- Center on Health Equity & Access
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Latest:
Financial Burden of Healthcare Utilization in Consumer-Directed Health PlansEnrollment in a consumer-directed health plan increases the financial burden associated with healthcare utilization, especially for those with lower incomes and with chronic conditions.
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Producing Comparable Cost and Quality Results From All-Payer Claims DatabasesThis paper describes a replicable process for standardizing disparate databases and methods to calculate cost and quality measures within and across states.
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Equalize Payment Across Site of ServiceFor many US community cancer centers, keeping the doors open has often meant making the difficult decision to consolidate with hospitals and large hospital systems. Site neutrality is a critical step in the journey toward better healthcare for all Americans and a healthy future for Medicare.
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IT-Enabled Systems Engineering Approach to Monitoring and Reducing ADEsSelf-empowering team resource management, when aided by information technology, appears to help reduce adverse drug events in primary care offices.
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Hospital Cancer Pain Management by Electronic Health Record–Based Automatic ScreeningA cancer pain control program for inpatients based on electronic health record–based automatic screening provided effective pain relief and achieved high satisfaction among patients and physicians.
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Step-Up Care Improves Impairment in Uncontrolled Asthma: An Administrative Data StudySignificant clinically meaningful improvements in asthma impairment are documented by administrative data for 1 year after initiation of step-up care in patients with uncontrolled asthma.
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Claims Identification of Patients With Severe Cancer-Related SymptomsThe authors established a claims-based mechanism for identifying patients with lung cancer with more severe patient-reported cancer-related symptoms who could benefit from engagement with health care programs.
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ACO Quality Over Time: The MSSP Experience and Opportunities for System-Wide ImprovementFrom 2013 to 2016, Medicare Shared Savings Program accountable care organizations (ACOs) improved quality. Continued infrastructure development funding, better relationships with postacute care facilities, and shared learnings among diverse ACOs would maximize quality improvement.
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Access to Primary and Dental Care Among Adults Newly Enrolled in MedicaidNearby provider supply did not affect identification of usual sources of primary or dental care among new Medicaid enrollees. Strategies to improve access are needed.
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Provider Organization Performance Assessment Utilizing Diabetes Physician Recognition ProgramRetrospective chart review to assess the impact of the Diabetes Physician Recognition Program showed that most patients achieved control levels recommended by national treatment guidelines.
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Financial Incentives for Quality in Breast Cancer CareWe present findings about the prevalence and predictors of financial incentives for quality reported by oncologists and surgeons in Los Angeles County, California.
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Trends in Public Perceptions of Electronic Health Records During Early Years of Meaningful UseDuring the early years of the "meaningful use" program, surveys found decreases in both optimism and concerns about electronic health records.
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Primary Care Capacity as Insurance Coverage Expands: Examining the Role of Health Information TechnologyPrimary care physicians using more health information technology were less likely to accept new patients.
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Role of Insurance, Income, and Affordability in Human Papillomavirus VaccinationCompared with insured adults, uninsured adults in California had less knowledge of the human papillomavirus vaccine and were less likely to be vaccinated.
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Growth in Health Information Exchange With ACO Market PenetrationHospitals that participate in accountable care organizations (ACOs) expand their health information exchange networks as a result, but hospitals in markets with existing ACO infrastructure can expand more quickly.
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A Strategic Plan for Integrating Cost-effectiveness Analysis Into the US Healthcare SystemA panel composed of medical and pharmacy directors expressed strong support for a greater role for cost-effectiveness analysis in US health policy decisions.
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Costs of Asthma Among US Working AdultsAmong a working population, patients with asthma experienced significantly higher direct medical costs and modestly higher work loss than patients without asthma.
