A5038391890- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Chronic Disease Management Strategies
- Health Systems, Economic Evaluations, Quality of Life
- Medication Adherence and Compliance
- Healthcare Systems and Technology
- Health Policy Implementation Science
- Geriatric Care and Nursing Homes
- Patient Satisfaction in Healthcare
- Interprofessional Education and Collaboration
- Healthcare Systems and Public Health
- Diabetes Management and Education
- Health disparities and outcomes
- Ethics in Business and Education
- Healthcare cost, quality, practices
- Family and Patient Care in Intensive Care Units
- Economic, financial, and policy analysis
- Counseling Practices and Supervision
- Adolescent and Pediatric Healthcare
- Educational and Psychological Assessments
- Advanced Causal Inference Techniques
- Food Security and Health in Diverse Populations
- Cardiac Health and Mental Health
- Transport and Economic Policies
- Occupational Therapy Practice and Research
Mathematica Policy Research
2012-2023
Environmental Protection Agency
2019
Peterson (Norway)
2012
Statistics Canada
2003-2007
As policy makers seek to slow the growth in Medicare spending, they have appropriately focused attention on beneficiaries with multiple chronic conditions. Many care coordination and disease management programs designed improve beneficiaries’ reduce their need for hospitalizations been tested, but few successful. This study, however, found that four of eleven were part Coordinated Care Demonstration reduced by 8–33 percent among enrollees who had a high risk near-term hospitalization. The...
Importance The Million Hearts Model paid health care organizations to assess and reduce cardiovascular disease (CVD) risk. effects on long-term outcomes are unknown. Objective To estimate model first-time myocardial infarctions (MIs) strokes Medicare spending over a period up 5 years. Design, Setting, Participants This pragmatic cluster-randomized trial ran from 2017 2021, with assigned intervention group or standard control group. Randomized included 516 US-based primary specialty...
As one of the initial fifteen participants in Medicare Coordinated Care Demonstration, Washington University School Medicine St. Louis was not able to demonstrate any reduction hospitalizations or spending for patients it served. In fact, program increased total by 12 percent. But after a redesign, results changed. The stopped conducting care management most its via telephone from remote site California and, instead, served all through frequent phone and occasional in-person contact local...
The Million Hearts Cardiovascular Disease (CVD) Risk Reduction Model pays provider organizations for measuring and reducing Medicare patients' cardiovascular risk.To assess whether the model increases initiation or intensification of antihypertensive medications statins among patients with blood pressure low-density lipoprotein (LDL) cholesterol levels above guideline thresholds treatment intensification.This prespecified secondary analysis a cluster-randomized, pragmatic trial included...
Objectives To test whether a care management program could replicate its success in an earlier trial and determine likely explanations for why it did not. Data Sources/Setting Medicare claims nurse contact data fee‐for‐service beneficiaries with chronic illnesses enrolled the eastern Pennsylvania ( N = 483). Study Design A randomized half of enrollees receiving intensive services usual care. We developed tested hypotheses impacts declined. Extraction All outcomes covariates were derived from...
CareFirst, the largest commercial insurer in mid-Atlantic Region of United States, runs a medical home program focusing on financial incentives for primary care practices and coordination high-risk patients. From 2013 to 2015, CareFirst extended Medicare fee-for-service (FFS) beneficiaries participating practices. If model extension improved quality while reducing spending, Centers Medicaid Services could expand broadly.
Background: The Center for Medicare & Medicaid Innovation (CMMI) tests new models of paying or delivering health care services and expands that improve outcomes while lowering medical spending. CMMI gave TransforMED, a national learning dissemination contractor, 3-year Health Care Award (HCIA) to integrate information technology systems into physician practices. This paper estimates impacts TransforMED’s HCIA-funded program on patient parts A B Research Design: We compared...
Summary Statistics Canada has measured the use of information and communication technologies (ICTs) for close to 15 years in industry more recently households it developed a body knowledge on effects these technologies. While ICTs have long been used manufacturing processes, computers networks, growing number ways accessing are changing way business is done lives led. This paper provides examples ICT private public institutions, households, by individuals. It goes illustrate consequent...
From 2012 to 2015, Sanford Health, a large health care system, integrated behavioral services and chronic condition management in some of its primary practices the Dakotas rural Minnesota. Using difference-in-differences analyses for fee-for-service Medicare beneficiaries attributed 22 participating 91 matched comparison practices, we found that program increased receipt four recommended diabetes processes by 8.6% (p=.048) and, slowing increase emergency department (ED) visits, reduced them...
Research Objective In 2017, the Centers for Medicare & Medicaid Services launched Million Hearts® Cardiovascular Disease (CVD) Risk Reduction Model with aim to reduce first‐time heart attacks and strokes among high‐risk fee‐for‐services (FFS) beneficiaries within 5 years. This large‐scale randomized trial pays providers assess each of their patient’s risk a attack or stroke then makes additional payment if they CVD cohort. We whether, during its first two years, model increased use...