The American journal of managed care
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To use publicly available price transparency data files to establish empirical regularities about hospital-insurer contracting. ⋯ Hospital-insurer contracts dictate the flow and structure of a significant portion of total health care expenditure in the US. Increased attention by both researchers and policy makers would lead to a greater understanding of this vital-yet understudied-element of the market for hospital services.
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Randomized Controlled Trial
Impact of psychiatric follow-up frequency on outcomes and waiting times.
This study determined whether naturally occurring but significantly different outpatient follow-up frequencies are associated with clinical outcomes and service waiting times. ⋯ Although variations in appointment frequencies do not appear to have a major impact on clinical outcomes, they could be managed to achieve significant improvements in the accessibility of the clinic.
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We examined the association between electronic health information sharing and repeat imaging in readmissions among older adults with and without Alzheimer disease (AD). ⋯ Despite substantial investment, HIEs as currently deployed and used are not associated with decreased odds of repeat imaging in readmissions.
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Randomized Controlled Trial Pragmatic Clinical Trial
Scaling care coordination through digital engagement: stepped-wedge trial assessing readmissions.
Transitions of care are pivotal, vulnerable times as patients are discharged from the hospital. Telephonic care coordination is standard care, but labor intensive. We implemented a patient postdischarge digital engagement (PDDE) program to scale coordination. We hypothesized that PDDE could reduce readmissions for low-risk patients and supplement care coordination for medium- and high-risk patients. ⋯ Our study expanded resource-limited care coordination by offering low-risk patients a service they were unable to receive previously while having no impact on readmission. PDDE efficiently provided additional touch points between patients and providers.
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Counseling and education on Medicare coverage options are available through the federal State Health Insurance Assistance Program (SHIP), but little is known about the population that SHIP reaches. ⋯ These results suggest that there are areas where in-person SHIP service expansion or other additional navigation support may be warranted.