From the Editorial Board, October 2018: Bruce W. Sherman, MD
Nudging Physicians and Patients With Autopend Clinical Decision Support to Improve Diabetes Management
Incorporating an autopend functionality into clinical decision support improved glycated hemoglobin laboratory test completion by between 21.1% and 33.9% for reminder messages read within 57 days.
Primary Care Physician Resource Use Changes Associated With Feedback Reports
Implementing systemwide dissemination of feedback reports to primary care physicians in an integrated delivery system may be associated with changes in medical resource use.
Medicare Underpayment for Diabetes Prevention Program: Implications for DPP Suppliers
The actual costs of implementing the evidence-based Diabetes Prevention Program (DPP) were compared with the latest reimbursement rates provided by CMS.
The Characteristics of Physician Practices Joining the Early ACOs: Looking Back to Look Forward
Physician practices intending to join Medicare accountable care organizations (ACOs) in 2012 had greater capabilities in health information technology, care management processes, and quality improvement methods than those not intending to join, but they still were far from using all recommended behaviors to manage risk.
Putting the Pieces Together: EHR Communication and Diabetes Patient Outcomes
More frequent electronic health record (EHR) message forwarding in primary care teams is associated with worse outcomes and higher medical costs for patients with diabetes.
Recent Study on Site of Care Has Severe Limitations
The outpatient community oncology setting is consistently less costly for cancer treatment as opposed to the outpatient hospital setting.
The Authors Respond and Stand Behind Their Findings
Our study provides the first evidence on site-specific Medicare spending on chemotherapy adjusting for patient comorbid illnesses, cancer type, and other cancer-related risks.
Gatekeeping and Patterns of Outpatient Care Post Healthcare Reform
Is specialist “gatekeeping” in modern health maintenance organization (HMO) insurance associated with differences in outpatient care? The study finds that HMO gatekeeping may meaningfully reduce specialist utilization.
An Early Warning Tool for Predicting at Admission the Discharge Disposition of a Hospitalized Patient
We developed an early warning discharge disposition prediction tool to facilitate discharge planning and coordination, potentially reducing length of hospital stay and improving patient experience.
CMS HCC Risk Scores and Home Health Patient Experience Measures
Risk adjustment for patient experience measures needs to be modified by including the CMS Hierarchical Condition Categories (HCC) risk scores of home health beneficiaries.
Medicare Savings From Conservative Management of Low Back Pain
This instrumental variables analysis estimates that Medicare would realize $362 million in annual savings if all patients with newly diagnosed low back pain were managed conservatively.
Clinical Outcomes and Healthcare Use Associated With Optimal ESRD Starts
Optimal end-stage renal disease (ESRD) starts were associated with lower 12-month morbidity, mortality, and inpatient and outpatient utilization in an integrated healthcare delivery system.
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