- Center on Health Equity & Access
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Latest:
The Impact of Hospitalists on Length of Stay and Costs: Systematic Review and Meta-AnalysisIn this systematic review and meta-analysis, we found that hospitalists reduce hospital length of stay without increasing costs.
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Examining Differential Performance of 3 Medical Home Recognition ProgramsWe examine utilization, quality, and expenditures among Medicare beneficiaries receiving care at federally qualified health centers and compare outcomes among those attributed to 1 of 3 recognition programs versus none.
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US Insurance Program's Experience With a Multigene Assay for Early-Stage Breast CancerThis study presents Humana's experience with a multigene breast cancer assay and provides an analysis of the clinical utility and economics of this technology.
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Association of Co-pay Elimination With Medication Adherence and Total CostThis study evaluated cost and utilization attributed to members enrolled in a health care program with no pharmacy co-pay. Health care savings were identified in addition to medication adherence improvements.
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Overdose Risk for Veterans Receiving Opioids From Multiple SourcesAmong veterans in Massachusetts, receipt of opioids from multiple sources, with or without benzodiazepines, was associated with worse opioid-related outcomes.
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Continuous Quality Improvement Program, Based on Lean Concepts, Allows Emptying of Emergency Department CorridorsA continuous quality improvement program, based on Lean concepts and including architectural, managerial, and organizational features, allows the emptying of emergency department corridors and the improvement of time interval measurements/quality indicators.
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The Cost of Learning: Participating in APMs Despite Projected Financial LossesThis article explores Northwestern Medicine’s decision to participate in a Medicare alternative payment model (APM) despite projected losses.
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Patients' Perspectives of Care Management: A Qualitative StudyRisk-stratified care management is a cornerstone of patient-centered medical home models, but studies on patients’ perspectives of it are scarce. We explored patients’ experiences with care management, what they found useful, and what needs improvement.
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Variation in US Outpatient Antibiotic Prescribing Quality Measures According to Health Plan and GeographyAntibiotic prescribing has become viewed as a patient safety and quality-of-care issue. The authors analyzed quality measures related to appropriate antibiotic prescribing and testing.
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Monitoring the Hepatitis C Care Cascade Using Administrative Claims DataDevelopment, validation, and application of hepatitis C case-finding algorithms to describe the care cascade among a commercially insured population in the United States.
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Baseline and Postfusion Opioid Burden for Patients With Low Back PainPatients with low back pain have a high opioid burden, which increases following spinal fusion surgery; 27% of fusion patients filled opioid prescriptions at least 12 months post surgery.
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Can Targeted Messaging Encourage PCP Contact Before ED Visits?Targeted messaging that encourages heavy ED users in managed care to contact their primary care providers before ED visits shows promise.
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Changing Electronic Formats Is Associated With Changes in Number of Laboratory Tests OrderedA slight decrease in the convenience of ordering a laboratory test led to a dramatic decrease in test utilization.
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Treatment of Ductal Carcinoma In Situ Among Patients Cared for in Large Integrated Health PlansAlthough we found no DCIS treatment disparities by race/ethnicity, use of adjuvant radiation therapy was less among older women and among residents of poorer neighborhoods.
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Patient Characteristics and Healthcare Utilization of a Chronic Pain Population Within an Integrated Healthcare SystemThis study describes the patient characteristics and healthcare utilization of a chronic pain population within an integrated healthcare system in northern California.
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Investigating the Impact of Intervention Refusal on Hospital ReadmissionFindings suggest that some at-risk patients may not be receptive to in-home transition interventions and that opting out may be associated with higher odds of hospital readmission.
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Primary Nonadherence to Statin Therapy: Patients' PerceptionsThis study explores self-reported reasons for primary nonadherence among patients newly prescribed statin medication in an integrated health delivery system.
