The American journal of managed care
-
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.
-
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.
-
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.
-
To examine the relationship between preventive dental visits (PDVs) and medical expenditures while mitigating bias from unobserved confounding factors. ⋯ This is the first study to present estimates with causal inference from a quasi-experimental study of the effect of PDVs on overall medical expenditures. We observed that prior- or same-year PDVs were not related to overall medical or pharmacy expenditures.
-
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.