Authors
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Medical Home Effects on Enrollees With Mental and Physical IllnessMedical home enrollment had mixed effects on acute care use and a large effect on outpatient care use. Effects on expenditures varied by mental illness.
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Physician Satisfaction With Health Plans: Results From a National SurveySeveral physician and payer characteristics are associated with physician satisfaction with health plans. There is opportunity to improve physician satisfaction with payers, specifically in pharmacy.
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How Will Provider-Focused Payment Reform Impact Geographic Variation in Medicare Spending?Unlike ACOs or P4P, implementation of bundled payment for inpatient and post acute care in Medicare would modestly reduce geographic variation in spending.
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Effects of a Community-Based Care Management Model for Super-UtilizersA community-based care management program for high-risk patients reduced hospital readmissions and also likely reduced admissions and Medicare parts A and B spending.
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Changes in Hospital Admissions for Urgent Conditions During COVID-19 PandemicAdmission rates during the coronavirus disease 2019 (COVID-19) pandemic were lower than in 2019 for acute medical conditions, suggesting that patients may be deferring necessary medical care.
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Connected Care Is Key to Accountable Care: The Case for Supporting Telehealth in ACOsA growing body of evidence is demonstrating how the benefits of Connected Care, electronic communication between patient and caregiver, are improving healthcare access and quality and reducing costs for payers-without passing through Congress.
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The National Oncology Working Group (NOW) Initiative: Payer and Provider Collaborations in Oncology Benefits ManagementThis article highlights the work of the National Oncology Working Group (NOW) Initiative.
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Leveraging EHRs for Patient Engagement: Perspectives on Tailored Program OutreachDivergent reactions among women at high risk for diabetes highlight challenges of implementing tailored outreach messages, driven by electronic health records, to promote patient engagement in preventive lifestyle programs.
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Hospital Admissions and MS: Temporal Trends and Patient CharacteristicsAn examination of hospitalization patterns in patients with multiple sclerosis with a focus on the association with time and patient characteristics.
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Cost of Delivering Centralized and Decentralized Reminder/Recall for Vaccinations to Children and Adolescents in an ACOCentralized reminder/recall (R/R) is less costly to deliver than decentralized R/R for both children and adolescents when implemented for patients within an accountable care organization.
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Impact of Clinical Training on Recruiting Graduating Health ProfessionalsA business case is made for medical centers to offer high-quality clinical training experiences to recruit graduating health professionals.
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Tracking Spending Among Commercially Insured Beneficiaries Using a Distributed Data ModelThe authors demonstrate the utility of distributed data models for reporting of local trends and variation in utilization, pricing, and spending for commercially insured beneficiaries.
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Improvements in Access and Care Through the Affordable Care ActAffordable Care Act exchange enrollees in California and Colorado reported significant improvements in access to care and fewer barriers to receiving care due to costs.
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The Effect of Disease Management on Utilization of Services by Race/Ethnicity: Evidence From the Florida Medicaid ProgramThis study examines racial/ethnic differences in utilization of inpatient days and ED and outpatient visits before and after implementation of a Medicaid disease management program.
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Value-Based Payment Models in Oncology: Will They Help or Hinder Patient Access to New Treatments?The Deloitte Center for Health Solutions recently interviewed individuals from health plans, providers, and clinical pathway developers that are participating, supporting, or evaluating oncology payment models to understand what approaches are perceived to be working, the early results, and the potential impact on innovation.
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Socioeconomic Disparities Across Ethnicities: An Application to Cervical Cancer ScreeningAn examination of socioeconomic disparities in cervical cancer screening across ethnic groups in the United States using concentration indices and probit regression analyses.
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Cancer Screening Across the Aging ContinuumThe article reviews the current state of knowledge regarding screening guidelines for older adults and gives recommendations for healthcare providers working with older adults.
