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Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 12/2019

01-12-2019 | Concise Research Reports

Association Between Community Economic Distress and Receipt of Recommended Services Among Medicare Fee-for-Service Enrollees

Authors: William B. Weeks, MD, PhD, MBA, Stacey Y. Cao, MHS, Chris M. Lester, PhD, James N. Weinstein, DO, MS, Nancy E. Morden, MD, MPH

Published in: Journal of General Internal Medicine | Issue 12/2019

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Excerpt

Community-level social determinants of health and economic distress explain some disparities in health service utilization and outcomes among older Medicare fee-for-service (FFS) enrollees.1 Medicare-covered and recommended preventive and care coordination services—including flu vaccines, annual wellness visits (AWVs), transitional care management (TCM), and advance care planning (ACP) visits—may improve outcomes and reduce spending, 2, 3 but uptake of these services has been slow,4, 5 particularly among the disenfranchized.5 …
Literature
1.
Weeks WB, Ouayogode MHL, Weinstein JN. Association Between a Measure of Community Economic Distress and Medicare Patients’ Health Care Utilization, Quality, Outcomes, and Costs. J Gen Intern Med 2018;33:1433–5.CrossRef
2.
Bindman AB, Cox DF. Changes in Health Care Costs and Mortality Associated With Transitional Care Management Services After a Discharge Among Medicare Beneficiaries. JAMA Intern Med 2018;178:1165–71.CrossRef
3.
Beckman AL, Becerra AZ, Marcus A, et al. Medicare Annual Wellness Visit association with healthcare quality and costs. Am J Manag Care 2019;25:e76-e82.PubMed
4.
Agarwal SD, Barnett ML, Souza J, Landon BE. Adoption of Medicare’s Transitional Care Management and Chronic Care Management Codes in Primary Care. JAMA 2018;320:2596–7.CrossRef
5.
Ganguli I, Souza J, McWilliams JM, Mehrotra A. Practices Caring For The Underserved Are Less Likely To Adopt Medicare’s Annual Wellness Visit. Health Aff (Project Hope) 2018;37:283–91.CrossRef
Metadata
Title
Association Between Community Economic Distress and Receipt of Recommended Services Among Medicare Fee-for-Service Enrollees
Authors
William B. Weeks, MD, PhD, MBA
Stacey Y. Cao, MHS
Chris M. Lester, PhD
James N. Weinstein, DO, MS
Nancy E. Morden, MD, MPH
Publication date
01-12-2019
Publisher
Springer US
Published in
Journal of General Internal Medicine / Issue 12/2019
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-019-05076-6

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Keynote webinar | Spotlight on medication adherence

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WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

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