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  • Value-Based Care

Authors


Patricia Hayes, MD

Latest:

Contributor: Improving Seniors’ Health and Outcomes With a Value-Based Care Team Approach

A value-based care team approach can be utilized to adequately treat patients’ medical problems, particularly by addressing the social, economic, and environmental challenges they’re facing in their everyday lives.


Cara McDonnell, MPH

Latest:

Financial Factors That Influenced Telemedicine Delivery During the COVID-19 Pandemic

This study describes financial issues that influenced telemedicine provision and use for patients with chronic conditions and their providers during COVID-19.


Robert Pittman, SVP, Gvernment Affairs, Modivcare
Robert Pittman

Latest:

Contributor: Technology, Supplemental Services in MA Can Help Improve Participant Health

Social determinants of health present many health-related challenges for Medicare Advantage (MA) plan members, something these plans are looking to overcome by diversifying their service offerings.


Jay Anders, MD

Latest:

Contributor: Giving Clinicians Top-line Data to Help Manage Chronic Conditions

To accurately understand the progression or control of a condition, physicians require ready access to key indicators relevant to that illness. The industry should do a better job of making them available.



Weihao Zhou, MS

Latest:

Intersection of Complexity and High Utilization Among Health Center Patients Aged 18 to 64 Years

This paper utilizes latent class analysis to identify subgroups of complex conditions and of super-utilizers among health center patients to inform clinically tailored efforts.


Pei Ting Tan, MSc

Latest:

Evaluating Smoking Cessation Service at an Emergency Department Clinical Observation Unit

This study aimed to evaluate the impact of a smoking cessation service in a group of patients admitted to a short-stay unit in the emergency department.


Jeremy Rubel

Latest:

Contributor: Using Technology to Streamline Enrollment Into Available Medicare Subsidy Programs

Medicare Advantage plans can drive significant, sustainable, and scalable improvements to health outcomes; reduce cost; and boost retention and top-line revenue by enrolling beneficiaries into the comprehensive set of state and federal low-income programs available to them.


Stephen G. Salzbrenner, MD

Latest:

Influence of Prior Authorization Requirements on Provider Clinical Decision-Making

An online survey identified that documentation requirements and communication issues with health plans are associated with providers modifying clinical decisions to avoid medication prior authorization.


Steve Edelman, MD

Latest:

Inadequate Insurance Coverage for Overweight/Obesity Management

This article reviews the obesity epidemic in America and discusses inadequate insurance coverage.


Yolaine Jeune-Smith, PhD

Latest:

Oncologists’ Perceptions and Utilization of US Therapeutic Oncology Biosimilars

Biosimilar use in clinical practice is determined by oncologists’ perceptions of and willingness to prescribe them. The authors investigated US oncologists’ perceptions and use of biosimilars.


Katie White, EdD, MBA

Latest:

Searching for the Policy-Relevant Treatment Effect in Medicare’s ACO Evaluations

The authors discuss multiple challenges to the production of policy-relevant results from evaluation of Medicare accountable care organizations (ACOs).


Sean M. Reed, PhD, APRN

Latest:

Modeling of an Alternative Reimbursement Method for Palliative Care

The authors modeled a version of the Patient and Caregiver Support for Serious Illness alternative reimbursement structure for palliative care using data from the Statin Trial.


Daniel Virnich, MD

Latest:

Improving Clinical Trial Diversity Through Language-Inclusive Approaches: Daniel Virnich, MD

Daniel Virnich, MD, highlights the need for proactive social determinants of health screening, language-inclusive clinical trial practices, value-based treatment decisions, and policy reforms to improve equitable access to cancer care.


Heidy Medina, MPH

Latest:

Social Determinants of Health Score: Does It Help Identify Those at Higher Cardiovascular Risk?

Calculating a social score is feasible and it predicts cardiovascular outcomes. In order to do this, institutions have to collect social determinants of health.


Benjamin Ukert, PhD

Latest:

Affordable Care Act Enrollment in Texas After Rating Area Adjustments

Rural marketplace rating area change in Texas did not increase enrollment but increased share of enrollment in gold plans.


Loida Tamayo, PhD

Latest:

Sex Differences in Medicare Beneficiaries’ Experiences by Low-Income Status

Only low-income male Medicare beneficiaries had worse patient experience than their female counterparts. The authors discuss opportunities to improve experiences for all patients.


Aditya Bardia, MD, MPH, FASCO, is a medical oncologist at UCLA Health.
Aditya Bardia, MD, MPH, FASCO

Latest:

TROPION-Breast01: The Evolving Role of TROP2-Directed ADCs in Breast Cancer

Aditya Bardia, MD, MPH, FASCO, medical oncologist, UCLA Health, provides new insights on the role of TROP2-directed antibody drug conjugates (ADCs) for patients with breast cancer.


Yi Li, PhD

Latest:

Effective Prevention and Management of COVID-19 in Outpatient Hemodialysis Patients

The authors introduce a mobile phone app that may effectively prevent and manage coronavirus disease 2019 (COVID-19) in outpatient hemodialysis patients in Sichuan Province, China.


Peter F. Cronholm, MD, MSCE

Latest:

Patient Perspectives on Technology-Based Approaches to Social Needs Screening

Patients are essential stakeholders in designing systems to capture social needs. The authors present key findings from patient interviews regarding social needs screening through technology-based modalities.


Rehan Qayyum, MD, MHS

Latest:

Discharge Timing and Associations With Outcomes Following Heart Failure Hospitalization

A retrospective multicenter study found that patients with heart failure discharged by noon had higher short- and long-term mortality and increased early readmission rates compared with afternoon discharges.


Alexander I. Spira, MD, PhD

Latest:

COCOON Shows How Prophylactic AE Management Boosts QOL When Treating NSCLC With Amivantamab Plus Lazertinib

The COCOON trial reveals that prophylactic treatment reduces dermatological adverse events in NSCLC patients, enhancing their quality of life during amivantamab therapy.


Stephen J. Bartels, MD, MS

Latest:

The Essential Role of Population Health During and Beyond COVID-19

The authors detail how population health management enables health systems to promote public health, strengthen health system resiliency, and support financial recovery during and beyond coronavirus disease 2019 (COVID-19).


Clare C. Brown, PhD, MPH

Latest:

Predictive Models for Low Birth Weight: A Comparative Analysis of Algorithmic Fairness–Improving Approaches

This study compared 6 algorithmic fairness–improving approaches for low-birth-weight predictive models and found that they improved accuracy but decreased sensitivity for Black populations.


Sarah Verboom, PhD cand.

Latest:

Uncertainty Metrics in AI-Assisted Mammograms Screenings; Sarah Verboom, PhD Candidate

Artificial intelligence (AI) can reduce radiologist workload for breast cancer screenings and mammograms, but their review of the results is still crucial, explained Sarah Verboom of Radboud University Medical Center.



Mile Brujic, OD, FAAO

Latest:

Experts Recount What Aspects of SECO Will Be Vital to Their Future Practice

Attendees and experts from the Southeastern Educational Congress of Optometry (SECO) 2025 meeting highlight research and sessions they will take away.


Katy Beckermann, MD

Latest:

PROs Similar With Tivozanib Monotherapy vs Combination in RCC

Patient-reported outcomes (PROs) were similar among those treated with tivozanib monotherapy and those given combination tivozanib and nivolumab in for renal cell carcinoma (RCC) in the TiNivo-2 study, according to a poster presented at the American Society of Clinical Oncology Genitourinary Cancers Symposium by Katy Beckermann, MD, PhD.


Iqra Ahmad, BS

Latest:

Improving System-Based Tobacco Cessation in a Community Health Clinic

This case study demonstrates how system-based tobacco cessation was enhanced in a community clinic.


Ike Eriator, MD

Latest:

Continuity of Opioid Prescribing Among Older Adults on Long-term Opioids

Among older adults with chronic noncancer pain on long-term opioid therapy, greater continuity of opioid prescribing was significantly associated with fewer opioid-related adverse outcomes.

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