The American journal of managed care
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Observational Study
A revised classification algorithm for assessing emergency department visit severity of populations.
Analyses of emergency department (ED) use require visit classification algorithms based on administrative data. Our objectives were to present an expanded and revised version of an existing algorithm and to use this tool to characterize patterns of ED use across US hospitals and within a large sample of health plan enrollees. ⋯ The updated NYU/JHU-EDA taxonomy appears to offer cogent retrospective inferences about population-level ED utilization.
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Observational Study
Care management reduced infant mortality for Medicaid managed care enrollees in Ohio.
In 2012, the Ohio Department of Medicaid introduced requirements for enhanced care management to be delivered by Medicaid managed care organizations (MCOs). This study evaluated the impact of care management on reducing infant mortality in the largest Medicaid MCO in Ohio. ⋯ This study provides evidence that care management can be effective in reducing infant mortality among Medicaid MCO enrollees, a population at high risk of mortality. Few infants were engaged in care management, suggesting to policy makers that there is room for many additional infants to benefit from this intervention.
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Multicenter Study
Patient outcomes associated with tailored hospital programs for intellectual disabilities.
Hospitals have begun designing programs tailored to patients with intellectual disabilities to address their specific healthcare needs and social determinants of health. This study aimed to determine whether these programs improve hospital outcomes for patients with intellectual disabilities. ⋯ Providing tailored programs for patients with intellectual disabilities is a promising strategy for improving inpatient care for this population.