- Center on Health Equity & Access
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Authors
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Use of Patient-Reported Outcomes and Satisfaction for Quality AssessmentsUnderstanding the relationships among patient-reported outcomes, satisfaction, and quality is the first step in drawing meaningful conclusions that can then be translated into policy.
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The MS Center of Saint Louis: A Practice Perspective of the Impacts of High Cost SharingThis case study from the MS Center of Saint Louis examines how patients are impacted by high healthcare costs and addresses potential solutions to this problem.
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Deaths Among Opioid Users: Impact of Potential Inappropriate Prescribing PracticesInappropriate prescribing practices of opioids are a major risk factor for mortality among opioid users in the Georgia Medicaid population, although risk is lower in managed Medicaid.
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Medicaid Managed Care Reduces Readmissions for Youths With Type 1 DiabetesAn analysis of the largest cohort available reveals that youths with type 1 diabetes, on a Medicaid managed care plan, are less likely to be readmitted within 90 days of discharge.
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Creating Successful Alternative Payment ModelsThe authors draw on the experience of past and present payment reforms to suggest principles for successfully designing alternative payment models.
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Patient-Centered Medical Home Demonstration: A Prospective, Quasi-Experimental, Before and After EvaluationA 12-month evaluation of a patient-centered medical home demonstration indicated improvement in quality of care without an increase in overall costs.
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Disease-Modifying Therapy and Hospitalization Risk in Heart Failure PatientsSubstantive outcome improvement and savings to Medicaid may be achieved with small changes in prescribing rates or comorbidity prevalence among patients with heart failure.
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Risk Stratification for Return Emergency Department Visits Among High-Risk PatientsThe authors examined 2 high-risk classification methods to compare and contrast the patient populations, and to identify the preferred method for predicting subsequent emergency department visits.
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Diabetes Care Improvement in Pharmacist- Versus Nurse-Supported Patient-Centered Medical HomesIn this longitudinal comparative effectiveness study of different chronic disease self-management support approaches within 1 system, both pharmacist- and nurse-led patient-centered medical home approaches improved diabetes care.
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There's More Than One Way to Build a Medical HomeEven among practices reaching the highest level of PCMH achievement, there are variations in the implementation of key medical home capabilities.
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Medication Adherence as it Relates to Quality of Diabetes CareJosh Benner, PharmD, ScD, says nonadherence in diabetes medication is a large contributor to high costs in healthcare and should be a priority for care givers.
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Targeting a High-Risk Group for Fall Prevention: Strategies for Health PlansThis study evaluates different strategies to identify high fall risk among community-dwelling elders using a combination of easily obtainable administrative data and patient screening questions.
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Distal Upper and Lower Limb Fractures Associated With Thiazolidinedione UseThis study demonstrates that patients with diabetes taking thiazolidinediones have higher proportions of distal upper and lower limb fractures than those not taking the drug.
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Assessing the Impact of an Integrated Care System on the Healthcare Expenditures of Children With Special Healthcare NeedsThis study analyzes the effect of a managed care program on Medicaid expenditures for children with special healthcare needs using a quasi-experimental design.
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The Association Between Insurance Type and Cost-Related Delay in Care: A SurveyIn a survey of patients and visitors to a large academic medical center, middle-income respondents with private insurance reported more cost-related delays in care than those with public insurance.
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Employees' Willingness to Pay to Prevent InfluenzaThe willingness of employees to pay to prevent influenza demonstrates a strong preference to protect themselves and their household members; however, modifiable barriers to vaccination persist.
