- Center on Health Equity & Access
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Latest:
Can Managed Care Organizations Partner With Manufacturers for Comparative Effectiveness Research?Two case studies examine the benefits of manufacturers and managed care organizations partnering in pragmatic or practical clinical trials to generate real-world evidence.
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Health Plan Resource Use Bringing Us Closer to Value-Based DecisionsThere is a critical need for comparative information about plan resource use to support value-based purchasing efforts.
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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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Robotic Arm–Assisted Knee Surgery: An Economic AnalysisCompared with manual total knee arthroplasty, patients younger than 65 years undergoing robotic arm–assisted total knee arthroplasty experience fewer days in hospital, less utilization of services, and lower average total costs at 90 days.
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Physician Behavior Impact When Revenue Shifted From Drugs to ServicesShifting physician revenue from drug sales to cognitive services for mature pathways providers did not affect practice behavior in this payer-sponsored Oncology Medical Home.
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A Team Approach to Systematic Behavioral Screening and InterventionExpanding primary care teams with trained and supported paraprofessionals enables systematic delivery of widely recommended, evidence-based, cost-saving alcohol, drug, and depression screening and intervention services.
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Managed Care and Cancer Outcomes for Medicare Beneficiaries With DisabilitiesThis study showed better outcomes for disabled Medicare patients with breast cancer but not those with lung cancer when they were enrolled in HMOs.
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Face Time Versus Test Ordering: Is There a Trade-off?Real-time location systems can capture face time and trade-offs between face time and diagnostic testing so that clinicians' responses to time pressures can be measured.
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Major Depression Associated With Rates of Cardiovascular Disease State TransitionsPatients with major depression had faster transitions to both early and later stages of cardiovascular disease than patients without major depression.
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Medication Adherence and Use of Generic Drug TherapiesGeneric prescribing was associated with improved medication adherence in 2 of 5 study conditions, but $0 copayments were associated with improved adherence across all conditions.
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The Patient-Centered Medical Home in the Veterans Health AdministrationWe describe the Veterans Health Administration's nationwide patient-centered medical home (PCMH) initiative and evaluate interim changes in PCMH-related patient care processes.
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FASStR: A Framework for Ensuring High-Quality Operational Metrics in Health CareThrough literature review and collaborative design, we propose the Focus, Activity, Statistic, Scale type, and Reference (FASStR) framework to provide a systematic approach to health care operation metric definition and use.
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Factors Associated With Primary Care Physician Turnover in the VAThis longitudinal observational study found higher team satisfaction with workload to be significantly associated with lower primary care physician turnover.
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Using the 4 Pillars to Increase Vaccination Among High-Risk Adults: Who Benefits?Pneumococcal; tetanus, diphtheria, and pertussis; and influenza vaccination increased among high-risk adults in a 2-year study.
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Low Screening and Follow-up for Unhealthy Alcohol Use Among Health Plan BeneficiariesScreening and follow-up for unhealthy alcohol use are low among plan members. Use of standardized screening tools, documentation, and care for alcohol misuse need improvement.
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Use of Web-Based Shared Medical Records Among Patients With HIVUse of online shared records was higher among HIV patients who had indicators of recent increases in healthcare needs and lower among several vulnerable populations.
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The Impact of Kaua'i Care Transition Intervention on Hospital Readmission RatesBy enrolling selected high-risk elderly patients into the intervention, then empowering and educating them, this study successfully reduced hospital readmission rates.
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The Association Between Insurance Type and Cost-Related Delay in Care: A SurveyIn a survey of patients and visitors to a large academic medical center, middle-income respondents with private insurance reported more cost-related delays in care than those with public insurance.
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Reducing Coprescriptions of Benzodiazepines and Opioids in a Veteran PopulationThis study evaluated a passive clinical pharmacist intervention to reduce the coprescribing of benzodiazepines and opioid analgesics by using chart review notes to alert providers.
