Authors
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Community Navigators Reduce Hospital Utilization in Super-UtilizersSuper-utilizers place a significant clinical and financial burden on the healthcare system. The authors investigated the effectiveness of community navigators in reducing hospital utilization and costs.
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Alternative Payment Models: Paving the Way or Building a Wall for Personalized Medicine?As personalized medicine rapidly becomes an effective tool for combating cancer, payers are exploring new, value-based payment paradigms. These trends will soon intersect, and depending on how they are structured, the new payment models could accelerate or stifle personalized medicine's progress.
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Value-Based Insurance Design: Benefits Beyond Cost and UtilizationThe authors provide a framework to capture additional benefits that may result from VBID programs, extending beyond utilization and outcomes to productivity, engagement, and talent.
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Active Pharmacovigilance and Healthcare UtilizationThis study highlights the potential value of innovative ways of collecting information about adverse drug events directly from patients.
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Association of Care Management Intensity With Healthcare Utilization in an All-Condition Care Management ProgramHigher intensity of care management in an all-condition program addressing care coordination and care barriers was associated with increased healthcare utilization among Medicaid and Medicare patients.
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Medication Utilization and Adherence in a Health Savings Account-Eligible PlanA consumer-directed health plan with a health savings account was associated with reduced adherence for 4 of 5 conditions.
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Oncology Practice Transformation Helps Deliver Patient-Centered Cancer Care in a Community Oncology PracticeOne possible way to reduce overall cost, improve patient experience, and improve outcomes in cancer care is to shift the focus of healthcare delivery away from volume and toward value. Patient-centered cancer care holds the promise of addressing these issues.
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Benzodiazepine and Unhealthy Alcohol Use Among Adult OutpatientsAmong outpatients who were screened for alcohol use, those with unhealthy alcohol use, women, and those who were older, white, and of lower socioeconomic status were more likely to use benzodiazepines.
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Early Evaluations of the Medical Home: Building on a Promising StartFindings from a systematic evidence review of the medical home are promising, but indicate the critical need for stronger evaluations to guide policy makers.
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Treatment of Diabetes Mellitus: The Urgent Need for Multifactorial InterventionsThe pandemic of type 2 diabetes mellitus requires implementation of multifactorial interventions by clinicians for individual patients and policy makers for the health of the general public.
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Accountable Care Organizations: The Proposed Regulations and the Prospects for SuccessCMS recently proposed regulations for Accountable Care Organizations which are extensive and complex. This article reviews the proposed regulations and discusses the prospects for success.
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Interest in Mental Health Care Among Patients Making eVisitsSome patients using a patient portal for eVisits seek mental health care even when it is not designated for such use.
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Medicare Savings From Conservative Management of Low Back PainThis instrumental variables analysis estimates that Medicare would realize $362 million in annual savings if all patients with newly diagnosed low back pain were managed conservatively.
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Physician Clinical Knowledge, Practice Infrastructure, and Quality of CarePatient-centered practice infrastructure was associated with better care quality only among physicians who scored well on their Maintenance of Certification exam.
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A Better Way: Leveraging a Proven and Utilized System for Improving Current Medication Reconciliation ProcessesIn this reply to the commentary, “A Call for a Statewide Medication Reconciliation Program,” published in the October 2016 issue of The American Journal of Managed Care®, authors discuss a proven and scalable solution to improve medication reconciliation that is already available to, and used by, clinicians.
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Access to Chiropractic Care and the Cost of Spine Conditions Among Older AdultsAmong older adults who have a spine condition, access to chiropractic care may reduce medical spending on diagnostic services.
