Health Services Research

26 Oct, 5 tweets, 3 min read

Neeraj Sood PhD et al look to understand the effects of receiving vertically integrated care in inpatient rehabilitation facilities (IRFs) on health care use and outcomes in #HSR @WileyHealth article. ABSTRACT: hsr.org/node/680121
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@WileyHealth WHAT IS KNOWN: Coordinating care during transitions from acute to postacute care may be easier to accomplish when providers are vertically integrated.
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@WileyHealth Prior studies have mainly focused on effects of vertical integration between hospitals and SNFs for fee for service Medicare beneficiaries and found mixed results.
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@WileyHealth WHAT THIS STUDY ADDS: results indicate that receiving vertically integrated care in hospital-based IRFs reduces hospital and IRF length of stay, while maintaining or improving health outcomes
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@WileyHealth Freestanding IRFs integrated with hospitals in the same health system could not achieve similar reductions in institutional length of stay or improved outcomes. FULL ARTICLE: onlinelibrary.wiley.com/doi/10.1111/14…
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@HSR_HRET

26 Oct

New article in #HSR @WileyHealth by @afrakt assess the prevalence of patient administrative tasks and whether they are associated with delayed and/or foregone care. ABSTRACT: hsr.org/node/680108
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@WileyHealth @afrakt WHAT IS KNOWN: High administrative complexity is a central feature of the US health care system, with under-appreciated implications for patients. Research examining the administrative costs of health care has primarily focused on clinicians and provider organizations.
2/6

@WileyHealth @afrakt Compared to financial barriers to access, evidence examining nonfinancial costs has been limited and not focused specifically on patients' administrative burden.
3/6

Read 6 tweets

Health Services Research

@HSR_HRET

14 Sep

Shih-Chuan Chou and colleagues examine the association between #highdeductible health plans and #EDvisits with low-value imaging in this #HSR @Wiley_Health study. Thread below: (1/7) hsr.org/node/678800

WHAT WE KNOW: Health insurers increasingly offer high-deductible insurance products in hopes of improving care value by giving patients “skin in the game.” (2/7)

Past studies showed that high deductibles reduce outpatient medical visits or tests, which are primarily under patient control, such as attending appointments, cancer screening, or ED visits. (3/7)

Read 7 tweets

Health Services Research

@HSR_HRET

12 Jul

Lee Revere Ph.D., et. al. evaluate the robustness of the CMS Hospital Value-Based Purchasing (HVBP) total performance score (TPS) in new #HSR article @wileyhealth Abstract: hsr.org/node/677720
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@WileyHealth WHAT IS KNOWN: TPS is intended to be capable of differentiating hospital-level quality on an annual basis. Prior research found evidence that highest performing hospitals maintain their status year after year while preventing lower-ranked hospitals from increasing in position
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@WileyHealth FINDINGS: Annual TPS is skewed, showing a large gap between top-performing hospitals and all others. Results also show significant movement year to year, with hospitals moving in and out of the top and bottom performance categories disproportionately
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Read 4 tweets

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