Health affairs (Project Hope)最新文献_第4页

Site-Neutral Payment And Biosimilars Competition Are Complementary Purchaser Strategies For Cancer Biologics. 站点中立支付和生物仿制药竞争是癌症生物制剂的互补采购策略。

Health affairs (Project Hope) Pub Date : 2025-06-01 DOI: 10.1377/hlthaff.2024.01549

James C Robinson, Christopher M Whaley

引用次数: 0

Medicare Advantage Dental Benefits: Comprehensive Coverage Available In Fewer Than Half Of US Counties. 医疗保险优势牙科福利：全面覆盖可在不到一半的美国县。

Health affairs (Project Hope) Pub Date : 2025-06-01 DOI: 10.1377/hlthaff.2024.01478

Lisa Simon, Marko Vujicic, Kamyar Nasseh

引用次数: 0

Transitional Care Management Associated With More Healthy Days At Home, Lower Spending After Hospital Discharge. 过渡性护理管理与在家更健康的日子有关，出院后花费更低。

Health affairs (Project Hope) Pub Date : 2025-06-01 DOI: 10.1377/hlthaff.2024.01287

MacKenzie L Hughes, Wen Hu, Jackie Soo, Joseph H Joo, Shriram Parashuram, Adil Moiduddin, Steven Sheingold, Joshua M Liao

{"title":"Transitional Care Management Associated With More Healthy Days At Home, Lower Spending After Hospital Discharge.","authors":"MacKenzie L Hughes, Wen Hu, Jackie Soo, Joseph H Joo, Shriram Parashuram, Adil Moiduddin, Steven Sheingold, Joshua M Liao","doi":"10.1377/hlthaff.2024.01287","DOIUrl":"https://doi.org/10.1377/hlthaff.2024.01287","url":null,"abstract":"Since 2013, Medicare has reimbursed clinicians for delivering transitional care management (TCM) services after patients' discharge from eligible medical facilities. Concurrently, Medicare has implemented population-based Alternative Payment Models (APMs) to encourage patient-centered care, care coordination, and clinician accountability. In this analysis, we used 2017-20 Medicare data to evaluate the effect of TCM on four quality and cost outcomes and the effect of population-based APM participation on the association between TCM and the four outcomes. TCM was associated with more healthy days at home and lower total spending after hospital discharge, with more pronounced differences among patients aligned with population-based APMs compared to nonaligned patients. TCM was also associated with lower readmissions but not differences in mortality; neither finding varied between patients who were versus were not aligned with population-based APMs. These findings suggest that the benefits of TCM may be even greater when patients are aligned with population-based APMs, highlighting potentially complementary effects.","PeriodicalId":519943,"journal":{"name":"Health affairs (Project Hope)","volume":"44 6","pages":"731-738"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medicaid Patients With ED Visits For Overdose: Disparities In Initiation Of Medications For Opioid Use Disorder. 因用药过量而到急诊科就诊的医疗补助患者：阿片类药物使用障碍开始用药的差异。

Health affairs (Project Hope) Pub Date : 2025-05-01 DOI: 10.1377/hlthaff.2024.00984

Thuy Nguyen, Yang Jiao, Stephanie S Lee, Pooja Lagisetty, Amy Bohnert, Keith E Kocher, Kao-Ping Chua

{"title":"Medicaid Patients With ED Visits For Overdose: Disparities In Initiation Of Medications For Opioid Use Disorder.","authors":"Thuy Nguyen, Yang Jiao, Stephanie S Lee, Pooja Lagisetty, Amy Bohnert, Keith E Kocher, Kao-Ping Chua","doi":"10.1377/hlthaff.2024.00984","DOIUrl":"https://doi.org/10.1377/hlthaff.2024.00984","url":null,"abstract":"Medications for opioid use disorder (MOUD) after emergency department (ED) visits for overdose can reduce subsequent overdose deaths, but disparities in receiving MOUD persist in the US. Using national Medicaid claims data from the period 2016-20, we examined racial and ethnic disparities in MOUD initiation after ED visits for opioid overdose. Overall, 6.4 percent of Medicaid ED visits were associated with a claim for MOUD within thirty days. This rate was highest among non-Hispanic White (7.3 percent) patients and lowest among non-Hispanic Black (4.3 percent) and Hispanic (4.9 percent) patients. The adjusted rate of MOUD initiation was 2.5 percentage points lower among Black patients compared with White patients, and this disparity increased nearly twofold between 2016 and 2020. Although policy and clinical efforts to increase MOUD use in the Medicaid population are important, findings suggest that efforts targeting patients from racial and ethnic minority groups may be warranted.","PeriodicalId":519943,"journal":{"name":"Health affairs (Project Hope)","volume":"44 5","pages":"622-630"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12057762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Opioid Use Disorder Medicaid Waivers. 阿片类药物使用障碍医疗补助豁免。

Health affairs (Project Hope) Pub Date : 2025-05-01 DOI: 10.1377/hlthaff.2024.01627

Lindsay Allen, Carrie E Fry

引用次数: 0

Use Of Social Determinants Of Health Z Codes Was Sparse, 2016-22. 健康Z码的社会决定因素的使用是稀疏的，2016-22。

Health affairs (Project Hope) Pub Date : 2025-05-01 DOI: 10.1377/hlthaff.2024.01033

Monica S Aswani, Lauren A Do, Paul R Shafer

引用次数: 0

Erratum. 勘误表。

Health affairs (Project Hope) Pub Date : 2025-05-01 DOI: 10.1377/hlthaff.2025.00329

引用次数: 0

State-Mandated Opioid Use Disorder Treatment In Maryland Jails Helped Patients Recover Despite Gaps In Care. 马里兰州监狱中国家规定的阿片类药物使用障碍治疗帮助患者康复，尽管在护理方面存在差距。

Health affairs (Project Hope) Pub Date : 2025-05-01 DOI: 10.1377/hlthaff.2024.01423

Camille Kramer, Cosima Lenz, Minna Song, Carolyn Sufrin, Alene Kennedy-Hendricks, Michael Fingerhood, Sachini N Bandara, Brendan Saloner

{"title":"State-Mandated Opioid Use Disorder Treatment In Maryland Jails Helped Patients Recover Despite Gaps In Care.","authors":"Camille Kramer, Cosima Lenz, Minna Song, Carolyn Sufrin, Alene Kennedy-Hendricks, Michael Fingerhood, Sachini N Bandara, Brendan Saloner","doi":"10.1377/hlthaff.2024.01423","DOIUrl":"https://doi.org/10.1377/hlthaff.2024.01423","url":null,"abstract":"Providing medications for opioid use disorder (MOUD) reduces overdose risk after release from a carceral facility. In 2019, Maryland enacted a comprehensive law mandating that all jails provide all three forms of MOUD during incarceration and reentry support. The experiences of patients who received this care in jail have not been explored to date. We examined the perspectives of twenty-four people recently released from Maryland jails during the period January 2023-March 2024. Most participants noted an improvement in opioid addiction care in jail when compared with their previous jail stays. They praised jail-based MOUD and believed that receiving MOUD in custody helped reduce the risk for return to use, recidivism, and overdose death. However, participants described challenges in receiving timely care that led them to experience withdrawal in jail and ongoing stigma from jail staff. Addiction counseling in jail was desired but not always available. As more states seek to expand MOUD in jails, Maryland's experience provides a promising model but also reveals ongoing implementation challenges.","PeriodicalId":519943,"journal":{"name":"Health affairs (Project Hope)","volume":"44 5","pages":"614-621"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rhode Island's Affordability Standards Led To Hospital Price Reductions And Lower Insurance Premiums. 罗德岛州的负担能力标准导致了医院价格的降低和保险费的降低。

Health affairs (Project Hope) Pub Date : 2025-05-01 DOI: 10.1377/hlthaff.2024.01146

Andrew M Ryan, Christopher M Whaley, Erin C Fuse Brown, Nandita Radhakrishnan, Roslyn C Murray

{"title":"Rhode Island's Affordability Standards Led To Hospital Price Reductions And Lower Insurance Premiums.","authors":"Andrew M Ryan, Christopher M Whaley, Erin C Fuse Brown, Nandita Radhakrishnan, Roslyn C Murray","doi":"10.1377/hlthaff.2024.01146","DOIUrl":"https://doi.org/10.1377/hlthaff.2024.01146","url":null,"abstract":"Beginning in 2010, Rhode Island's affordability standards capped hospital price growth for the fully insured commercial segment of the state's health insurance market. The long-term impact of the standards on hospital prices and insurance markets is unknown. We used a series of national data sources from the period 2006-22 to compare hospital prices and margins and insurer premiums and fees in Rhode Island and comparison states before and after the initiation of the standards in 2010. Our study found that the standards were associated with large relative reductions in hospital prices, averaging 9 percent over the course of the study period. Reductions were similar for both the fully insured and the self-insured segments. Hospital price reductions translated into substantial reductions in fully insured premiums relative to comparison states, reaching $1,000 per member by 2022. Yet the standards had a modest impact on overall commercial premiums in Rhode Island, likely because of premium increases in the self-insured segment that were not subject to the standards. Further, the standards reduced commercial revenue for Rhode Island hospitals by nearly $160 million annually, which exceeded premium reductions. Together, the affordability standards have benefited employers and members with fully insured plans at the expense of hospitals.","PeriodicalId":519943,"journal":{"name":"Health affairs (Project Hope)","volume":"44 5","pages":"597-605"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Promising Prescription For Older Adults: Social Connection. 老年人的一个有希望的处方：社会联系。

Health affairs (Project Hope) Pub Date : 2025-05-01 DOI: 10.1377/hlthaff.2025.00286

Michele Cohen Marill

引用次数: 0