Physician Prices and Low-Value Services: Evidence From General Internal Medicine
This study found extensive variation in general internal medicine physician prices and that high-priced physicians provided fewer low-value services but had higher spending on these services.
Characteristics of Home-Based Care Provided by Accountable Care Organizations
Accountable care organizations (ACOs) deliver a diverse array of home-based services, but many of the services are not reimbursed. ACOs may not expand these programs without strong evidence of cost savings.
Assessing Surveillance Utilization and Value in Commercially Insured Patients With Colorectal Cancer
Trends in surveillance testing after treatment for colorectal cancer remained relatively stable recently, and patients who overutilized surveillance measures had quicker recurrence detection but higher costs.
Disparities in Health Care Use Among Low-Salary and High-Salary Employees
Lower-salary employees in high-deductible health plans underutilize outpatient care and overutilize emergency departments.
Patients’ Needs Following Emergency Care for Ambulatory Care–Sensitive Conditions
To inform intervention development, we assessed for medication changes and patient care needs following treat-and-release Veterans Affairs emergency department visits for chronic ambulatory care–sensitive conditions.
Improving Care Coordination and Reducing ED Utilization Through Patient Navigation
A navigation program demonstrated decreased odds of repeat emergency department (ED) visits in patients with low baseline ED utilization and increased odds of follow-up primary care appointments.
The Relationship Between Provider Age and Opioid Prescribing Behavior
Holding other factors constant, the authors find that older providers prescribe significantly more opioids, with the gap between older and younger providers increasing from 2010 to 2015.
Primary Care Practice Structural Capabilities in Health Professional Shortage Areas
Nurse practitioners are increasingly meeting primary care demands in underserved areas and are more likely to deliver structural capabilities related to chronic disease management.
Impact of Co-pay Assistance on Patient, Clinical, and Economic Outcomes
Limited evidence from a literature review suggests that co-pay assistance was associated with improved treatment persistence/adherence across various diseases, with indirect evidence suggesting improvements in clinical outcomes.
Evaluating Alternative Methods of Comparing Antihypertensive Treatment Intensity
Medication dose captures modification of hypertension treatment intensity more precisely than medication count, and this measure should be preferred in studies that aim to improve hypertension management.
Rising Use of Surveillance Colonoscopy and Potential Impacts
The proportion of colonoscopies performed for postpolypectomy surveillance has increased significantly, particularly among older patients with limited life expectancy, raising concern for possible overuse.
Patterns of Opioid Use in Commercially Insured Patients With Cancer
Among the fewer than half of patients with cancer who received opioid fills, a relatively small proportion (2.5%) had potentially problematic opioid use.
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