- Center on Health Equity & Access
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Latest:
Healthcare Spending and Preventive Care in High-Deductible and Consumer-Directed Health PlansEnrollment in high-deductible health plans is associated with reduced spending on healthcare and with moderate reductions in the use of preventive care.
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False Activation of the Cardiac Catheterization Laboratory for Primary PCIBetween 2005 and 2011, rates of cardiac catheterization laboratory false activation doubled while mean door-to-balloon times for primary PCI declined.
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Absenteeism and Productivity Among Employees Being Treated for Hepatitis CEmployees with hepatitis C (HCV) who underwent existing treatments had more absences and higher indirect costs than HCVinfected employees who did not undergo treatment.
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The Effects of Federal Parity on Substance Use Disorder TreatmentFederal parity led to an increase in spending on substance use disorder treatment.
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Pharmacists as Healthcare Providers: Integration Into the MainstreamOn the second day of "Patient-Centered Diabetes Care: Putting Theory Into Practice," Jan Berger, MD, MJ, president of Health Intelligence Partners, moderated the panel discussion "Measuring the Impact of Pharmacists in Diabetes Patient Care."
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Electronic Sharing of Diagnostic Information and Patient OutcomesA study evaluating the association between hospital sharing of electronic health record diagnostic information and hospital quality using Hospital Compare scores.
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The Hidden Value of Behavioral HealthCarolinas HealthCare System created a behavioral health service line to drive transformation in value-based healthcare. Four projects are described, which demonstrate that modest investment in behavioral health pays dividends in reduced cost and increased quality and experience.
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How Comorbidities and Preoperative Expenditures Correlate With Postoperative Adverse OutcomesAdjusting for patients' covariates, postoperative complications and mortality among geriatric surgical patients exhibited an age-dependent, illness-related, and preoperative medical expense“associated pattern under universal healthcare coverage.
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More Comprehensive Discussion of CRC Screening Associated With Higher ScreeningMore comprehensive discussion of colorectal screening by primary care physicians was associated with higher screening rates among adults aged 51 to 80 years who were overdue for screening.
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Variation in Fracture Risk Estimation Among East Asian WomenFracture prediction tools for East Asian individuals vary by country. In the United States, the US-Asian Fracture Risk Assessment Tool provides hip fracture probabilities that correspond to observed estimates.
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The Unintended Consequences of Medicare’s Wage Index Adjustment on Device-Intensive Hospital ProceduresThe authors found an association between Medicare’s wage index adjustment and the differential use of labor-intensive surgical procedures and medical device–intensive minimally invasive clinical procedures across the United States.
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Medication Adherence and Healthcare Disparities: Impact of Statin Co-Payment ReductionThis study examined patterns of medication adherence after a reduction in medication co-payment amount among privately insured patients living in racially diverse neighborhoods.
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Specialist Participation in Healthcare Delivery Transformation: Influence of Patient Self-ReferralAnalyses of national trends indicate that a considerable proportion of new specialist visits among both Medicare and private insurance beneficiaries are self-referred.
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Patient and Clinician Experiences With Telehealth for Patient Follow-up CareTelemedicine visits may be used with established patients for follow-up care without a loss of patient satisfaction with communication with providers and with enhanced convenience and reduced travel time; a majority may be willing to pay standard co-pays or more for this convenience. Clinicians see value in this new mode of care to enhance connections with patients.
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Mental Health and Diabetes Control Among Vulnerable Primary Care PatientsOnly 19% of patients in this sample had good diabetes control based on their tested glycated hemoglobin levels. Patients diagnosed with mental health conditions in this study were more likely to have good diabetes control.
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The Oncology Medical Home - Beyond Clinical PathwaysClinical pathways have been emphasized as a means to deliver efficient, quality care and to ensure better outcomes at lower costs. The Oncology Medical Home takes this to the next, more comprehensive, step of quantifying and improving quality and value in cancer care while lowering overall costs.
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Dental Care Coverage TransitionsThis study examines dental insurance transition dynamics in the context of changing employment and retirement status.
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Patient Experience During a Large Primary Care Practice Transformation InitiativeFour years of practice transformation toward comprehensive primary care had little effect on patient experience.
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Barriers to Transition of Obese Patients From Hospital to CommunityThis study explored barriers to the transition of obese patients from hospital to community as perceived by case managers, nursing home directors, and home health directors.
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Pharmacogenetic-Guided Psychiatric Intervention Associated With Increased Adherence and Cost SavingsPharmacy and medical claims data showed that patients whose clinicians had access to pharmacogenetic test results had increased adherence and overall cost savings.
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Six Sigma Approach to Reduce Door-to-Balloon Time for Patients With STEMISpecific measures using a Six Sigma approach led to sustained reduction of door-to-balloon times among patients with ST-segment elevation myocardial infarction (STEMI) in a community setting.
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Persistence With Biologic Therapies in the Medicare Coverage GapFor patients who reached the Medicare Part D coverage gap, discontinuation was more likely for patients taking osteoporosis medication.
