- Center on Health Equity & Access
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Latest:
Impact of Formulary Restrictions on Medication Use and CostsPlacing formulary restrictions on brand name drugs shifts use toward generics, lowers the cost per prescription fill, and has minimal impact on overall adherence for antidiabetes, antihyperlipidemia, and antihypertension medications among low-income subsidy recipients in Medicare Part D plans.
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Impact of Including Drug Spending in Oncology Alternative Payment ModelsThis study demonstrates a method for understanding the effects of drug spending in the design of alternative payment models.
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Cost-Effectiveness of Intensive Tobacco Dependence Intervention Based on Self-Determination TheoryAn intensive tobacco dependence intervention based on selfdetermination theory that targeted all smokers was cost-effective and facilitated patient autonomy, perceived competence, and long-term tobacco abstinence.
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Physician Utilization by Insurance Type Among Youth With Type 2 DiabetesPhysician utilization during the year before the first indication of type 2 diabetes did not differ between Medicaid-covered and privately insured youth.
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Effect of Physician-Specific Pay-for-Performance Incentives in a Large Group PracticeThis study examined the effect of physician-specific pay-for-performance incentives on well-established ambulatory quality measures in a large group practice setting.
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Bridging the Digital Divide: Mobile Access to Personal Health Records Among Patients With DiabetesRacial/ethnic minorities and patients living in poorer neighborhoods were more likely to access their personal health record exclusively with a mobile device.
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The Association of Health Literacy Domains With Hospitalizations and MortalityDespite previous research evidence, this study did not reveal an overall association of health literacy, numeracy, and graph literacy with all-cause hospitalizations or mortality.
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Patients' Success in Negotiating Out-of-Network BillsNineteen percent of bills for out-of-network visits were negotiated, and of these negotiated bills, individuals were successful in lowering their costs approximately half the time.
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Supporting the Patient's Role in Guideline Compliance: A Controlled StudyThis study measured compliance with evidence-based guidelines after clinical alerts sent to physicians, compared with compliance after alerts sent to both physicians and their patients.
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Positive Quality Interventions: An Innovative Platform for Oncology Practice CollaborationAn in-depth look into a nationwide collaborative initiative to standardize and improve oncology dispensing practices for the benefit of patient/provider education, adherence, and overall care.
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Call Center Performance Affects Patient Perceptions of Access and SatisfactionGreater telephone wait times, but not abandonment rates, were associated with lower patient perceptions of their ability to obtain urgent care in a timely manner.
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Insurance Switching and Mismatch Between the Costs and Benefits of New TechnologiesTransformative therapies with high up-front costs will exacerbate the need to address gaps between payers when costs and benefits occur at different times.
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False-Positive Mammography and Its Association With Health Service UseThis study demonstrated that a false-positive mammogram was associated with increases in outpatient visits, but not provider referrals, for 1 year post mammogram.
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Effects of Continuity of Care on Emergency Department Utilization in Children With AsthmaBetter continuity of ambulatory asthma care can reduce the risk of asthma-related emergency department visits for children with asthma in Taiwan.
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Leveraging Longitudinal Clinical Laboratory Results to Improve Prenatal CareCollaboration between a clinical laboratory and a managed care organization improved prenatal care and outcomes through real-time, actionable, laboratory-derived insights and care coordination.
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Assessing Outcomes in Child PsychiatryTwo standardized rating scales appeared to be valid and reliable for use at admission and possibly follow-up in a child psychiatry system of care.
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Dietary Diversity Predicts Type of Medical Expenditure in EldersGreater dietary diversity is associated with lower emergency and hospitalization utilization and expenditures, and identifies a policy direction for nutritionally disadvantaged groups.
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Abolishing Coinsurance for Oral Antihyperglycemic Agents: Effects on Social Insurance BudgetsA coinsurance rate decrease can result in increased adherence to oral antihyperglycemic agents and improved clinical outcomes and cost savings for the healthcare system.
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Health Coaching by Medical Assistants Improves Patients' Chronic Care ExperienceMedical assistants trained as health coaches substantially improved patient-reported primary care under the Chronic Care model measured by the Patient Assessment of Chronic Illness Care.
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Patient Ratings of Veterans Affairs and Affiliated HospitalsThe mean online patient rating for Veterans Affairs hospitals was higher (3.70 ± 1.3 out of 5) than the rating for affiliated hospitals (3.19 ± 1.3; P = .003).
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Performance of the Adapted Diabetes Complications Severity Index Translated to ICD-10We present an International Classification of Diseases, Tenth Revision (ICD-10) translation of the adapted Diabetes Complications Severity Index and show its performance in predicting hospitalizations, mortality, and healthcare-associated costs.
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Does Opioid Therapy Affect Quality of Care for Diabetes Mellitus?Within the Veterans Affairs system, diabetes performance measures were similar in patients who received chronic opioid therapy and in those who did not.
