Reducing Emergency Department Visits Among Patients With Diabetes by Embedding Clinical Pharmacists in the Primary Care Teams
Conclusion:
Clinical pharmacists are an important addition to clinical care teams in primary care practices and significantly decreased utilization of the ED among patients with poorly controlled diabetes. (Source: Medical Care)
Source: Medical Care - March 14, 2021 Category: Health Management Tags: Original Articles Source Type: research
Family Caregiver Training Needs and Medicare Home Health Visit Utilization
Conclusion:
Family caregivers’ activity-specific training needs may affect home health visit utilization. (Source: Medical Care)
Source: Medical Care - March 14, 2021 Category: Health Management Tags: Original Articles Source Type: research
Ambulatory Care Fragmentation and Subsequent Hospitalization: Evidence From the REGARDS Study
Conclusion:
Highly fragmented ambulatory care is an independent risk factor for hospitalization. (Source: Medical Care)
Source: Medical Care - March 14, 2021 Category: Health Management Tags: Original Articles Source Type: research
Cancer Screening Among Adults With and Without Serious Mental Illness: A Mixed Methods Study
Conclusions:
People with SMI were less likely to receive 4 common types of cancer screening. Improving cancer screening rates in the SMI population will likely require a multidisciplinary approach to overcome barriers to screening. (Source: Medical Care)
Source: Medical Care - March 14, 2021 Category: Health Management Tags: Brief Reports Source Type: research
Improving Payment for Collaborative Mental Health Care in Primary Care
Conclusions:
Further refinements to the codes are encouraged, including moving from a calendar month to a 30-day reimbursement cycle. In addition, we recommend payers adopt the new code proposed by the Centers for Medicare and Medicaid Services to account for smaller increments of time. (Source: Medical Care)
Source: Medical Care - March 14, 2021 Category: Health Management Tags: Brief Reports Source Type: research
Availability of Outpatient Telemental Health Services in the United States at the Outset of the COVID-19 Pandemic
Conclusions:
At the onset of the COVID-19 pandemic, fewer than half of outpatient mental health treatment facilities were providing telehealth services. Our results suggest that additional policies to promote telehealth may be warranted to increase availability over the course of the COVID-19 pandemic. (Source: Medical Care)
Source: Medical Care - March 14, 2021 Category: Health Management Tags: Brief Reports Source Type: research
Health Care Satisfaction in Relation to Gender Identity: Behavioral Risk Factor Surveillance Survey, 20 States (2014–2018)
Conclusions:
Findings indicate that transgender and gender-nonconforming adults report considerably less health care satisfaction relative to their cisgender peers. Interventions to address factors driving these differences are needed. (Source: Medical Care)
Source: Medical Care - March 14, 2021 Category: Health Management Tags: Original Articles Source Type: research
The Effect of Medicare Shared Savings Program on Readmissions and Variations by Race/Ethnicity and Payer Status (December 9, 2020)
We examined the impact of hospital participation in the MSSP on 30-day readmissions for several groups of Medicare inpatients, and by race/ethnicity and payer status.
Main Data Source:
A 2010–2016 Medicare Provider Analysis and Review files.
Research Design:
With propensity score matched sample of MSSP and non-MSSP-participating hospitals, patient-level linear probability models with difference-in-differences approach were used to compare the changes in readmission rates for Medicare fee-for-service patients initially admitted for ischemic stroke, hip fracture, or total joint arthroplasty in MSSP-participat...
Source: Medical Care - March 14, 2021 Category: Health Management Tags: Original Articles Source Type: research
Racial/Ethnic Disparities in Patient Experiences With Health Care in Association With Earlier Stage at Colorectal Cancer Diagnosis: Findings From the SEER-CAHPS Data
Conclusion:
There are racial/ethnic disparities in PE with timeliness and realized access to care preceding a CRC diagnosis. Among NHB patients, poor experiences with timeliness and realized access of care may be associated with later stage at diagnosis. (Source: Medical Care)
Source: Medical Care - March 14, 2021 Category: Health Management Tags: Original Articles Source Type: research
Elective Surgical Delays Due to COVID-19: The Patient Lived Experience
Conclusions:
We identified several components of the patient experience, encompassing quality of life and other desired benefits of surgery, the risks of COVID, and difficulty reconciling the 2. Our study provides significant qualitative evidence to inform providers of important considerations when rescheduling the backlog of patients. The emotional and psychological distress that patients experienced due to postponement may also require additional considerations in postoperative recovery. (Source: Medical Care)
Source: Medical Care - March 14, 2021 Category: Health Management Tags: Original Articles Source Type: research
The Effect of Supervision Waivers on Practice: A Survey of Massachusetts Nurse Practitioners During the COVID-19 Pandemic
Conclusions:
Temporary removal of state-level practice barriers alone is not sufficient to achieve immediate full scope of practice for NPs. The successful implementation of modernized scope of practice laws may require a collective effort to revise organizational and payer policies accordingly. (Source: Medical Care)
Source: Medical Care - March 14, 2021 Category: Health Management Tags: From the States Source Type: research
Diminishing Racial Disparities in Survival After In-Hospital Cardiac Arrests: Clarion Call to Further Test and Harness the Power of “One”
No abstract available (Source: Medical Care)
Source: Medical Care - March 14, 2021 Category: Health Management Tags: Editorial Source Type: research
Achieving Population Health Impacts Through Health Promotion Programs Offered by Community-based Organizations
Conclusions:
AAAs are an example of community-based organizations that can contribute to health care policy goals such as cost containment. Organizational development support may be needed to extend their ability to effect change in more regions of the country. (Source: Medical Care)
Source: Medical Care - February 14, 2021 Category: Health Management Tags: Original Articles Source Type: research
Associations Between Copays, Coverage Limits for Opioid Use Disorder Medications, and Prescribing in Medicaid, 2018
Background:
Opioid use disorder (OUD) affects millions of Americans, but only a fraction receive treatment. Many patients with OUD are enrolled in Medicaid, but elements of different state Medicaid programs’ drug benefit designs may impact patients’ access to life-saving care.
Objective:
To describe medication for OUD (mOUD) use in Medicaid and examine the relationship between mOUD use and state drug benefit design plans.
Design/Subjects:
Cross-sectional study using Medicaid State Drug Utilization Data from 2018 to quantify office-based mOUD and the Medicaid Behavioral Health Services Database to extr...
Source: Medical Care - February 14, 2021 Category: Health Management Tags: Original Articles Source Type: research
Mandated Copayment Reductions in Medicare Advantage: Effects on Skilled Nursing Care, Hospitalizations, and Plan Exit
Conclusions:
Mandated reductions in SNF cost-sharing may have curbed selective disenrollment from MA plans without significantly increasing use of SNF services. (Source: Medical Care)
Source: Medical Care - February 14, 2021 Category: Health Management Tags: Original Articles Source Type: research
