- Center on Health Equity & Access
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Latest:
Impact of MMRV Combination Vaccine on Childhood Vaccination ComplianceAlthough vaccination compliance increased slightly following use of combination MMRV instead of separate MMR and varicella vaccines, additional barriers to improved compliance warrant future evaluation.
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Understanding and Improving Value Frameworks With Real-World Patient OutcomesNew value frameworks should incorporate real-world evidence that reflects patient treatment behavior, adherence to medication, and equity concerns arising from disparities in care.
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Placement of Selected New FDA-Approved Drugs in Medicare Part D Formularies, 2009-2013There is significant heterogeneity in formulary placement and restrictions on new drug approvals in the Part D marketplace.
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Postdischarge Engagement Decreased Hospital Readmissions in Medicaid PopulationsPostdischarge engagement of at-risk Medicaid beneficiaries in 6 health plans resulted in significant reductions in hospital readmissions at rates proportional to the frequency of engagement.
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Improving BP Control Through Electronic Communications: An Economic EvaluationHome blood pressure (BP) monitoring and use of secure webbased tools to manage care collaboratively with pharmacists is a cost-effective way to improve BP control.
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Treatment of Acute Lymphoblastic Leukemia in Adolescents and Young AdultsAdolescent and young adults (AYA) constitute a distinct population amongst patients with cancer. Historically, AYA patients with ALL treated along pediatric-inspired protocols had better outcomes compared to those treated on standard "adult type" regimens.
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Effects of Telephone Counseling on Antipsychotic Adherence and Emergency Department UtilizationA telehealth nursing program used psychological counseling techniques to improve antipsychotic medication adherence, leading to reduced emergency department utilization in a managed Medicaid population.
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Meeting the Measure: Improving ADHD Care in the Medical HomeQuality improvement methodology was implemented to ensure that patients receiving medications for attention-deficit/hyperactivity disorder (ADHD) returned for an appointment within 30 days of initiating medication.
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Impact of Predictive Model-Directed End-of-Life Counseling for Medicare BeneficiariesA telephonic counseling program, directed by a predictive model, reduced end-of-life costs by 4.5% within 2 Medicare Health Support pilot programs.
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Geographic Correlation Between Large-Firm Commercial Spending and Medicare SpendingTraditional Medicare and the large-firm commercial sector have a positive correlation in hospital utilization, but a lack of correlation in spending.
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Racial Disparities in Lipid Control in Patients With DiabetesAfrican Americans with diabetes are less likely than whites to be treated with lipid-lowering agents, have their medication altered, or reach LDL-C goal.
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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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CVD Risk in Prostate Cancer: Future Directions in CareClosing out their discussion on cardiovascular disease in prostate cancer, experts share their hopes for future evolution of the treatment landscape.
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Out-of-Pocket Costs and Prescription Reversals With Oral LinezolidAssociations between out-of-pocket costs and prescription reversals, as well as impact of reversals on rehospitalizations and healthcare costs, were examined among patients prescribed oral linezolid.
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The Transfer of Uninsured Patients From Academic to Community Primary Care SettingsThis article describes a program to coordinate the care of an inner-city uninsured population at an academic health center.
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Hospital Readmission Among Participants in a Transitional Case Management ProgramCostly new breast cancer therapies augment the significant burden this disease places on healthcare resources, but in context they may still provide value to society.
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Using Applied Machine Learning to Predict Healthcare Utilization Based on Socioeconomic Determinants of CareThis study demonstrates that it is possible to generate a highly accurate model to predict inpatient and emergency department utilization using data on socioeconomic determinants of care.
