- Center on Health Equity & Access
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Authors
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A Conceptual Framework for Addressing Social Needs Through the Accountable Health Communities ModelNo published studies exist on use of intervention design, implementation strategies, and theory in the CMS Accountable Health Communities Model, the largest-scale test of social prescribing in the United States.
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Addressing Evolving Patient Concerns Around Telehealth in the COVID-19 EraWith a rapid shift to telehealth during the coronavirus disease 2019 (COVID-19) pandemic, clinicians, health care organizations, and policy makers must consider and address patients’ evolving needs, concerns, and expectations.
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Charitable Medication Distribution Improves Care for Uninsured Patients With DiabetesThis report illustrates how providing vital diabetes medications to uninsured patients through a charitable medication distributor improves clinical outcomes.
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Patient Perspectives on Technology-Based Approaches to Social Needs ScreeningPatients are essential stakeholders in designing systems to capture social needs. The authors present key findings from patient interviews regarding social needs screening through technology-based modalities.
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Patients’ Access to 2018 FDA-Approved Drugs 1 Year Post Approval2018 was a landmark year for new drug approvals. However, patients’ access to these novel drugs varied by drug category and enrolled health plan.
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Smarter Continuity in an Era of Expanding Challenges in Primary CareIf we are to achieve the clinical and economic benefits of primary care and care continuity, the implementation and evaluation of strategies that reward clinicians and patients are warranted.
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Dual-Eligible Beneficiaries and Inadequate Access to Primary Care ProvidersStates with the most restrictive scope-of-practice laws have an inadequate supply of primary care clinicians to serve a high concentration of dual-eligible beneficiaries.
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Development and Validation of the COVID-19 Hospitalized Patient Deterioration IndexThe authors developed and validated an accurate, well-calibrated, easy-to-implement COVID-19 hospitalized patient deterioration index to identify patients at high or low risk of clinical deterioration.
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How Will Provider-Focused Payment Reform Impact Geographic Variation in Medicare Spending?Unlike ACOs or P4P, implementation of bundled payment for inpatient and post acute care in Medicare would modestly reduce geographic variation in spending.
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Effectiveness and Cost-Effectiveness of Diabetes Prevention Among Adherent ParticipantsOver 10 years, among adherent participants, lifestyle intervention and metformin were effective and cost-effective for diabetes prevention compared with placebo.
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The Arkansas Payment Improvement Initiative: Early Perceptions of Multi-Payer Reform in a Fragmented Provider LandscapeArkansas has implemented multi-payer payment reform incorporating both episodic and Patient-Centered Medical Home models. Early perceptions of a sample of stakeholders were largely positive to date.
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Effective Implementation of Collaborative Care for Depression: What Is Needed?Factors most important for successful implementation of collaborative care for depression differ for patient activation versus achieving remission; both are critical to program success.
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Electronic Consults for Improving Specialty Care Access for VeteransThe combination of electronic consultations and active triage of specialty care consults effectively reduces wait times for outpatient clinics.
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Economic Model for Emergency Use Authorization of Intravenous PeramivirThe US Food and Drug Administration granted emergency use authorization of intravenous neuraminidase inhibitors for patients with 2009 influenza A (H1N1), creating a need for economic studies.
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Cost-Effectiveness of a Patient Navigation Program to Improve Cervical Cancer ScreeningThis study investigates the cost-effectiveness of a community-based patient navigation program to improve cervical cancer screening.
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A Randomized, Pragmatic, Pharmacist-Led Intervention Reduced Opioids Following Orthopedic SurgeryThis pharmacist-led, patient-directed intervention demonstrated a reduction in opioid dispensings in the 90 days following hip replacement but not knee replacement.
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Managing Specialty Care in an Era of Heightened Accountability: Emphasizing Quality and Accelerating SavingsThe authors report on a conceptual "specialty ACO" design in cardiology in which cardiology-specific historic spending targets are created to capture cardiovascular disease—related reimbursement and a quality measurement system is introduced.
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Health Insurance Literacy: Disparities by Race, Ethnicity, and Language PreferenceRacial/ethnic minorities are disproportionately at risk for adverse health and financial consequences due to lower health insurance literacy compared with white enrollees.
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Initial Experience With a First-to-Market Member Accountability-Based Insurance ProductA new insurance product based on principles of member and purchaser accountability was adopted rapidly and resulted in several health improvements.
