Clinicians & Providers

• AHRQ Tools for Managed Care
• Managed Care Features and Chronic Conditions

Hospital & Health System Resources

• AHRQ Tools for Managed Care
• Managed Care Features and Chronic Conditions

Fact Sheets

September 1 2012 20120901

AHRQ Tools for Managed Care

September 1 2012 20120901

Managed Care Features and Chronic Conditions

Other Research & Data

• Black Medicare patients less likely than whites to follow their doctor's instructions on taking medicines
• Treatment by physicians with same race and language as the patient may improve medication adherence

Other News & Events

• Affordable Care Act likely to create uncertainties in Medicaid enrollment, costs, and physician workforce needs
• Black Medicare patients less likely than whites to follow their doctor's instructions on taking medicines
• Black and Hispanic Medicare patients with hip fracture wait longer for surgery than white patients
• Blacks with lung cancer have higher mortality rates than whites
• Corporate social responsibility as well as profit motivates executives
• Differences in the costs of drugs prescribed lead to regional variation in Medicare Part D drug spending
• Dual Veterans Administration/Medicare users are not hospitalized more for ambulatory care sensitive conditions
• Early followup with a physician reduces readmissions for Medicare patients hospitalized for heart failure
• Emergency departments have increasingly become the health care safety net for adults insured by Medicaid
• Enrollment in Medicare Advantage managed care plans reduces racial/ethnic disparities in primary care quality in some States
• For 1 in 10 Medicaid patients, it's back to the hospital in a month
• Growth in Medicaid patient hospital admissions outpace those for privately insured patients
• Hospitalization rates have declined over 5 years for patients with HIV infection, but disparities still exist
• Implantable heart defibrillator is effective in reducing deaths among older heart failure patients
• Inhaler costs contribute to medication nonadherence for Medicare patients with chronic pulmonary disease
• Landmark initiative to reduce healthcare-associated infections cuts deaths among Medicare patients in Michigan ICUs
• Large variations in Medicare payments for surgery underscore savings potential from bundled payment programs
• Medicaid MCOs don't boost care access for the disabled or lower Medicaid expenditures
• Medicaid pay-for-performance program in Massachusetts fails to improve quality during first-year
• Medicare Advantage enrollees are admitted to hospitals with higher mortality rates than Medicare fee-for-service enrollees
• Medicare Part D coverage gap reduces antidepressant use in the elderly
• Medicare Part D enrollees have higher cost-sharing amounts for brand name prescription drugs than those in employer plans
• Medicare Part D reduces out-of-pocket costs and modestly boosts prescription volume
• Medicare managed care reduced preventable hospitalizations in 2004 more than fee-for-service Medicare
• Medicare payment caps on home care add to the family caregiving burden, especially among lower-income families
• Medicare pays for nearly half of rural hospital stays
• Medicare reimbursement changes lessen regional disparities for home health services
• Medicare-insured patients with head or neck cancer differ little in mortality risk because of race or ethnicity
• Minimally invasive prostatectomy in young men has fewer complications
• Most spending on children's health care in Medicaid and CHIP goes for children with chronic health problems
• Nursing homes more often voluntarily terminate from Medicare and Medicaid programs in States with strong quality regulations
• Patients recovering from stroke tend to continue using secondary preventive medications
• Pay-for-performance does not improve care quality in the short term in safety-net settings
• Payment reform highlighted in special journal issue
• Persons with mental disorders switching from Medicaid to Medicare drug coverage may have drug access problems
• Potentially avoidable hospitalizations high among Medicare and Medicaid patients
• Practice setting, ownership, and specialty all affect volume of charity care provided by physicians
• Preventive dental care saves money on total dental care for Medicare beneficiaries
• Requiring proof of citizenship cuts participation in Oregon's Medicaid family planning program
• Several risk factors point to the use of high-risk medications in older veterans
• Some adults with disabilities covered by Medicaid have significant out-of-pocket health expenses
• State Medicaid Policy Changes Increasingly Driven by Evidence
• Studies examine impact of drug caps and pay for performance on care costs and outcomes
• Study of Medicare beneficiaries validates Medical Expenditure Panel Survey's prescription drug data
• Treatment by physicians with same race and language as the patient may improve medication adherence
• Treatment for blocked carotid arteries varies depending on where you live
• Various factors influence the adoption of ergonomics in health care organizations
• Vulnerable populations with heart failure less likely to receive early physician followup after discharge
• When cancer drug went generic, its use declined
• When health plans share physicians, they may have less incentive to improve care quality
• When primary care providers apply fluoride varnish, young Medicaid-insured children have fewer cavities
• Women on Medicare with poor chances of living 4 more years often forego screening mammograms