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Super-utilization interventions - failing or evolving in complex systems? A scoping literature review [Complexity science]

Annals of Family Medicine

Introduction: Super-utilization (frequent acute hospital care use or frequent emergency department (ED) utilization and readmissions) describes high rates of emergency department visits and hospital admissions by some individuals. The complex dynamics of human systems driving Super-utilization lack prominence.

Utilities 130
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The Impact of Integrated Care on Healthcare Utilization and Costs: Evidence from the Kansas Health Homes Medicaid Program [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

These individuals are often high utilizers of health care services, with some of the costliest services being hospital admissions and emergency department (ED) visits. A difference-in-differences (DID) approach was used to compare outcomes in two groups: Medicaid beneficiaries assigned to KHH and those who were not.

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Associations between tapering or discontinuing opioids and subsequent pain-related primary care visits [Pain management]

Annals of Family Medicine

Objective: To evaluate the associations between opioid dose tapers with continued opioid use and opioid tapers with discontinuation, and subsequent pain-related utilization primary care visits, ED encounters, and hospitalizations. 1.31) and hospitalizations (aIRR 0.74, 95% CI: 0.54-1.02).

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Educational intervention utilizing population health managers to reduce COPD-related healthcare utilization [Population health and epidemiology]

Annals of Family Medicine

Context: COPD patient self-management plans, including rescue packs (antibiotic and steroid combinations), are effective in reducing respiratory related emergency department (ED) visits and hospital readmissions. Utilization of action plans/rescue packs within our health system remains relatively limited.

Utilities 130
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I survived hospice: Live discharges from a Medicare-certified home hospice program [Palliative and end-of-life care]

Annals of Family Medicine

Context: Hospice aims to manage a patient’s symptoms as they near end of life. Live discharges may be problematic if they lead to high rates of hospice readmissions, high rates of hospital utilization following discharge, or occur after 180 days in hospice. Medicare routinely reviews U.S. ordering meds).

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AAFP Represents Members During 2025 Legislative Session

Alabama Academy of Family Physicians

HB 86 – Rural Hospital Investment Fund Bill What’s in the Bill: Sponsored by Rep. Terri Collins, HB 86 proposes the establishment of a Rural Hospital Investment Program in Alabama, which would serve as a conduit for financial support from the public directed towards rural hospitals in the state.

Insurance 130
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Diabetes related complications among Ethiopian Jews-Outcomes of a 10 years cohort study in Israel [Population health and epidemiology]

Annals of Family Medicine

Data for this investigation were sourced from a community-based approach, utilizing information from CHS, which integrates data from community sources and hospitals. Conclusions: It is imperative to provide specialized care for immigrant populations to enhance the management of chronic diseases and mitigate further morbidity risks.