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http://dx.doi.org/10.1111/jgs.19261 | DOI Listing |
The causal effect of hospital length of stay on crucial patient outcomes such as readmissions or mortality is under-investigated and therefore unknown for the vast majority of the US population. Existing evidence stems from association studies that are unable to draw causal conclusions. This study leverages Medicare's two-midnight (2MN) and three-day (3D) rules as two natural experiments to establish causal relationships between hospital length of stay (LOS) and patient outcomes.
View Article and Find Full Text PDFJ Am Geriatr Soc
November 2024
Division of Geriatrics, Spencer Fox Eccles School of Medicine, and Center on Aging, University of Utah, Salt Lake City, Utah, USA.
JMIR Res Protoc
September 2024
Larry A. Green Center, Richmond, VA, United States.
Background: Pilot data suggest that off-label, unmonitored antiepileptic drug prescribing for behavioral and psychological symptoms of dementia is increasing, replacing other psychotropic medications targeted by purposeful reduction efforts. This trend accelerated during the COVID-19 pandemic. Although adverse outcomes related to this trend remain unknown, preliminary results hint that harms may be increasing and concentrated in vulnerable populations.
View Article and Find Full Text PDFHealth Serv Manage Res
August 2024
Department of Management Science & Systems, SUNY at Buffalo, Buffalo, NY, USA.
The COVID-19 outbreak resulted in an unprecedented surge in telehealth utilization. However, the effects of policy enactment on utilization remain understudied in the literature. Our research examines the impact of policy mandates relating to federal incentive programs on telehealth utilization across states during the pandemic by considering technology infrastructure, such as broadband penetration and equipment possession.
View Article and Find Full Text PDFHealth Aff (Millwood)
July 2024
Kevin J. Hayes, Upper Marlboro, Maryland.
Value-based payment has been promoted for increasing quality, controlling spending, and improving patient and practitioner experience. Meanwhile, needed reforms to fee-for-service payment (the Medicare Physician Fee Schedule) have been ignored as policy makers seek to move payment toward alternatives, even though the fee schedule is an intrinsic part of Alternative Payment Models. In this article, we show how value-based payment and the fee schedule should be viewed as complementary, rather than as separate silos.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!