Authors
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Shifting the Dialogue From Hospital Readmissions to Unplanned CareThis commentary proposes a bundled measure of unplanned post-hospital care to better assess the true impact of readmissions reductions programs and to avoid unintended consequences.
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A Comprehensive Hospital-Based Intervention to Reduce Readmissions for Chronically Ill Patients: A Randomized Controlled TrialA hospital-based transitional care program for patients with heart failure or pulmonary disease failed to reduce 30- or 90-day readmissions or emergency department visits.
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Tiered Networks: Strategies of Engagement for Patients and PhysiciansTiering of networks cannot be viewed in isolation, but rather as a piece of a larger value agenda.
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Telemonitoring With Case Management for Seniors With Heart FailureAn Internet-based telehealth intervention for elderly heart failure patients found no discernible incremental impact on morbidity or mortality compared with case management alone.
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Provider and Patient Burdens of Obtaining Oral Anticancer MedicationsOral anticancer medications are frequently used to treat patients with cancer. We found significant time and energy burdens for clinic staff and patients in obtaining these drugs.
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Integrating Behavioral Health Under an ACO Global Budget: Barriers and Progress in OregonFinancial barriers to behavioral health integration in Oregon Medicaid accountable care organizations (ACOs) limit opportunities to expand integrated care, but state and organizational opportunities exist.
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Development of a Multidisciplinary, Multicampus Subspecialty Practice in Endocrine CancersThe development of subspecialty tumor groups for uncommon malignancies represents an effective approach to building experience, increasing patient volumes and referrals, and fostering development of increased therapeutic options and clinical trials for patients afflicted with otherwise historically neglected cancers.
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Medicare Part D Claims Rejections for Nursing Home Residents, 2006 to 2010This study presents data on paid and rejected claims submitted by 1 large long-term care pharmacy over the initial 5 years of Medicare Part D.
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Opportunities to Improve the Value of Outpatient Surgical CareOutpatient surgeries in the United States account for roughly 7% of annual healthcare expenditures. To exploit substantial opportunities to improve the value of outpatient surgical care, the authors composed an evidence-based care delivery composite for national discussion and pilot testing.
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Association of Care Management Intensity With Healthcare Utilization in an All-Condition Care Management ProgramHigher intensity of care management in an all-condition program addressing care coordination and care barriers was associated with increased healthcare utilization among Medicaid and Medicare patients.
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Clinician Considerations When Selecting High-Risk Patients for Care ManagementClinicians consider a number of patient predisposing and enabling characteristics not typically available in clinical data systems when selecting high-risk patients for care management.
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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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Pilot of Decision Support to Individualize Colorectal Cancer Screening RecommendationsColorectal cancer screening involves balancing immediate harms with longer-term benefits; electronic medical record decision support may facilitate personalized benefit/harm assessment.
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Measuring the Cost Implications of the Collaborative Accountable Care Initiative in TexasA private accountable care organization model with an embedded care coordinator and a list of recommended providers yields cost savings similar to initiatives with risk-based contracts.
