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The Validity of Claims-Based Risk Estimation in Underinsured PopulationsThis article demonstrates a threat to validity when using claims-based risk tools with chronically ill and/or underinsured populations whose underutilization masks actual risk or comorbidity.
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Collaborative Care Before Accountable Care: Achieving Low-Cost, High-Quality Care Through a Regional Collaborative in FloridaAs accountable care organizations proliferate across the nation, delivery systems still struggle to balance quality improvement, cost containment, and migration toward accountable care. This paper describes the phased approach where the University of Florida Health Science Center and Shands Teaching Hospital and Clinics, Inc, and Orlando Health have jointly developed a series of clinical and health services that are of the highest quality and are offered at the lowest cost. The result is a regional collaborative that will be the foundation for a regional accountable care organization, first leveraging clinical core competencies, then moving to a more integrated model.
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Shifting Cardiovascular Care to Nurses Results in Structured Chronic CareThis study sought to explore if shifting care to nurses in cardiovascular risk management in primary care is a key to more structured chronic care.
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Hospitalized Patients' and Family Members' Preferences for Real-Time, Transparent Access to Their Hospital RecordsThis mixed-methods study evaluated hospitalized patients’ and family members’ perceived communications mismatches and their calls for transparent real-time information and potential 21st-century solutions.
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$10 Billion in CMS Funding Aimed at Healthcare InnovationThe Affordable Care Act was implemented to change healthcare in the United States. In order to support that change, the government established the Center for Medicare and Medicaid Innovation (CMMI)-a sector of the government agency that aims to incentivize innovation among providers and payers.
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CAR-T Cells: The Next Era in Immuno-OncologyAn update on immunotherapies and the potential impact of chimeric antigen receptor (CAR)-T cells on oncology care.
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The Potential of a Population Health Strategy to Improve Healthcare Outcomes and Reduce Costs for Medicaid ProgramsWith Medicaid consuming a larger share of the Mississippi's budget, innovative solutions were needed to deliver improved health outcomes at a lower cost. A public-private partnership was created to pursued a population health strategy aimed at reducing preterm births and preventing the progression of prediabetes to type 2 diabetes.
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Collection of Data on Race/Ethnicity and Language Proficiency of ProvidersHealth plans collect and use data on network providers' proficiency in languages other than English more commonly than race and ethnicity data on providers.
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Promoting Electronic Health Record Adoption Among Small Independent Primary Care PracticesSubstantial outreach efforts are needed in addition to offering subsidies or incentives in engaging primary care providers to adopt electronic health records.
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Statewide Data Infrastructure Supports Population Health Management: Diabetes Case StudyThe use of statewide data infrastructure is effective at identifying criteria for diabetes outreach and management at the whole-population level.
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Consumer Attitudes Toward Personal Health Records in a Beacon CommunityEven in communities with health information technology initiatives, consumer use of personal health records may be limited by the
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Physician Behavior Impact When Revenue Shifted From Drugs to ServicesShifting physician revenue from drug sales to cognitive services for mature pathways providers did not affect practice behavior in this payer-sponsored Oncology Medical Home.
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Impact of an Online Prescription Management Account on Medication AdherenceOnline prescription management accounts may help promote medication adherence, as utilizing patients had a higher proportion of days covered than nonusers.
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US Prevalence of Upper Gastrointestinal Symptoms: A Systematic Literature ReviewSystematic review and meta-analysis suggest that upper gastrointestinal symptoms and disorders are common to inhabitants of the United States.
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The Effects of Health Information Technology Adoption and Hospital-Physician Integration on Hospital EfficiencyDetermining the impact of health information technology adoption and hospital-physician integration on hospital efficiency.
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Comparative Effectiveness Research: Challenges for Medical JournalsIn order to encourage dissemination, this commentary is freely available in PLoS Medicine, and will also be published in Medical Decision Making, Croatian Medical Journal, The Cochrane Library, Trials, and Journal of Clinical Epidemiology.
