Authors
Latest:
Shared Medical Appointments: Balancing Efficiency With Patient Satisfaction and OutcomesShared medical appointments have the potential to improve clinic efficiency, patient outcomes, and patient satisfaction when managing chronic rhinosinusitis.
Latest:
Risk Adjustment for Medicare Beneficiaries With Alzheimer's Disease and Related DementiasIncorporating functional status in diagnosis-based risk adjustment measures may modestly improve overall expenditure prediction for beneficiaries with substantial disabilities, but not prescription cost prediction.
Latest:
Medicare Diabetes Prevention Program: Where Are the Suppliers?Despite the Medicare Diabetes Prevention Program now being a covered benefit, there is inadequate availability of suppliers to reach Medicare beneficiaries with prediabetes.
Latest:
Physician Perception of Reimbursement for Outpatient Procedures Among Managed Care Patients With Diabetes MellitusPerception of reimbursement was associated with electrocardiography but not with other common outpatient procedures. Future research should investigate how associations change with perceived reimbursement amount.
Latest:
Care Coordination for Children With Special Needs in Medicaid: Lessons From MedicareAs increasing numbers of children with special healthcare needs move into Medicaid managed care, health plans can improve care coordination using evidence from Medicare.
Latest:
PDTs' Role in Addressing Health Care Disparities and Priorities for Improving PDT AccessIn their closing remarks, the panel shares their view on the future of prescription digital therapeutics and the prospects for the widespread adoption and implementation of these therapeutics in health care systems.
Latest:
Patient Out-of-Pocket Payments for Oral Oncolytics: Results From a 2009 US Claims Data AnalysisOut-of-pocket payments differ widely among oral oncolytic options. As cost for therapy becomes a greater part of treatment decisions, an understanding of patient out-of-pocket cost will be critical in informing choices.
Latest:
Evolving Health Workforce Roles in Accountable Care OrganizationsThis qualitative study draws on interviews with clinical staff to examine health workforce use within accountable care organizations and identifies common roles that support value-based care.
Latest:
Tailoring Complex Care to Patients’ Needs: Myths, Realities, and Best Next StepsThe authors of this editorial highlight some of the myths surrounding complex care management, identify areas where research could be most informative, and recommend best next steps in developing effective and efficient complex care management programs.
Latest:
Identifying Frail Older People Using Predictive ModelingThe frailty determination of the Adjusted Clinical Groups“diagnoses based predictive model identified frail elders with moderate success compared with a validated screening questionnaire.
Latest:
Does a Personalized Approach Improve Patient Satisfaction in Thoracic Oncology?Evaluation of cancer patients’ quality of life at admission enabled improvement of their satisfaction with received care at discharge.
Latest:
Organization of Care and Diagnosed Depression Among Women VeteransThis analysis studies effects of practice structures, primary care and mental health integration, and sex-specific primary care services on diagnosis of depression among women veterans.
Latest:
Increased Likelihood of Psychiatric Readmission With Medicaid Expansion vs Legacy CoverageIndividuals who became eligible for Medicaid through Medicaid expansion have an increased likelihood of psychiatric readmission compared with their legacy-enrolled counterparts.
Latest:
Type 2 Diabetes Mellitus in China: A Preventable Economic BurdenTreatment of type 2 diabetes mellitus and its complications places a heavy burden on healthcare budgets in China and will continue to do so.
Latest:
The Diagnosis for Diagnostics: Changes to Medicare Payment and Coverage of Clinical Laboratory TestsThe basis for determining Medicare payment rates for clinical diagnostic laboratory tests is changing. These changes will be important for all payers and providers to follow for future reimbursement and contract negotiations.
Latest:
Against the Current: Back-Transfer as a Mechanism for Rural RegionalizationThe authors investigated back-transfer: the transfer of patients near the end of an acute hospitalization to a local community hospital for completion of their medical care.
Latest:
Association Among Change in Medical Costs, Level of Comorbidity, and Change in Adherence BehaviorThe authors found that comorbidity burden and the direction of behavioral change influence the relationship between adherence and medical spend. This could affect the cost-benefit considerations of medication adherence programs.
Latest:
Reducing Readmissions in the Safety Net Through AI and AutomationArtificial intelligence (AI) and electronic health record–based automation tools helped a safety-net health system meet performance-based readmission metrics, thereby retaining critical funding while improving clinical and equity outcomes.
Latest:
The Adoption and Spread of Hospital Care Coordination Activities Under Value-Based ProgramsValue-based programs such as accountable care organizations appear to encourage the adoption and spread of care coordination activities by hospitals.
Latest:
Increasing Access to Specialty Care: Patient Discharges From a Gastroenterology ClinicThe authors used a modified Delphi process involving primary care providers and gastroenterologists to identify safe patient discharges from gastroenterology clinics to primary care.
