Impact of a Provider Tele-mentoring Learning Model on the Care of Medicaid-enrolled Patients With Diabetes
Conclusions:
We find evidence that Project ECHO participation was associated with large and statistically significant reductions of inpatient hospitalization and spending. The study was observational and limited by a small sample of participating PCPs. This study demonstrates the feasibility and potential value of quasi-experimental evaluation of Project ECHO patient outcomes using claims data. (Source: Medical Care)
Source: Medical Care - June 11, 2022 Category: Health Management Tags: Original Articles Source Type: research
Comparing Machine Learning to Regression Methods for Mortality Prediction Using Veterans Affairs Electronic Health Record Clinical Data
Conclusion:
The differences in c-statistic between the best machine learning model (924-predictor Gradient Boosting) and 101-predictor stepwise logistic models for 10-year mortality prediction were modest, suggesting stepwise regression methods continue to be a reasonable method for VA EHR mortality prediction model development. (Source: Medical Care)
Source: Medical Care - May 20, 2022 Category: Health Management Tags: Original Articles Source Type: research
Time-Specific Differences in Stated Preferences for Health in the United States
Background:
Changes over time in health state values from a societal perspective may be an important reason to consider updating societal value sets for preference-based measures of health.
Objective:
The aim was to examine whether stated health preferences are different between 2002 and 2017, controlling for demographic changes in the United States.
Methods:
Data from 2002 and 2017 US EQ-5D-3L valuation studies were combined. The primary analysis compared valuations of better-than-dead (BTD) states only, as both studies used the same time trade-off (TTO) method for these states. For worse-than-dead (WTD)...
Source: Medical Care - May 20, 2022 Category: Health Management Tags: Original Articles Source Type: research
Measuring Inconsistency in Quality Across Patient Groups to Target Quality Improvement
Conclusions:
This newly developed inconsistency metric may help those designing and evaluating QI efforts to appropriately determine when targeted QI is preferred. It can be used in settings where performance varies across groups, which can be defined by patient characteristics, geographic areas, hospital wards, etc. Effectively targeting QI efforts is essential in today’s resource-constrained health care environment. (Source: Medical Care)
Source: Medical Care - May 20, 2022 Category: Health Management Tags: Applied Methods Source Type: research
Association of Physical Therapy Treatment Frequency in the Acute Care Hospital With Improving Functional Status and Discharging Home
Conclusions:
More frequent PT visits during hospitalization may facilitate functional improvement and discharge home. Most patients, however, receive infrequent visits. Further research is needed to determine the optimal delivery of PT services to meet individual patient needs. (Source: Medical Care)
Source: Medical Care - May 20, 2022 Category: Health Management Tags: Original Articles Source Type: research
Rural Hospital Closures: Effects on Utilization and Medical Spending Among Commercially Insured Individuals
The objective of this study is to identify the impact of rural hospital closures on total medical spending and utilization among the commercially insured rural population.
Research Design:
We use a pre-post study design with a comparison group. Individual‐level Texas commercial claims data in 2014–2019 were linked to the Centers for Medicare & Medicaid Services (CMS) Provider of Services Current Files, Area Health Resource File, and Census American Community Survey. We performed an event study to test for pre-trends.
Subjects:
Analysis sample included commercially insured individuals 19–64 years of age ...
Source: Medical Care - May 20, 2022 Category: Health Management Tags: Original Articles Source Type: research
Prescription Patterns of Adjuvant Pain Medications Following an Opioid Supply Restriction Law: An Interrupted Time Series Analysis
Conclusions:
An increased number of patients and prescriptions were observed for gabapentinoids, while fewer patients received benzodiazepines and muscle relaxants after HB21. In previous studies, opioid prescription restriction laws are shown to reduce opioids, but this work suggests that these laws may also have unintended consequences for the use of adjunctive medications that were not intended to be affected. (Source: Medical Care)
Source: Medical Care - May 20, 2022 Category: Health Management Tags: Brief Report Source Type: research
Economic Evaluation: A Randomized Pragmatic Trial of a Primary Care-based Cognitive Behavioral Intervention for Adults Receiving Long-term Opioids for Chronic Pain
Conclusion:
The intervention was the optimal choice at commonly accepted levels of willingness-to-pay for QALY gains; this finding was robust to sensitivity analyses. (Source: Medical Care)
Source: Medical Care - May 20, 2022 Category: Health Management Tags: Original Articles Source Type: research
Racial and Ethnic Differences in Hospital Admissions of Emergency Department COVID-19 Patients
Conclusions:
White patients were more likely than Black patients to be hospitalized after presenting to the ED with COVID-19 and more likely to be admitted directly to the ICU. This finding may be due to racial/ethnic differences in severity of disease upon ED presentation, racial and ethnic differences in access to COVID-19 primary care and/or implicit bias impacting clinical decision-making. (Source: Medical Care)
Source: Medical Care - May 20, 2022 Category: Health Management Tags: Original Articles Source Type: research
Coronavirus Disease 2019, Universal Health Coverage, and Ambulatory Care in 2020
No abstract available (Source: Medical Care)
Source: Medical Care - May 20, 2022 Category: Health Management Tags: Letter to the Editor Source Type: research
Medicare Durable Medical Equipment Competitive Bidding Program: An Evaluation
Conclusions:
The Medicare DME CBP lowered Medicare expenditures while not reducing beneficiary access or increasing adverse outcomes. (Source: Medical Care)
Source: Medical Care - May 20, 2022 Category: Health Management Tags: Original Article Source Type: research
The American Public Health Association Endorses Single-Payer Health System Reform
Health care is a human right. Achieving universal health insurance coverage for all US residents requires significant system-wide reform. The most equitable and cost-effective health care system is a public, single-payer (SP) system. The rapid growth in national health expenditures can be addressed through a system that yields net savings over projected trends by eliminating profit and waste. With universal health insurance coverage through SP financing, providers can focus on optimizing delivery of services, rather than working within a system covered by payers who have incentives to limit costs regardless of benefit. Rat...
Source: Medical Care - May 20, 2022 Category: Health Management Tags: Commentary Source Type: research
Response to Mental Health Utilization in Youth and Young Adults
No abstract available (Source: Medical Care)
Source: Medical Care - April 14, 2022 Category: Health Management Tags: Letters to the Editor Source Type: research
Mental Health Utilization in Youth and Young Adults
No abstract available (Source: Medical Care)
Source: Medical Care - April 14, 2022 Category: Health Management Tags: Letters to the Editor Source Type: research
Rejection of Aducanumab (Aduhelm) by the Health Care Community: Lessons Learned and the Path Ahead
No abstract available (Source: Medical Care)
Source: Medical Care - April 14, 2022 Category: Health Management Tags: Special Editorial Source Type: research
