Authors

The cost avoidance of heart failure–related hospitalizations and emergency department visits may outweigh the additional drug cost in Medicaid members adherent to sacubitril/valsartan.

Steven Keteyian, PhD

Latest Article

Out-of-Pocket Spending for Cardiac Rehabilitation and Adherence Among US Adults

Among commercial and Medicare supplemental beneficiaries with cost sharing, higher out-of-pocket spending for the first cardiac rehabilitation session was associated with lower program adherence.

Mudit Garg

Mudit Garg is co-founder and CEO of Qventus.

Latest Article

Contributor: How 2 Health Systems Improved Perioperative Productivity and Efficiency

As hospitals look to expand their surgical services in the near future, Mudit Garg gives 2 examples of how these changes can be made effectively.

Michelle A. Leak, MBA

Latest Article

Impact of Advance Care Planning Consults on Advance Directives Completion

Implementing advance care planning consults can increase advance directive completion rates. The authors demonstrate the impact of consults on completed advance directives in the medical record.

Henry A. Glick, PhD

Latest Article

Cost-effectiveness of a 3-Year Tele-Messaging Intervention for Positive Airway Pressure Use

Long-term tele-messaging was more effective than no messaging and short-term messaging for positive airway pressure use, and it was highly likely to be cost-effective with an acceptable willingness-to-pay threshold.

Margaret F. Zupa, MD

Latest Article

Patient and Supporter Factors Affecting Engagement With Diabetes Telehealth

Family support with medication management and recent urgent self-management concerns are 2 novel factors, among others, that predict completion of diabetes telehealth calls.

Suzanne J. Wood, PhD

Latest Article

Health Care Leader Perspectives on State Government–Sponsored Accountable Care for Public Employees

Qualitative interviews reveal health care leader perspectives on how state governments influenced payment reform by developing an accountable care program for public employees.

Jeffrey Souza, BA

Latest Article

Use of Diabetes Medications in Traditional Medicare and Medicare Advantage

Medicare Advantage enrollees are more likely to be treated with metformin and sulfonylureas and less likely to receive costly newer medications than those in traditional Medicare.

Wei Feng, PhD

Latest Article

Determinants of ICS Therapy Adherence in Patients With Asthma

This study describes determinants affecting disease control and inhaled glucocorticosteroid therapy adherence for patients with asthma in western China.

Miguel Morales, MPH

Latest Article

Rideshare Transportation to Health Care: Evidence From a Medicaid Implementation

Our study on ridesharing by a managed care transportation broker found no change in ride quality compared with traditional nonemergency medical transportation, but differences were observed for access-to-care measures.

Helen Trenz, PhD

Latest Article

Variation in Spending Associated With Primary Care Practices

Physician practices account for a significant amount of variation in spending.

David Somand, MD

Latest Article

Diagnosis Patterns and Stress Testing Trends After Implementing High-Sensitivity Troponin Assay

This study found that switching from a conventional troponin assay to a high-sensitivity troponin assay resulted in changes to diagnosis patterns and stress testing trends.

Nicholas Stewart, PhD

Surgo Health

Latest Article

Better Data Is Needed to Tackle Health Equity

The US federal government is finally updating its standards for reporting data on race and ethnicity – and it’s an urgently needed chance to enable a national overview of crucial data on health inequities

Michelle G. Jin, BS

Latest Article

Differences in Spending for Diabetes and Multiple Chronic Conditions in Michigan Medicare Beneficiaries

Diabetes and multiple chronic conditions increase overall Medicare spending, but spending increases even more in minority beneficiaries compared with White beneficiaries with similar comorbidity combinations.

Nailah Thompson, DO, MPH

Latest Article

Challenges of Fracture Risk Assessment in Asian and Black Women

2 years ago

Differences in bone density and FRAX fracture risk scores among Black and Asian women yield greater discordance in fracture risk estimation compared with White women.

Jun Li, PhD

Latest Article

Bundled Payment Impacts Uptake of Prescribed Home Health Care

The Comprehensive Care for Joint Replacement Model mitigated a trend of lower home health uptake for Black and White patients but not for other populations.

Maged K. Rizk, MD, MBA

Latest Article

Dialysis Costs for a Health System Participating in Value-Based Care

2 years ago

In a large, integrated health system participating in value-based care, higher costs and utilization were observed before and after unplanned dialysis initiation.

Matthias Kirch, MS

Latest Article

Older Adults’ Perspectives on Emergency Department Costs During COVID-19

Most older US adults have concerns about emergency department visit affordability. Lower income, being uninsured, poor or fair physical/mental health, and younger age were associated with increased concerns.

Austin Campbell, PhD

Latest Article

Identifying Chronic Kidney Disease Stage 3 With Excess Disease Burden

A high-risk cohort of beneficiaries with chronic kidney disease (CKD) stage 3 have a profile similar to patients with CKD stages 4 and 5, indicating potential benefit of earlier nephrology intervention.

Ryan Cox

Ryan Cox, RPh, MBA, is vice president, Access Experience Team, PRECISIONvalue.

Latest Article

Contributor: How Payers Can Be Effective in New Value-Based Models for CKD

The author discusses how value-based payment models in chronic kidney disease can improve total cost and quality of care for patienst with chronic kidney disease (CKD).

Shraddha Patel, MPH

Latest Article

Hospitalization Patterns Among Older Patients With Cancer With and Without Dementia

Dementia was more prevalent in older patients with some cancer types, and comorbid dementia in this population was associated with unplanned or unnecessary hospitalization.

Kaelyn C. Boss, PharmD

Latest Article

Evaluating Proactive Outreach for Prior Authorization Recertifications in Medicaid Patients

Implementing a proactive provider outreach program resulted in significantly more prior authorization recertifications and a reduction in time to submission.

Jared Hirsch, MSc

Latest Article

Health Care Resource Utilization, Quality Metrics, and Costs of Bladder Cancer Within the Oncology Care Model

Spending on novel therapies in high-risk bladder cancer had minimal impact on Oncology Care Model payments to practices, according to this cohort study and an average performance estimation.

Shelytia Cocroft, PhD

Latest Article

Hospital Strategies in Commercial Episode-Based Reimbursement

2 years ago

This study reports qualitative findings from an explanatory sequential mixed-methods investigation to understand hospitals’ approaches to a novel commercial episode-based reimbursement incentive program.

Jon Kingsdale, PhD

Latest Article

Successes and Failures With Bundled Payments in the Commercial Market

Courtney R. Brown, PharmD

The relatively few examples of commercially funded condition-specific bundled payments provide insights into how to spread this alternative payment model further in the private insurance market.

Latest Article

Post-SNF Outcomes and Cost Comparison: Medicare Advantage vs Traditional Medicare

Patients enrolled in Medicare Advantage had better outcomes and lower cost following skilled nursing facility (SNF) discharge than patients enrolled in traditional fee-for-service Medicare.

Lin Jin, MB

Latest Article

Current Status and Influencing Factors of Nursing Interruption Events

This study investigated the current status of nursing interruption events and analyzed the time costs, priority of events, and factors influencing interruptions.

Jack LaViolette, MSc

Latest Article

Community Health Workers’ Critical Role in Trust Building Between the Medical System and Communities of Color

The authors interrogate elements of routine medical practice in New York City to argue for reforms of hospital culture through relational trust-building capabilities of community health workers.

Katy Kaplan, PhD

Latest Article

The Implementation of Opioid Prescribing Report Cards in Medicaid Managed Care: A Community Quality Collaborative