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Insurers’ Perspectives on MA Value-Based Insurance Design ModelThis article describes perspectives of Medicare Advantage (MA) insurers about participating in the CMS value-based insurance design model test launched in 2017.
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Quantifying Opportunities for Hospital Cost Control: Medical Device Purchasing and Patient Discharge PlanningThe authors quantify the potential reduction in hospital costs from adopting best local practices in supply chain management and discharge planning within a major metropolitan market.
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Enhanced Care Coordination Improves HIV Viral Load Suppression RatesEnhanced care coordination in New York City that leveraged surveillance data with a health plan’s Medicaid managed care roster improved its HIV viral load suppression rate.
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Adaptation and Psychometric Properties of the PACIC Short FormFor future studies focusing on quality of care from the background of the Chronic Care Model, the PACIC short form is appropriate.
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Inpatient Rehabilitation Utilization for Acute Stroke Under a Universal Health Insurance SystemBased on claims data from a universal health insurance system, inpatient stroke rehabilitation use was 34.0% and mainly related to stroke type and stroke severity.
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A Technology Solution for the High-Tech Diagnostic Imaging ConundrumThis article reports a unique statewide initiative in Minnesota to improve orders for high-tech diagnostic imaging tests while reducing their overall frequency and costs.
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Managing Inappropriate Requests of Laboratory Tests: From Detection to MonitoringThis study shows automatic, practical, simple, and effective strategies designed in the laboratory, in consensus with requesting clinicians, to improve laboratory test appropriateness.
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Mississippi Taking Steps to Reduce Childhood ObesityThe chairman of the Mississippi State Senate Medicaid Committee outlines steps the state has taken to promote healthier lifestyles among children.
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The Social Value of Childhood Vaccination in the United StatesVaccination of children born in the United States in 2009 will save 1.2 million quality-adjusted life-years, generating $184 billion in social value net of vaccination costs.
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Is the Medicare Bundled Payments for Care Improvement Initiative Designed to Succeed?Providers' perspectives point to key considerations for policy makers as they seek to broaden participation in the Bundled Payments for Care Improvement Initiative.
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A Bundle of Nudges: Healthcare Payment in an Era of Behavioral ScienceUsing digital health to manage chronic disease means creating new payment models that recognize care is an ongoing process.
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Feasibility of Expanded Emergency Department Screening for Behavioral Health ProblemsThis feasibility study of expanded emergency department screening identified a high prevalence of behavioral health conditions. Screening was successfully integrated into emergency visit idle times.
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Impact of a Medical Home Model on Costs and Utilization Among Comorbid HIV-Positive Medicaid PatientsAmong HIV-positive Medicaid patients with comorbid medical and psychiatric disorders, there was increased outpatient service utilization, yet relative cost savings, for patients who were treated in patient-centered medical homes.
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Session 2: DiscussantTomas Philipson, PhD, says historical reform efforts in the United States have raised doubts as to whether or not the implementation of the Affordable Care Act will slow health spending growth. Dr Philipson also suggests that concepts of value-based insurance design must be considered differently when managing a chronic condition like diabetes.
