- Center on Health Equity & Access
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Five Trends Emerge in Payer Management of OncologyMarket Dynamics Change How Plans Manage Oral and Office-Administered Agents
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Who Should We Treat: Elective Surgical Admissions or Patients With COVID-19?In the midst of the coronavirus disease 2019 (COVID-19) pandemic, health care leaders must work to optimize emergency department and hospital efficiency while maintaining patient access to care.
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Health Information Technology and Health System Redesign-The Quality Chasm RevisitedInitial experience with the Diabetes Prevention and Control Alliance indicates that large-scale prevention and disease control management programs make economic sense.
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Cost-Effectiveness of Laparoscopic Gastric Banding and Bypass for Morbid ObesityLaparoscopic adjustable gastric banding and gastric bypass are cost-effective treatments for morbid obesity compared with no treatment.
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Improving Antibiotic Stewardship: A Stepped-Wedge Cluster Randomized TrialThe authors assessed the effect of provider education and clinical decision support (CDS) on antibiotic prescribing for acute sinusitis. Education and CDS improved antibiotic stewardship and changed diagnosis patterns.
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Improving Laboratory Monitoring of Medications: An Economic Analysis Alongside a Clinical TrialAlthough some interventions may enhance medication safety, an electronic medical record reminder to providers may not be an efficient use of resources.
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Telemonitoring With Case Management for Seniors With Heart FailureAn Internet-based telehealth intervention for elderly heart failure patients found no discernible incremental impact on morbidity or mortality compared with case management alone.
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Gender Differences in Prescribing of Zolpidem in the Veterans Health AdministrationWe found inappropriate prescribing of zolpidem, in terms of both guideline-discordant dosage and coprescribing with benzodiazepines, with female veterans affected more than male veterans.
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Medication Adherence Changes Following Value-Based Insurance DesignValue-based insurance design copayment reductions sustained medication adherence 2 years into policy implementation and were most effective in patients with poor adherence before policy implementation.
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Effect of a Managed Care Disease Management Program on Diabetes CareProcesses and outcomes of diabetes care improved substantially over 6 years in a managed care health plan with a comprehensive diabetes disease management program.
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Economic and Clinical Impact of Routine Weekend Catheterization ServicesWeekend cardiac catheterization availability for inpatients reduced length of stay and maintained quality of care (no excess hazard for weekend cases), but costs were similar.
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Reference-Based Pricing: An Evidence-Based Solution for Lab Services ShoppingReference-based pricing combined with employer education and an online shopping tool significantly improved members' utilization of lab services at or below the reference price
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Pharmacist Collaborative Management of Poorly Controlled Diabetes Mellitus: A Randomized Controlled TrialPharmacist management of poorly controlled diabetes mellitus in this randomized trial resulted in more patients decreasing their glycosylated hemoglobin level by at least 1.0%.
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Cost Differential by Site of Service for Cancer Patients Receiving ChemotherapyThe cost of care for patients receiving chemotherapy in community oncology clinics is lower than for comparable patients receiving chemotherapy in the hospital outpatient setting.
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Impact of a Physician-Led Point of Care Medication Delivery System on Medication AdherenceA point of care medication delivery system improves medication adherence to cardiovascular medications without increasing costs.
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Moving From A to Z: Successful Implementation of a Statin Switch Program by a Large Physician GroupThis report shows that a successful, cost-effective statin switch program can be implemented by a large physician group via a centralized, collaborative process.
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Part D Coverage Gap and Adherence to Diabetes MedicationsThe coverage gap in the Medicare Part D program has a significant negative impact on adherence to diabetes medications.
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Gender Differences in Newly Separated Veterans’ Use of HealthcareA survey of veterans leaving the military in 2016 found that women may be underserved by the Veterans Health Administration and may need housing assistance.
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Antibiotic Prescribing for Respiratory Infections at Retail Clinics, Physician Practices, and Emergency DepartmentsThere are concerns that retail clinics provide inferior quality of care. The authors found no difference in quality among retail clinics, physician offices, and emergency departments.
