Impact of Direct-Acting Antiviral Use for Chronic Hepatitis C on Health Care Costs in Medicaid: Economic Model Update
Curative direct-acting antivirals for chronic hepatitis C provide a net economic benefit to Medicaid in less than 1 year. Cumulative savings to date have exceeded $15 billion.
Organizational Capacity Among Hospitals in Medicare and Commercial Bundled Payments
A national survey demonstrated differences in organizational capacity between hospitals participating in Medicare bundled payment programs and those coparticipating in both Medicare and commercial bundled payment programs.
Care Fragmentation Predicts 90-Day Durable Ventricular Assist Device Outcomes
This analysis evaluates the relationship between hospital care delivery network fragmentation and in-hospital and 90-day outcomes. These networks may be novel targets for improving outcomes.
Health Plan Switching and Satisfaction in a Medicaid MLTSS Program
Health plan dissatisfaction was higher among Medicaid managed long-term services and supports (MLTSS) beneficiaries who did not follow through with an intention to change health plans.
An Evaluation of a Care Coaching and Provider Referral Intervention for Behavioral Health Needs
Care 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.
On the Impact of Predictive Analytics–Driven Disease Management Interventions
Predictive analytics–driven disease management outperforms standard of care among patients with chronic heart failure.
Incentivizing Data Sharing Among Health Plans, Hospitals, and Providers to Improve Quality
Health plans can gain efficiencies and improve quality by connecting to health information networks and incentivizing hospital and provider participation as part of pay-for-performance programs.
Financial Impact of Telehealth: Rural Chief Financial Officer Perspectives
Interviews with chief financial officers of rural hospitals revealed that they perceived telehealth to have some financial advantages; however, they did not believe that telehealth improved their hospitals’ financial situations.
Chronic Disease Management: Why Dementia Care Is Different
Because of its often slowly progressive nature, dementia is often included among chronic disease management programs. Yet, for many reasons, its management demands different approaches.
Comparing Spending Across Medicare Programs
As Medicare Advantage increasingly becomes the dominant form of Medicare coverage, Congress must improve transparency of programmatic costs and benefits to promote beneficiary choice.
A Kidney Diagnostic’s Impact on Physician Decision-making in Diabetic Kidney Disease
The KidneyIntelX test would affect primary care physician (PCP) decision-making, and PCPs would use the results of KidneyIntelX more than albuminuria and estimated glomerular filtration rate when making decisions about diabetic kidney disease management.
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