- Center on Health Equity & Access
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Latest:
Case Study: How Does an ACO Generate Savings Three Years in a Row?Increasing accountable care organization savings is dependent on maximizing quality scores and increasing the number of beneficiaries while maintaining a low per-capita spend through efficiencies of care.
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Reply to "Transforming Oncology Care": Advancing Value, Accessing InnovationPatient access to innovation may be at risk as new payment models emerge in oncology.
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Pathways, Outcomes, and Costs in Colon Cancer: Retrospective Evaluations in 2 Distinct DatabasesRetrospective evaluations of electronic health records and claims databases to assess clinical outcomes and costs associated with evidence-based pathways in colon cancer.
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Opportunity Costs of Ambulatory Medical Care in the United StatesAn analysis of the opportunity cost associated with ambulatory medical care in the United States demonstrates substantial time costs for individuals and society.
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Creating Clarity: Distinguishing Between Community and Population HealthThis paper aims to bring clarity to the conceptual confusion between community and population health, which currently impacts progress in both research and clinical practice.
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Quality’s Quarter-CenturyMeasurement and accountability are now part of the DNA of our entire healthcare system, and cost and quality are both improving.
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Applicability of the Omaha System in Acute Care Nursing for Information Interoperability in the Era of Accountable CareComplex interventions from hospital settings mapped to Omaha System terms commonly used in community care; demonstrating its potential as a tool for interoperability across settings.
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Impact of Hepatitis C Virus and Insurance Coverage on MortalityThe Medicaid population has significantly higher hepatitis C virus (HCV) prevalence and mortality rates than patients with private insurance. These data must be considered when policy makers assess providing additional support to Medicaid programs for HCV elimination.
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Opioid Prescribing for Chronic Pain in a Community-Based Healthcare SystemThis study identified populations with non-cancer chronic pain to determine which patients may be more likely to receive an opioid prescription in an outpatient setting.
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Financial Incentives Tied to Medicare Star Ratings: Impact on Influenza Vaccination Uptake in Medicare BeneficiariesInfluenza vaccine uptake improved among Medicare Advantage enrollees when influenza vaccination was introduced as a performance metric in Medicare star ratings and accompanying bonus payments.
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Medication Burden in Patients With Acute Coronary SyndromesPatients endure heavy medication complexity following hospital discharge for acute coronary syndrome.
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Solutions for Filling Gaps in Accountable Care Measure SetsGaps in accountable care measure sets can be addressed efficiently using priority measure types and innovative approaches to measurement.
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Medical Home Effects on Enrollees With Mental and Physical IllnessMedical home enrollment had mixed effects on acute care use and a large effect on outpatient care use. Effects on expenditures varied by mental illness.
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"No-Shows": Who Fails to Follow Up With Initial Behavioral Health Treatment?Patients who obtained authorization but did not get initial mental health treatment needed treatment as much as or more than patients who presented for care.
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Treatment Patterns Among Adults With ADHD Receiving Long-Acting TherapyAdults with attention-deficit/hyperactivity disorder (ADHD) who received long-acting combination therapy had significantly lower adherence and persistence compared with those who received long-acting monotherapy.
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Engaging Providers in Underserved Areas to Adopt Electronic Health RecordsWe assessed Regional Extension Centers' (RECs') progress in promoting EHR adoption among providers in rural and health professional shortage areas and found that RECs are achieving much success in enrolling these providers.
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Cost Per Response Analysis of Strategies for Chronic Immune ThrombocytopeniaThis decision tree model estimates the cost per response and incremental cost per additional responder for romiplostim, eltrombopag, and “watch and rescue” for immune thrombocytopenia.
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Can Outpatient Pharmacy Data Identify Persons With Undiagnosed COPD?Algorithms based on managed care pharmacy data can efficiently identify persons at risk for undiagnosed chronic obstructive pulmonary disease.
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Patient-Centered Communication and Outcomes in Heart FailureAmong community patients living with heart failure, excellent and good patient-centered communication was associated with a reduced risk of death.
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Real-Time Video Detection of Falls in Dementia Care Facility and Reduced Emergency CareAn artificial intelligence–enabled video fall detection system using visual science reduced emergency department visits by 80% in 6 communities over 3 months.
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Substitutive Hospital at Home for Older Persons: Effects on CostsSubstitutive Hospital at Home care for 4 common conditions is associated with cost savings.
