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Jiayi Chen, MDS
Latest Article

Letter Regarding “The Relationship Between Preventive Dental Care and Overall Medical Expenditures”

This letter emphasizes the need for rigorous study designs, particularly quasi-experimental methods, to accurately assess the causal impact of preventive health services on health care utilization and costs.

Yu-Hsiang Meng, MD
Latest Article

Association Between Screening for Suspected COVID-19 Cases and Outcomes of Patients Revisiting the Emergency Department

Patients who revisit the emergency department shortly after discharge are at high risk for complications and death, exacerbated by COVID-19 screening workload. Detection efforts impact outcomes.

Benjamin Picillo, MPH
Latest Article

Service Utilization by High-Need, High-Cost Patients Following Emergency Department Visits

This article provides insights into patterns of health care use following emergency department visits by high-need, high-cost patients with different types of California Medicaid primary care providers.

Danny Rischin, MD

Medical oncologist, clinician researcher, Peter McCallum Cancer Centre.

Latest Article

Why ASCO Is a Must-Attend Event for Oncologists Worldwide

Leaders in oncology share why the American Society of Clinical Oncology (ASCO) meeting remains a top global gathering for breakthroughs, networking, and lifelong learning.

Michael Thomsen, PhD
Latest Article

Predictive Models for Low Birth Weight: A Comparative Analysis of Algorithmic Fairness–Improving Approaches

This study compared 6 algorithmic fairness–improving approaches for low-birth-weight predictive models and found that they improved accuracy but decreased sensitivity for Black populations.

Joseph E. Marine, MD, MBA
Latest Article

Industry Payments to Cardiologists Are Associated With Higher Medicare Spending

This study of 26,805 cardiologists shows that industry payments (averaging $3958) are linked to increased Medicare costs, with each $10,000 in payment associated with $14.1 higher beneficiary spending.

Giovanni Cucchiaro, MD, MPP
Latest Article

Improving Pain Clinic Outcomes With Preappointment Surveys: Data-Driven Policy Change

Implementing a policy change to require preappointment surveys before scheduling initial clinic evaluations can improve wait-list times and show rates.

Michael H. Shannon, MD
Latest Article

Exploratory Study of Selected Stakeholder Insights Into Continuous Glucose Monitoring in T2D With Risk-Sharing Agreements

A small expert panel was selected to share professional experiences with risk-sharing agreements and advance the cost-effective utilization of continuous glucose monitoring–centered care in type 2 diabetes (T2D).

Marcus Rauhut, MPS
Latest Article

Billing for Tobacco Cessation: Enhancing Data Quality and Revenue Capture

Outpatient electronic health records at an academic medical center showed that only 1% of visits by tobacco users were associated with a bill for cessation counseling.

Shay Roth, PharmD, BCPS
Latest Article

Evaluation of Institutional Practices for Medication Access for Uninsured Patients

The authors assessed charitable care spending for a 1-month supply of medications at discharge. One-third of the cost was spent on medications for which a more sustainable coverage method exists.

Adam Spira, PhD, MA

Adam Spira, PhD, MA, professor, Johns Hopkins Bloomberg School of Public Health.

Latest Article

Multidimensional Sleep Health Linked to Vascular Dementia Risk in Aging Adults: Adam Spira, PhD, MA

Adam Spira, PhD, MA, discusses how composite measures of sleep health may offer a modifiable target to reduce dementia risk.

Fei Han, PhD
Latest Article

Predicting Severe Diabetes Complications Using Administrative Claims Data in Maryland

Predictive risk scores created using administrative claims and publicly available social determinants of health data strongly predicted severe diabetes complications for Maryland Medicare fee-for-service beneficiaries.

Cy Huffman, MD
Latest Article

Building a Payment Model for Health Coaching in Primary Care: Lessons From Tennessee

This case study describes Tennessee’s process for convening key stakeholders to develop uniform payment guidelines to encourage increased preventive service delivery.

Jose Guzman Garcia, PharmD, MHA, BCCCP

Jose Guzman Garcia, PharmD, MHA, BCCCP, is an associate chief pharmacy officer at UC Davis Health.

Latest Article

Pharmacy Innovations That Improve Care Quality, Cut Costs: A Q&A With Jose Guzman Garcia, PharmD, MHA, BCCCP

Jose Guzman Garcia, PharmD, MHA, BCCCP, discusses key pharmacy initiatives at UC Davis Health.

Alison Marks, BA
Latest Article

Blood Pressure Control Among Adherent vs Nonadherent Medicare Patients With Hypertension

This study evaluated whether adherence to a hypertension quality measure correlates with actual blood pressure control. Findings reveal misalignment between adherence metrics and clinical outcomes.

Andres E. Santana, BA
Latest Article

Preoperative Acute Care Spending Predicts Costs in Bundled Payment Programs

Preoperative acute care costs significantly predicted postoperative costs in Bundled Payments for Care Improvement model year 3 surgeries, suggesting that accounting for preoperative factors may improve bundled payment outcomes.

Jarrod E. Dalton, PhD
Latest Article

High-Intensity Home-Based Rehabilitation in a Medicare Accountable Care Organization

High-intensity home-based rehabilitation (HIHR) may substitute for facility-based postacute rehabilitation. Patients in HIHR had better functional outcomes at lower costs than patients in facility-based care.

Debra Hersh, MPH
Latest Article

Food Insecurity Identification Modeling for Medicare Enrollees Using Administrative Data

Food insecurity identification modeling for Medicare can establish a reliable method of prioritizing members at risk of food insecurity for identification and program enrollment.

Edward Juhn, MD, MBA, MPH

Dr. Edward Juhn is the chief quality officer of Inland Empire Health Plan (IEHP). IEHP is committed to its vision of not resting until our communities enjoy optimal care and vibrant health. IEHP is located in the Inland Empire, a region that covers more than 27,000 square miles and is larger than 10 US states.

Latest Article

Contributor: Beyond a One-Size-Fits-All for Managed Care Plan Benchmarks

Comparing plans with similar characteristics, such as size, geographic location, or demographics served, allows for more meaningful insights and improvement opportunities.

Jacob E. Kurlander, MD, MS
Latest Article

Navigation and Clinician Payment Investments Enhance Colorectal Cancer Screening Benefits

Investing in patient navigation and clinician incentives ensures colorectal cancer screening completion, improves early detection, reduces disparities, achieves cost savings, and advances population health for all stakeholders.