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2026 ACG User Summit | September 20 – 22 | Orlando, FL
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Documents

Data Validation

DST Health Solutions Data Validation Sokchay Chiv

Monday(C1)-Persistent High Users Characteristics and Identification-Chang

Persistent High Users Characteristics and Identification-Hsien-Yen Chang PhD 

Monday(P4)-The association between expenditures and quality in type 2 diabetes mellitus care

The association between expenditures and quality in type 2 diabetes mellitus care  Troels Kristensena, Msc, PhD, Kim Rose-Olsena, Msc, PhD  Charlotte Ejersted, MD., PhD  Anders […]

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Research and publications utilizing the ACG System

Chris Forrest, MD, PhD, Professor of Pediatrics and Health Care Management, University of Pennsylvania and Children’s Hospital of Philadelphia, and ACG System co-developer discusses how […]

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Population Health Management through Care Coordination and Interventions

Population health management at JHHC represents a comprehensive approach to health care considering the distribution of health outcomes within a population, and the health determinants […]

Incident atrial fibrillation in the emergency department in Ontario: a population-based retrospective cohort study of follow-up care

CMAJ Open 3:E182. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada; University of Toronto, Toronto, ON, Canada BACKGROUND: Continuity of care has been shown to […]

Comprehensive preventive care assessments for adults with intellectual and developmental disabilities in Ontario – Part 2: 2003-2014

Objective To determine if there has been an increase in preventive care among adults with IDD as a result of the publication of the Canadian […]

Association between method of pelvic organ prolapse repair involving the vaginal apex and re-operation: a population-based, retrospective cohort study

Abstract Introduction and hypothesis Vaginal apical suspension is essential for the surgical treatment of pelvic organ prolapse (POP). We aim to evaluate whether the method […]

Patient-reported symptoms following mastectomy alone or lumpectomy plus radiation for early stage breast cancer: a cohort study

Abstract Purpose Studies examining symptom differences between surgeries for breast cancer patients rarely incorporate the effects of adjuvant treatment choice. We sought to understand differences […]

Rapid repeat pregnancy among women with intellectual and developmental disabilities: a population-based cohort study

Abstract   BACKGROUND Rapid repeat pregnancy within 12 months of a live birth is associated with adverse perinatal outcomes. We evaluated the risk for rapid […]

Comparing Survey-Based Frailty Assessment to Medicare Claims in Predicting Health Outcomes and Utilization in Medicare Beneficiaries

Abstract   Objectives To assess two models for the prediction of health utilization and functions using standardized in-person assessments of frailty and administrative claims-based geriatric […]

Association of Care Management Intensity With Healthcare Utilization in an All-Condition Care Management Program

ABSTRACT Objectives: To identify care needs among Medicaid and Medicare patients in an all-condition care management program involving case managers (CMs) and community health workers (CHWs), […]

One-Year Mortality After Emergency Department Visit for Nonfatal Opioid Poisoning: A Population-Based Analysis

Abstract Study objective We aim to characterize the incidence and risk factors for opioid-related and all-cause mortality in the year after an emergency department (ED) […]

Colonoscopy resource availability and its association with the colorectal cancer diagnostic interval: A population‐based cross‐sectional study

Abstract Background Colonoscopy is a key resource used to diagnose colorectal cancer (CRC). This study evaluated the relationship between colonoscopy availability and the length of […]

Variation in care of patients with elderly-onset inflammatory bowel disease in Ontario, Canada: A population-based cohort study

Abstract Background Variation in health care, when not based on patient preference, may result in poorer care. We determined whether variation in health services utilization, […]

Mental Health Services Provision in Primary Care and Emergency Department Settings: Analysis of Blended Fee-for-Service and Blended Capitation Models in Ontario, Canada

Abstract Treating mental illnesses in primary care is increasingly emphasized to improve access to mental health services. Although family physicians (FPs) or general practitioners are […]

Impact of Frailty on Clinical Outcomes after Carotid Artery Revascularization

Abstract Objectives : Frailty has been increasingly recognized as an important risk factor for vascular procedures. To assess the impact of frailty on clinical outcomes and […]

Health Status of Females Who Experience Incarceration: A Population-Based Retrospective Cohort Study

Abstract Background People who experience incarceration have poor health across a variety of indicators, but we lack population-level data on the health of females in […]

Concurrent hiatal hernia repair and bariatric surgery: outcomes after sleeve gastrectomy and Roux-en-Y gastric bypass

Abstract Background Hiatal hernias are often repaired concurrently with bariatric surgery to reduce risk of gastroesophageal reflux disease–related complications. Objectives To examine the association between […]

Explanatory Ability of the ACG System Regarding the Utilization and Expenditure of the National Health Insurance Population in Taiwan—A 5-year Analysis

ABSTRACT Background The adjusted clinical group (ACG) is a diagnosis-based case-mix adjustment system, which has been widely evaluated in several countries other than Taiwan. The […]

Impact of Frailty on Clinical and Financial Outcomes Following Minor Lower Extremity Amputation: A Nationwide Analysis

Abstract Objective Frailty has been shown to portend worse outcomes in surgical patients. Our goal was to identify the impact of frailty on outcomes and […]

Predicting Future Health Risk in COPD: Differential Impact of Disease-Specific and Multi-Morbidity-Based Risk Stratification

Abstract Objective Multi-morbidity contributes to mortality and hospitalisation in COPD, but it is uncertain how this interacts with disease severity in risk prediction. We compared […]

A Population-Based Analysis of Long-Term Outcomes Among Older Adults Requiring Unexpected Intensive Care Unit Admission After Cancer Surgery

Abstract Background High-intensity cancer surgery is increasingly common among older adults. However, these patients are at high-risk for unexpected intensive care unit (ICU) admissions after […]

Pain and haemorrhage are the most common reasons for emergency department use and hospital admission in adults following ambulatory surgery: results of a population-based cohort study

Abstract Background Advances in healthcare delivery have allowed for the increase in the number of ambulatory surgery procedures performed in Canada. Despite these advances, patients […]

Intensive Use of Forensic Inpatient Services by People with Intellectual and Developmental Disabilities in Ontario, Canada: Prevalence and Associated Characteristics

Abstract Background People with intellectual/developmental disabilities (IDD) are reportedly intensive users of forensic inpatient services. Methods Using administrative data, we identified people with and without […]

Outcomes of SARS-CoV-2 infection in cancer versus non-cancer-patients: A population-based study in northeastern Italy

Abstract Introduction This study assesses the risk of infection and clinical outcomes in a large consecutive population of cancer and non-cancer patients tested for SARS-CoV-2 […]

The impact of frailty on adjuvant treatment in patients with head and neck free flap reconstruction—A retrospective study using two independent frailty scores

Abstract Objectives Reconstructive surgery may result in prolonged postoperative recovery, especially in frail patients, which in turn may impact delivery of adjuvant therapy. To date, […]

Health Care Utilization among Adult Survivors of Childhood and Adolescent Cancer in Ontario

Abstract Survivors of childhood and adolescent cancers are at increased risk for late effects including subsequent cancer, cardiotoxicities, and poor psychosocial health. Few studies have […]

Differences in health care costs between two social health support programs: findings from a randomized social health integration pilot program

Abstract Introduction More health systems are implementing strategies to understand and address patient social health, also known as social health integration. We examine the impact […]

Incidence of Respiratory Syncytial Virus-Associated Hospitalization Among Adults in Ontario, Canada, 2017–2019

Abstract Background Respiratory syncytial virus (RSV) causes substantial morbidity and mortality among adults. Given recent RSV vaccine authorizations, data on groups at highest risk are […]

Healthcare utilization patterns and costs related to neurofibromatosis 1 in Ontario, Canada

Abstract Background and objectives Neurofibromatosis type 1 (NF1) is a multisystemic disease, characterized by cutaneous manifestations and peripheral nerve sheath tumors. Patients also have a […]

The effect of frailty on early postoperative outcomes of lobectomy for lung cancer in older adults – A United States National Retrospective Cohort Study

Abstract Introduction Pulmonary lobectomy represents the primary curative treatment for lung cancer in older adults, yet frailty’s impact on critical early postoperative outcomes remains inadequately […]

Comorbidities and Healthcare Utilization in 4197 Patients With Prurigo Nodularis in Israel: A Cross-Sectional Population-Based Analysis

ABSTRACT Background Prurigo nodularis patients face a significant burden of comorbidities, necessitating a comprehensive approach to care. We aimed to explore the association between prurigo […]

Improving models to predict care utilization using machine learning: a retrospective observational study

Abstract Background: Use of artificial intelligence (AI) and machine learning (ML) tools is now common in the advancement of healthcare services and clinical risk estimation. Legacy […]

Multimorbidity and Hospital Admissions in High-Need, High-Cost Elderly Patients

Abstract Objective: The aim was to clarify which pairs or clusters of diseases predict the hospital-related events and death in a population of patients with complex […]

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Predictive Modeling Part II

This webinar is a follow up to the previous Predictive Modeling Part I webinar, which provides an overview of the predictive models available within in the […]

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Population Segmentation

Presented by: Sarah Kachur
Director, Population Health R&D, JHHC Business Lead, Pop. Health Precision Medicine

This webinar explores how applying risk taxonomy to a Medicare Advantage population helped a health plan improve their identification of high-risk members.

Sitagliptin use in patients with diabetes and heart failure: a population-based retrospective cohort study

JACC Heart Fail. University of Alberta, Edmonton, AB, Canada OBJECTIVES: The study objective was to evaluate the effects of sitagliptin in patients with type 2 […]

The roles of primary care PAs and NPs caring for older adults with diabetes

JAAPA 27:45-49. Duke University School of Medicine, Durham, NC; VetUnerans Affairs Pittsburgh Healthcare System and University of Pittsburgh School of Pharmacy, Pittsburgh, PA; University of […]

Is use of fall risk-increasing drugs in an elderly population associated with an increased risk of hip fracture, after adjustment for multimorbidity level: a cohort study

BMC Geriatr 14:131. Department of Patient Safety, Blekinge County Council, Karlskrona, Sweden BACKGROUND: Risk factors for hip fracture are well studied because of the negative […]

How do immigrants use primary health care services? A register-based study in Norway

Eur J Public Health 25:72-78. University of Bergen, Norway; Carlos III Health Institute, Madrid, Spain; Aragón Health Sciences Institute (IACS), Zaragoza, Spain; University of Zaragoza, […]

Applying a risk-adjustment framework to primary care: can we improve on existing measures?

Ann Fam Med 1:44-51. Center for Health Quality, Outcomes and Economic Research, VAMC, Bedford, MA, USA Outcome-based performance measurement and prospective payment are common features […]

Analysis of the influence of the process of care in primary health care on avoidable hospitalizations for heart failure

Aten Primaria 48:102-109. Published in Spanish. Hospital Universitario Infanta Sofía, Madrid, España; Unidad Docente Multiprofesional de Atención Familiar y Comunitaria; Madrid, España; Unidad Sistemas de […]

Multimorbidity and its patterns according to immigrant origin. A nationwide register-based study in Norway

PLoS One 10:e0145233. University of Bergen, Bergen, Norway; Norwegian Centre for Minority Health Research, Oslo, Norway; Aragón Health Sciences Institute (IACS), Zaragoza, Spain; Carlos III […]

Impact of language barriers on complications and mortality among immigrants with diabetes: a population-based cohort study

Diabetes Care 38:189-196. University Health Network, Toronto, ON, Canada; Mount Sinai Hospital, Toronto, ON, Canada; Institute for Clinical Evaluative Sciences, Toronto, ON, Canada; St. Michael’s […]

Association between age, gender and multimorbidity level and receiving home health care: a population-based Swedish study

BMC Res Notes 8:714. Lyckeby Primary Healthcare Centre and Blekinge Centre of Competence, Lyckeby, Sweden; University of Southern Denmark, Odense, Denmark BACKGROUND: Home health care […]

Comparing accuracy of risk-adjustment methodologies used in economic profiling of physicians

Inquiry 41:218-231. Department of Health Management and Policy, School of Public Health, University of Michigan, USA This paper examines the relative accuracy of risk-adjustment methodologies […]

Use of a shared medical record with secure messaging by older patients with diabetes

Diabetes Care 33:2314-2319. Department of Medicine, University of Washington, Seattle, WA, USA OBJECTIVE: Evaluate use of a web-based shared medical record (SMR) between older patients […]

Do we need more physicians?

Health Aff W4:67-69. Center for the Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, NH, USA A reexamination of physician productivity can resolve the current workforce […]

Impact of discontinuity in health insurance on resource utilization

BMC Health Serv Res 10:195. Division of Health Care Policy & Research, Mayo Clinic, Rochester, MN, US BACKGROUND: This study sought to describe the incidence […]

Comparing apples with apples in clinical populations: applications of the Adjusted Clinical Group system in British Columbia

Healthc Manage Forum 15:11-16. Department of Healthcare and Epidemiology, University of British Columbia, Vancouver, BC, Canada This article reviews the Adjusted Clinical Group Case-Mix System […]

Comparison of alternative risk adjustment measures for predictive modeling: high risk patient case finding using Taiwan’s National Health Insurance claims

BMC Health Serv Res 10:343. Department of Health Policy & Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA BACKGROUND: Predictive modeling […]

Evaluation of prescriber responses to pharmacist recommendations communicated by fax in a medication therapy management program (MTMP)

J Manag Care Pharm 17:345-354. Center for Health Outcomes and PharmacoEconomic Research, University of Arizona, Tucson, AZ, USA BACKGROUND: As defined by the Medicare Prescription […]

Morbidity trajectories as predictors of utilization: multi-year disease patterns in Taiwan’s national health insurance program

Med Care 49:918-923. Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA BACKGROUND: Little is known about […]

Age difference explains gender difference in cardiac intervention rates after acute myocardial infarction

Healthc Policy 6:88-103. Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, MB, Canada Many investigators have reported higher rates of cardiac procedures for males […]

Characteristics and risk factors associated with high-cost Medicaid recipients

Manag Care Interface 17:20-27. College of Pharmacy, University of Cincinnati, Cincinnati, OH, USA Characteristics and risk factors of fee-for-service Medicaid patients (age 65 yr) with […]

Variations in health services utilization by primary care patients

Health Serv Manage Res 15:116-125. Departamento de Estumatologia, Facultad de Odontologia, Universidad de Granada, Campus Univeristario de Cartuja, Granada, Spain This study analyses how both […]

The risk-adjustment debate

N Engl J Med 339:1952-1956. Risk adjustment refers to the adjustment of payments to health plans (or to doctors) to reflect more accurately the actual […]

Development and validation of a psychiatric case-mix system

Med Care 44:568-580. VA Puget Sound Health Care System, and the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA BACKGROUND: Although […]

Effect of risk adjustment method on comparisons of health care utilization between complementary and alternative medicine users and nonusers

J Altern Complement Med 19:250-256. Saint Luke’s Health System, Boise, ID, USA OBJECTIVES: Complementary and alternative medicine (CAM) providers are becoming more integrated into the […]

Obesity and respiratory hospitalizations during influenza seasons in Ontario, Canada: a cohort study

Clin Infect Dis 53:413-421. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada BACKGROUND: Previous studies suggest that obesity may be a risk factor for complications […]

Capitation adjustment for pediatric populations

Pediatrics 98:10-17. Institute for Research and Education, HealthSystem Minnesota, Minneapolis, MN, USA OBJECTIVE: The objective of this study is to assess the predictive performance of […]

Risk adjustment using automated ambulatory pharmacy data: the RxRisk model

Med Care 41:84-99. Center for Health Studies, Group Health Cooperative, Seattle, WA, USA OBJECTIVES: Develop and estimate the RxRisk model, a risk assessment instrument that […]

Using propensity scores subclassification to estimate effects of longitudinal treatments: an example using a new diabetes medication

Med Care 45:S149. Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA BACKGROUND: When using observational data to compare the effectiveness of […]

Relationship among the degree of control of arterial hypertension, comorbidity and costs in individuals over age 30 during 2006

Rev Esp Salud Publica 82:315-322. Published in Spanish. Dirección de Planificación, Badalona Serveis Assistencials SA, Badalona, Barcelona, Spain BACKGROUND: Arterial hypertension is one of the […]

Patterns and predictors of restrictive health care service use by youths with bipolar disorder

Adm Policy Ment Health 37:379-387. Health Services Research Department, Institute of Psychiatry, King’s College London, London, UK Patterns of behavioral health service utilization were examined […]

Comparison of inhaled long-acting beta-agonist and anticholinergic effectiveness in older patients with chronic obstructive pulmonary disease: a cohort study

Ann Intern Med 154:583-592. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada. BACKGROUND: Chronic obstructive pulmonary disease (COPD), a largely preventable and manageable respiratory condition, […]

Influence of compliance on the incidence of cardiovascular events and health costs when using single-pill fixed-dose combinations for the treatment of hypertension

Med Clin (Barc) 136:183-191. Directorate of Planning, Badalona Serveis Assistencials SA, Badalona, Spain BACKGROUND AND OBJECTIVE: To determine the incidence of cardiovascular events (CVE) and […]

High mortality and low access to care following incident acute myocardial infarction in individuals with schizophrenia

Schizophr Res 142:52-57. Centre for Addiction and Mental Health, Toronto, ON, Canada OBJECTIVES: The primary objective of this study was to compare mortality following incident […]

Attention-deficit/hyperactivity disorder after early exposure to procedures requiring general anesthesia

Mayo Clin Proc 87:120-129. Mayo Clinic, Rochester, MN, USA OBJECTIVE: To study the association between exposure to procedures performed under general anesthesia before age 2 […]

Are cervical and breast cancer screening programmes equitable? The case of women with intellectual and developmental disabilities

J Intellect Disabil Res 57:478-488. School of Nursing Sciences, University of East Anglia, Norwich, UK BACKGROUND: Effective cancer screening must be available for all eligible […]

Socioeconomic variation in the burden of chronic conditions and health care provision–analyzing administrative individual level data from the Basque Country, Spain

BMC Public Health 13:870. Oberri (The Basque Institute for Health Innovation), Sondika, Bizkaia, Spain BACKGROUND: Chronic diseases are posing an increasing challenge to society, with […]

Impact of bariatric surgery on health care costs of obese persons: a 6-year follow-up of surgical and comparison cohorts using health plan data

JAMA Surg 148:555-561. Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA IMPORTANCE: Bariatric surgery is a well-documented […]

Waiting to see the specialist: patient and provider characteristics of wait times from primary to specialty care

BMC Fam Pract 15:16. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada BACKGROUND: Wait times are an important measure of access to various health care […]

Comparison of the predictive validity of diagnosis-based risk adjusters for clinical outcomes

Med Care 43:61-67. Houston Center for Quality of Care and Utilization Studies, Houston VA Medical Center, Houston, TX, USA OBJECTIVES: Many possible methods of risk […]

State funding for health information technology and selected ambulatory healthcare quality measures

Appl Clin Inform 5:594-602. Weill Cornell Medical College, New York, NY, USA BACKGROUND: Previous studies on the effects of health information technology (health IT) on […]

Evaluation of the Maryland Multi-Payer Patient Centered Medical Home Program

First Annual Report. Baltimore, MD, USA: Maryland Health Care Commission. IMPAQ International, Columbia, MD, USA The Maryland Health Care Commission (MHCC), an agency of the […]

Primärvårdens ersättnings- och styrsystem i förändring: ACG – kejsarens nya kläder?

Socialmedicinsk tidskrift Socialmedicinsk tidskrift:200-215. Published in Swedish Academy of Health and Welfare, Mälardalen University, Eskilstuna, Sweden The SALAR-project ‘Care on Equal Terms’ evaluation showed that […]

Determinants of delayed discharge from acute care among patients with hypoxic-ischemic brain injury

Arch Phys Med Rehabil 96:e15. Toronto Rehabilitation Institute, Toronto, ON, Canada Objective(s): To describe key demographic and acute care characteristics  of patients admitted with a […]

The use of drugs in Montrealers aged 65 years and older in 2005-2006

Montreal, QC, Canada: Montreal Health and Social Services Agency. Published in French; also have English translation. Montreal Health and Social Services Agency, Montreal, QC, Canada […]

Center for Health Program Development and Management, University of Maryland, Baltimore County, and Actuarial Research Corporation

A guide to implementing a health-based risk-adjusted payment system for Medicaid managed care programs. Annandale, VA, USA: Center for Health Program Development and Management, University […]

Pharmaceutical use in Manitoba: opportunities to optimize use

Winnipeg, MB, Canada: Manitoba Centre for Health Policy. Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, MB, Canada This report provides a snapshot of […]

The Florida MediPass program

Chapter 4. In: Gavin NI, Farrelly MC, ed. Evaluation of Medicaid managed care programs with 1915(b) waivers. Presented to HCFA Office of R&D. Rockville, MD, […]

Assessment of Ambulatory Care Groups with comparison to existing ambulatory case-mix classification systems

Systems Research and Applications Corporation. Arlington, VA, USA: Systems Research and Applications Corporation. Systems Research and Applications Corporation, Arlington, VA, USA The Office of the […]

L’utilisation des services de sante par les Montrealais atteings de diabete, annees 2001-2002 a 2009-2010

Montreal, QC, Canada: Montreal Health and Social Services Agency. Montreal Health and Social Services Agency, Montreal, QC, Canada No abstract

Evaluation of diagnosis-based risk adjustment among specific subgroups: can existing adjusters be improved by simple modifications?

Health Serv Outcomes Res Methodology 3:57-73. Academic Technology Center, Bentley College, Waltham, MA, USA; Center for Health Quality, Outcomes and Economic Research, Veterans Administration Medical […]

Evaluation of alternative diagnosis based risk adjustment models and morbidity trajectories for application in Taiwan

Baltimore, MD, USA: Johns Hopkins University (doctoral dissertation). Department of Health Policy and Management, Johns Hopkins University, Baltimore, MD, USA OBJECTIVE: The overall goals of […]

Hospitalizations for ambulatory care sensitive conditions among persons with an intellectual disability,

Manitoba, 1999-2003. Toronto, ON, Canada: University of Toronto (doctoral dissertation). University of Toronto, Toronto, ON, Canada This thesis examines hospitalizations for ambulatory care sensitive conditions […]

Nursing home adverse events: further insight into highest risk periods

Journal of the American Medical Directors Association 12:467-474. University of Manitoba, Winnipeg, MB, Canada INTRODUCTION: Adverse events (AEs) occur frequently in nursing homes (NHs). Although […]

The feasibility of an outpatient casemix classification system based on the health insurance database in Thailand

Health Systems Research Institute and Alliances :Published in Thai. The objective of this study was to examine the feasibility of an outpatient casemix classification system […]

Comparing the costs and use of services for military care in military and civilian facilities

Orlando, FL, USA: AcademyHealth Annual Research Meeting. NORC at the University of Chicago, Bethesda, MD, USA RESEARCH OBJECTIVE: The objective is to compare the cost […]

The association between metformin therapy and mortality following breast cancer: a population-based study

Toronto, ON, Canada: University of Toronto (masters thesis). University of Toronto, Toronto, ON, Canada Metformin has been associated with a reduction in breast cancer incidence, […]