- Center on Health Equity & Access
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Geographic Access to Endocrinologists for Florida's Publicly Insured Children With DiabetesEnrollment, claims, and spatial data are used to demonstrate the importance of outreach strategies for families in rural areas who have children with diabetes. Spatial barriers, alone, do not fully elucidate racial/ethnic disparities in pediatric diabetes for street-level location. (For Tables and the Figure, please access the PDF on the last page.)
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Previously Unrecognized Trends in Diabetes Consumption Clusters in MedicareMedicare beneficiaries with diabetes who are at the lowest levels of healthcare consumption often become some of the highest level consumers in subsequent years.
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Value-Based Arrangements May Be More Prevalent Than AssumedWe surveyed biopharmaceutical manufacturers and payers to understand the prevalence and characteristics of value-based payment arrangements, as well as their implementation obstacles and success factors.
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Value-Based Purchasing: The EvidenceA review of evidence about what works in 3 areas of value-based purchasing emphasized under healthcare reform: service delivery integration, payment, and value-based insurance design.
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Cost-effectiveness of Diabetes Treatment Sequences to Inform Step Therapy PoliciesThis study assesses the cost-effectiveness of adding a sodium-glucose cotransporter 2 inhibitor versus switching to a glucagon-like peptide-1 receptor agonist in patients with diabetes on metformin and a dipeptidyl peptidase-4 inhibitor.
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Medicare Advantage Control of Postacute Costs: Perspectives From StakeholdersThis qualitative study examines the methods that Medicare Advantage plans use to control or reduce postacute spending and their associated unintended consequences.
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Access to Chiropractic Care and the Cost of Spine Conditions Among Older AdultsAmong older adults who have a spine condition, access to chiropractic care may reduce medical spending on diagnostic services.
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Use of Voluntary Alignment in the Next Generation ACO ModelUse of voluntary alignment attribution by Next Generation Accountable Care Organization (ACO) participants was limited. The authors highlight the reasons and describe organizational use cases via a mixed-methods approach.
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Use of Health Information Technology to Improve Medication AdherenceAutomated telephone reminders resulted in a small but significant increase in adherence to inhaled corticosteroids among adult asthma patients in a large managed care organization.
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Population Targeting and Durability of Multimorbidity Collaborative Care ManagementBenefits of a patient-centered multimorbidity care management program occurred early, and were evident only among patients with depression and unfavorable medical control of diabetes and heart disease.
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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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ACA Marketplace Premiums and Competition Among Hospitals and Physician PracticesPremiums in federally facilitated Affordable Care Act Health Insurance Marketplaces are higher in geographic areas with more concentrated hospitals and physician practices and fewer insurers.
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Physician Practice Variation Under Orthopedic Bundled PaymentThis study demonstrates that variation reduction is an important, but not requisite, component of organizational success under orthopedic bundled payment.
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Screening Electronic Veterans' Health Records for Medication DiscontinuationMany patients stop taking medications for chronic conditions, thereby reducing the effectiveness of healthcare. An attempt to screen electronic VA healthcare records to identify patients as they discontinued a medication was not an efficient approach to this problem.
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The Potential Impact of CAR T-Cell Treatment Delays on SocietyTreatment delays limit the social value generated by chimeric antigen receptor (CAR) T-cell therapy for the treatment of pediatric acute lymphoblastic leukemia and diffuse large B-cell lymphoma.
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Novel Predictive Models for Metabolic Syndrome Risk: A "Big Data" Analytic ApproachThe authors evaluated a new "big data" analytic predictive platform that quickly and accurately analyzes large data sets to identify populations at risk of developing conditions such as metabolic syndrome.
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Long-term Economic Benefits Attributed to IVF-conceived Children: A Lifetime Tax CalculationWe estimate the future net tax contributions from an IVF-conceived child to highlight that removing barriers to fertility treatments can have long-term economic benefits.
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Comparative Efficacy of Ezetimibe/Simvastatin, Rosuvastatin, and Atorvastatin in Uncontrolled Hyperlipidemia PatientsEfficacy of switching statin therapy from generic simvastatin was examined in a VA population. Ezetimibe/simvastatin was more potent than atorvastatin or rosuvastatin in lowering LDL.
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Health System Correlates of Receipt of Radiation Therapy After Breast-Conserving Surgery: A Study of Low-Income Medicaid-Enrolled WomenOmission of radiation therapy after breast-conserving surgery leads to poor outcomes. Geographic isolation and scarcity of healthcare specialists correlate with low adjuvant radiation therapy use.
