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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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Advancing the Learning Health System by Incorporating Social DeterminantsWithout integrating data on the social determinants of health, the learning health system could fail to reach its mission of higher-quality, safer, and more efficient care.
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Impact of the COVID-19 Pandemic on Regular Emergency Department UsersRegular users of the emergency department (ED) transiently reduced ED visits when faced with ED access barriers during the COVID-19 pandemic.
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A Way Out of the Dismal Arithmetic of Hepatitis C TreatmentThis special issue presents important new peer-reviewed research, covering issues ranging from access and the out-of-pocket costs of a treatment course, to the real-world consequences-both economic and clinical-of failing to treat.
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Hypertension Treatment and Control Within an Independent Nurse Practitioner SettingThis cross-sectional retrospective study found comparable blood pressure control rates among patients with hypertension receiving primary care from a nurse practitioner versus a physician.
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Economic and Clinical Impact of Routine Weekend Catheterization ServicesWeekend cardiac catheterization availability for inpatients reduced length of stay and maintained quality of care (no excess hazard for weekend cases), but costs were similar.
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Relevance of Current Guidelines for Organizing an Anticoagulation ClinicAnticoagulation clinics in an integrated healthcare system differed widely in their organization and management, but these differences were not consistently related to their performance.
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Automated Messaging to Improve Compliance With Diabetes Test MonitoringA randomized controlled trial was conducted to compare the effectiveness of automated telephone and mail outreach to prompt compliance with periodic diabetes laboratory testing.
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Gender Differences in Healthcare Utilization of Patients With DiabetesGender differences were found in healthcare utilization in patients with type 2 diabetes mellitus in Germany, despite a high rate of enrollment in a disease management program.
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Building Health IT Capacity to Improve HIV Infection Health OutcomesMassachusetts is integrating HIV surveillance and leveraging electronic health record clinical data into their electronic disease case management system to enhance monitoring the HIV continuum of care.
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Expanding the "Safe Harbor" in High-Deductible Health Plans: Better Coverage and Lower Healthcare CostsAmending regulations to expand the “safe harbor” by allowing predeductible coverage of high-value services and medications for chronic diseases would provide Americans a plan option that better meets their clinical and financial needs.
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The Healthcare Revolution Will Be DigitizedThe data-fueled healthcare revolution requires us to share data and share risk to ultimately share rewards andachieve Triple Aim goals.
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Examining Differential Performance of 3 Medical Home Recognition ProgramsWe examine utilization, quality, and expenditures among Medicare beneficiaries receiving care at federally qualified health centers and compare outcomes among those attributed to 1 of 3 recognition programs versus none.
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Toyota Production System Quality Improvement Initiative Improves Perioperative Antibiotic TherapyUse of Toyota production system methods as part of a nosocomial MRSA prevention initiative on a surgical unit improved quality of care in other areas.
