- Center on Health Equity & Access
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Latest:
Prioritized Post-Discharge Telephonic Outreach Reduces Hospital Readmissions for Select High-Risk PatientsA randomized control study that analyzes the impact of a postdischarge prioritization case management strategy on readmissions for select high-risk patients that are commercially insured.
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Identifying Favorable-Value Cardiovascular Health ServicesHealth improvements are usually expensive. If healthcare does not encourage high-value care and discourage low-value care, insurance premiums will continue to outpace inflation.
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Linked Pharmacist-Provider New Patient Visits in Primary CareThis manuscript describes a new interdisciplinary model for scheduling new patients with a clinical pharmacist and a primary care provider to increase productivity.
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Data Breach Locations, Types, and Associated Characteristics Among US HospitalsDespite the high level of hospital adoption of electronic health records and the federal incentives to do so, the most common type of data breach in hospitals occurred with paper records and films.
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Care Coordination Agreements: Barriers, Facilitators, and Lessons LearnedPrimary care providers have developed standing agreements with other healthcare providers and community-based organizations to coordinate care. Early experiences with these agreements are discussed.
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Outcomes of Liver Transplantation by Insurance Type in the United StatesPatients with publicly sponsored insurance who were listed for liver transplantation have worse wait-list and posttransplant outcomes, as shown using the US Scientific Registry of Transplant Recipients (2001-2017).
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Automated Telephone Calls to Enhance Colorectal Cancer Screening: Economic AnalysisAutomated telephone calls can increase colorectal cancer screening rates at a cost of about $40 per additional screen.
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Patient Preferences for Provider Choice: A Discrete Choice ExperimentThe authors used a discrete choice experiment to analyze patient preferences for attributes of provider choice, including wait time, breadth, travel time, continuity of care, and monthly premium.
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Effect of a Patient Panel-Support Tool on Care DeliveryA panel-support tool in a managed care setting improved the percentage of care recommendations met for patients with diabetes mellitus or cardiovascular disease.
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A Randomized Controlled Trial of Negative Co-Payments: The CHORD TrialThis study extends value-based insurance design concepts in testing the impact on blood pressure control of rewards that provided negative co-payments for blood pressure medication.
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Outcomes Among Chronically Ill Adults in a Medical Home PrototypeThis study investigated healthcare quality, utilization, and costs among patients with common chronic illnesses in a patient-centered medical home prototype redesign.
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Primary Care Physician Resource Use Changes Associated With Feedback ReportsImplementing systemwide dissemination of feedback reports to primary care physicians in an integrated delivery system may be associated with changes in medical resource use.
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Medicare Annual Wellness Visit Association With Healthcare Quality and CostsIn the context of 2 primary care physician–led accountable care organizations, Medicare Annual Wellness Visits were associated with lower healthcare costs and improved clinical care quality for beneficiaries.
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Solutions for Filling Gaps in Accountable Care Measure SetsGaps in accountable care measure sets can be addressed efficiently using priority measure types and innovative approaches to measurement.
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Previously Unrecognized Trends in Diabetes Consumption Clusters in MedicareMedicare beneficiaries with diabetes who are at the lowest levels of healthcare consumption often become some of the highest level consumers in subsequent years.
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Impact of Medical Homes on Quality, Healthcare Utilization, and CostsPatient-centered medical home practices provided better preventive care and disease management with less resource utilization than practices not pursuing PCMH status.
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Patient Attribution: Why the Method MattersReliable identification of the physician–patient relationship is necessary for accurate evaluation. Standardization of evidence-based attribution methods is essential to improve the value of healthcare.
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Impact of Cost-Sharing on Treatment Augmentation in Patients With DepressionHigher patient cost-sharing is associated with a lower likelihood of treatment augmentation in patients with depression who are treated with antidepressants.
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Better Together? Costs of First-line Chemoimmunotherapy for Advanced Non–Small Cell Lung CancerCompared with first-line immunotherapy or chemotherapy alone, combination chemoimmunotherapy for advanced/metastatic non–small cell lung cancer has significantly higher antineoplastic drug and associated medical costs.
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Impact of Care Coordination Based on Insurance and Zip CodeA care transitions program for patients who underwent percutaneous coronary intervention appeared to reduce 30-day rehospitalizations for patients with Medicaid who lived in wealthier zip codes.
