- Center on Health Equity & Access
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Post-SNF Outcomes and Cost Comparison: Medicare Advantage vs Traditional MedicarePatients enrolled in Medicare Advantage had better outcomes and lower cost following skilled nursing facility (SNF) discharge than patients enrolled in traditional fee-for-service Medicare.
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Geographic Variability of Medicaid Acceptance Among Allergists in the USThe proportion of allergists accepting Medicaid in the US varied significantly among and within states.
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Advanced Care at Home at Scale in an Integrated Health Care SystemAdvanced care at home (otherwise known as hospital at home) can be scaled and provide care for a sizable portion of a hospital’s inpatient census, creating hospital capacity in an integrated delivery system.
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Standardized Total Knee Arthroplasty Pathway Improves Outcomes in Minority PatientsIn a minority-predominant patient population, a standardized pathway for total knee arthroplasty was associated with improved outcomes with no change in postoperative complication rates.
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Cost Analysis of Self-Monitoring Blood Glucose in Nonintensively Managed Type 2 DiabetesAnalysis of claims data showed reduced utilization and costs among patients with nonintensively managed type 2 diabetes using self-monitoring of blood glucose compared with continuous glucose monitoring.
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The Hepatitis B Care Cascade Using Administrative Claims Data, 2016Analysis of a large, nationally representative claims database to longitudinally monitor enrollees with hepatitis B showed that 36% received recommended care and 18% were prescribed treatment.
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Weighing ICS Benefits vs Long-Term Systemic Side Effects in COPD: Sara Assaf, MDInhaled corticosteroids pose long-term risks in COPD management, prompting careful screening and potential de-escalation strategies, said Sara Assaf, MD.
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Supporting Patients on Oral Breast Cancer Therapies: Michael Hassett, MD, MPHMichael Hassett, MD, MPH, discusses the rise of oral therapeutics in breast cancer care, emphasizing patient support, education, and overcoming financial barriers for better outcomes.
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Contributor: Building an Integrative Future for Mental Health CareAs the demand for mental health care grows, calls for restructuring what some consider a broken system are louder than ever, with overburdened providers and patients' needs constantly evolving.
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Patient and Physician Perceptions of a Hypercholesterolemia Safety-Net ProgramPatients’ misperceptions of statins and physicians’ limited knowledge of a hypercholesterolemia safety-net program warrant additional interventions to reduce barriers and improve care.
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Evaluating Smoking Cessation Service at an Emergency Department Clinical Observation UnitThis study aimed to evaluate the impact of a smoking cessation service in a group of patients admitted to a short-stay unit in the emergency department.
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Patient Education, Provider Education, and Overall Final ThoughtsIn this discussion, panelists offer their final thoughts.
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Targeted Policies, Further Research Needed to Tackle Insulin Costs, Use Disparities: Elise S. Tremblay, MD, MPHElise S. Tremblay, MD, MPH, explores potential policy solutions and research directions to address ongoing challenges in insulin affordability and access.
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AI Seen as Key to Reducing Health Care Claim Denials, Survey FindsExperian Health’s 2025 State of Claims survey shows rising denial rates, data errors, and low artificial intelligence adoption despite providers’ belief in its potential.
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Halloween Eye Injuries Should Be Seen by an Eye Doctor: Craig See, MDAny injury to the eye, like those acquired during trick-or-treating, should be seen by an eye doctor if it does not resolve within a day.
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Covishield India: Demystifying Myths Through an Early Multicenter Safety StudyThis was a multicenter study carried out in India to study the adverse and systemic effects of the indigenously developed Covishield vaccine.
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Price Transparency and Patient Engagement: Social Messaging MattersThis study examined the impact of price transparency and prosocial messaging on patient engagement of price-protected consumers in seeking value-based care.
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Process Reengineering and Patient-Centered Approach Strengthen Efficiency in Specialized CareImproving efficiency is complex and requires a multimodal approach. Health information systems, patient feedback, and multidisciplinary teams are components that can improve clinical processes.
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Successes and Failures With Bundled Payments in the Commercial MarketThe relatively few examples of commercially funded condition-specific bundled payments provide insights into how to spread this alternative payment model further in the private insurance market.
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Outcomes of Antiviral Treatment for Influenza in Type 2 DiabetesAntiviral treatment was associated with lower health care resource utilization and costs in patients with type 2 diabetes and a diagnosis of influenza.
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Association of Dermatology Wait Times With Insurance Coverage in MichiganDisparities in dermatologic care for patients with Medicaid exist, and delays in medical dermatologic care among Medicaid patients must be addressed.
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Health Equity in the Era of Large Language ModelsThis article presents challenges and solutions regarding health care–focused large language models (LLMs) and summarizes key recommendations from major regulatory and governance bodies for LLM development, implementation, and maintenance.
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Gaps Remain in Research on Laser, Energy-Based Device Safety for Skin of Color: Arielle Kauvar, MDDespite advances, Arielle Kauvar, MD, calls for more research on laser and energy-based devices for patients with skin of color.
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5 Consequences If ACA Premium Subsidies End in 2026As open enrollment begins November 1, 2025, millions are signing up under enhanced subsidies that are set to expire at the end of this year.
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Advancing HIV Care With Doravirine and Islatravir: Q&A With Amy Colson, MD, MPHNew data from the MK-8591A-051 and MK-8591A-052 trials, both investigating the efficacy and safety of 100-mg doravirine and 0.25-mg islatravir as a once-daily 2-drug regimen for virologically suppressed people living with HIV-1, were presented today by Amy Colson, MD, MPH.
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Unlocking Access: Exploring Mental Health Care Among Medicaid Managed Care EnrolleesOn this episode of Managed Care Cast, we speak with the author of a study published in the January 2025 issue of The American Journal of Managed Care® to examine the association between quantitative network adequacy standards and mental health care access among adult Medicaid enrollees.
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Integrating Primary Care and Public Health for Advance Care PlanningThis article proposes a new model, Public-Primary ACP, that leverages coordination between primary care and public health workforces to improve delivery of advance care planning.
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Treatment Patterns for Patients With Advanced/Metastatic Cancers by Site of CareTreatment patterns and overall survival were similar regardless of site of care between patients receiving anticancer therapy in the hospital outpatient vs physician office setting.
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Medicaid Managed Care: Further Reform Needed to Deliver on PromiseMedicaid managed care has not been the panacea for spending, care quality, and access that policy makers expected, but reforms could change that.
