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Language Matters: Talking About Low-Value Healthcare With PatientsEnsuring that patients get high-value care is critical, but value can have different meanings to patients and providers. It is important to know what matters to patients and to use language that reflects those values.
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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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State-Level Projections of Cancer-Related Medical Care Costs: 2010 to 2020State-level estimates of the number of people treated for cancer and the average cost of their treatment by state from 2010 through 2020.
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Why Palliative Care Is the Answer to the Serious Illness Question in Payment ReformWhether it is through enlisting primary providers, building a champion workforce, or hiring more specialist consultants, there is no question that palliative programming must be at the heart of our healthcare system’s quality transformation.
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Cost-Sharing Payments for Out-of-Network Care in Commercially Insured AdultsThis study of claims among adults covered by employer-sponsored plans revealed substantial variations in out-of-network cost-sharing payments. The growth of cost sharing for nonemergent hospitalizations is concerning.
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Comparison of Healthcare Utilization Among Patients Treated With Alcoholism MedicationsTreatment of alcohol dependence with medications offered advantages in reduced healthcare utilization and costs compared with usual treatment without medications.
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Improving Diabetic Patient Transition to Home Healthcare: Leading Risk Factors for 30-Day ReadmissionHome healthcare transition from hospitals for diabetic Medicare home healthcare beneficiaries can be improved by identifying risk factors for 30-day readmissions due to ambulatory care—sensitive conditions.
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Is There a Relationship Between Early Statin Compliance and a Reduction in Healthcare Utilization?Statin therapy compliance of 80% or higher during the first 2 years of treatment is associated with reduced healthcare resource utilization in the following year.
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Periodic Health Examinations and Missed Opportunities Among Patients Likely Needing Mental Health CareAmong patients likely needing mental health care, two-thirds had no discussion or perfunctory discussion of mental health during periodic health exams.
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The Impact of Patient-Centered Medical Homes on Safety Net ClinicsAdopting a patient-centered medical home model in safety net practices can effectively reduce emergency department use and increase the use of office visits among Medicaid patients.
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Impact of the Patient-Centered Medical Home on Veterans' Experience of CareThe patient-centered medical home is being adopted to improve patient experiences of care. However, the authors observed no impact of medical home implementation on veterans' care experiences.
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Estimating the Staffing Infrastructure for a Patient-Centered Medical HomeThis study suggests that implementing a patient-centered medical home requires additional staff with specific expertise based on the needs of the practice and its population.
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False-Positive Mammography and Its Association With Health Service UseThis study demonstrated that a false-positive mammogram was associated with increases in outpatient visits, but not provider referrals, for 1 year post mammogram.
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Financial Effects of Health Information Technology: A Systematic ReviewAlthough health information technology interventions are associated with cost savings and revenue gains, there still are few articles on this topic.
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Treatment of Ductal Carcinoma In Situ Among Patients Cared for in Large Integrated Health PlansAlthough we found no DCIS treatment disparities by race/ethnicity, use of adjuvant radiation therapy was less among older women and among residents of poorer neighborhoods.
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A Multidisciplinary Intervention for Reducing Readmissions Among Older Adults in a Patient-Centered Medical HomeA collaborative practice model to reduce hospital readmissions from an outpatient environment.
