Population health management

01 12 October 2026

DOI 10.1177/19427891261496776

Community Paramedics Address Health Inequities Within EMS Through Mobile Integrated Healthcare (MIH) Program Referrals from a “Medical Home”

Open DOI

Zoë Curry, Brent Olson, Ashley Kloos et al.

To advance local health equity, a large urban fire department’s Mobile Integrated Healthcare (MIH) Unit worked with a Chicago-based health care organization to refer patients in “medical homes” to a MIH program. Medical home coordinators...

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02 12 October 2026

DOI 10.1177/19427891261495777

Sex-Based Differences in Association Between Coverage Disruptions and Preventive Care

Open DOI

Lauren Howard, Em Long-Mills, Dmitry Tumin et al.

Adults with part-year or year-round uninsurance are less likely to receive recommended preventive services. Sex differences in preventive care use have been documented, but it remains unclear whether sex moderates the association between...

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03 8 October 2026

DOI 10.1177/19427891261495771

Payment Reform Holds the Key to Impacting Complex Patients

Open DOI

Patrick Runnels, Nicole Martin, Heather Byrne et al.

04 7 October 2026

DOI 10.1177/19427891261481301

Census Tract Level Analysis of Stroke Burden and Social Vulnerability Index in Mississippi: Implications for Health Equity Policy

Open DOI

Minhazul Abedin, Joshua R. Mann, Benjamin H. Walker et al.

Stroke remains a leading cause of death and disability in Mississippi, accounting for approximately 1,844 deaths annually and substantial health care costs. Persistent geographical and racial disparities, driven by SDOH, contribute to an...

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05 1 October 2026

DOI 10.1177/19427891261490010

A New Approach to Identifying Avoidable Emergency Department Visits Among High-Need High-Cost Medicaid Patients

Open DOI

Nadereh Pourat, Xiao Chen, Connie Lu et al.

Patients with high need and high costs (HNHCs) are frequent users of emergency departments (EDs), and some of their visits may be avoidable with better access to primary care. A better understanding of the reasons for ED use of HNHC pati...

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06 30 September 2026

DOI 10.1177/19427891261491274

Improving Colorectal Cancer Screening and Follow-up: Results of a Multi-Organization Quality Improvement Collaborative

Open DOI

Earlean S. Chambers, Erin Leaver Schmidt, Cori Rattelman et al.

Colorectal cancer (CRC) screening rates in the United States remain below national targets, and follow-up after abnormal stool-based testing is frequently incomplete. This study evaluated changes in CRC screening rates, age-based screeni...

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07 25 September 2026

DOI 10.1177/19427891261491171

Integrating Community Linkages into Care Management Workflows to Address Contextual Drivers of Health: Lessons from a Pilot Intervention

Open DOI

Rose Gunn, Maura Pisciotta, Constance Owens-Jasey et al.

Adverse contextual drivers (eg, food, housing, transportation insecurity) influence health outcomes, particularly among individuals with chronic conditions. Electronic health record (EHR)–based care management tools can support screening...

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08 25 September 2026

DOI 10.1177/19427891261491154

Accountable Care Organization Medicare SNF 3-Day Waiver Improves Subacute Rehabilitation Access and Decreases Cost of Care

Open DOI

Alicia Jacobs, Carrie Weigand

The Medicare Skilled Nursing Facility 3-Day Rule Waiver Benefit Enhancement (SNF Waiver) has been in use in Vermont since 2018 through a Centers for Medicare and Medicaid Services (CMS) waiver with the OneCare Vermont Accountable Care Or...

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09 22 September 2026

DOI 10.1177/19427891261491164

Weed Was Right Decades Ago: Do We Have the Will to Support Augmented Intelligence for Population Health?

Open DOI

Richard G. Stefanacci

10 22 September 2026

DOI 10.1177/19427891261491117

Cross-Border Care Coordination as a Value-Based Strategy: A Point of View for Population Health Leaders

Open DOI

Ronald W. Adkins