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Inappropriate Antibiotic Prescribing in Managed Care Subjects With InfluenzaRetrospective analysis of the US Impact National Benchmark Database indicated that 80% of antibiotics prescribed in subjects with influenza were inappropriate.
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Organizational Capacity Among Hospitals in Medicare and Commercial Bundled PaymentsA national survey demonstrated differences in organizational capacity between hospitals participating in Medicare bundled payment programs and those coparticipating in both Medicare and commercial bundled payment programs.
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Automated Messaging to Improve Compliance With Diabetes Test MonitoringA randomized controlled trial was conducted to compare the effectiveness of automated telephone and mail outreach to prompt compliance with periodic diabetes laboratory testing.
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The Transfer of Uninsured Patients From Academic to Community Primary Care SettingsThis article describes a program to coordinate the care of an inner-city uninsured population at an academic health center.
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Satisfaction With Care After Reducing Opioids for Chronic PainThere is no significant association between unfavorable patient satisfaction and opioid reductions for chronic pain, but encounters with unestablished providers may slightly impair satisfaction when reducing opioids.
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Impact of New Drugs and Biologics on Colorectal Cancer Treatment and CostsWe measured the financial consequences of new CRC treatment regimens. New regimens have increased cost directly through price and indirectly through nonstandard and second-line regimen use.
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Endoscopist-Directed Sedation Rarely Fails: Implications for the Value of Anesthesia Assistance for Routine GI EndoscopyFailed sedation for routine gastrointestinal (GI) endoscopy is extremely rare, warranting a return to endoscopist-directed sedation, rather than costly anesthesia-assisted sedation, as the default sedation standard.
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Can Medicare Sustain Widespread Access to GLP-1 Therapies?Expanding Medicare coverage for glucagon-like peptide 1 (GLP-1) receptor agonists could significantly reduce obesity-related health issues, but it also risks adding tens of billions in new costs, highlighting the need for smart policy strategies to ensure access, affordability, and long-term sustainability.
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Managing Costs and Enhancing the Value of Oncology CareManagement of high and rising costs in oncology requires a multifaceted approach using both innovative strategies and pragmatic tools. In this article, we discuss several factors that influence the costs of oncology care.
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Creating Peer Groups for Assessing and Comparing Nursing Home PerformanceA methodologically sound, empirically based approach to creating peer groupings can and should be adapted to fit the setting of nursing homes.
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Medicaid Managed Care Reduces Readmissions for Youths With Type 1 DiabetesAn analysis of the largest cohort available reveals that youths with type 1 diabetes, on a Medicaid managed care plan, are less likely to be readmitted within 90 days of discharge.
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Impact of Predictive Model-Directed End-of-Life Counseling for Medicare BeneficiariesA telephonic counseling program, directed by a predictive model, reduced end-of-life costs by 4.5% within 2 Medicare Health Support pilot programs.
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Ambulatory Care–Sensitive Emergency Visits Among Patients With Medical Home AccessPatients often self-refer to the emergency department (ED) for management of an ambulatory care–sensitive condition, and the ED may be the most appropriate care location.
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Overuse and Insurance Plan Type in a Privately Insured PopulationHealth insurance plan type may be an important lever for reducing low-value healthcare use among patients with commercial insurance.
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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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Impact of Certified CME in Atrial Fibrillation on Administrative ClaimsUse of administrative claims data is an innovative way of measuring the effect of continuing medical education on physician practice behavior and patient outcomes.
