- Center on Health Equity & Access
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Latest:
Flunking Asthma? When HEDIS Takes the ACTAsthma control, rather than compliance with the HEDIS asthma measure, is the most useful quality indicator of asthma care.
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Variation in the Cost of Medications for the Treatment of Colorectal CancerUsing data from a nationwide registry, this study revealed significant variation in the use and cost of contemporary regimens for colorectal cancer.
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Effectiveness of Enhanced Primary Care on Preventive Health ServicesThis natural experiment compared rates of indicated preventive care for low-income Hispanic patients enrolled in an enhanced primary care program with those of patients receiving usual care.
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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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Performance of 2-Stage Health-Related Social Needs Screening Using Area-Level MeasuresLimiting health-related social needs screening to lower-income areas would reduce screening burdens; however, this study found a 2-stage screening approach based on geography to be suboptimal.
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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.
