Comparing Mortality of Peritoneal and Hemodialysis Patients in an Era of Medicare Payment Reform
Conclusions:
Overall mortality for HD and PD use was similar and mortality differences between modalities did not change before versus after the 2011 Medicare dialysis bundled payment, suggesting that increased use of home-based PD did not adversely impact patient outcomes. (Source: Medical Care)
Source: Medical Care - January 30, 2021 Category: Health Management Tags: Original Articles Source Type: research
Evaluation of an Osteoporosis Outreach Program for Men With a Fragility Fracture and Their Physicians
Conclusion:
The program was highly effective by more than doubling the rate of BMD evaluation; however, more intensive interventions may yield an even higher screening rate. (Source: Medical Care)
Source: Medical Care - January 30, 2021 Category: Health Management Tags: Original Articles Source Type: research
Associations Between Disability and Breast or Cervical Cancers, Accounting for Screening Disparities
Conclusions:
Pre-existing disability is associated with a higher likelihood of breast and cervical cancer diagnoses, raising the urgency of eliminating disability disparities in mammography and Pap testing. Further research will need to explore the causes of these higher cancer rates. (Source: Medical Care)
Source: Medical Care - January 30, 2021 Category: Health Management Tags: Original Articles Source Type: research
Racial Differences in the Cesarean Section Rates Among Women Veterans Using Department of Veterans Affairs Community Care
Conclusions:
There is substantial racial and geographic variation in C-section rates among pregnant Veterans receiving obstetrical care through VA community care providers. Future research should carefully examine variations in C-sections by the hospital, and which providers and hospitals are included in VA contracts. There should also be an increased focus on the types of providers women Veterans have access to for obstetrical care paid for by the VA and the quality of care delivered by those providers. (Source: Medical Care)
Source: Medical Care - January 30, 2021 Category: Health Management Tags: Original Articles Source Type: research
Individual and Area-level Factors Contributing to the Geographic Variation in Ambulatory Care Sensitive Conditions in Finland: A Register-based Study
Conclusions:
Alongside individual factors, areas’ disease burden and factors related to hospital care explained the excess variances in ACSCs captured by hospital authorities. Our consistent findings over time suggest that the local strain on health care and the regional arrangement of hospital services affect ACSCs—necessitating caution when comparing areas’ PHC performance through ACSCs. (Source: Medical Care)
Source: Medical Care - January 30, 2021 Category: Health Management Tags: Brief Reports Source Type: research
How to Identify Team-based Primary Care in the United States Using Medicare Data
Conclusions:
Depending on specific study purposes, researchers could use either 100% data from Medicare beneficiaries in randomly selected PCSAs, or data from a 20% national sample of Medicare beneficiaries to study team-based primary care in the United States. (Source: Medical Care)
Source: Medical Care - January 30, 2021 Category: Health Management Tags: Brief Reports Source Type: research
Does Community Outsourcing Improve Timeliness of Care for Veterans With Obstructive Sleep Apnea?
Background:
Providing timely access to care has been a long-standing priority for the Veterans Affairs Healthcare System. Recent strategies to reduce long wait times have focused on purchasing community care by a fee-for-service model. Whether outsourcing Veterans Affairs (VA) specialty care to the community improves access is unclear.
Objectives:
We compared time from referral to treatment among Veterans whose care was provided by VA versus community care purchased by the VA, using obstructive sleep apnea as an example condition.
Methods:
This was a retrospective cohort study of Northern California Veter...
Source: Medical Care - January 30, 2021 Category: Health Management Tags: Original Articles Source Type: research
Association of Mandatory Bundled Payments for Joint Replacement With Postacute Care Outcomes Among Medicare and Medicaid Dual Eligible Patients
Importance:
The Medicare comprehensive care for joint replacement (CJR) model, a mandatory bundled payment program started in April 2016 for hospitals in randomly selected metropolitan statistical areas (MSAs), may help reduce postacute care (PAC) use and episode costs, but its impact on disparities between Medicaid and non-Medicaid beneficiaries is unknown.
Objective:
To determine effects of the CJR program on differences (or disparities) in PAC use and outcomes by Medicare-Medicaid dual eligibility status.
Design, Setting, and Participants:
Observational cohort study of 2013–2017, based on difference-...
Source: Medical Care - January 30, 2021 Category: Health Management Tags: Original Articles Source Type: research
Medicare Advantage Chart Reviews Are Associated With Billions in Additional Payments for Some Plans
Conclusions:
Given the substantial and highly variable increase in payments attributable to chart review, further investigation of the validity of this practice and its implications for Medicare spending is needed. (Source: Medical Care)
Source: Medical Care - January 30, 2021 Category: Health Management Tags: Brief Report Source Type: research
Should Medicare Advantage Plans Receive Billions in Additional Risk-based Payments for Potentially Unmanaged Conditions?
No abstract available (Source: Medical Care)
Source: Medical Care - January 30, 2021 Category: Health Management Tags: Editorial Source Type: research
Using an Agent-based Model to Examine Deimplementation of Breast Cancer Screening
Conclusion:
Modeling cancer screening as a complex social system demonstrates a range of potential effects and may help target future interventions designed to reduce overscreening. (Source: Medical Care)
Source: Medical Care - December 13, 2020 Category: Health Management Tags: Online Article: Applied Methods Source Type: research
The Importance of Immediate Linkage to Health and Social Support Services for Deported Migrants
No abstract available (Source: Medical Care)
Source: Medical Care - December 13, 2020 Category: Health Management Tags: Letter to the Editor Source Type: research
Assessing the Impact of EQ-5D Country-specific Value Sets on Cost-utility Outcomes
Conclusions:
This study indicates that the use of different EQ-5D country-specific value sets impacts on cost-utility outcomes. Therefore, to account for the fact that health state preferences are affected by sociocultural differences, relevant country-specific value sets should be used. (Source: Medical Care)
Source: Medical Care - December 13, 2020 Category: Health Management Tags: Original Articles Source Type: research
Can Regionalization of Care Reduce Socioeconomic Disparities in Breast Cancer Survival?
Conclusion:
Regionalization of early breast cancer care away from low-volume centers may improve outcomes and reduce SES disparities in survival. (Source: Medical Care)
Source: Medical Care - December 13, 2020 Category: Health Management Tags: Original Articles Source Type: research
The Effect of Integrating Primary Care and Mental Health Services on Diabetes and Depression: A Multi-site Impact Evaluation on the US-Mexico Border
Conclusions:
Health care is constantly transforming, making it critical to study these changes across populations and settings. Findings from this study indicate that integrated care can significantly improve mental and physical health in an underserved Latino population. (Source: Medical Care)
Source: Medical Care - December 13, 2020 Category: Health Management Tags: Original Articles Source Type: research
