Research
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Georgia’s 1332 Waiver Violates the ACA and Cannot Lawfully be Approved
Christen Linke Young and Jason Levitis explain why Georgia’s 1332 waiver would fail the affordability guardrail and is based on several assumptions.
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National Trends in Mental Health-Related Emergency Department Visits by Children and Adults, 2009–2015
Utilization of emergency department services for mental health-related visits can be challenging for hospitals to manage. This study showed mental health-related visits grew by 56 percent for pediatric patients and by almost 41 percent for adults.
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Information Integration, Coordination Failures, and Quality of Prescribing
Poor information flows hamper coordination, potentially leading to suboptimal decisions in health care. We examine the effects of a nationwide policy of information integration on the quality of prescribing.
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Vascular Access-Specific Health-Related Quality of Life Impacts Among Hemodialysis Patients: Qualitative Development of the Hemodialysis Access-Related Quality of Life (HARQ) Instrument
The HARQ features VA-specific content not addressed in other HRQOL measures, making it ideal for comparisons of different VA types and new VA technologies. The psychometric properties of the HARQ will be evaluated in future research.
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Assessment of Rural-Urban Differences in Postacute Care Utilization and Outcomes Among Older US Adults
Although people living in rural areas of the United States are disproportionately older and more likely to die of conditions that require postacute care than those living in urban areas, rural-urban differences in postacute care utilization and outcomes have been understudied.
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Conflicts of Interest in Dialysis: A Barrier to Policy Reforms
What are the possible benefits and risks of nephrologist’s financial participation in dialysis facility joint venture (JV) arrangements and financial participation in End‐stage Kidney Disease Seamless Care Organizations (ESCOs)? Eugene Lin and co-authors examine possible mechanisms for disclosure and reporting of such arrangements as well as risk mitigation.
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Four Years Into MACRA: What Has Changed?
Changes to nephrology reimbursement present a unique opportunity to improve patient outcomes in a cost‐effective way. A multidisciplinary effort among policy makers, nephrology providers, and patient advocacy groups is critical to ensure these changes in care delivery safeguard and improve patient health.
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Outcome Measures for Oncology Alternative Payment Models: Practical Considerations and Recommendations
Oncology care will benefit from a more rigorous approach to quality assessment. The success of oncology alternative payment models will require a robust set of quality measures that are relevant to patients, providers, and payers.
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Potential Impacts of Recreational Marijuana Policies and Regulatory Structures that Could Reduce its Negative Impacts
Rosalie Liccardo Pacula presented before the Florida House of Representatives Health & Human Services Committee, Subcommittee on Health Quality on Dec. 11, 2019 about regulations to govern the use of recreational marijuana.
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Association Between Spending and Outcomes for Patients With Cancer
Overall cancer spending increased from $27 billion in 1990 to $137 billion in 2017 and is projected to increase further through 2020.
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