- Center on Health Equity & Access
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- Value-Based Care
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Latest:
Mental Illness and Warfarin Use in Atrial FibrillationAtrial fibrillation patients with mental illness are less likely to receive warfarin anticoagulation; those who do receive warfarin have excess risk of over-anticoagulation.
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Medication Adherence and Improved Outcomes Among Patients With Type 2 DiabetesAdherence to glucose-lowering agents was associated with a significant reduction in use of acute care resources without any increased total medical costs.
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Physician Variation in Lung Cancer Treatment at the End of LifePatients receiving care for advanced non—small cell lung cancer in small, independent oncology practices are more likely to receive chemotherapy in the last 30 days of life.
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Long-term Economic Benefits Attributed to IVF-conceived Children: A Lifetime Tax CalculationWe estimate the future net tax contributions from an IVF-conceived child to highlight that removing barriers to fertility treatments can have long-term economic benefits.
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Factors Associated With Primary Hip Arthroplasty After Hip FracturePatient, clinical, and hospital factors were associated with receiving primary hip arthroplasty versus no surgery after hip fracture in the United States.
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Population Health Screenings for the Prevention of Chronic Disease ProgressionIdentification of chronic diseases in their early stages enables prompt treatment that can slow or prevent disease development and debilitating and costly health outcomes.
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Increased Payments to Medicare Advantage Plans for Dually Eligible BeneficiariesIncreasing Medicare Advantage payments for full Medicaid enrollees was not associated with meaningful changes in inpatient or nursing home use.
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Electronic Reminder's Role in Promoting Human Papillomavirus Vaccine UseThe use of the electronic health record’s clinical reminder functionality is systematically related to higher human papillomavirus vaccine administration rates.
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Multipayer Primary Care Transformation: Impact for Medicaid Managed Care BeneficiariesThe Michigan Primary Care Transformation project generated cost savings among adults in Medicaid managed care, particularly high-risk adults, while largely maintaining quality of care.
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Role of Pharmaceuticals in Value-Based Healthcare: A Framework for SuccessA framework for the role of pharmaceuticals in value-based healthcare, practical examples from organizations that have made the transition, and implementation considerations.
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Insurance Coverage and Diabetes Quality Indicators Among Patients in NHANESIn a National Health and Nutrition Examination Survey secondary analysis, privately and publicly insured patients with diabetes were both more likely to meet quality indicators than the uninsured.
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The Budget Impact of Cervical Cancer Screening Using HPV Primary ScreeningThis study assesses the clinical and economic implications from a payer perspective of human papillomavirus genotyping for cervical cancer screening in comparison with existing practices.
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Racial/Ethnic Disparities in Cost-Related Barriers to Care Among Near-Poor Beneficiaries in Medicare Advantage vs Traditional MedicareAmong near-poor Black and Hispanic individuals, Medicare Advantage was associated with increased vision care and some, although not uniform, reductions in access disparities vs traditional Medicare.
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Is the Medicare Bundled Payments for Care Improvement Initiative Designed to Succeed?Providers' perspectives point to key considerations for policy makers as they seek to broaden participation in the Bundled Payments for Care Improvement Initiative.
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Knowledge of Cost Sharing and Decisions to Seek CareEducating employees about their cost-sharing responsibilities could lead to more efficient use of the healthcare system.
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Evaluation of Value-Based Insurance Design With a Large Retail EmployerRetrospective analysis of value-based insurance design (VBID) showed the potential for VBID to improve adherence and reduce utilization and costs with active disease management counseling.
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Nudging Physicians and Patients With Autopend Clinical Decision Support to Improve Diabetes ManagementIncorporating an autopend functionality into clinical decision support improved glycated hemoglobin laboratory test completion by between 21.1% and 33.9% for reminder messages read within 57 days.
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Lynch Syndrome Screening Implementation: Business Analysis by a Healthcare SystemThis study synthesized published evidence on Lynch syndrome screening and expanded that evidence to match the decision needs of internal decision makers.
