- Center on Health Equity & Access
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- Health Care Delivery
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- Value-Based Care
Cardiovascular Conditions Frequently Associated With Readmissions
David May, MD, PhD, FACC, and Arthur Garson, Jr, MD, MPH, explore the most common cardiovascular conditions linked to hospital readmissions during transitions of care scenarios.
Dr Garson, Jr, says that congestive heart failure and myocardial infarction result in unnecessary hospital readmissions. He discusses how, in an effort to reduce readmission rates, the Centers for Medicare & Medicaid Services has instituted penalties for readmissions linked to both conditions.
In addition to heart failure and myocardial infarction, Dr May adds that atrial fibrillation, venous thromboembolism, and pulmonary embolism also have high readmission rates.
Dr May suggests that complex medication regimens and increased anxiety lead patients and their family members to seek hospital care in situations where it may not be necessary. He explains that it is the responsibility of the healthcare professional to provide medical education and facilitate proper transitions of care, especially when caring for patients who are treated with complex medication regimens because they have chronic, ongoing medical complications.
Exploring Racial, Ethnic Disparities in Cancer Care Prior Authorization Decisions
October 24th 2024On this episode of Managed Care Cast, we're talking with the author of a study published in the October 2024 issue of The American Journal of Managed Care® that explored prior authorization decisions in cancer care by race and ethnicity for commercially insured patients.
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Breast Cancer Outcomes Improved in States With Medicaid Expansion
October 24th 2024Medicaid expansion is associated with improved care and increased survival rates for patients with certain breast cancers, but future studies should focus on whether Medicaid expansion mitigates the disparities between Black and non-White patients.
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Frameworks for Advancing Health Equity: Community Wellness Centers
September 27th 2024Delia Orosco, MS, director of Community Wellness Centers at Inland Empire Health Plan, shares insight into innovative initiatives provided by the wellness centers and their new mobile mammogram clinics.
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