March 12, 2021
Article
POLICY
This article documents a 100% increase in privately insured outpatient knee replacement surgeries following Medicare’s decision to remove knee replacements from its Inpatient Only list.
March 11, 2021
Article
CLINICAL
The Diabetes Care Rewards program offers a business case for health plans to promote engagement through use of contingent incentives, thus improving health outcomes and lowering costs.
March 11, 2021
Article
MANAGERIAL
Social risks (food insecurity, housing instability, financial strain, health insurance type) are associated with patients’ decisions to avoid/delay health care and increased utilization of the emergency department.
March 10, 2021
Article
WEB EXCLUSIVE
Fracture prediction tools for East Asian individuals vary by country. In the United States, the US-Asian Fracture Risk Assessment Tool provides hip fracture probabilities that correspond to observed estimates.
March 10, 2021
Article
WEB EXCLUSIVE
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.
March 09, 2021
Article
WEB EXCLUSIVE
This study explored the statistical association of key social determinants of health with specific health outcomes to validate impact and then created weighted categorical matrices.
March 09, 2021
Article
WEB EXCLUSIVE
Adults with type 2 diabetes who received nonsulfonylurea medications had relative increases in total costs. Receiving newer medication classes led to relatively decreased medical costs.
March 02, 2021
Article
WEB EXCLUSIVE
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.
December 14, 2020
Article
COMMENTARY
In the article, we introduce how English as a Second Language courses can address inequities in access to care that have been magnified during the coronavirus disease 2019 pandemic.
October 21, 2020
Article
COMMENTARY
As the coronavirus disease 2019 (COVID-19) pandemic threatens to worsen the opioid crisis, payers must rapidly deploy policies to ensure care for individuals with opioid use disorder.
October 20, 2020
Article
WEB EXCLUSIVE
As home-based care utilization rises, an exploration of potential unintended consequences is necessary. The authors focus on support gaps, informal caregiving, and failure to meaningfully engage clinicians.
September 30, 2020
Article
TRENDS FROM THE FIELD
The authors detail how population health management enables health systems to promote public health, strengthen health system resiliency, and support financial recovery during and beyond coronavirus disease 2019 (COVID-19).