The American journal of managed care
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Comparative Study
Does Medicare Advantage enrollment affect home healthcare use?
To compare home health utilization and clinical outcomes between Medicare beneficiaries in the fee-for-service (FFS) and Medicare Advantage (MA) programs, and to compare regional variation. ⋯ MA beneficiaries use less home health than their FFS counterparts, but regional factors affect utilization, independent of insurance status.
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Multicenter Study
Referrals and the PCMH: how well do we know our neighborhood?
Characterize patterns of referral from a patient-centered medical home (PCMH) and observe the association of provider experience, patient chronic disease burden, and risk of utilization on referral placement. ⋯ In an academic setting, provider and patient factors play a role in referral patterns. Residents refer highest-risk patients more often than their faculty counterparts, while there is no difference for lower-risk patients.