- Center on Health Equity & Access
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Latest:
Postdischarge Engagement Decreased Hospital Readmissions in Medicaid PopulationsPostdischarge engagement of at-risk Medicaid beneficiaries in 6 health plans resulted in significant reductions in hospital readmissions at rates proportional to the frequency of engagement.
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A Novel Approach to Minimizing Adverse Incentivization in Healthcare Payment SystemsCurrent healthcare payment systems in the United States are all plagued by the problem of adverse incentivization. A more efficient system would be one which leaves billing entities uncertain of how a given patient encounter will be reimbursed.
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Preconsultation Exchange in the United States: Use, Awareness, and AttitudesInternists reported frequent use of, and support for, preconsultation exchange to improve access to and efficiency of specialty care.
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Cost-Benefit of Appointment-Based Medication Synchronization in Community PharmaciesThis study conducted a cost-benefit analysis of appointment-based medication synchronization for improving adherence in patients on chronic medications for hypertension, hyperlipidemia, and diabetes.
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A System-Based Intervention to Improve Colorectal Cancer Screening UptakeUsing an electronic health record to identify and implement colorectal cancer screening in a population of eligible patients achieved higher uptake than a visit-based approach.
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Serious Illness: A High Priority for Accountable CareAccountable health care organizations are increasingly recognizing that the care of individuals with serious illness represents a prime opportunity for improvement.
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Quality Measurement of Medication Monitoring in the Meaningful Use EraShifting from claims to integrated electronic health records to calculate quality metrics will improve reported quality attributable to data capture changes, not true quality improvements.
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Cost of Delivering Centralized and Decentralized Reminder/Recall for Vaccinations to Children and Adolescents in an ACOCentralized reminder/recall (R/R) is less costly to deliver than decentralized R/R for both children and adolescents when implemented for patients within an accountable care organization.
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Making Sense of Advanced Payment ModelsThe American Society of Clinical Oncology has developed the Patient-Centered Oncology Payment (PCOP) model with the hope that PCOP will be accepted by CMS as an advanced alternative payment model, and become available to medical oncologists as an alternative to the Merit-based Incentive Payment System.
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Interactive Voice Response Systems for Improving Delivery of Ambulatory CareA systematic review of interactive voice response system studies showed that these interventions significantly benefit adherence to various processes of care.
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Cost of Delivering Centralized and Decentralized Reminder/Recall for Vaccinations to Children and Adolescents in an ACOCentralized reminder/recall (R/R) is less costly to deliver than decentralized R/R for both children and adolescents when implemented for patients within an accountable care organization.
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Improving Population Health Through Multistakeholder PartnershipsImproving population health requires developing innovative multistakeholder partnerships to enable mining and cross-leveraging data sets, creating patient touchpoint “ecosystems,” and aligning investments with each stakeholder’s returns.
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Hospitalized Patients' and Family Members' Preferences for Real-Time, Transparent Access to Their Hospital RecordsThis mixed-methods study evaluated hospitalized patients’ and family members’ perceived communications mismatches and their calls for transparent real-time information and potential 21st-century solutions.
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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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Medicare’s Bundled Payment Model Did Not Change Skilled Nursing Facility Discharge PatternsHospital participation in Medicare’s Bundled Payments for Care Improvement model was not associated with changes in number of skilled nursing facility (SNF) partners or in SNF discharge concentration.
