The American journal of managed care
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To execute a chronic kidney disease (CKD) intervention to assess feasibility and preliminary outcomes for a health plan. ⋯ This scalable CKD intervention demonstrated feasibility. For advanced CKD, decreased hospitalization and a reduction in several important costs were observed. These preliminary results support the stratification of laboratory data for CKD population health innovation in commercial health plans.
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The founder and president of the Institute for Clinical and Economic Review responds to the commentary on heterogeneity in value assessment.
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To examine the impact of coordinated care organizations (CCOs), Oregon's Medicaid accountable care organizations, on hospitalization by admission source among female Medicaid beneficiaries of reproductive age. ⋯ CCO led to reductions in hospital admissions, especially preventable admissions, among female Medicaid beneficiaries of reproductive age in Oregon. Findings, if replicated, may imply that the accountable care delivery model implemented in Oregon Medicaid promotes efficient resource utilization.