- Center on Health Equity & Access
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Latest:
How Pooling Fragmented Healthcare Encounter Data Affects Hospital ProfilingIncomplete records of patient history can bias hospital profiling. Completing health records for Medicare-covered patients in VA hospitals resulted in modest changes in hospital performance.
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A Physician-Friendly Alternative to Prior Authorization for Prescription DrugsA policy allowing prescribers to write prior authorization criteria directly on the prescription led to decreased gaps in therapy without diminishing drug cost savings.
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Adjunctive Aripiprazole for Depression: Predictive Value of Early AssessmentIn treatment of depression with adjunctive aripiprazole, early improvement (week 2) was a significant predictor of remission, and lack of improvement was associated with nonremission.
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Simple Errors in Interpretation and Publication Can Be CostlyA recent AJMC study contained overstatements and small but importantly placed errors that have the potential to cause unwarranted on-the-ground cost problems.
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Chronic Disease Outcomes From Primary Care Population Health Program ImplementationPatients in practices with central population health coordinators had greater improvement in short-term chronic disease outcome measures compared with patients in practices without central support.
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The Budget Impact of Cervical Cancer Screening Using HPV Primary ScreeningThis study assesses the clinical and economic implications from a payer perspective of human papillomavirus genotyping for cervical cancer screening in comparison with existing practices.
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Using Search Engine Query Data to Track Pharmaceutical Utilization: A Study of StatinsGoogle query data for 2 statins demonstrated association with temporal and geographic utilization benchmarks, suggesting that query data can be used to track real-time utilization.
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Association of Decision Support for Hospital Discharge Disposition With OutcomesThe use of clinical decision support for hospital discharge disposition was associated with a reduction in spending and readmissions without negatively affecting emergency department use.
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CKD Quality Improvement Intervention With PCMH Integration: Health Plan ResultsA scalable chronic kidney disease (CKD) quality improvement intervention demonstrated feasibility, decreased hospitalization, and reduced costs. These preliminary results support innovation in CKD by commercial health plans.
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Effectiveness of Care Coordination and Health Counseling in Advancing IllnessThis prospective trial suggests that specialized care coordination and health counseling for patients coping with advanced stages of 4 life-limiting illnesses can be beneficial.
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Mortality, Outcomes, and Healthcare Costs in T2DM Patients at Risk for Cardiovascular DiseaseTargeting glucose control and managing cardiovascular (CV) risk factors may prevent future CV events, and have positive downstream impact by reducing costs to healthcare stakeholders.
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Adherence to Osteoporosis Medications After Patient and Physician Brief Education: Post Hoc Analysis of a Randomized Controlled TrialPost hoc analysis of a randomized controlled trial found that a 1-session educational intervention targeted at patients and primary care physicians did not improve osteoporosis medication adherence.
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Providers' Perspective on Diabetes Case Management: A Descriptive StudyProviders do not consider nurse case managers as professional identity threats in co-managing patients with diabetes and cardiovascular risk factors.
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Impact of a Program Encouraging the Use of Generic AntipsychoticsAcademic detailing coupled with a provider survey did not decrease the rate of new prescriptions for costly, on-patent second-generation antipsychotics in a VA hospital.
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Using "Roll-up" Measures in Healthcare Quality Reports: Perspectives of Report Sponsors and National AlliancesThis study identifies practices and perceptions around public reporting of “roll-upâ€
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Factors Influencing Primary Care Providers’ Decisions to Accept New Medicaid Patients Under Michigan’s Medicaid ExpansionIn the era after Medicaid expansion, primary care providers placed importance on practice capacity, specialist availability, and reimbursement when deciding whether to accept new Medicaid patients.
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Adherence to Statins and LDL-Cholesterol Goal AttainmentThis study examined adherence to statins and low-density lipoprotein cholesterol goal attainment in patients with coronary artery disease.
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Cost of Home vs Clinic Administration of Paclitaxel in Metastatic Breast CancerHome administration of oral paclitaxel and encequidar is associated with potential cost savings for payers compared with clinic administration of intravenous chemotherapy in metastatic breast cancer patients.
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Geographic Variation in Medicare and the Military Healthcare SystemGeographic variation in healthcare spending and utilization within the Military Health System is higher and significantly correlated with Medicare across hospital referral regions.
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Medical Homes Require More Than an EMR and Aligned IncentivesPrimary care teams implementing medical homes experience professional role confusion and interpersonal conflict, and require effective administrative leadership to ensure success during this transition.
