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Hospital Participation in Medicare ACOs: No Change in Admission Practices and Spending
Hospital accountable care organization (ACO) participation did not impact emergency department admission rates, length of stay, or costs, suggesting limited effectiveness in reducing spending for unplanned admissions and challenging hospital-led ACO cost-saving strategies.
Assessment of Variation in Ambulatory Cardiac Monitoring Among Commercially Insured Patients
Ambulatory cardiac monitors’ clinical and economic outcomes vary; one long-term continuous monitor brand showed greater arrhythmia diagnosis, fewer retests and cardiovascular events, and lower health care resource use and costs.
Care Quality Metrics in Medicare During COVID-19 Pandemic
Medicare Advantage outperformed traditional Medicare on clinical quality measures before and during the COVID-19 pandemic; mid-pandemic, however, traditional Medicare narrowed the gap on some in-person screenings.
How Value-Based Care With Provider Enablement Improves Maternal and Infant Outcomes in Medicaid
Supported value-based care improves prenatal care while reducing neonatal intensive care unit stays, preterm birth rates, low birth weight rates, and costs for mothers and infants.
Health Outcomes Under Full-Risk Medicare Advantage vs Traditional Medicare
Physician groups under 2-sided risk–based Medicare Advantage provide care associated with higher quality and efficiency compared with care by these same groups under fee-for-service Medicare.
An Assessment of Nurse Practitioner Low-Value Care Use in Primary Care
Primary care nurse practitioners were found to use low-value care at lower or relatively similar rates compared with the general clinician population.
Effect of Remote Patient Monitoring on Stage 2 Hypertension
May 6th 2025A community-based remote patient monitoring (RPM) program was associated with significant reduction in blood pressure in Medicare patients with stage 2 hypertension, highlighting the potential benefits of RPM with care coaching.
Impact of Telemedicine Use on Outpatient-Related CO2 Emissions: Estimate From a National Cohort
Telemedicine was associated with a monthly avoidance of greenhouse gas emissions equivalent to the emissions of 61,255 to 130,076 passenger vehicles.
A coverage with evidence development (CED) study demonstrated significant and clinically meaningful benefits in patients with migraine treated with remote electrical neuromodulation (REN). Health plans should support clinicians’ REN prescriptions by ensuring adequate coverage.
Addressing Health Care Disparities Using a Health Plan Quality Measures Index
February 26th 2025The Health Insurance Disparities Index allows stakeholders to assess progress in addressing health care disparities using publicly available, validated, reported health plan quality metrics results.
