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Food, Nutrition, and Reducing Readmissions

Efforts to reduce readmissions have targeted virtually every element of the patient experience from in-hospital communication to discharge services, records transmission to long-term care and skilled nursing facilities, and in-home support for medication adherence and care coordination. Recently, there’s been increasing focus on the non-medical drivers of readmissions – social determinants that effect day-to-day health and may prove to be significant drivers of hospital readmissions. We know that shelter and security are a huge part of recovery and remaining healthy after a readmission, but access to the appropriate food and nutrition also has enormous impacts on a patient’s health post-discharge.

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Refreshing Thinking on the ACA

At the risk of sounding like a heretic and being forced to revoke my lifetime membership in the Health Policy Wonk Association, I confess that I’m tired of reading about Obamacare.

Don’t get me wrong. I still support the law and believe it’s the right approach, while acknowledging that the political compromises built into it and its somewhat ham-handed implementation have curtailed its effectiveness. But I believe those glitches will be worked out in time. That’s the way both laws and markets work – they find their equilibrium over time.

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Risk Adjustment and Burden of Illness in Colorado: APCD Total Cost of Care Compared to Expected Reports

Part II: Understanding health care claims data available on

Last month, in the first installment in this series, I explained risk adjustment and burden of illness concepts in more or less plain English to give readers and my fellow health data policy wonks (there’s that word again!) a better sense of what these concepts mean in practice. In this second installment, I will demonstrate how these concepts apply to the Total Cost of Care Compared to Expected (C2E) reports available on

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