- Center on Health Equity and Access
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- Value-Based Care
Authors
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Grassroots Public Health Management in Managed CareCommunity coalitions are a backbone of public health, and offer a unique perspective towards implementation of managed care disease management/case management programs.
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Successful Interventions, Positive Outcomes: Understanding the Impact of Social Determinants of HealthAlthough it’s difficult to generalize the impact of social determinants of health, addressing them is fundamental to improving overall healthcare quality for member populations.
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End-of-Life Values and Value-Based CareAn editorial in response to the editor in chief’s December 2021 letter discusses evidence supporting the cost-effectiveness of an innovative advance care planning initiative.
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New MIPS Improvement Activity Supports Remote Patient MonitoringDespite growth in the market, CMS has been slow to recognize the value that telehealth can bring to clinical encounters by encouraging utilization of telehealth technology through reimbursement models. However, now CMS has taken steps to encourage practices to leverage telehealth and remote monitoring activities through changes to the Quality Payment Program.
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Contributor: How Payers Can Be Effective in New Value-Based Models for CKDThe 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).
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Modernizing the Stark Law Will Improve Care for Medicare Patients and Lower CostsCurbs on physician self-referrals in Medicare may have made sense in a fee-for-service environment, but they present significant barriers to payment reform as the nation moves to value-based models.
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The Oncology Care Model: What to Expect in the First Data FeedEight months into the Oncology Care Model, find out what participants can expect from the first performance data feed released later this month.
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Advancing the Wave of Democratization of Cancer CareDemocratizing the complex field of cancer care is not easy. We are providing patients with key information that their own cancer is unique and needs to be treated as such, but there is a great deal of work to be done in putting that knowledge to work.
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Patients, Pain, and Access to OpioidsIs limiting or discontinuing opioid use in clinical care the answer to addressing the opioid epidemic?
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The Goldilocks Principle: A Personalized Breast Cancer Treatment That Is "Just Right" for YouMolly MacDonald, the founder and CEO of The Pink Fund, writes about how patients with breast cancer can approach decisions about choosing among disparate treatment protocols.
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MACRA Bonus Article 2: Patient Engagement Strategies for Hospital Value-Based Purchasing ProgramsThe VBP program contains a variety of measures used to determine payment increases or penalties as shown below.
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How to Talk to Older Women About Their Alcohol UseAccording to USC Department of Nursing Professor Benita Jean Walton-Moss, PhD, alcohol abuse is often underdiagnosed and undertreated in older women because it is often mistaken for other conditions related to aging. Her research emphasizes the importance of identifying social determinants that may increase patients' risk of alcohol misuse, and outlines a thoughtful approach when screening female patients as a medical professional or caregiver.
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Driving Value With Innovative Approaches to Colon Cancer ScreeningAlthough national guidelines call for men and women at average risk for colorectal cancer (CRC) to begin screening for the disease at age 50, by some estimates, compliance is a mere 38%.
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Glucose-Lowering Treatment Patterns in Patients With Diabetic Kidney DiseaseReal-world treatment of diabetic kidney disease in the United States, based on national-level health care claims and electronic health records data, is inconsistent with the current guidelines.
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End-of-Life Values and Value-Based CareAn editorial in response to the editor in chief’s December 2021 letter discusses evidence supporting the cost-effectiveness of an innovative advance care planning initiative.
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Contributor: In the Shift to Value, We Can’t Afford to Leave Radiology BehindRadiology needs to be more effectively incorporated into value-based care in order for patients to receive quality treatment for various conditions.
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COVID-19 Vaccine Hesitancy and Health Literacy in US Southern StatesCOVID-19 vaccine hesitancy is not associated with health literacy. Personal perception of threat was associated with reduced vaccine hesitancy.
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Predictors of and Barriers to Receipt of Advance Premium Tax CreditsFew eligible individuals apply for the Advance Premium Tax Credit due to knowledge barriers. Additionally, specific sociodemographic characteristics appear to predict applying status.
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Reply to “Industry-Informed Perspectives on the Benefits of Rideshare-Based Medical Transportation”The authors of “Rideshare Transportation to Health Care: Evidence From a Medicaid Implementation” respond to a letter to the editor.
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Future of MS ManagementKey opinion leaders in MS provide closing thoughts on the future of MS treatment including digital therapeutics, new generics, and pipeline drugs on the horizon.
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Defining Value Among Treatment OptionsPayer decision-makers discuss defining value among agents for unintended pregnancy, uterine fibroids, and endometriosis.
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Experience Incentivizing Reduction of Racial and Ethnic Disparities in a Medicaid Hospital Quality Incentive ProgramConstruction of a composite measure, use of a summary disparity statistic, and measure selection are key considerations in the design of equity-focused payment programs.
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Comparison of Mortality Between Medicare Advantage and Traditional Medicare Beneficiaries With Kidney FailureThe risk-adjusted 1-year mortality rate was not different between Medicare Advantage and traditional Medicare beneficiaries with kidney failure who initiated dialysis.
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The Promising Future of Alzheimer Disease TreatmentPanelists conclude the discussion with personal insight into the promising future of Alzheimer disease treatment.
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Stopping the Flood: Reducing Harmful Cascades of CareReducing cascades while maintaining our commitment to high-quality care requires equipping patients and clinicians with the information, tools, and support to embrace uncertainty.
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An Evaluation of a Care Coaching and Provider Referral Intervention for Behavioral Health NeedsCare coaching and behavioral health provider referral programs produce long-term savings, reductions in avoidable utilization, and increases in targeted services to treat behavioral health conditions.
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Eliminating Defects in Value: Turnaround of an MSSP ACOA 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.
