- Center on Health Equity & Access
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Solutions for Reducing Patient Cost Sharing for MedicationsCost sharing for medications presents a serious access barrier for many blood cancer patients. Available solutions, if embraced by policymakers, could reduce such cost sharing with very little impact on premiums.
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Can Cancer Patients Seeking a Second Opinion Get Better Care?Colorectal resection patients in Taiwan with heavy hospital shopping behaviors got better surgical care than those who did not shop or hospitals.
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Concentration of High-Cost Patients in Hospitals and MarketsHigh-cost patients are only modestly concentrated in specific hospitals and healthcare markets.
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More Comprehensive Discussion of CRC Screening Associated With Higher ScreeningMore comprehensive discussion of colorectal screening by primary care physicians was associated with higher screening rates among adults aged 51 to 80 years who were overdue for screening.
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Leveraging Benefit Design for Better Diabetes Self-Management and A1C ControlPatients with diabetes receiving insulin treatment with lower cost sharing for blood glucose testing strips were more likely to achieve glycemic control than those with higher cost sharing.
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Hospital Responses to DSRIP Program Reforms in New JerseyThis study examines the New Jersey Delivery System Reform Incentive Payment (DSRIP) program using hospital web surveys and key informant interviews and finds progress toward data-driven population health management for low-income patients.
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Improving Quality Measure Maintenance: Navigating the Complexities of Evolving EvidenceAn exploration of potential negative effects from delays in measure maintenance when changes in clinical evidence affect measure use found that delays may affect patient care and outcomes.
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Enhancing Patient and Family Engagement Through Meaningful Use Stage 3: Opportunities and Barriers to ImplementationTwo leading US health systems attempted to implement 4 draft objectives for Meaningful Use Stage 3 within their health IT infrastructure to provide feedback on needed enhancements to the policy.
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Clinical and Economic Outcomes Associated With Potentially Inappropriate Prescribing in the ElderlyClinical and economic outcomes associated with the use of specific potentially inappropriate medications in the elderly were evaluated.
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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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Cost-Effectiveness Analysis of Vagal Nerve Blocking for Morbid ObesityThis lifetime economic analysis demonstrates vagal nerve blocking therapy to be a cost-effective alternative to conventional therapy in class 2 and 3 obesity patients.
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FASStR: A Framework for Ensuring High-Quality Operational Metrics in Health CareThrough literature review and collaborative design, we propose the Focus, Activity, Statistic, Scale type, and Reference (FASStR) framework to provide a systematic approach to health care operation metric definition and use.
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How Technology Can Make CMS' Diabetes Prevention Program ViableMissed sessions are the obvious place where digital programs can find a place in the launch of Medicare's first fully reimbursed preventive service.
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Impact of Formulary Restrictions on Medication Intensification in Diabetes TreatmentFormulary restrictions on brand name noninsulin antihyperglycemic drugs have little impact on treatment intensification patterns among low-income patients with diabetes in Medicare Part D.
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Reducing Coprescriptions of Benzodiazepines and Opioids in a Veteran PopulationThis study evaluated a passive clinical pharmacist intervention to reduce the coprescribing of benzodiazepines and opioid analgesics by using chart review notes to alert providers.
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Systematic Review of the Impact of Worksite Wellness ProgramsAnalysis of studies of worksite wellness programs suggested mixed impact on health-related behaviors and cost, with insufficient evidence regarding absenteeism and mental health.
