Authors
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Pilot of Urgent Care Center Evaluation for Acute Coronary SyndromeA formal protocol for urgent care center evaluation of potential acute coronary syndrome safely precluded emergency department visits among 84% of those eligible.
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A Retrospective on the Oncology Care ModelFlatiron Health recently conducted a retrospective review of the Oncology Care Model, discovering what's working, what isn't, and what this could mean for the future.
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Medicare Part D Formulary Coverage Since Program Inception: Are Beneficiaries Choosing Wisely?Analysis of Medicare Part D formulary composition since program inception suggests beneficiaries may not be using their open-enrollment periods to reevaluate available plan offerings.
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Discussion 5: Companion Diagnostics in Targeted TreatmentsDr Klein moderates this discussion, including co-editor in chief of The American Journal of Pharmacy Benefits Dr Jan Berger. The panel addresses a variety of topics as they relate to companion diagnostics in targeted treatments. Panelists respond to issues such as who should take responsibility in genetic counseling to ensure that patients have the best experience possible-whether it be in person or telephonic. Other topics covered in this discussion include appropriate consumerism in this space, the employer's role in genetic counseling, and how medical professionals are being trained or educated about these processes.
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Beyond Black and White: Race/Ethnicity and Health Status Among Older AdultsThis study examines disparities in important patient-reported functional outcomes not routinely assessed among diverse racial/ethnic groups in Medicare managed care.
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The Skills of the Ambulatory Intensivist: A ReviewThe ambulatory intensivist model makes achieving the Triple Aim a reality through improved physician interpersonal, analytic, intuitive, and advanced clinical skills, including the use of telemedicine.
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Evaluation of a Hospital-in-Home Program Implemented Among VeteransThe Hospital-in-Home program implemented at the Veterans Affairs Pacific Islands Health Care System in Honolulu, Hawaii, is associated with reduced costs with no compromise in quality.
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Mental Health in ACOs: Missed Opportunities and Low-Hanging FruitThis paper describes the rationale and benefits of incorporating mental health into accountable care organizations using the Chronic Care Model.
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Measuring the Cost Implications of the Collaborative Accountable Care Initiative in TexasA private accountable care organization model with an embedded care coordinator and a list of recommended providers yields cost savings similar to initiatives with risk-based contracts.
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Survey of NCI-Designated Cancer Centers Finds Most Are Out-of-Network on ExchangesThe National Comprehensive Cancer Network (NCCN) in collaboration with Avalere Health present survey results examining the experiences National Cancer Institute (NCI)-designated cancer centers have had with the marketplaces, the implications for patients' access to cancer care, and proposed policy solutions.
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Use of Health Information Technology to Improve Medication AdherenceAutomated telephone reminders resulted in a small but significant increase in adherence to inhaled corticosteroids among adult asthma patients in a large managed care organization.
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Routine Pre-cesarean Staphylococcus aureus Screening and Decolonization: A Cost-Effectiveness AnalysisRoutinely screening pregnant women for Staphylococcus aureus colonization and decolonizing carriers before cesarean delivery are unlikely to be cost-effective under current epidemiologic circumstances.
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Emergency Department Visits for Nonurgent Conditions: Systematic Literature ReviewThis article presents a systematic review of the US literature on factors influencing the decision to visit the emergency department for nonurgent conditions.
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Type 2 Diabetes Mellitus in China: A Preventable Economic BurdenTreatment of type 2 diabetes mellitus and its complications places a heavy burden on healthcare budgets in China and will continue to do so.
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How Will Provider-Focused Payment Reform Impact Geographic Variation in Medicare Spending?Unlike ACOs or P4P, implementation of bundled payment for inpatient and post acute care in Medicare would modestly reduce geographic variation in spending.
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Impact of Celecoxib Restrictions in Medicare Beneficiaries With ArthritisA formulary restriction policy in a Medicare population was associated with lower celecoxib utilization; however, higher gastrointestinal- and arthritis-related medical costs were observed.
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An Expanded Portfolio of Survival Metrics for Assessing Anticancer AgentsA novel, simplified cost-value analysis tool was created to better differentiate the value of anticancer agents and further characterize the expected survival benefit of all patients.
