nonduplication of benefits : Term used to describe one of the ways the secondary carrier may calculate its portion of the payment if a patient is covered by two benefit plans. The secondary carrier calculates what it would have paid if it were the primary plan and subtracts what the other plan paid. For example, if the primary carrier paid 80 percent, and the secondary carrier normally covers 80 percent as well, the secondary carrier would not make any additional payment. If the primary carrier paid 50 percent, however, the secondary carrier would pay up to 30 percent.
GIQuIC has partnered with FIGmd, Inc ., a company with significant experience in healthcare registry development. FIGmd is the leading provider of healthcare registries and web-based solutions for measuring, improving and reporting on quality of care and patient outcomes. FIGmd provides clinical data registry, analytics, data reporting, and assessment solutions to medical practices, specialty societies, medical professional associations, hospitals, health systems, medical boards and others. FIGmd's technologies, solutions and customization capabilities allow organizations to massively scale their projects in a timely and cost-effective manner. For more information on FIGmd's solutions, visit ..
Variceal wall tension is probably the main factor that determines variceal rupture. Vessel diameter is one of the determinants of variceal tension. At an equal pressure, a large diameter vessel will rupture while a small diameter vessel will not rupture (37). Besides vessel diameter, one of the determinants of variceal wall tension is the pressure within the varix, which is directly related to the HVPG. Therefore, a reduction in HVPG should lead to a decrease in variceal wall tension, thereby decreasing the risk of rupture. Indeed, variceal hemorrhage does not occur when the HVPG is reduced to <12 mmHg (17, 20). It has also been shown that the risk of rebleeding decreases significantly with reductions in HVPG greater than 20% from baseline (18). Patients whose HVPG decreases to <12 mmHg or at least 20% from baseline levels (“HVPG responders”) not only have a lower probability of developing recurrent variceal hemorrhage (36), but also have a lower risk of developing ascites, spontaneous bacterial peritonitis, and death (21).