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Rivals including Humana, Cigna and CVS Health-owned Aetna all entered into new markets for 2022, with the established payer giants facing off against new upstarts like Clover Health and Oscar Health to capture new members.ĭespite dismal projections from some of its peers about slowing MA enrollment, UnitedHealth's slice of the lucrative market continues to grow. 31, with MA accounting for 6.5 million members at year's end, a growth of 780,000 over the past year.Ĭompetition in MA is ramping up as the program continues to swell, currently capturing about 44% of all Medicare beneficiaries. The payer covered 50.6 million medical members as of Dec. Along with expansion in the broader Medicaid market, that growth was spearheaded by growth in both individual and group MA and dual special needs plans, management said. Overall, UnitedHealthcare saw its membership snowball in 2021, adding 2.2 million total people to its rolls. For members requiring inpatient care, severity is apparently lower as they have shorter lengths of stay, according to the executive. Inpatient hospitalization levels in recent weeks are similar to those seen in January 2021, even as national case rates are four times higher, CFO John Rex said. Omicron is driving down non-emergent care, but appears to be causing milder disease than other COVID-19 variants. Over the past several weeks, primary care visits have declined about 10%, while specialty visits have fallen even more, Rex told investors. ![]() In the first few weeks of January, UnitedHealth saw slowing primary care visits and elective and procedural volumes, CFO John Rex said. That's also reflected in the early days of 2022. Omicron is contributing to some differences and changes in severity, but overall the payer is seeing a similar trend to other variants, with higher then anticipated increases in testing and related costs offset by care deferral, according to Thompson. Its commercial segment was largely at baseline performance in the quarter, while Medicare and Medicaid were slightly below, UnitedHealthcare CEO Brian Thompson told investors on a Wednesday morning call. UnitedHealth reported an MLR of 83.7% in the quarter, only slightly above the past quarter's 83%. That was reflected in its medical loss ratio, a marker of how much it's spending on patient care. UnitedHealth's payer arm, UnitedHealthcare, reported revenue up 12% year over year to $56.4 billion.ĭespite the emergence of the omicron variant in the fourth quarter, pushing the country's daily case reports to record levels, UnitedHealth said utilization trends among its members were similar to the third quarter. UnitedHealth, the largest private health insurer and viewed as an industry bellwether for the earnings season, set a generally optimistic tone for its peers on Wednesday with the release of its financial results. 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However, those simple steps are not easy to be reached in reality. ![]() Furthermore, despite the increasing guidelines for effectively conducting a systematic review, we found that basic steps often start from framing question, then identifying relevant work which consists of criteria development and search for articles, appraise the quality of included studies, summarize the evidence, and interpret the results. A systematic review, on the other hand, is defined as a review using a systematic method to summarize evidence on questions with a detailed and comprehensive plan of study. Therefore, a well-conducted SR/MA is considered a feasible solution in keeping health clinicians ahead regarding contemporary evidence-based medicine.ĭiffering from a systematic review, unsystematic narrative review tends to be descriptive, in which the authors select frequently articles based on their point of view which leads to its poor quality. ![]() Systematic review and meta-analyses (SR/MAs) have a high level of evidence as represented by the evidence-based pyramid. However, available studies are often heterogeneous with regard to their design, operational quality, and subjects under study and may handle the research question in a different way, which adds to the complexity of evidence and conclusion synthesis. This massive abundance of literature makes clinical medicine increasingly complex, and knowledge from various researches is often needed to inform a particular clinical decision. The amount of studies published in the biomedical literature, especially tropical medicine and health, has increased strikingly over the last few decades. #We used comprehensive meta analysis for manualSR/MA steps include the development of research question, forming criteria, search strategy, searching databases, protocol registration, title, abstract, full-text screening, manual searching, extracting data, quality assessment, data checking, statistical analysis, double data checking, and manuscript writing. We suggest that all steps of SR/MA should be done independently by 2–3 reviewers’ discussion, to ensure data quality and accuracy. ![]() To solve those hindrances, this methodology study aimed to provide a step-by-step approach mainly for beginners and junior researchers, in the field of tropical medicine and other health care fields, on how to properly conduct a SR/MA, in which all the steps here depicts our experience and expertise combined with the already well-known and accepted international guidance. Understanding of SR/MA steps is of paramount importance for its conduction. In the field of tropical medicine and health, a well-conducted systematic review and meta-analysis (SR/MA) is considered a feasible solution for keeping clinicians abreast of current evidence-based medicine. The massive abundance of studies relating to tropical medicine and health has increased strikingly over the last few decades. ![]() ![]() ![]() Got a confusing Sileo error message? 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