- Center on Health Equity & Access
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Latest:
A Claims-Based Algorithm to Reduce Relapse and Cost in SchizophreniaImplementing a claims-based algorithm and disease management program may be an effective strategy to reduce relapse and cost among patients with schizophrenia.
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Screening Cardiac Surgery Patients for MRSA: An Economic Computer ModelRoutine preoperative MRSA screening of cardiac surgery patients could provide substantial economic value to third-party payers and hospitals under a wide range of circumstances.
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Managing Inappropriate Requests of Laboratory Tests: From Detection to MonitoringThis study shows automatic, practical, simple, and effective strategies designed in the laboratory, in consensus with requesting clinicians, to improve laboratory test appropriateness.
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Return on Investment for Bariatric SurgeryThis editorial discusses the cost implication of bariatric surgery and whether or not return on investment analysis should be used to make coverage decisions.
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Implementing a Hybrid Approach to Select Patients for Care Management: Variations Across PracticesHybrid approaches allow for clinician input into case finding for care management, but training and monitoring is required to protect against unintentional biases.
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Promoting Electronic Health Record Adoption Among Small Independent Primary Care PracticesSubstantial outreach efforts are needed in addition to offering subsidies or incentives in engaging primary care providers to adopt electronic health records.
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Do Diabetes Group Visits Lead to Lower Medical Care Charges?Among a diabetes group visit population, this study found substantial savings in outpatient charges due to reduction in the use of more expensive specialty visits.
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A Physician-led Accountable Care Organization: From Award to ImplementationGaps in ACO implementation readiness are identified as appointment reminders, referral follow-ups, care management, care transition alerts, clinical quality measure knowledge, and resources.
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The Health and Well-being of an ACO PopulationAmong HealthPartners plan members, musculoskeletal, psychosocial, and neurologic conditions create the greatest burden to current health; diet offers the greatest opportunity to improve future health scores; and 42% report a high level of well-being.
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Collecting Mortality Data to Drive Real-Time Improvement in Suicide PreventionThe Perfect Depression Care initiative serves as an example of how suicide prevention programs can collect real-time mortality data internally to drive rapid quality improvement.
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Evaluation of Value-Based Insurance Design With a Large Retail EmployerRetrospective analysis of value-based insurance design (VBID) showed the potential for VBID to improve adherence and reduce utilization and costs with active disease management counseling.
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ACA Dependent Coverage Extension and Young Adults’ Substance-Associated ED VisitsThis study examines the impact of the Affordable Care Act (ACA) on substance-associated emergency department (ED) visits among young adults, revealing reduced alcohol-associated visits but unchanged opioid-associated visits.
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Transitioning Community Hospitals to Value-Based Care: Lessons From MassachusettsThis article examines the evolution of the Community Hospital Acceleration, Revitalization and Transformation investment program in Massachusetts and informs other states seeking to transform care delivery in community hospitals toward value-based care.
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Accessing the Cure: Helping Patients With Hepatitis C Overcome Barriers to CareThis case study from the National Viral Hepatitis Roundtable and Project Inform describes the cost-sharing mechanisms that create significant barriers to accessing new hepatitis C treatments, which require a strong advocate response to improve patient access.
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LDL Cholesterol Response and Statin Adherence Among High-Risk Patients Initiating TreatmentNonadherence is common among high-risk patients initiating statins and is associated with suboptimal low-density lipoprotein cholesterol (LDL-C) reduction. LDL-C should be monitored to identify suboptimal response and medication nonadherence.
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Classification of Health Plans Based on Relative Resource Use and Quality of CareThis study examines variation among health plans in resource use and quality of care for patients with diabetes mellitus or cardiovascular disease.
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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.
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The Changing Effect of Managed Care on Physician Financial IncentivesThe effect of managed care on physician financial incentives to reduce services declined substantially from 2000-2001 to 2004-2005.
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Validating Electronic Cancer Quality Measures at Veterans Health AdministrationEven in a fully integrated healthcare system, only 28% of cancer quality measures could be validated by using electronically available data.
