- Center on Health Equity & Access
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Decision Aids for Benign Prostatic Hyperplasia and Prostate CancerImplementing patient decision aids was associated with lower rates of elective surgery for benign prostatic hyperplasia and of active treatment for localized prostate cancer.
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Choosing Wisely Clinical Decision Support Adherence and Associated Inpatient OutcomesThis analysis examines the associations between adherence to Choosing Wisely recommendations embedded into clinical decision support alerts and 4 measures of resource use and quality.
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Payer—Provider Patient Registry Utilized in a Behavioral Health HomeA payer—provider, patient registry to identify individuals with serious mental illness and chronic physical health conditions for utilization in behavioral health homes is described.
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Decreasing Primary Care Use and Blood Pressure Monitoring During COVID-19Among a group of primary care accountable care organizations, patients with hypertension were 50% less likely to have a blood pressure recorded in April compared with February.
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Implications of DRG Classification in a Bundled Payment Initiative for COPDDiagnosis-related group coding determines eligibility for many Medicare bundled payment initiatives. This approach excluded many patients with chronic obstructive pulmonary disease likely to benefit while including others without the disease.
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Trends in Opioid and Nonsteroidal Anti-Inflammatory Use and Adverse EventsOpioid use incidence and prevalence rates decreased with implementation of an opioid safety initiative, whereas nonsteroidal anti-inflammatory drug rates remained constant. Rates of adverse events were higher among opioid users.
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High-Impact Workflow Changes for Value-Based Care SuccessAs oncology practices transition to value-based care, they are challenged to take on more holistic responsibility for their patient. Fortunately, the examples of practices participating in CMS’ Oncology Care Model can offer valuable insight into the most impactful workflow changes providers can implement as they strive to achieve cost and quality improvements.
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Bundled Payments for Diabetes Care and Healthcare Costs Growth: A 2-Year Follow-up StudyDisease management programs for diabetes care based on bundled payment did not slow down the cost growth. Multimorbid adult patients with diabetes had largest cost growth.
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ACA-Mandated Elimination of Cost Sharing for Preventive Screening Has Had Limited Early ImpactThe ACA eliminated patient cost sharing for evidence-based preventive care, yet this policy has not resulted in substantial increases in colonoscopy and mammography utilization.
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Do Economic Evaluations of Targeted Therapy Provide Support for Decision Makers?Economic evaluations of adjuvant trastuzumab were reviewed. Three primary shortcomings were identified including incorporation of local data and estimation and representation (visual) of decision uncertainty.
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Discharge Before Noon: Is the Sun Half Up or Half Down?Discharge before noon was associated with longer length of stay in patients with medical diagnoses and shorter length of stay in surgical patients.
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Innovative Care Models for High-Cost Medicare Beneficiaries: Delivery System and Payment Reform to Accelerate AdoptionThis paper illustrates how Medicare Advantage plans and accountable care organizations could benefit from adopting innovative care delivery models, and suggests policy changes to accelerate spread.
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Connected Care Is Key to Accountable Care: The Case for Supporting Telehealth in ACOsA growing body of evidence is demonstrating how the benefits of Connected Care, electronic communication between patient and caregiver, are improving healthcare access and quality and reducing costs for payers-without passing through Congress.
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Hospital Participation in ACOs Associated With Other Value-Based Program ImprovementAnalyzes whether hospital participation in accountable care organizations is associated with a hospital’s quality and cost improvement outcomes in other Medicare value-based payment programs.
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Racial/Ethnic and Age Disparities in Chemotherapy Selection for Colorectal CancerAmong Medicare enrollees with metastatic colorectal cancer, the use of newer chemotherapy agents was lower for African American patients and for older patients.
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Electronic Health Record Availability Among Advanced Practice Registered Nurses and PhysiciansAvailability of electronic health records among advanced practice nurses and physicians in California is concentrated among large practices with fewer Medicaid patients.
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Assessment of Structured Data Elements for Social Risk FactorsAn expert panel identified and assessed electronic health record and health information exchange structured data elements to support future development of social risk factor computable phenotyping.
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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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Patients Who Self-Monitor Blood Glucose and Their Unused Testing ResultsThis article identifies patient-, provider-, and system-level factors associated with the problem of self-monitoring blood glucose without use of the results.
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Compliance and Persistence With Concomitant Statin and Oral Antihyperglycemic TherapyIn patients with type 2 diabetes, compliance and persistence were generally low for both statin and antihyperglycemic therapy, but they were significantly lower with statin therapy.
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Understanding Vaccination Rates and Attitudes Among Patients With Rheumatoid ArthritisPatients with rheumatoid arthritis self-report a moderate rate of any previous pneumococcal vaccination (54%) and a very low rate of herpes zoster vaccination (8%).
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Health Information Technology for Ambulatory Care in Health SystemsHealth systems are important in driving electronic health record adoption in ambulatory clinics, although the uptake of key functionalities varies across systems.
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Are Benefits From Diabetes Self-Management Education Sustained?Conventional individualized diabetes self-management education resulted in sustained improvement in self-efficacy and diabetes distress. Short-term improvements in A1C, nutrition, and physical activity were not sustained.
