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Latest:
The Cost of Learning: Participating in APMs Despite Projected Financial LossesThis article explores Northwestern Medicine’s decision to participate in a Medicare alternative payment model (APM) despite projected losses.
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Does Medicare Managed Care Reduce Racial/Ethnic Disparities in Diabetes Preventive Care and Healthcare Expenditures?The authors aimed to examine whether participation in Medicare managed care, compared with fee-for-service, has any effects on racial/ethnic disparities in diabetes care and healthcare expenditures among older adults.
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The Introduction of Generic Risperidone in Medicare Part DThis study examines the plan characteristics associated with generic risperidone use and spending and adherence outcomes associated with use among Medicare Advantage Part D beneficiaries.
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In-Office Dispensing of Oral Oncolytics: A Continuity of Care and Cost Mitigation Model for Cancer PatientsThis case study from the National Community Oncology Dispensing Association (NCODA) focuses on a new dispensary in a moderately sized oncology community practice that prescribes to NCODA’s Quality Standards and outlines the processes developed to assist Medicare patients in accessing their oral cancer medications.
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Does Distance Modify the Effect of Self-Testing in Oral Anticoagulation?Self-testing of anticoagulation improves outcomes, but is expensive. One might assume it is more helpful for patients living farther from care, but the authors disprove this assumption.
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Reimbursement for Genetic Variant Reinterpretation: Five Questions Payers Should AskPeriodic reinterpretation of genetic sequencing results presents a challenge for developing transparent and systematic coverage and reimbursement policies.
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Optimizing Number and Timing of Appointment Reminders: A Randomized TrialTwo text message or phone reminders were more effective in reducing missed primary care appointments than a single reminder, particularly in patients at high risk of missing appointments.
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Progress of Diabetes Severity Associated With Severe Hypoglycemia in TaiwanRapid progression of diabetes complications was associated with higher risk of severe hypoglycemia.
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Claims-Based Risk Model for First Severe COPD ExacerbationA health insurance claims-based risk assessment tool to predict patients’ first severe chronic obstructive pulmonary disease exacerbation has been developed and validated.
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Adding Glucose-Lowering Agents Delays Insulin Initiation and Prolongs HyperglycemiaA review of national Veterans Health Administration data has identified how the number of glucose-lowering agents used prior to insulin initiation impacts glycemic control.
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Hepatitis B Virus Infection Testing and Prevalence Among Asian and Pacific IslandersWe examined the effect of country of origin on HBV testing and chronic HBV infection prevalence among APIs using data from Kaiser Permanente Hawaii.
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Use of Well-Child Visits in High-Deductible Health PlansWhen preventive care was exempt from the deductible, well-child visits did not change for children switching from traditional plans to high-deductible plans.
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Introduction of Cost Display Reduces Laboratory Test UtilizationCost display and cost charge induce different test ordering behavior depending on the healthcare setting.
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Cost-Effectiveness Analysis of Vagal Nerve Blocking for Morbid ObesityThis lifetime economic analysis demonstrates vagal nerve blocking therapy to be a cost-effective alternative to conventional therapy in class 2 and 3 obesity patients.
