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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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Pharmacogenetic-Guided Psychiatric Intervention Associated With Increased Adherence and Cost SavingsPharmacy and medical claims data showed that patients whose clinicians had access to pharmacogenetic test results had increased adherence and overall cost savings.
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Systematic Analysis of Outcomes Evaluations Applied to Drug Management ProgramsAdopting quality measurement standards for drug management programs might increase the effectiveness and long-term sustainability of positive health outcomes for patients.
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Hospitalized Patients' and Family Members' Preferences for Real-Time, Transparent Access to Their Hospital RecordsThis mixed-methods study evaluated hospitalized patients’ and family members’ perceived communications mismatches and their calls for transparent real-time information and potential 21st-century solutions.
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Greater Potential Cost Savings With Biosimilar UseBiosimilars in the United States may demonstrate higher discounts and cost reduction than current estimates.
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Effective Care Management by Next Generation Accountable Care OrganizationsA complex care management program implemented at 5 Next Generation accountable care organizations reduced all-cause inpatient admissions and total medical expenditures for participating beneficiaries.
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Prescription Opioid Abuse: Challenges and Opportunities for PayersThis article outlines strategies insurers can use to mitigate their risks related to prescription opioid abuse by members, while addressing this serious public health problem.
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Electronic Sharing of Diagnostic Information and Patient OutcomesA study evaluating the association between hospital sharing of electronic health record diagnostic information and hospital quality using Hospital Compare scores.
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Treatment Patterns, Healthcare Utilization, and Costs of Chronic Opioid Treatment for Non-Cancer Pain in the United StatesHealthcare utilization and costs increased in the 6 months after patients started opioid therapy for chronic pain; they then decreased but never reverted to baseline levels.
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Clinical Interventions Addressing Nonmedical Health Determinants in Medicaid Managed CareThis review examines the breadth of published work on interventions addressing nonmedical determinants of health that are supported by Medicaid managed care organizations.
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Outpatient Parenteral Antimicrobial Therapy at Large Veterans Administration Medical CenterOutpatient parenteral antimicrobial therapy was successfully delivered in our facility despite significant comorbidity and geographic limitations.
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Bridges to Excellence—Recognizing High-Quality Care: Analysis of Physician Quality and Resource UsePhysicians recognized as high quality by Bridges to Excellence performed better than their peers on claimsbased quality measures and, in some cases, on resource use measures.
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Barriers and Facilitators to Managing Social Care in the Digital Era Among Michigan Health CentersThere is widespread interest in understanding the role of health care in meeting social needs. This study examines community-wide activities, resources, and information technology used to manage social care.
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The Effectiveness of Diabetes Care Management in Managed CareCare management patients experienced slightly greater improvements in CVD risk factor control than a set of matched controls. Both populations showed significant improvement over time.
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Anticonvulsant Use After Formulary Status Change for Brand-Name Second-Generation AnticonvulsantsThe utilization pattern of anticonvulsants after a change in preferred-formulary coverage resulted in health plan savings of $0.16 per member per month.
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Evaluating Alternatives to QALYsA better summary measure would be useful, but it is unclear whether there will ever be sufficiently little variation in valuation to design methods in a way that does not require repeated and costly reevaluation of assumptions.
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In Memoriam: Seema S. Sonnad, PhD, Colleague, Mentor, FriendIt is with an incredibly heavy heart that we must announce the death of our good friend and AJMC associate editor, Seema Sonnad. Seema suffered a fatal cardiac arrhythmia while running an ultramarathon in Seattle.
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Emergency Department Use: A Reflection of Poor Primary Care Access?An original emergency department patient survey, insurance claims data, and administrative records are used to examine the characteristics of nonurgent users.
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Choosing Wisely: Spine ImagingA letter on reducing unnecessary spinal imaging through the introduction of an a priori threshold before an MRI, CT, or bone scan would be considered in patients with spinal pain, with a reply from Dr Gidwani, of the original February 2016 article.
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Costs for a Health Coaching Intervention for Chronic Care ManagementOn average, the health coach intervention cost $483 per participant per year. There was no evidence that the coaching intervention saved money at 1 year.
