- Center on Health Equity & Access
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Medicare's Bundled Payments for Care Improvement Initiative: Expanding Enrollment Suggests Potential for Large ImpactExpanding and more representative participation in Medicare's Bundled Payments for Care Improvement initiative suggests potential for large impact, pending the results of risk-bearing participants.
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Considerations for Optimal Management of Patients With Pulmonary Arterial Hypertension: A Multi-Stakeholder Roundtable DiscussionStakeholders, including national and regional managed care decision makers and providers, met to discuss the clinical background, health economics, and management strategies for pulmonary arterial hypertension (PAH) at a roundtable meeting on December 10, 2016, in Dallas, Texas.
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Cost-Effectiveness of Combinatorial Pharmacogenomic Testing for Treatment-Resistant Major Depressive Disorder PatientsUsing a state-transition probability analysis, this study assessed the long-term outcomes and economic implications of combinatorial pharmacogenomic testing for managing patients with major depressive disorder who were nonresponsive to treatments.
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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.
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Care Fragmentation and Emergency Department Use Among Complex Patients With DiabetesFragmentation of care to specialists may be associated with higher rates of emergency department visits among patients with chronic illness.
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Alternative Measures of Electronic Health Record Adoption Among HospitalsThis study analyzes various pathways toward hospital adoption of electronic health records and explores relationships among various electronic health record function variables.
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Trending Health Information Technology Adoption Among New York Nursing HomesThis study examines adoption of electronic health records and participation in health information exchange by New York state nursing homes over time.
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Integrative Oncology Program Improves Efficiency and Outcomes in Oncology CareAdvances in cancer treatment provide more options for patients but add complexity to treatment decisions. HealthHelp’s Integrative Oncology program coordinates care to maximize efficiency and ensure optimal outcomes for cancer patients.
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Sofosbuvir Initial Therapy Abandonment and Manufacturer Coupons in a Commercially Insured PopulationMember cost negatively affects initial medication adherence and manufacturer coupons can decrease member share by up to 98%.
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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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Psychological Distress and Trends in Healthcare Expenditures and Outpatient HealthcareThe upward trend in total and outpatient healthcare expenditures in the United States appears to be unrelated to psychological distress.
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Does a Personalized Approach Improve Patient Satisfaction in Thoracic Oncology?Evaluation of cancer patients’ quality of life at admission enabled improvement of their satisfaction with received care at discharge.
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Association Between Length of Stay and Readmission for COPDAmong patients admitted for chronic obstructive pulmonary disease (COPD) at Veterans Affairs hospitals, hospital-level length of stay was not associated with 30-day readmission.
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Changes in Hospital Admissions for Urgent Conditions During COVID-19 PandemicAdmission rates during the coronavirus disease 2019 (COVID-19) pandemic were lower than in 2019 for acute medical conditions, suggesting that patients may be deferring necessary medical care.
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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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Potential Benefits of Increased Access to Doula Support During ChildbirthIncreasing access to continuous labor support from a birth doula may facilitate decreases in non-indicated cesarean rates among women who desire doula care.
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Differential Impact of Mental Health Multimorbidity on Healthcare Costs in DiabetesAssessment of prevalence and specific costs associated with discrete multimorbid mental health disease clusters in adults with diabetes.
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CAH Staff Perceptions of a Clinical Information System ImplementationThis study examines staff perceptions of patient care quality and the processes before and after implementation of a comprehensive clinical information system in 7 critical access hospitals.
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Disparities in Diabetes and Hypertension Care for Individuals With Serious Mental IllnessThis study highlights disparities in care for diabetes and hypertension for individuals with serious mental illness compared with the general Medicaid and Medicare populations.
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Medicare Star Excludes Diabetes Patients With Poor CVD Risk Factor ControlThe Medicare STAR medication adherence measures exclude diabetes patients at high risk for poor cardiovascular outcomes, and underestimate the prevalence of medication nonadherence in diabetes.
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Opt-In Consent Policies: Potential Barriers to Hospital Health Information ExchangeOpt-in patient consent requirements for health information exchange correlate with more reported regulatory barriers, especially among less technologically advanced hospitals.
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Changing Demographics Among Populations Prescribed HCV Treatment, 2013-2017From 2013 to 2017, the population of US patients prescribed treatment for chronic hepatitis C virus (HCV) changed, becoming predominantly treatment-naïve and having received care in nonacademic centers.
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Automated Patient Assessments After Outpatient Surgery Using an Interactive Voice Response SystemUsing an interactive voice response system to contact patients after outpatient surgery will likely result in improved efficiency without a decrease in assessment quality.
