Correlates of Homelessness Among Patients in Methadone Maintenance Treatment
Background: Although homelessness and opioid use disorder (OUD) are important public health issues, few studies have examined their cooccurrence. Objectives: The aim of this study was to evaluate the correlates of homelessness among patients enrolled in low-barrier-to-treatment-access methadone maintenance treatment (MMT) programs for OUD. Methods: Demographic, diagnosis-related, and treatment-related correlates were assessed by self-report for 164 patients in MMT. Correlates of past-month homelessness were investigated with logistic regression. Results: Twenty-four percent of patients reported homelessness in t...
Source: Medical Care - October 22, 2020 Category: Health Management Tags: From the States Source Type: research

Patient Coded Severity and Payment Penalties Under the Hospital Readmissions Reduction Program: A Machine Learning Approach
Conclusion: Changes in patient coded severity did not affect readmission penalties. (Source: Medical Care)
Source: Medical Care - October 22, 2020 Category: Health Management Tags: Original Articles Source Type: research

The Impact of Various Risk Assessment Time Frames on the Performance of Opioid Overdose Forecasting Models
Conclusions: Models predicting opioid overdose using 1 quarter of data were nearly as accurate as models using all 4 quarters. Models with a single quarter may be more timely and easier to identify persons at risk of an opioid overdose. (Source: Medical Care)
Source: Medical Care - October 22, 2020 Category: Health Management Tags: Original Articles Source Type: research

Differences in Health Care Utilization, Process of Diabetes Care, Care Satisfaction, and Health Status in Patients With Diabetes in Medicare Advantage Versus Traditional Medicare
Conclusions: MA enrollment was associated with lower health care utilization without compromising care satisfaction and health status, particularly for beneficiaries with diabetes. MA may have a more efficient care delivery system for beneficiaries with diabetes. (Source: Medical Care)
Source: Medical Care - October 22, 2020 Category: Health Management Tags: Original Articles Source Type: research

The Effects of Market Competition on Cardiologists’ Adoption of Transcatheter Aortic Valve Replacement
The objective of this study was to assess the relationship between the market concentration of physician group practices and the adoption of TAVR in its first years of use. Research Design: This was a retrospective cohort study. Subjects: Physician group practices (n=5116) providing interventional cardiology services in the United States from May 1, 2012, to December 31, 2014. Measures: The first use of TAVR as indicated by a fee-for-service Medicare claim. Covariates including characteristics of the physician groups (ie, case volume, hospital affiliation, mean patient risk) as well as county-level and market-leve...
Source: Medical Care - October 22, 2020 Category: Health Management Tags: Original Articles Source Type: research

Can Continuity of Care Reduce Hospitalization Among Community-dwelling Older Adult Veterans Living With Dementia?
Conclusions: Among community-dwelling older veterans with dementia, better COC resulted in less hospitalizations, and this effect was primarily due to less hospitalization for neuropsychiatric diseases/disorders but not hospitalization for ACSCs, or other hospitalization reasons. (Source: Medical Care)
Source: Medical Care - October 22, 2020 Category: Health Management Tags: Original Articles Source Type: research

Disparities in Care Experienced by American Indian and Alaska Native Medicare Beneficiaries
The objective of this study was to investigate the health care experiences of AIAN Medicare beneficiaries relative to non-Hispanic Whites using national survey data pooled over 5 years. Subjects: A total of 1,193,248 beneficiaries who responded to the nationally representative 2012–2016 Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys. Methods: Linear regression models predicted CAHPS measures from race and ethnicity. Scores on the CAHPS measures were linearly transformed to a 0–100 range and case-mix adjusted. Three AIAN groups were compared with non-Hispanic Whites: singl...
Source: Medical Care - October 22, 2020 Category: Health Management Tags: Original Articles Source Type: research

Racial and Citizenship Disparities in Health Care Among Middle Eastern Americans
Conclusion: Middle Eastern immigrants who do not identify as White and who are not US citizens are significantly less likely to access and utilize health care compared with those who identify as White and are US citizens. Policy Implications: This study shows that racial and citizenship disparities persist among Middle Eastern Americans at a national-level, playing a critical role in access to and use of health care. (Source: Medical Care)
Source: Medical Care - October 22, 2020 Category: Health Management Tags: Brief Reports Source Type: research

Racial Differences in the Effectiveness of a Multifactorial Telehealth Intervention to Slow Diabetic Kidney Disease
Conclusion: A multifactorial, pharmacist-delivered telehealth intervention for diabetic kidney disease may be more effective for slowing eGFR decline among African Americans than non-African Americans. (Source: Medical Care)
Source: Medical Care - October 22, 2020 Category: Health Management Tags: Brief Reports Source Type: research

BRCA1/2 Testing in Massachusetts Among Women With Private Insurance or Medicaid, 2011–2015
Purpose: Testing for BRCA1/2 mutations has increased among privately insured women in the United States. However, little is known about testing rates or trends among women with Medicaid. We sought to determine whether BRCA1/2 testing rates differed between women with private insurance compared with women with Medicaid in a state where both insurance types cover the test, and to compare testing trends from 2011 to 2015. Methods: We conducted a retrospective cohort study of medical claims from January 2011 through June 2015. We included Massachusetts women aged 18–64 with private insurance or Medicaid and at least...
Source: Medical Care - October 22, 2020 Category: Health Management Tags: Brief Reports Source Type: research

A Tertiary Care-based Complex Care Program: Improving Care for Children With Medical Complexity
Objective: Children with medical complexity (CMC) have significant health care costs, but they also experience substantial unmet health care needs, hospitalizations, and medical errors. Their parents often report psychosocial stressors and poor care satisfaction. Complex care programs can improve the care for CMC. At our tertiary care institution, we developed a consultative complex care program to improve the quality and cost of care for CMC and to improve the experience of care for patients and families. Methods: To address the needs of CMC at our institution, we developed the Compass Care Program, a consultative co...
Source: Medical Care - October 22, 2020 Category: Health Management Tags: Award Winning Manuscripts from APHA 2019 Source Type: research

Do Insurance-mandated Precertification Criteria and Insurance Plan Type Determine the Utilization of Bariatric Surgery Among Individuals With Private Insurance?
Conclusions: There is a need for consideration of insurance benefits design as a determinant of access to bariatric surgery. (Source: Medical Care)
Source: Medical Care - October 22, 2020 Category: Health Management Tags: Award Winning Manuscripts from APHA 2019 Source Type: research

The Impact of Medicaid Expansion for Adults Under the Affordable Care Act on Preventive Care for Children: Evidence From the Southern United States
Conclusions: Children in poverty residing in a Medicaid expansion state, Louisiana, had increased likelihood of having an annual preventive care visit after expansion of Medicaid eligibility under the Affordable Care Act, as compared with children in nonexpansion states. Thus, this study showed that the implications of the public health insurance expansion for adults were not limited to adult health outcomes, but extended to children’s health care utilization. (Source: Medical Care)
Source: Medical Care - October 22, 2020 Category: Health Management Tags: Award Winning Manuscripts from APHA 2019 Source Type: research

2019 American Public Health Association’s Medical Care Section Student Awardees
No abstract available (Source: Medical Care)
Source: Medical Care - October 22, 2020 Category: Health Management Tags: Special Commentary Source Type: research

Practice Patterns of Physicians and Nurse Practitioners in Primary Care
Conclusions: Our findings suggest considerable overlap between the clinical activities of colocated NPs and physicians, with some differentiation based on intensity of services provided. (Source: Medical Care)
Source: Medical Care - September 16, 2020 Category: Health Management Tags: Original Articles Source Type: research

Electronic Measurement of a Clinical Quality Measure for Inpatient Hypoglycemic Events: A Multicenter Validation Study
Background: Hypoglycemia related to antidiabetic drugs (ADDs) is important iatrogenic harm in hospitalized patients. Electronic identification of ADD-related hypoglycemia may be an efficient, reliable method to inform quality improvement. Objective: Develop electronic queries of electronic health records for facility-wide and unit-specific inpatient hypoglycemia event rates and validate query findings with manual chart review. Methods: Electronic queries were created to associate blood glucose (BG) values with ADD administration and inpatient location in 3 tertiary care hospitals with Patient-Centered Outcomes Rese...
Source: Medical Care - September 16, 2020 Category: Health Management Tags: Original Articles Source Type: research

Relative Cost Differences of Initial Treatment Strategies for Newly Diagnosed Opioid Use Disorder: A Cohort Study
Conclusion: Improving health system capacity and insurance coverage and incentives for outpatient management of OUD may reduce health care costs. (Source: Medical Care)
Source: Medical Care - September 16, 2020 Category: Health Management Tags: Original Articles Source Type: research

Associations of 4 Nurse Staffing Practices With Hospital Mortality
Conclusion: Reducing the frequency of understaffed shifts and increasing the proportion of baccalaureate-prepared RNs are associated with reduced hospital mortality. (Source: Medical Care)
Source: Medical Care - September 16, 2020 Category: Health Management Tags: Original Articles Source Type: research

Beyond Gender Identity Disorder Diagnoses Codes: An Examination of Additional Methods to Identify Transgender Individuals in Administrative Databases
Conclusion: In the absence of gender identity data, additional data elements beyond GID codes improves the identification of transgender people in large, administrative claims databases. (Source: Medical Care)
Source: Medical Care - September 16, 2020 Category: Health Management Tags: Original Articles Source Type: research

Learning and the “Early Joiner” Effect for Medical Conditions in Medicare’s Bundled Payments for Care Improvement Program: Retrospective Cohort Study
Conclusions: Hospitals that joined BPCI earliest began to achieve savings at roughly 2 years of participation. These findings have implications for this and other alternative payment models. (Source: Medical Care)
Source: Medical Care - September 16, 2020 Category: Health Management Tags: Original Articles Source Type: research

The Effect of Centers for Medicare and Medicaid’s Inpatient Psychiatric Facility Quality Reporting Program on the Use of Restraint and Seclusion
Conclusions: This is the first examination of the effect of the IPFQR program on restraint and seclusion, suggesting the program was successful in reducing their use. We did not find support for ownership moderating this effect. Additional research is needed to understand mechanisms of response and the impact of the program on nontargeted aspects of quality. (Source: Medical Care)
Source: Medical Care - September 16, 2020 Category: Health Management Tags: Original Articles Source Type: research

The Average Effect of Emergency Department Admission on Readmission and Mortality for Older Adults With Chest Pain
Conclusions: Our findings suggest ED admission may prevent readmission at the cost of increasing mortality risk for older chest pain patients, especially those with comorbidity. Additional studies are needed to validate these findings. (Source: Medical Care)
Source: Medical Care - September 16, 2020 Category: Health Management Tags: Original Articles Source Type: research

An Economic Analysis of the Implementation of Team-based Collaborative Care in Outpatient General Mental Health Clinics
Conclusions: Collaborative care implementation for mental health teams was associated with significant reductions in mental health hospitalizations, leading to substantial cost savings of about $1.70 for every dollar spent for implementation. (Source: Medical Care)
Source: Medical Care - September 16, 2020 Category: Health Management Tags: Original Articles Source Type: research

National Evaluation of Patient Preferences in Selecting Hospitals and Health Care Providers
The objective of this study was to identify measures of quality that individuals want to be presented in public reporting and explore factors associated with researching health care. Research Design: Patient interviews and focus groups were conducted to develop a survey exploring the relative importance of various health care measures. Subjects: Interviews and focus groups conducted at local outpatient clinics. A survey administered nationally on an anonymous digital platform. Measures: Likert scale responses were compared using tests of central tendency. Rank-order responses were compared using analysis of varian...
Source: Medical Care - September 16, 2020 Category: Health Management Tags: Patient-centered Care Source Type: research

Coverage for Adults With Chronic Disease Under the First 5 Years of the Affordable Care Act
The objective of this study was to assess changes in coverage for nonelderly adults with and without chronic disease over the first 5 years of ACA implementation, and the effects of state-level Medicaid eligibility expansions on coverage for these populations. Research Design: Multivariable and difference-in-differences regression models. Participants: A total of 2,007,271 adults aged 18–64 years in the nationally representative Behavioral Risk Factor Surveillance System 2011–2018 data. Measures: Self-reported insurance coverage. Results: Over the first 5 years of ACA implementation, coverage increa...
Source: Medical Care - September 16, 2020 Category: Health Management Tags: Brief Report Source Type: research

Role of Nurse Practitioners in Caring for Patients With Complex Health Needs
Conclusions: Nurse practitioners are caring for Medicare beneficiaries with complex needs at rates that match or exceed their physician colleagues. The growing role of nurse practitioners, especially in health care systems, warrants attention as organizations embark on payment and delivery reform. (Source: Medical Care)
Source: Medical Care - September 16, 2020 Category: Health Management Tags: Original Article Source Type: research

The Murky Waters of Nurse Practitioners and Medicare Claims
No abstract available (Source: Medical Care)
Source: Medical Care - September 16, 2020 Category: Health Management Tags: Editorial Source Type: research

Measurement Properties of the CAPACITY Instrument to Assess Perceived Communication With the Health Care Team Among Care Partners of Patients With Cognitive Impairment
Conclusions: The strong psychometric validity of the CAPACITY measure indicates it could have utility in other family caregivers or care partner studies assessing the quality of interactions with clinical teams. Knowing that CAPACITY differs by care partner health literacy and patient impairment level may help health care teams employ tailored strategies to achieve high-quality care partner interactions. (Source: Medical Care)
Source: Medical Care - August 22, 2020 Category: Health Management Tags: Original Articles Source Type: research

Health Care Costs of Alzheimer’s and Related Dementias Within a Medicare Managed Care Provider
The objective of this study was to estimate direct health care costs attributable to ADRD among older adults within a large MA plan. Research Design: A retrospective cohort design was used to estimate direct total, outpatient, inpatient, ambulatory pharmacy, and nursing home costs for 3 years before and after an incident ADRD diagnosis for 927 individuals diagnosed with ADRD relative to a sex-matched and birth year-matched set of 2945 controls. Subject: Adults 65 years of age and older enrolled in the Kaiser Permanente Washington MA plan and the Adult Changes in Thought (ACT) Study, a prospective longitudinal cohort ...
Source: Medical Care - August 22, 2020 Category: Health Management Tags: Original Articles Source Type: research

National Health Care Expenditures Associated With Disability
Conclusions: The share of health care expenditures associated with disability has increased substantially over the past decade. The high proportion of DAHE paid by public insurers reinforces the importance of public programs designed to improve health care for people with disabilities and emphasizes the need for evaluating programs and health services available to this vulnerable population. (Source: Medical Care)
Source: Medical Care - August 22, 2020 Category: Health Management Tags: Original Articles Source Type: research

Claims-based Frailty Indices: A Systematic Review
Conclusions: While each CFI has unique strengths and limitations, they also all had striking similarities. Some CFIs have been more broadly used and validated than others. The major takeaway from this review is that frailty is a clinically relevant, highly predictive syndrome that should be incorporated into clinical risk prediction when feasible. (Source: Medical Care)
Source: Medical Care - August 22, 2020 Category: Health Management Tags: Original Articles Source Type: research

Benchmarking Site of Death and Hospice Use: A Case Study of Veterans Cared by Department of Veterans Affairs Home-based Primary Care
Conclusions: Results reflect VA-HBPC’s primary goal of supporting its veterans at home, including at the end-of-life, surpassing other population benchmarks with some potential disparities remaining. (Source: Medical Care)
Source: Medical Care - August 22, 2020 Category: Health Management Tags: Original Articles Source Type: research

Relation of the Networks Formed by Diabetic Patients Sharing Physicians With Emergency Department Visits and Hospitalizations
Conclusions: Networks of diabetic patients sharing all the same physicians were associated with decreased ED visits and hospitalizations. Encouraging diabetic patients to find a provider they like and trust and to stay in the provider’s care may help reduce the risks of adverse events. Physicians building loyalty among their patients may reduce their patients’ risks. (Source: Medical Care)
Source: Medical Care - August 22, 2020 Category: Health Management Tags: Brief Report Source Type: research

The Association Between Hospital Characteristics and Emergency Medical Treatment and Labor Act Citation Events
Conclusions: For-profit ownership is associated with increased odds of EMTALA citations after adjusting for other characteristics. Efforts to improve EMTALA might be considered to protect access to emergency care for vulnerable populations, particularly at large, urban, for-profit hospitals admitting high proportions of Medicaid patients. (Source: Medical Care)
Source: Medical Care - August 22, 2020 Category: Health Management Tags: Original Articles Source Type: research

Impact of a Follow-up Telephone Call Program on 30-Day Readmissions (FUTR-30): A Pragmatic Randomized Controlled Real-world Effectiveness Trial
Conclusions: We found no evidence of an impact on 30-day readmissions or mortality due to the postdischarge telephone call program. (Source: Medical Care)
Source: Medical Care - August 22, 2020 Category: Health Management Tags: Original Articles Source Type: research

Predicting Patients at Risk for Prolonged Hospital Stays
Conclusions: Our predictive model using readily available administrative data was able to discriminate between prolonged and nonprolonged hospitalizations in a national sample of medical patients, and performed well on internal validation. If prospectively validated, such a tool could be of use to hospitals and researchers interested in targeting development, testing, and/or deployment of programs to reduce length of stay. (Source: Medical Care)
Source: Medical Care - August 22, 2020 Category: Health Management Tags: Original Articles Source Type: research

Sleep Duration and Health Care Expenditures in the United States
Objective: To estimate the average incremental health care expenditures associated with habitual long and short duration of sleep as compared with healthy/average sleep duration. Data Source: Medical Expenditure Panel Survey data (2012; N=6476) linked to the 2010–2011 National Health Interview Survey. Study Design: Annual differences in health care expenditures are estimated for habitual long and short duration sleepers as compared with average duration sleepers using 2-part logit generalized linear regression models. Principal Findings: Habitual short duration sleepers reported an additional $1400 in tota...
Source: Medical Care - August 22, 2020 Category: Health Management Tags: Original Articles Source Type: research

Medication Use and Health Care Utilization After a Cost-sharing Increase in Schizophrenia: A Nationwide Analysis
Conclusions: In our nationwide time-series analysis, we observed decreases in the slopes of antipsychotic and other drug purchases of persons with schizophrenia after prescription drug cost-sharing increase implementation on January 1, 2016. Policymakers need to be aware of the unintended consequences of increasing cost-sharing among people with severe mental disorders. (Source: Medical Care)
Source: Medical Care - August 22, 2020 Category: Health Management Tags: Original Articles Source Type: research

Impact of the Affordable Care Act Medicaid Expansion on Utilization of Mental Health Care
Background: The Affordable Care Act’s Medicaid expansions (ME) increased insurance coverage for low-income Americans, among whom unmet need for mental health care is high. Empirical evidence regarding the impact of expanding insurance coverage on use of mental health services among low income and minority populations is lacking. Methods: Data on mental health service use collected between 2007 and 2015 by the Medical Expenditures Panel Survey from nationally representative cross-sectional samples of low income (income (Source: Medical Care)
Source: Medical Care - August 22, 2020 Category: Health Management Tags: Original Articles Source Type: research

Effects of the Recent Medicaid Expansions on Dental Preventive Services and Treatments
Conclusions: Medicaid expansions with dental coverage beyond emergency-only services have increased access of the newly eligible low-income adults to dental treatments and preventive services, with extensive coverage showing continuing increase in preventive services use 3 years after the expansion. With limited coverage, there is some evidence of individuals needing to stretch treatments over a longer period. Providing comprehensive dental coverage can address unmet dental needs and improve oral health among low-income adults. (Source: Medical Care)
Source: Medical Care - July 30, 2020 Category: Health Management Tags: Original Articles Source Type: research

Assessing Cancer Patient Experience of Care in Outpatient Oncology Practices in the United States
Conclusions: Patient experiences at oncology practices can be measured reliably using reasonable sample sizes. Standard case-mix adjustment is adequate for making comparisons on most composites. (Source: Medical Care)
Source: Medical Care - July 30, 2020 Category: Health Management Tags: Original Articles Source Type: research

Early Performance of Hospital Value-based Purchasing Program in Medicare: A Systematic Review
Conclusions: Our findings suggest that the current HVBP does not lead to meaningful improvements in quality of care or patient outcomes and may negatively affect safety-net hospitals. More rigorous and comprehensive adjustment is needed for more valid hospital comparisons. (Source: Medical Care)
Source: Medical Care - July 30, 2020 Category: Health Management Tags: Original Articles Source Type: research

Emergency Medicaid Acquisition Through the Affordable Care Act: The Association Between Hospital Enrollment in California and Hospital Revenue
Conclusion: Hospital enrollment in the HPE program shifted costs from uncompensated care to Medicaid. (Source: Medical Care)
Source: Medical Care - July 30, 2020 Category: Health Management Tags: Original Articles Source Type: research

Hospital Length of Stay, Charges, and Costs Associated With a Diagnosis of Obesity in US Children and Youth, 2006–2016
Conclusions: Childhood obesity diagnosis-related hospitalizations, charges, and costs increased substantially during 2006–2016, and obesity diagnosis is associated with higher hospitalization charges and costs. Our findings provide clinicians and policymakers with additional evidence of the economic burden of childhood obesity and further justify efforts to prevent and manage the disease. (Source: Medical Care)
Source: Medical Care - July 30, 2020 Category: Health Management Tags: Brief Reports Source Type: research

Comorbidity Assessment Is Uneven Across Veterans Health Administration and Medicare for the Same Patient: Implications for Risk Adjustment
Objective: Compare comorbidity identification in Medicare and Veterans Health Administration (VA) data for the purposes of risk adjustment. Data Sources: Analysis of Medicare and VA datasets for dually-enrolled Veterans receiving care in both settings, fiscal years 2010–2014. Study Design: A retrospective analysis of administrative data for a national sample of cancer decedents. Data Extraction Methods: Comorbidities were evaluated using Elixhauser and Charlson coding algorithms. Principal Findings: Clinical comorbidities were more likely to be recorded in Medicare than in VA datasets. Of 42 comorbiditi...
Source: Medical Care - July 30, 2020 Category: Health Management Tags: Brief Reports Source Type: research

Events Associated With Changes in Reliance on the Veterans Health Administration Among Medicare-eligible Veterans
Objectives: We can learn something about how Veterans value the Veterans Health Administration (VHA) versus community providers by observing Veterans’ choices between VHA and Medicare providers after they turn 65. For a cohort of Veterans who were newly age-eligible for Medicare, we estimated the change in VHA reliance (VHA outpatient visits divided by total VHA and Medicare visits) associated with specific events: receiving a life-threatening diagnosis, having a Medicare-paid hospitalization, or moving further from the VHA. Research Design: A longitudinal cohort study of VHA and Medicare administrative data. S...
Source: Medical Care - July 30, 2020 Category: Health Management Tags: Original Articles Source Type: research

Did the Affordable Care Act Decrease Veteran Enrollment in the Veterans Health Administration?
Conclusions: The ACA appears to have contributed to a decline in new VHA enrollment. In addition, the profile of newer enrollees differs from that of pre-ACA enrollees. The VHA must continue to monitor trends in demand in order to continue delivering high-quality, efficient care. (Source: Medical Care)
Source: Medical Care - July 30, 2020 Category: Health Management Tags: Original Articles Source Type: research

A Mixed Methods Study of the Association of Non-Veterans Affairs Care With Veterans’ and Clinicians’ Experiences of Care Coordination
Conclusions: VA is working through a shift in how Veterans receive health care by increasing access to care from non-VA providers. Study findings suggest that VA should prioritize coordination of care in addition to access. This could include requiring monitoring of patient-experienced care coordination, surveys of referring and consulting clinicians, and pilot testing and evaluation of interventions to improve coordination. (Source: Medical Care)
Source: Medical Care - July 30, 2020 Category: Health Management Tags: Original Articles Source Type: research

Associations Between Complementary and Alternative Medicine and Health Care Expenditures Among Adults With Chronic Back Pain
The objective of this study was to first estimate health care expenditures of adult CAM users and nonusers with chronic back pain and then assess CAM’s influence on health care expenditures. Research Design: This was an ambidirectional cohort study. Data: Linked National Health Interview Survey (2012) and Medical Expenditure Panel Survey (2013–2014). Measures: CAM use was defined as 3 or more visits to a practitioner in the 12 months before the National Health Interview Survey interview. Covariates included age, sex, race-ethnicity, and body mass index. The outcome was annual health care expenditures (...
Source: Medical Care - July 30, 2020 Category: Health Management Tags: Original Articles Source Type: research

Utilization and Costs by Primary Care Provider Type: Are There Differences Among Diabetic Patients of Physicians, Nurse Practitioners, and Physician Assistants?
The objective of this study was to compare health care utilization and costs among diabetes patients with physician, nurse practitioner (NP), or physician assistant (PA) primary care providers (PCPs). Research Design and Methods: Cohort study using Veterans Affairs (VA) electronic health record data to examine the relationship between PCP type and utilization and costs over 1 year in 368,481 adult, diabetes patients. Relationship between PCP type and utilization and costs in 2013 was examined with extensive adjustment for patient and facility characteristics. Emergency department and outpatient analyses used negative bi...
Source: Medical Care - July 30, 2020 Category: Health Management Tags: Original Articles Source Type: research