Quality of care in the nursing home (NH) has received great attention over the past 2 decades. The role of the physician in the quality equation, however, has not been well described. Some commentators have gone so far as to argue that physicians have been marginalized owing to the lack of an evidence base demonstrating the impact of physician care on quality measures, including cost.1 We have ...

Cloud communication service (CCS) with its simplicity and lower investment cost is becoming increasingly popular. In contrast to its growing popularity, very little is known about the internals of CCS with respect to its architecture and protocols. To gain insights into CCS, we study a popular cloud communication service ”Twilio” using gray box techniques. In our study, we provide insights into...

Guidelines recommend insertable cardiac monitoring (ICM) early in the evaluation of unexplained syncope. This increases rate establishing a formal diagnosis and instituting directed treatment compared to conventional care. Little is known about short-term usage prior ICM this population how pathways may impact patient outcomes. To characterize external monitor (ECM) U.S. Medicare fee-for-servic...

BACKGROUND Prepaid contributory systems are increasingly being recognized as key mechanisms in achieving universal health coverage in low and middle-income countries. Peru created the Seguro Integral de Salud (SIS) to increase health service use amongst the poor by removing financial barriers. The SIS transfers funds on a fee-for-service basis to the regional health offices to cover recurrent c...

Abstract Background Past studies examining the health outcomes of diabetes mellitus (DM) patients found that social determinants disparities were associated with variabilities in outcomes. However, improving access to healthcare, such as insurance, should mitigate negative The aim study was explore association between four types namely, Medicare Fee-For-Service (FFS), Managed Care (MC), Private...

In health policy, magic bullet answers tend to have more appeal than incremental adjustments. Politicians faced with the daunting issues in healthcare are eager to embrace new ideas promoted by academics and think tanks. However, in implementation, intrinsic flaws in design, such as the difficulty of finding physicians willing to be at risk for the costs of care, tend to be ignored. Once launch...

In 2006, the Centers for Medicare & Medicaid Services, which administers the Medicare program in the United States, launched the Chronic Condition Data Warehouse (CCW). The CCW contains all Medicare fee-for-service (FFS) institutional and non-institutional claims, nursing home and home health assessment data, and enrollment/eligibility information from January 1, 1999 forward for a random 5% sa...