From the Editorial Board: Charles N. Kahn III, MPH
Post-SNF Outcomes and Cost Comparison: Medicare Advantage vs Traditional Medicare
Patients enrolled in Medicare Advantage had better outcomes and lower cost following skilled nursing facility (SNF) discharge than patients enrolled in traditional fee-for-service Medicare.
Predicting Opioid Use Disorder and Associated Risk Factors in a Medicaid Managed Care Population
A Medicaid managed care organization developed a machine learning model to identify opioid use disorder (OUD) risk factors and predict OUD incidence in its multistate population.
Two Steps Forward, One Step Back: 50 Years of Societal Value From LDL-C–Lowering Therapies
Low-density lipoprotein cholesterol (LDL-C)–lowering therapies have yielded significant value to society through reduced costs for both fatal and nonfatal cardiovascular disease events. The vast majority of this value has accrued to patients.
Transitional Care Management Visits to Improve Coordination of Care
Inspira Care Connect, LLC, an accountable care organization, incorporated transitional care management services into its postdischarge follow-up process to prevent avoidable utilization of health care services and costs.
Treatment Patterns for Patients With Advanced/Metastatic Cancers by Site of Care
Treatment patterns and overall survival were similar regardless of site of care between patients receiving anticancer therapy in the hospital outpatient vs physician office setting.
Clinical and Economic Outcomes of a Collaborative Cardiology Care Program
Patients with chronic cardiac conditions benefited from a health care program that strengthened collaboration between general practitioners and cardiology specialists in Baden-Wuerttemberg, Germany.
Small but Nimble: Measures Taken to Face the COVID-19 Pandemic in Small French Military Hospitals
Prioritization, interunit collaboration, esprit de corps, and health workers’ adaptability are key factors in providing a coherent response to the coronavirus disease 2019 pandemic.
Comparing Apples With Oranges: Administrative Expenses and Finances in Medicare Systems
In the debate of administrative expenses for public and private Medicare, we show incompatibility and extend the analysis to income, benefits, and loss ratio comparisons.
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).
Imagining a World Without Low-Value Services: Progress, Barriers, and the Path Forward
Clinician-, patient-, and research-focused initiatives are needed to reduce the delivery of low-value care services that contribute to financial, clinical, and psychological harm for patients.
Enhance Care Continuity Post COVID-19
Although shortfalls in continuity were well described prior to coronavirus disease 2019 (COVID-19), the pandemic has created an opportunity to augment this critical component of care delivery, with the potential to improve patient-centered outcomes and enhance spending efficiency.
Ambulatory Care Fragmentation and Hospitalization Among Veterans With Diabetes
Having highly fragmented ambulatory care and a usual provider of care outside the Veterans Health Administration increased the odds of hospitalization among veterans with diabetes.
2 Clarke Drive Cranbury, NJ 08512