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Prolonged Cessation of Chronic Opioid Analgesic Therapy: A Multidisciplinary InterventionThis article evaluates the immediate and long-term efficacy of a group multidisciplinary program for chronic opioid analgesic therapy cessation in the setting of chronic, noncancer pain.
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Budget Impact Analysis of Biosimilar Natalizumab in the USProjected savings from biosimilar natalizumab were $452,611 over 3 years, driven by decreased drug acquisition costs and a utilization shift from reference to biosimilar natalizumab.
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Use of Postacute Care After Discharge in Urban and Rural HospitalsRural patients receive less postacute care after hospital discharge than urban patients, especially after elective joint replacement-a condition selected for bundled payments.
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Primary Care Diabetes Bundle Management: 3-Year Outcomes for Microvascular and Macrovascular EventsUsing a system for primary care management of patients with diabetes may reduce the risk of myocardial infarction, stroke, and retinopathy over a 3-year period.
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Can a Nationwide Media Campaign Affect Antibiotic Use?A nationwide media campaign aimed at parents was associated with reductions in the use of antibiotics for pediatric upper respiratory infections, otitis media, and pharyngitis.
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Understanding and Improving Value Frameworks With Real-World Patient OutcomesNew value frameworks should incorporate real-world evidence that reflects patient treatment behavior, adherence to medication, and equity concerns arising from disparities in care.
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Care Coordination Agreements: Barriers, Facilitators, and Lessons LearnedPrimary care providers have developed standing agreements with other healthcare providers and community-based organizations to coordinate care. Early experiences with these agreements are discussed.
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Collaboration to Transition Members to Preferred Formulary Dipeptidyl-Peptidase-4 InhibitorA collaboration between a drug plan and clinical pharmacists led to nearly 50% of members successfully switching to a preferred dipeptidyl-peptidase-4 inhibitor.
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Late Diagnosis of Hepatitis C Virus Infection, 2014-2016: Continuing Missed Intervention OpportunitiesLate hepatitis C virus infection diagnosis points to a need for earlier screening and treatment before the onset of severe liver disease leading to high cost and diminished outcomes.
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Using "Roll-up" Measures in Healthcare Quality Reports: Perspectives of Report Sponsors and National AlliancesThis study identifies practices and perceptions around public reporting of “roll-upâ€
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Session 1: DiscussantIn this segment, William Herman, MD, MPH, analyzes Dr Huckfeldt's presentation on glycemic targeting from a health service and clinical research perspective.
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VA Geriatric Scholars Program’s Impact on Prescribing Potentially Inappropriate MedicationsPrimary care teams reduced their prescribing of potentially inappropriate medications to older veterans after participation in the Veterans Affairs (VA) Geriatric Scholars Program.
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The Pediatric Medical Home: What Do Evidence-Based Models Look Like?This study presents practice relevant information and actionable results that can help to operationalize evidence-based patient-centered medical home models in pediatric clinics.
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Complications of Dysglycemia and Medical Costs Associated With Nondiabetic HyperglycemiaThis study showed that complications add significantly to the cost of medical care when hyperglycemia levels were below the threshold for diabetes, and impaired glucose tolerance independently contributed to costs.
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Factors Affecting Medication Adherence Trajectories for Patients With Heart FailureNonwhite race, smoking, and increasing body mass index were associated with the lowest adherence trajectories for patients with heart failure, with adherence dropping off within the first year.
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Using the 4 Pillars to Increase Vaccination Among High-Risk Adults: Who Benefits?Pneumococcal; tetanus, diphtheria, and pertussis; and influenza vaccination increased among high-risk adults in a 2-year study.
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Payer Source Influence on Effectiveness of Lifestyle Medicine ProgramsThe health benefits for participants of the Complete Health Improvement Program ("CHIP"), a lifestyle medicine program, are present regardless of the program tuition payment source.
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Randomized Trial of an Electronic Asthma Monitoring System Among New York City ChildrenChildren who used an electronic monitoring system had as many emergency department visits and hospitalizations for asthma as children who used a paper diary.
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The Vermedx® Diabetes Information System Reduces Healthcare UtilizationThis analysis of paid claims from a physician hospital organization demonstrates that the Vermedx Diabetes Information System improves healthcare costs for adults with diabetes.
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Preconsultation Exchange in the United States: Use, Awareness, and AttitudesInternists reported frequent use of, and support for, preconsultation exchange to improve access to and efficiency of specialty care.
