myocardial infarction in France: An insurance claims database analysis." International Journal of Cardiology 219 (September 2016): 387–93. http://dx.doi.org/10.1016/j.ijcard.2016.06.102.

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Antonio, Katrien, Edward W. Frees, and Emiliano A. Valdez. "A Multilevel Analysis of Intercompany Claim Counts." ASTIN Bulletin 40, no. 1 (2010): 151–77. http://dx.doi.org/10.2143/ast.40.1.2049223.

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AbstractIt is common for professional associations and regulators to combine the claims experience of several insurers into a database known as an “intercompany” experience data set. In this paper, we analyze data on claim counts provided by the General Insurance Association of Singapore, an organization consisting of most of the general insurers in Singapore. Our data comes from the financial records of automobile insurance policies followed over a period of nine years. Because the source contains a pooled experience of several insurers, we are able to study company effects on claim behavior,

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Owusu-Edusei, Kwame, Carla A. Winston, Suzanne M. Marks, Adam J. Langer, and Roque Miramontes. "Tuberculosis Test Usage and Medical Expenditures from Outpatient Insurance Claims Data, 2013." Tuberculosis Research and Treatment 2017 (2017): 1–9. http://dx.doi.org/10.1155/2017/3816432.

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Objective. To evaluate TB test usage and associated direct medical expenditures from 2013 private insurance claims data in the United States (US). Methods. We extracted outpatient claims for TB-specific and nonspecific tests from the 2013 MarketScan® commercial database. We estimated average expenditures (adjusted for claim and patient characteristics) using semilog regression analyses and compared them to the Centers for Medicare and Medicaid Services (CMS) national reimbursement limits. Results. Among the TB-specific tests, 1.4% of the enrollees had at least one claim, of which the tuberculi

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Spekkers, M. H., M. Kok, F. H. L. R. Clemens, and J. A. E. ten Veldhuis. "A statistical analysis of insurance damage claims related to rainfall extremes." Hydrology and Earth System Sciences Discussions 9, no. 10 (2012): 11615–40. http://dx.doi.org/10.5194/hessd-9-11615-2012.

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Abstract. In this paper, a database of water-related insurance damage claims related to private properties and content was analysed. The aim was to investigate whether high numbers of damage claims were associated with high rainfall intensities. Rainfall data were used for the period of 2003–2010 in the Netherlands based on a network of 33 automatic rain gauges operated by the Royal Netherlands Meteorological Institute. Insurance damage data were aggregated to areas within 10-km range of the rain gauges. Through a logistic regression model, high claim numbers were linked to maximum rainfall in

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Petrucci, Emiliano, Alessandro Vittori, Marco Cascella, et al. "Litigation in Anesthesia and Intensive Care Units: An Italian Retrospective Study." Healthcare 9, no. 8 (2021): 1012. http://dx.doi.org/10.3390/healthcare9081012.

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Anesthesiologists consider professional insurance and its medico-legal problems as a remarkable aspect of their job. “Associazione Anestesisti Rianimatori Ospedalieri Italiani—Emergenza ed Area Critica” (AAROI-EMAC) is the Italian professional association of anesthesiologists and intensivists that works to train its subscribers on safety measures. This is a retrospective observational study on an insurance complaints database for anesthetic accidents that result in injuries to patients. The analyzed period runs from 1 January 2014 to 31 December 2016. A total of 1309 complaints related to 873

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Ordaz, Jose Antonio, Maria Del Carmen Melgar, and M. Kazim Khan. "An Analysis of Spanish Accidents in Automobile Insurance: The Use of the Probit Model and the Theoretical Potential of Other Econometric Tools." Equilibrium 6, no. 3 (2011): 117–34. http://dx.doi.org/10.12775/equil2011.024.

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Automobile insurance is one of the main pillars of the entire insurance industry in the developed economies. Knowing as much as possible about the factors related to the accidents is an essential issue for the insurance companies so that they may improve their levels of efficiency. Therefore, in this paper we focus on studying the most relevant variables that help explain the registration of claims in the automobile insurance sector. For this purpose, we fit a probit model specification using a database from a Spanish insurance company. Our research points out the significance of certain varia

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Hayashi, Yuta, Naoki Yoshinaga, Yosuke Sasaki, et al. "How was cognitive behavioural therapy for mood disorder implemented in Japan? A retrospective observational study using the nationwide claims database from FY2010 to FY2015." BMJ Open 10, no. 5 (2020): e033365. http://dx.doi.org/10.1136/bmjopen-2019-033365.

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ObjectivesTo clarify the dissemination status of cognitive behavioural therapy (CBT) in Japan under the national health insurance scheme.DesignRetrospective observational study.SettingNational Database of Health Insurance Claims and Specific Health Checkups of Japan.ParticipantsPatients who received CBT under the national health insurance scheme from fiscal years (FY) 2010 to 2015.Primary and secondary outcome measuresWe estimated the change rate and the standardised claim ratio (SCR) for the number of patients receiving CBT and analysed the association between the CBT status and several regio

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Abdullah Izzul Islam, Asep Jamaludin, and Nono Heryana. "Sistem Pendukung Keputusan Kelayakan Klaim Asuransi Menggunakan Metode AHP." Jurnal Informatika Polinema 7, no. 2 (2021): 115–22. http://dx.doi.org/10.33795/jip.v7i2.398.

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Insurance growth in Indonesia has recently experienced a pretty good increase, this is evidenced by the statistics of IKNB (Non-Bank Financial Industry) issued by the OJK (Financial Services Authority) in February 2020. In December 2018 the number of IKNB actors was 1260 and then increased every month until December 2019 IKNB actors totaled 1330. From these data IKNB actors experienced a pretty good increase, where insurance is included in the industry. With so many IKNB actors PT. SICO Andalan Utama, which is one of the companies engaged in the industry, is feeling the improvement. However, w

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Strezsak, Valerie, Cristina Almansa, Sudhakar Manne, and Paul Dolin. "Tu1623 – Epidemiology of Cyclic Vomiting Syndrome: Analysis of a Large US Insurance Claims Database." Gastroenterology 156, no. 6 (2019): S—1065—S—1066. http://dx.doi.org/10.1016/s0016-5085(19)39627-1.

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Cho, S. K., D. Kim, S. Y. Won, et al. "AB1177 Validation of Rheumatoid Arthritis Diagnosis in the Korean National Health Insurance Claims Database." Annals of the Rheumatic Diseases 74, Suppl 2 (2015): 1296.3–1297. http://dx.doi.org/10.1136/annrheumdis-2015-eular.5460.

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Kim, S. W., T. Akiyama, and A. Morishita. "PNS73 Retrospective Study for Comorbidities in ACTIVE Population Using Japanese Health Insurance Claims Database." Value in Health Regional Issues 22 (September 2020): S94. http://dx.doi.org/10.1016/j.vhri.2020.07.492.

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Cha, Yu-Jin. "The Economic Burden of Stroke Based on South Korea’s National Health Insurance Claims Database." International Journal of Health Policy and Management 7, no. 10 (2018): 904–9. http://dx.doi.org/10.15171/ijhpm.2018.42.

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Cook, Michael B., Daniel C. Beachler, Lauren E. Parlett, et al. "Testosterone Therapy in Relation to Prostate Cancer in a U.S. Commercial Insurance Claims Database." Cancer Epidemiology Biomarkers & Prevention 29, no. 1 (2019): 236–45. http://dx.doi.org/10.1158/1055-9965.epi-19-0619.

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Cohen, Jeffrey M., Priscilla W. Wong, David E. Cohen, and Randie H. Kim. "Psoriasis prevalence in the United States in a commercial insurance claims database: 2011-2017." Journal of the American Academy of Dermatology 82, no. 1 (2020): 229–30. http://dx.doi.org/10.1016/j.jaad.2019.05.092.

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Hsieh, Cheng-Yang, Chih-Hung Chen, Chung-Yi Li, and Ming-Liang Lai. "Validating the diagnosis of acute ischemic stroke in a National Health Insurance claims database." Journal of the Formosan Medical Association 114, no. 3 (2015): 254–59. http://dx.doi.org/10.1016/j.jfma.2013.09.009.

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Charbonnel, Bernard, Dominique Simon, Jean Dallongeville, et al. "Direct Medical Costs of Type 2 Diabetes in France: An Insurance Claims Database Analysis." PharmacoEconomics - Open 2, no. 2 (2017): 209–19. http://dx.doi.org/10.1007/s41669-017-0050-3.

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Roland, Lauren T., Heqiong Wang, C. Christina Mehta, et al. "Longitudinal progression of aspirin‐exacerbated respiratory disease: analysis of a national insurance claims database." International Forum of Allergy & Rhinology 9, no. 12 (2019): 1420–23. http://dx.doi.org/10.1002/alr.22412.

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Roland, Lauren T., Celeste Nagy, Heqiong Wang, et al. "Treatment practices for aspirin‐exacerbated respiratory disease: analysis of a national insurance claims database." International Forum of Allergy & Rhinology 10, no. 2 (2019): 190–93. http://dx.doi.org/10.1002/alr.22471.

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Brietzke, Scott E., Stacey L. Ishman, Seth Cohen, Derek D. Cyr, Jennifer J. Shin, and Eric J. Kezirian. "National Database Analysis of Single-Level versus Multilevel Sleep Surgery." Otolaryngology–Head and Neck Surgery 156, no. 5 (2017): 955–61. http://dx.doi.org/10.1177/0194599817696503.

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Objective Recent evidence suggests that multilevel sleep surgery improves outcomes when compared with palate surgery alone for most patients. The study objective was to compare demographic and outcomes data for palate surgery (uvulopalatopharyngoplasty [UPPP]) alone versus multilevel surgery through a national insurance claims database. Study Design Retrospective cohort study. Setting National insurance claims database. Subjects and Methods An adult cohort undergoing single-level UPPP versus UPPP with nasal and/or tongue/hypopharyngeal surgery was identified in the Truven Health Analytics Mark

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Kido, Ai, Hiroshi Tamura, Hanako Ohashi Ikeda, Masahiro Miyake, Shusuke Hiragi, and Akitaka Tsujikawa. "Nationwide incidence of central retinal artery occlusion in Japan: an exploratory descriptive study using the National Database of Health Insurance Claims (2011–2015)." BMJ Open 10, no. 9 (2020): e041104. http://dx.doi.org/10.1136/bmjopen-2020-041104.

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AimsThe latest evidence in the incidence of central retinal artery occlusion (CRAO) is needed to support the development of novel treatments as orphan drugs. However, up-to-date information on the incidence of CRAO in the ageing or aged population is limited. We aimed to investigate the nationwide epidemiological and clinical characteristics of CRAO in Japan, using nationwide health insurance claims data.MethodsWe analysed a total of 16 069 762 claims data in the sampling dataset of the National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB), which is the natio

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Marx, Grace E., Amy M. Schwartz, Camay On, and Alison F. Hinckley. "1614. Single-Dose Doxycycline as Lyme Disease Post-Exposure Prophylaxis in a National Commercial Insurance Claims Database―the United States, 2014–2017." Open Forum Infectious Diseases 6, Supplement_2 (2019): S589. http://dx.doi.org/10.1093/ofid/ofz360.1478.

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Abstract Background Approximately 300,000 cases of Lyme disease occur annually in the UNITED STATES, with children aged 5–9 years disproportionately affected. A single dose of doxycycline administered within 72 hours of a high-risk tick bite is recommended for post-exposure prophylaxis (PEP) to prevent Lyme disease in areas of high incidence. However, it is not known how often or for which patients PEP is used. We aimed to describe recent patterns of single-dose doxycycline medication claims in states with high and low Lyme disease incidence, and the associated patient and prescription charact

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De Souza, Jonas A., and Yen Yvonne Duong. "Off-label immunotherapy prescription: Financial implications for payers and patients." Journal of Clinical Oncology 35, no. 8_suppl (2017): 6. http://dx.doi.org/10.1200/jco.2017.35.8_suppl.6.

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6 Background: Pembrolizumab (PEM) and nivolumab (NIV) are FDA-approved immunotherapy agents for specific indications. These drugs are extremely costly to the health care system, payers, and ultimately, patients, and little is known about their utilization for non-FDA labeled indications (off-label). Methods: We reviewed claims for PEM and NIV using the focalPoint database by onPoint oncology, which provides access to clearinghouse data for 168 community oncology practices and 2000+ providers throughout the US. Clearinghouse data is unique as it links claims data with remittance (payer response

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Lim, Seung-ji, Han-joong Kim, Chung-mo Nam, et al. "Socioeconomic Costs of Stroke in Korea: Estimated from the Korea National Health Insurance Claims Database." Journal of Preventive Medicine and Public Health 42, no. 4 (2009): 251. http://dx.doi.org/10.3961/jpmph.2009.42.4.251.

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Choi, Chung Am, Min Jung Chang, Hye Duck Choi, Woo-Young Chung, and Wan Gyoon Shin. "Application of a drug-interaction detection method to the Korean National Health Insurance claims database." Regulatory Toxicology and Pharmacology 67, no. 2 (2013): 294–98. http://dx.doi.org/10.1016/j.yrtph.2013.08.009.

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Wolf, S., A. S. Chitnis, S. Gudiboina, et al. "PSU22 INFECTIONS AND REOPERATIONS AFTER HAMMERTOE SURGERY IN A NATIONWIDE US COMMERCIAL INSURANCE CLAIMS DATABASE." Value in Health 23 (May 2020): S369. http://dx.doi.org/10.1016/j.jval.2020.04.1422.

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Jung, SY, H. Song, S. Shin, E. Shin, J. Park, and J. Ahn. "DS1 ESTIMATING ADHERENCE AND PERSISTENCY OF ANTIDEPRESSANTS USING THE KOREA NATIONAL HEALTH INSURANCE CLAIMS DATABASE." Value in Health 13, no. 7 (2010): A507—A508. http://dx.doi.org/10.1016/s1098-3015(11)73082-0.

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Iihara, Naomi, Eri Ohara, Yoshinori Bando, Tomoji Yoshida, Masaki Ohara, and Yutaka Kirino. "Fragility Fractures in Older People in Japan Based on the National Health Insurance Claims Database." Biological and Pharmaceutical Bulletin 42, no. 5 (2019): 778–85. http://dx.doi.org/10.1248/bpb.b18-00974.

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Akazawa, Manabu, Keiko Konomura, and Takeru Shiroiwa. "Cost-Minimization Analysis of Deep-Brain Stimulation Using National Database of Japanese Health Insurance Claims." Neuromodulation: Technology at the Neural Interface 21, no. 6 (2018): 548–52. http://dx.doi.org/10.1111/ner.12782.

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Cherry, Cara C., and Alison M. Binder. "Trends in clinical diagnoses of typhus group rickettsioses among a large U.S. insurance claims database." Zoonoses and Public Health 67, no. 3 (2020): 291–99. http://dx.doi.org/10.1111/zph.12687.

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