Rural Hospital Transitional Care Program Reduces Medicare Spending
A telephonic transitional care program at a rural hospital reduced postdischarge Medicare spending by 31% and reduced inpatient spending for Medicare fee-for-service beneficiaries.
Characteristics and Medication Use of Veterans in Medicare Advantage Plans
Veterans enrolled in Medicare Advantage plans differed from fee-for-service sector enrollees in several demographic, geographic, and clinical characteristics and in patterns of medication use.
Monitoring the Hepatitis C Care Cascade Using Administrative Claims Data
Development, validation, and application of hepatitis C case-finding algorithms to describe the care cascade among a commercially insured population in the United States.
Delivery of Acute Unscheduled Healthcare: Who Should Judge Whether a Visit Is Appropriate (or Not)?
More consideration should be focused on consumer decision making and the quality and costs of acute care, and less attention should be paid to where care is delivered.
Impact of Emergency Physician–Provided Patient Education About Alternative Care Venues
Postvisit phone education from an emergency physician and/or mailed information about alternative venues of care reduced subsequent emergency department (ED) utilization for low-acuity treat-and-release adult ED patients.
Impact of Formulary Restrictions on Medication Intensification in Diabetes Treatment
Formulary restrictions on brand name noninsulin antihyperglycemic drugs have little impact on treatment intensification patterns among low-income patients with diabetes in Medicare Part D.
Introduction of Cost Display Reduces Laboratory Test Utilization
Cost display and cost charge induce different test ordering behavior depending on the healthcare setting.
Nevada's Medicaid Expansion and Admissions for Ambulatory Care–Sensitive Conditions
Hispanic patients with Medicaid were more likely to be admitted for ambulatory care–sensitive conditions after Nevada’s Medicaid expansion.
Increasing Hepatitis C Screening in a Large Integrated Health System: Science and Policy in Concert
The success of recommendations to improve screening often rests on the availability of efficacious therapies, coverage policies, and other factors that enable and justify screening.
Changes in Specialty Care Use and Leakage in Medicare Accountable Care Organizations
Reducing specialty leakage is promoted as crucial for accountable care organizations (ACOs). This study finds that Medicare ACOs had modest reductions in specialty use and minimal changes in leakage.
Understanding Factors Associated With Readmission Disparities Among Delta Region, Delta State, and Other Hospitals
Revisions of the Hospital Readmissions Reduction Program should consider including community characteristics in risk adjustment models and adding mechanisms that recognize improvement given the uniqueness of the Mississippi Delta region.
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