The Unintended Consequences of Medicare’s Wage Index Adjustment on Device-Intensive Hospital Procedures
The authors found an association between Medicare’s wage index adjustment and the differential use of labor-intensive surgical procedures and medical device–intensive minimally invasive clinical procedures across the United States.
Health Care Fragmentation and Blood Pressure Control Among Adults Taking Antihypertensive Medication
Among older Black adults taking antihypertensive medication, fragmented ambulatory health care was associated with an increased likelihood of apparent treatment-resistant hypertension with uncontrolled blood pressure.
Adverse Drug Effects Across Patients With Heart Failure: A Systematic Review
This systematic literature review reports incidence of adverse drug effects associated with guideline-directed medical therapy for patients with heart failure with reduced ejection fraction.
Small Practice Participation and Performance in Medicare Accountable Care Organizations
Medicare beneficiaries attributed to small practices in accountable care organizations (ACOs) achieve greater savings than beneficiaries attributed to large practices in ACOs.
Association of 340B Contract Pharmacy Growth With County-Level Characteristics
The growth of 340B contract pharmacies since 2010 is unprecedented. This study’s findings suggest that patterns of growth differ between safety-net clinics and hospitals.
Continuously Updated Forecasting of SARS-CoV-2 in a Regional Health System
This study presents a methodology for forecasting demand of COVID-19 on health resources in an integrated health system.
Oncology Alternative Payment Models: Lessons From Commercial Insurance
Developing alternative payment models for commercial populations in specialties such as oncology is rife with practical challenges. Leading payers and practices share lessons to date.
Primary Care Redesign and Care Fragmentation Among Medicare Beneficiaries
This article examines the association between a large-scale primary care redesign—the Comprehensive Primary Care Plus Initiative—and ambulatory care patterns of Medicare beneficiaries with highly fragmented care.
Diabetes Care Quality: Do Large Medical Groups Perform Better?
Large medical groups perform better than medium- or small-sized groups on diabetes quality measures, perhaps because they have more care management processes in place.
FDA Safety Warnings and Trends in Testosterone Marketing to Physicians
This article presents an evaluation of testosterone marketing practices around the period of the testosterone label warning by physician specialty and rural vs urban primary care service area.
Baloxavir vs Oseltamivir: Reduced Utilization and Costs in Influenza
Baloxavir, compared with oseltamivir, was associated with lower health care resource utilization and costs in patients with influenza, particularly those at high risk of secondary complications.
Service Line Care Delivery Model for COVID-19 Patient-Centric Care
The authors provide steps hospitals can take to align their care delivery model to effectively meet the demands of a public health crisis such as the current pandemic.
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