By collecting self-identified social needs and linking them to claims data, this study analysis reveals that social needs are associated with inpatient readmissions.
There is significant heterogeneity in formulary placement and restrictions on new drug approvals in the Part D marketplace.
From 2013 to 2016, successful Medicare Shared Savings Program accountable care organizations reduced spending by shifting expenditures from the inpatient and postacute care setting to the physician office setting.
Conventional individualized diabetes self-management education resulted in sustained improvement in self-efficacy and diabetes distress. Short-term improvements in A1C, nutrition, and physical activity were not sustained.
Three approaches to prospective patient identification for care management programs were compared: predictive modeling, selection by primary care physician, and a combination of both.
A simple education program was effective in improving the influenza vaccination rate, although vaccination in the previous year was the main predictor of adherence.
Diabetes itself affected working and wages more than control of blood sugar levels in a Mexican American population.
Predictive modeling can be used to identify disabled Medicaid beneficiaries at high risk of future hospitalizations who could benefit from appropriate interventions.
Precision medicine is increasingly being utilized in oncology. Aurora Health Care has implemented Syapse software to integrate molecular data into the electronic health record to accommodate precision medicine findings.
Methods for better identifying malignant versus benign disease before nephrectomy could provide significant benefits to patients and payers.
Among a diabetes group visit population, this study found substantial savings in outpatient charges due to reduction in the use of more expensive specialty visits.
From 2013 to 2017, the population of US patients prescribed treatment for chronic hepatitis C virus (HCV) changed, becoming predominantly treatment-naïve and having received care in nonacademic centers.
This study explores potential weight-related disparities in the quality of care for adults with diabetes in a large health plan according to recommended quality indicators.
The authors interviewed patients with access to a price transparency website. Despite a positive opinion of price shopping in theory, respondents reported barriers to doing so in reality.
The Medicare program’s transition in 2004 to tiered fee-for-service physician reimbursement for dialysis care had the unintended consequence of reducing use of home dialysis.
Partnering teams for delivery of continuity of care between primary care and community behavioral health systems can learn from e-consult implementation.
Among Medicare enrollees with metastatic colorectal cancer, the use of newer chemotherapy agents was lower for African American patients and for older patients.