- Center on Health Equity & Access
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Latest:
Medicare Part D Claims Rejections for Nursing Home Residents, 2006 to 2010This study presents data on paid and rejected claims submitted by 1 large long-term care pharmacy over the initial 5 years of Medicare Part D.
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Drug Adherence After Price Changes in a Previously Compliant PopulationThe impact of price changes in drugs, at least among previously adherent patients, was modest in size except for drugs with large price changes.
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Short-Term Costs Associated With Primary Prophylactic G-CSF Use During ChemotherapyGranulocyte colony-stimulating factor therapy reduces hospitalizations and improves chemotherapy administration in elderly breast cancer patients, but increases overall Medicare costs during first year of therapy.
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Employer-Led Efforts to Improve the Value of Health SpendingFindings from a systematic review show that employer-led efforts to date have produced few promising strategies for improving the value of health spending.
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Real-World Economic Value of a 21-Gene Assay in Early-Stage Breast CancerUniversal gene expression profiling of patients with stage II breast cancer resulted in outpatient savings of $11,000 (inclusive of testing costs) within 6 months of initiation of medical therapy.
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Minnesota Model Highlights Power of Collaboration, CoordinationPearson emphasized a coordination of care, between the primary care provider, the pharmacist, and payers, to improve patient care.
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Treatment Patterns, Healthcare Utilization, and Costs of Chronic Opioid Treatment for Non-Cancer Pain in the United StatesHealthcare utilization and costs increased in the 6 months after patients started opioid therapy for chronic pain; they then decreased but never reverted to baseline levels.
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Case-Mix Adjustment for Diabetes Indicators: A Systematic ReviewA systematic review of the impact and rationale for the selection of adjustment factors (case-mix factors) used to describe performance in diabetes care.
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Systematic Review of the Impact of Worksite Wellness ProgramsAnalysis of studies of worksite wellness programs suggested mixed impact on health-related behaviors and cost, with insufficient evidence regarding absenteeism and mental health.
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Synchronized Prescription Refills and Medication Adherence: A Retrospective Claims AnalysisA retrospective claims analysis showed that synchronized refill schedules were associated with better medication adherence among Medicare Advantage patients taking multiple maintenance medications.
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A Predictive Model of Hospitalization Risk Among Disabled Medicaid EnrolleesPredictive modeling can be used to identify disabled Medicaid beneficiaries at high risk of future hospitalizations who could benefit from appropriate interventions.
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Improving Quality of Care in Oncology Through Healthcare Payment ReformOverview of alternative payment models and how leading national organizations are involved with linking quality improvement initiatives and payment reform.
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Emergency Department Nonurgent Visits in Iran: Prevalence and Associated FactorsInappropriate use of emergency department resources in Iran is a frequent problem that calls for effective approaches and interventions.
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An Early Warning Tool for Predicting at Admission the Discharge Disposition of a Hospitalized PatientWe developed an early warning discharge disposition prediction tool to facilitate discharge planning and coordination, potentially reducing length of hospital stay and improving patient experience.
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Automated Patient Assessments After Outpatient Surgery Using an Interactive Voice Response SystemUsing an interactive voice response system to contact patients after outpatient surgery will likely result in improved efficiency without a decrease in assessment quality.
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Emergency Department Visits in Veterans Affairs Medical FacilitiesThis study examines the frequency of, and risk factors for, unscheduled health service use after an emergency department visit in a national sample of veterans.
