- Center on Health Equity & Access
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Authors
Latest:
Cost-Effectiveness of Insulin AnalogsThis review shows that insulin analogs are cost-effective versus human insulins based on pharmacoeconomic models and retrospective database analyses.
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Patient Out-of-Pocket Payments for Oral Oncolytics: Results From a 2009 US Claims Data AnalysisOut-of-pocket payments differ widely among oral oncolytic options. As cost for therapy becomes a greater part of treatment decisions, an understanding of patient out-of-pocket cost will be critical in informing choices.
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Evolving Health Workforce Roles in Accountable Care OrganizationsThis qualitative study draws on interviews with clinical staff to examine health workforce use within accountable care organizations and identifies common roles that support value-based care.
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Tailoring Complex Care to Patients’ Needs: Myths, Realities, and Best Next StepsThe authors of this editorial highlight some of the myths surrounding complex care management, identify areas where research could be most informative, and recommend best next steps in developing effective and efficient complex care management programs.
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Identifying Frail Older People Using Predictive ModelingThe frailty determination of the Adjusted Clinical Groups“diagnoses based predictive model identified frail elders with moderate success compared with a validated screening questionnaire.
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Does a Personalized Approach Improve Patient Satisfaction in Thoracic Oncology?Evaluation of cancer patients’ quality of life at admission enabled improvement of their satisfaction with received care at discharge.
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Organization of Care and Diagnosed Depression Among Women VeteransThis analysis studies effects of practice structures, primary care and mental health integration, and sex-specific primary care services on diagnosis of depression among women veterans.
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Increased Likelihood of Psychiatric Readmission With Medicaid Expansion vs Legacy CoverageIndividuals who became eligible for Medicaid through Medicaid expansion have an increased likelihood of psychiatric readmission compared with their legacy-enrolled counterparts.
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Type 2 Diabetes Mellitus in China: A Preventable Economic BurdenTreatment of type 2 diabetes mellitus and its complications places a heavy burden on healthcare budgets in China and will continue to do so.
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The Diagnosis for Diagnostics: Changes to Medicare Payment and Coverage of Clinical Laboratory TestsThe basis for determining Medicare payment rates for clinical diagnostic laboratory tests is changing. These changes will be important for all payers and providers to follow for future reimbursement and contract negotiations.
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Against the Current: Back-Transfer as a Mechanism for Rural RegionalizationThe authors investigated back-transfer: the transfer of patients near the end of an acute hospitalization to a local community hospital for completion of their medical care.
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Association Among Change in Medical Costs, Level of Comorbidity, and Change in Adherence BehaviorThe authors found that comorbidity burden and the direction of behavioral change influence the relationship between adherence and medical spend. This could affect the cost-benefit considerations of medication adherence programs.
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The Impacts of Supplemental Benefits on Medicare Advantage Plan CompositionAfter evaluating the association between the expanded Medicare Advantage supplemental benefits and plan composition, authors determined that adoption was not associated with large demographic shifts in enrollment.
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The Adoption and Spread of Hospital Care Coordination Activities Under Value-Based ProgramsValue-based programs such as accountable care organizations appear to encourage the adoption and spread of care coordination activities by hospitals.
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Increasing Access to Specialty Care: Patient Discharges From a Gastroenterology ClinicThe authors used a modified Delphi process involving primary care providers and gastroenterologists to identify safe patient discharges from gastroenterology clinics to primary care.
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Real-World Economic Value of a 21-Gene Assay in Early-Stage Breast CancerUniversal gene expression profiling of patients with stage II breast cancer resulted in outpatient savings of $11,000 (inclusive of testing costs) within 6 months of initiation of medical therapy.
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Impact of New Drugs and Biologics on Colorectal Cancer Treatment and CostsWe measured the financial consequences of new CRC treatment regimens. New regimens have increased cost directly through price and indirectly through nonstandard and second-line regimen use.
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Racial and Ethnic Differences in Hip Fracture Outcomes in MenRacial and ethnic differences in hip fracture incidence and mortality outcome were observed within a diverse population of older men, with lower rates of both among Asians.
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Wait Times, Patient Satisfaction Scores, and the Perception of CareClinic wait times do not just affect overall patient satisfaction, but also specifically affect the perception of providers and the quality of care.
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The FLU-FIT Program: An Effective Colorectal Cancer Screening Program for High Volume Flu Shot ClinicsOffering home fecal immunochemical tests to eligible patients during influenza vaccination clinic increases colorectal cancer screening rates.
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Rural Hospital Transitional Care Program Reduces Medicare SpendingA telephonic transitional care program at a rural hospital reduced postdischarge Medicare spending by 31% and reduced inpatient spending for Medicare fee-for-service beneficiaries.
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Understanding the Relationship Between Data Breaches and Hospital Advertising ExpendituresA hospital data breach was associated with a 64% increase in annual advertising expenditures.
