Allison J. Zomer, MDP


Using a Brief Tool to Assess Healthy School Environments: A Pilot Study

The authors evaluated a brief assessment tool that accountable care organizations can use to help elementary schools improve student nutrition and increase physical activity.

Ashwini Sankar, PhD


FDA Safety Warnings and Trends in Testosterone Marketing to Physicians

This article presents an evaluation of testosterone marketing practices around the period of the testosterone label warning by physician specialty and rural vs urban primary care service area.

Loren Adler, MS


Commercial and Medicare Advantage Payment for Anesthesiology Services

Mean in-network commercial allowed amounts and charges per anesthesia conversion factor are 314% and 659% of traditional Medicare rates, respectively. Medicare Advantage payments align with traditional Medicare prices.

Sachin Kamal-Bahl, PhD


Financial Incentives Tied to Medicare Star Ratings: Impact on Influenza Vaccination Uptake in Medicare Beneficiaries

Influenza vaccine uptake improved among Medicare Advantage enrollees when influenza vaccination was introduced as a performance metric in Medicare star ratings and accompanying bonus payments.

Thomas Kannampallil, PhD


Classifying Clinical Work Settings Using EHR Audit Logs: A Machine Learning Approach

An automated pipeline of frequency representation and machine learning models on raw electronic health record (EHR) audit logs can classify work settings based on clinical work activities.

Nate C. Apathy, PhD


Growth in Health Information Exchange With ACO Market Penetration

Hospitals that participate in accountable care organizations (ACOs) expand their health information exchange networks as a result, but hospitals in markets with existing ACO infrastructure can expand more quickly.

Mamta Bhatia, MSGH


Patient Experience After Modifying Visit Delivery During the COVID-19 Pandemic

Coronavirus disease 2019 (COVID-19) was associated with immediate weekly visit trend decreases for overall, primary care, and specialty care with long-term recovery trends; transformation to virtual visits; and increasing long-term trends for meeting patient scheduling and visit needs.

Kelly E. Anderson, MPP


Regulation of Provider Networks in Response to COVID-19

The authors describe federal and state provider network adequacy standards and discuss how regulators should adapt these standards and accompanying monitoring processes in response to coronavirus disease 2019 (COVID-19).

Jordan Messler, MD, SFHM, FACP
Jordan Messler, MD, SFHM, FACP


Contributor: Health Systems Will Need a Tech Transformation to Prepare for CMS Glycemia Measures

With data collection beginning on January 1, 2023, most health systems are not prepared for CMS’ new glycemia measures, and those that are will likely be floored by the results, according to the chief medical officer at Glytec.

Meghan Moynihan, PhD, MPH


Clinical and Economic Burden of Uncontrolled Severe Noneosinophilic Asthma

Among patients with severe asthma with low eosinophils untreated with biologics, there is a high burden of disease among those who have suboptimal disease control.

Priya Jaisinghani, MD


A Case-Control Study of Length of Stay Outliers

Length of stay outliers are associated with hospital-acquired infections, complications, and discharge to facility, as opposed to nonmodifiable risk factors like age and comorbidities.

Mallika L. Mendu, MD, MBA


Intensive Care Management of a Complex Medicaid Population: A Randomized Evaluation

The authors present findings of a randomized evaluation of Medicaid patients at an academic medical center, which found that intensive care management was associated with reduced total medical expense.

Bronwyn Keefe, PhD, MSW, MPH


Patient Perceptions of In-home Urgent Care via Mobile Integrated Health

Comparing patients’ experiences with in-home urgent care from community paramedics vs urgent care provided in emergency departments, we found higher satisfaction among patients receiving in-home treatment.

Erika Franklin Fowler, PhD


Changes in Marketplace Competition and Television Advertising by Insurers

This study provides the first evidence on how Marketplace insurers are altering their marketing in response to changes in competitive pressure over time.

Sam Sobul, MPA


Use of Electronic Health Record Systems in Accountable Care Organizations

A recent survey found that more than 90% of accountable care organizations (ACOs) have multiple EHRs. This could present issues as ACOs adopt electronic quality measures.

Heather L. Taylor, MPH, LDH


Primary Care Case Conferences to Mitigate Social Determinants of Health: A Case Study From One FQHC System

This article describes perceived benefits, facilitators, and challenges of conducting interprofessional team case conferences in primary care settings to address patients’ complex social needs.

Yun Tang, BS


Prevention and Management of COVID-19 in Hemodialysis Centers

This article gives recommendations for individual hemodialysis centers worldwide to ensure the safety and effectiveness of patients receiving maintenance hemodialysis based on the experience of such a patient with coronavirus disease 2019 (COVID-19) in the Sichuan province of China.

James A. Gasperino, MD, PhD, MPH


AHA Telemetry Guidelines Improve Telemetry Utilization in the Inpatient Setting

Using Plan-Do-Study-Act cycles, the studied intervention reduced hospital inpatient telemetry time by 51.25% while increasing American Heart Association (AHA) guideline–based usage.

Mark E. Schario, MS, RN


Eliminating Defects in Value: Turnaround of an MSSP ACO

A health system transformational leadership framework and management system made visible and eliminated defects in value and was associated with reduced annual Medicare expenditures and increased quality between 2017 and 2020.

Daniel L. Brinton, PhD


A Comparison of Administrative Claims–Based Risk Predictors for Pediatric Asthma

A comparison of claims-based asthma risk predictors in a national sample of children with Medicaid determines accuracy and informs risk predictor choice.

Nicholas Bartz, MBA


Decreasing Primary Care Use and Blood Pressure Monitoring During COVID-19

Among a group of primary care accountable care organizations, patients with hypertension were 50% less likely to have a blood pressure recorded in April compared with February.

Hatice Bolek, MD


Economic Burden of Osteoporotic Fractures: The Tip of the Iceberg?

The economic burden of osteoporotic fractures may be much higher than estimated: just the tip of the iceberg. In this letter, we suggest that the cost of these fractures might be underestimated by considering only direct medical cost.

Vivek Kavadi, MD


Practice Radiation Patterns Among Oncologists in the Oncology Care Model

Despite the potential incentives for medical oncologists to reduce radiation therapy utilization under the Oncology Care Model, we find no evidence that such reduction occurred.

Kathleen C. Lee, MD


An Accelerated Hospital Observation Pathway to Reduce Length of Stay for Patients With COVID-19

For select patients hospitalized due to COVID-19, an academic urban hospital implemented an observation pathway that incorporated mobile health technology, reducing hospital length of stay by more than 2 days.

J. Gregory Rosencrance, MD


The Relationship Between the Follow-up to Discharge Ratio and Length of Stay

The objective was to evaluate the correlation between the follow-up to discharge ratio and average length of stay.

Noni Bodkin, PhD


Actions to Improve Quality: Results From a National Hospital Survey

Hospitals reported widespread adoption of quality improvement (QI) changes to improve on CMS quality measures, and QI adoption was associated with improved performance on quality measures.

Martha Stefaniak, MPH


Discharge Before Noon: Is the Sun Half Up or Half Down?

Discharge before noon was associated with longer length of stay in patients with medical diagnoses and shorter length of stay in surgical patients.

Larry Hanover


Study Details Prediabetes, MACE Link

Patients with prediabetes are at significantly higher risk of major cardiovascular events than those who have never had high blood sugar.

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