Population Health Management

Integrating Social and Behavioral Determinants of Health into Population Health Analytics: A Conceptual Framework and Suggested Road Map.

Extent of Health Care Fragmentation in Different Payer Populations: Evidence from the Hudson Valley of New York.

Systematic Review of Community Paramedicine and EMS Mobile Integrated Health Care Interventions in the United States.

Utilizing Community Health Needs Assessments (CHNAs) in Nonprofit Hospitals to Guide Population-Centered Outcomes Research for Pediatric Patients: New Recommendations for CHNA Reporting

Concurrent Use of Opioids with Other Central Nervous System-Active Medications Among Older Adults

Association of Resilience and Social Networks with Pain Outcomes Among Older Adults

The Importance of Rural Hospitals: Transfers and 30-day Readmissions Among Rural Residents and Patients Presenting at Rural Hospitals.

The Impact of the Patient-Centered Medical Home on Health Care Disparities: Exploring Stakeholder Perspectives on Current Standards and Future Directions.

Impact of Behavioral Health Screening on Proactive Identification of Patients at Risk for Hospital Readmission.

Underutilization of Statin Therapy for Secondary Prevention of Cardiovascular Disease Among Older Adults

Development and Evolution of a Statewide Outpatient Consultation Service: Leveraging Telemedicine to Improve Access to Specialty Care.

Self-Insured Employer Health Benefits Strategy Established a Negative Cost Trend While Improving Performance

Health Inequalities Among Elderly Type 2 Diabetes Mellitus Patients in Japan

Population Health Could Do Far More to Mitigate Health Disparities

Health Care Access Barriers Bring Children to Emergency Rooms More Frequently: A Representative Survey

Association Between Community Social Capital and Hospital Readmission Rates.

Understanding Perceived Barriers to Care Among Suburban Super-Utilizers Who Have an Identified Primary Care Provider.

The Effect of Primary Care Team Realignment on Point-of-Care Screening

Comparative Effectiveness of Metformin Dosage Uptitration Versus Adding Another Antihyperglycemic Medication on Glycemic Control in Type 2 Diabetes Patients Failing Initial Metformin Monotherapy: A Retrospective Cohort Study.

A Framework for Predicting Impactability of Digital Care Management Using Machine Learning Methods.

The Impact of a Heart Failure Management Program in a Medicare Advantage Population.

Impactibility Model for Population Health Management in High-Cost Elderly Heart Failure Patients: A Capture Method Using the ACG System.

Cost-Related Medication Nonadherence and Cost-Reduction Strategies Among Elderly Cancer Survivors with Self-Reported Symptoms of Depression.

Use of Postdischarge Emergency Medical Services to Reduce Hospital Readmissions: Does It Work and Is It Economically Feasible?

Purchasing Population Health – Revisited

A Promising New Strategy to Improve Treatment Outcomes for Patients with Depression

Physician Characteristics and Decisions Regarding Cancer Screening: A Systematic Review.

Technology-Enabled Outreach to Patients Taking High-Risk Medications Reduces a Quality Gap in Completion of Clinical Laboratory Testing.

Opportunities for Community Health Worker Training to Improve Access to Health Care for Medicaid Enrollees.

Health Care Fragmentation in Medicaid Managed Care vs. Fee-for-Service.

Effect of Implementing a Bundled-Payment Program for Heart Failure at a Safety-Net Community Hospital.

Values-Based Interventions in Patient Engagement for Those with Complex Needs.

Economic Evaluation of Concussion Programs in the State of Idaho: The Collective Potential of Prevention and Clinical Care.

Utilizing Patient-Specific Factors to Predict Costs in Home-Based Medicare Part B Outpatient Physical Therapy.

Electronic Clinical Decision Support Intervention to Increase Hepatitis C Screening and Linkage to Care Among Baby Boomers in Urban Safety Net Health Systems.

Patient-Reported Experiences in Discussing Prescribed Medications with a Health Care Provider: Evidence for Racial/Ethnic Disparities in a Large Health Care Delivery System.

Serious Mental Illness and Health-Related Factors Associated with Regional Emergency Department Utilization.

Community Characteristics and Regional Variations in Diabetes Prevalence in Texas Counties.

Health Care Access and Quality Index and Financing of Health Care Systems.

Influence of Occupational Background on Smoking Prevalence as a Health Inequality Among Employees of Medium- and Small-Sized Companies in Japan

Care Experiences of Patients with Multiple Chronic Conditions in a Payer-Based Patient-Centered Medical Home.

A Population Health Approach to Transitional Care Management for High-Risk Patients with Diabetes: Outcomes at a Rural Hospital.

Validity of Physician and Administrator Peer Review for Selecting Specialist Narrow Network Participants.

Why Are Some US Nonprofit Hospitals Not Addressing Opioid Misuse in Their Communities?

Provider Perspectives on Quality Payment Programs Targeting Diabetes in Primary Care Settings.