The Effect Of Next Generation Accountable Care Organizations On Medicare Expenditures.

The Next Generation Accountable Care Organization (NGACO) model (active during 2016-21) tested the effects of high financial risk, payment mechanisms, and flexible care delivery on health care spending and value for fee-for-service Medicare beneficiaries. We used quasi-experimental methods to examine the model's effects on Medicare Parts A and B spending. Sixty-two ACOs with more than 4.

How should we define "rural" when investigating rural tobacco use in the United States?

Investigations into rural tobacco-related disparities in the U.S. are hampered by the lack of a standardized approach for identifying the rurality-and, consequently, the urbanicity-of an area.

Regional Rural-Urban Differences in E-Cigarette Use and Reasons for Use in the United States.

Purpose: To determine whether there are rural/urban differences in e-cigarette use and reasons for use that vary across the 10 Health & Human Services (HHS) regions.

Methods: Age-adjusted bivariate and multivariable analyses were conducted for n = 225,413 respondents to the 2014-2015 Tobacco Use Supplement-Current Population Survey to estimate the prevalence of e-cigarette use. Reasons for e-cigarette use were collected from n = 16,023 self-respondents who reported ever using e-cigarettes.

Variations in support for secondhand smoke restrictions across diverse rural regions of the United States.

Unlabelled: Significant disparities exist between rural-urban U.S.

Populations: Besides higher smoking rates, rural Americans are less likely to be protected from SHS.

Evaluation of a combination of community initiatives to reduce driving while intoxicated and other alcohol-related harms.

Objectives: In 2013, the community of Redlands, California, created an initiative using evidence-based strategies to deter driving under the influence (DUI), underage drinking and driving, public intoxication, and alcohol-related calls for service. The initiative, called "Responsible Redlands," included adopting a social host and a deemed approved local ordinance, using minor-decoy and shoulder-tap operations, increasing sobriety checkpoints and saturation patrols, conducting responsible beverage service (RBS) training, using identification (ID) scanners to spot false IDs, and a publicity campaign to urge neighbors to report loud drinking parties. The objectives of this study were to determine whether the initiatives were carried out as planned and to assess any impacts that may have occurred due to the combination of initiatives.