Authors
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Measures of ED Utilization in a National Cohort of ChildrenThrough analysis of multistate Medicaid data, this study identifies differences in 2 commonly used measures of emergency department (ED) utilization, ED visit count and ED reliance.
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Impact of Clinical Training on Recruiting Graduating Health ProfessionalsA business case is made for medical centers to offer high-quality clinical training experiences to recruit graduating health professionals.
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Colony-Stimulating Factor Prescribing Patterns in Patients Receiving Chemotherapy for CancerWe linked health insurance records to cancer registry data to analyze colony-stimulating factor use, finding wide divergence from that recommended by practice guidelines.
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Effect of Antihypertensive Medication Adherence Among Employees With HypertensionAntihypertensive medication adherence was associated with improvement in certain short-term utilization measures among employees with high prior medical costs.
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The Cost of Adherence Mismeasurement in Serious Mental Illness: A Claims-Based AnalysisThis study demonstrates that common pharmacy claims-based measures underestimate the effect of actual adherence on inpatient costs among patients with serious mental illness.
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Feasibility of Expanded Emergency Department Screening for Behavioral Health ProblemsThis feasibility study of expanded emergency department screening identified a high prevalence of behavioral health conditions. Screening was successfully integrated into emergency visit idle times.
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Heroin and Healthcare: Patient Characteristics and Healthcare Prior to OverdoseAn analysis of administrative claims showed increasing rates of heroin overdose among an insured population and opportunities for interventions during healthcare encounters before overdose.
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Future Directions of BTK Inhibitors in Leukemia and LymphomaExperts discuss future directions of BTK inhibitors.
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Using Financial Incentives to Improve the Care of Tuberculosis PatientsPatients enrolled in the tuberculosis pay-for-performance program received more comprehensive ambulatory care with slightly lower costs and a higher treatment success rate.
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Geographic Access to Endocrinologists for Florida's Publicly Insured Children With DiabetesEnrollment, claims, and spatial data are used to demonstrate the importance of outreach strategies for families in rural areas who have children with diabetes. Spatial barriers, alone, do not fully elucidate racial/ethnic disparities in pediatric diabetes for street-level location. (For Tables and the Figure, please access the PDF on the last page.)
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Relationship Between Quality Improvement Processes and Clinical PerformanceThis study examines the clinical effects of care management and quality improvement interventions implemented by physician groups on pay-for-performance success.
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Predictive Factors of Discharge Navigation Lag TimeExamination of factors associated with discharge lag time and how this metric plays an important role in managing hospital throughput.
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Molecular Testing Patterns in Metastatic Non—Small Cell Lung CancerAssessment of the timing of histologic and molecular testing indicates that testing occurred prior to treatment initiation for most patients with metastatic non—small cell lung cancer.
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Emergency Department Visit Classification Using the NYU AlgorithmThis article assesses a classification tool for categorizing emergency department visits as emergent and nonemergent.
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LACE+ Index as a Predictor of 90-Day Plastic Surgery OutcomesPatients with higher LACE+ index scores have significantly greater risk of unplanned readmission, emergency department visits, and reoperation after plastic surgery.
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Managed Care Reflections: Insights From Richard J. Gilfillan, MD; and Donald M. Berwick, MD, MPPTo mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes reflections from a thought leader on what has changed over the past 3 decades and what’s next for managed care. The February issue features a retrospective by Richard J. Gilfillan, MD, former director of the Center for Medicare and Medicaid Innovation; and Donald M. Berwick, MD, MPP, former administrator of CMS.
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Simply Delivered Meals: A Tale of CollaborationOffering a meal delivery service to patients in a community-based care transition program was associated with cost savings and a 38% lower 30-day hospital readmission rate.
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EHRs in Primary Care Practices: Benefits, Challenges, and Successful StrategiesSmall primary care practices reap some organizational and quality of care improvements from electronic health records; however, challenges persist in achieving meaningful use standards.
