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Unique state of payments as Maryland uses uniform prices

Hospital charges in Maryland have been set by the state for 4 decades, and more reforms are on the way. The effort has led to all insurers paying the same price for the same services in the same hospitals, and now, the state is looking to improve facilities' readmission rates and other quality metrics.
https://immattersacp.org/archives/2014/04/hospital.htm
1 Apr 2014

Transitional care management yields benefit but is used rarely, study finds

A study described transitional care management as a promising delivery model innovation, but an editorial cautioned that payments may not be high enough to justify the extra work involved or may be targeted to the wrong place in the health care system.
https://immattersacp.org/weekly/archives/2018/08/07/1.htm
7 Aug 2018

New Patient Care Program aims to engage patients and reduce costs

The Gordon and Betty Moore Foundation recently launched a Patient Care Program that seeks to eliminate all preventable harms to patients and reduce complications and patient readmissions that could be averted.
https://immattersacp.org/weekly/archives/2012/09/18/8.htm
18 Sep 2012

Rural prevention efforts face specific hurdles

This issue covers topics such as programs that improve rural health, effective advance care planning, and new tools such as precision medicine in clinical medicine.
https://immattersacp.org/archives/2015/09/editors.htm
1 Sep 2015

CA-125-guided therapy may improve outcomes for acute heart failure vs. standard of care

A multicenter randomized trial compared postdischarge therapy in patients who were hospitalized for acute heart failure and had high CA-125 levels.
https://immattersacp.org/weekly/archives/2016/08/16/4.htm
16 Aug 2016

Home sweet medical home

Patient-centered medical homes work because they incorporate best practices, pay internists for coordinating care, and ensure accountability in achieving healthy outcomes. Results from early adopters are showing positive results.
https://immattersacp.org/archives/2014/09/washington.htm
1 Sep 2014

Early hospital-initiated rehab for chronic respiratory disease shows no benefit versus usual care

Patients hospitalized for chronic respiratory disease did not appear to benefit from early rehab started during their hospital stay versus usual care, according to a new study.
https://immattersacp.org/weekly/archives/2014/07/15/6.htm
15 Jul 2014

Optimizing medical therapy after stroke

Stroke survivors often leave the hospital with new prescriptions and substantial confusion about how, or even whether, to take them. This leaves internists with the sometimes formidable job of evaluating, prescribing, or tweaking these regimens, identifying and managing adverse effects, and reinforcing education about treatment risks, benefits, and adherence.
https://immattersacp.org/archives/2016/06/stroke.htm
1 Jun 2016

Dental procedures may pose transient, minimal cardiovascular risk

Follow up lowers readmissions, return ED visits for COPD patients
https://immattersacp.org/weekly/archives/2010/10/19/5.htm
19 Oct 2010

Dual antiplatelet therapy may be safer than triple therapy in older patients with acute MI, afib after PCI

Older patients with acute myocardial infarction and atrial fibrillation who have undergone percutaneous coronary intervention appear to have a higher risk for major bleeding, both early and long-term, with triple therapy versus dual antiplatelet therapy.
https://immattersacp.org/weekly/archives/2015/08/04/4.htm
4 Aug 2015

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