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Impact of Care Coordination on 30-Day Readmission, Mortality, and Costs for Heart Failure

Enhancing coordination of care has the potential to increase the value of heart failure care.

Racial differences in low value care among older adult Medicare patients in US health systems: retrospective cohort study

Objective To characterize racial differences in receipt of low value care (services that provide little to no benefit yet have potential for harm) among older Medicare beneficiaries overall and within health systems in the United States. Design Retrospective cohort study Setting 100% Medicare fee-for-service administrative data (2016–18). Participants Black and White Medicare patients aged 65 or older as of 2016 and attributed to 595 health systems in the United States. Main outcome measures Receipt of 40 low value services among Black and White patients, with and without adjustment for patient age, sex, and previous healthcare use. Additional models included health system fixed effects to assess racial differences within health systems and separately, racial composition of the health system’s population to assess the relative contributions of individual patient race and health system racial composition to low value care receipt. Results The cohort included 9 833 304 patie

July/August 2023 Tips Unveiled in Annals of Family Medicine

Greater primary care continuity among older people is associated with fewer inappropriate prescriptions