Authors
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Medication Adherence and Use of Generic Drug TherapiesGeneric prescribing was associated with improved medication adherence in 2 of 5 study conditions, but $0 copayments were associated with improved adherence across all conditions.
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Office Manager and Nurse Perspectives on Facilitators of Adult ImmunizationFactors significantly associated with adult vaccination rates in primary care practices were patients’ age, race, scheduled well-visit length, and nurses’ vaccination status.
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Periodic Health Examinations and Missed Opportunities Among Patients Likely Needing Mental Health CareAmong patients likely needing mental health care, two-thirds had no discussion or perfunctory discussion of mental health during periodic health exams.
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A Predictive Model of Hospitalization Risk Among Disabled Medicaid EnrolleesPredictive modeling can be used to identify disabled Medicaid beneficiaries at high risk of future hospitalizations who could benefit from appropriate interventions.
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A Web-Based Clinical Decision Support System for Depression Care ManagementThis article describes the development and capabilities of a Webbased decision support system for care managers working in the context of the chronic care model.
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Levers to Reduce Use of Unnecessary Services: Creating Needed Headroom to Enhance Spending on Evidence-Based CareHealth system leaders, policy makers, payers, and consumer advocates should use multiple synergistic levers to reduce the use of care that does not provide clinical benefit.
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Home Care Program for Patients at High Risk of HospitalizationRandomized controlled trial of a home care program for managed care patients resulted in lower probability of hospital admission and greater patient satisfaction with care.
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Changes in Marketplace Competition and Television Advertising by InsurersThis study provides the first evidence on how Marketplace insurers are altering their marketing in response to changes in competitive pressure over time.
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Treatment Decisions for Complex Patients: Differences Between Primary Care Physicians and Midlevel ProvidersMidlevel providers were significantly less likely than physicians to change blood pressure (BP) treatment for complex diabetic patients presenting with elevated BP at a single visit.
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The Effects of Antihypertensive Step-Therapy Protocols on Pharmaceutical and Medical Utilization and ExpendituresStep therapy with antihypertensives may lead to medication cost savings but may have unintended effects on other medical care utilization and spending.
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Comparison Between Guideline-Preferred and Nonpreferred First-Line HIV Antiretroviral TherapyInitiation of guideline-preferred first-line antiretroviral therapy (ART) was associated with better ART adherence and persistence and similar total healthcare expenditures among Medicaid-insured HIV patients.
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Small Practices' Experience With EHR, Quality Measurement, and IncentivesA study to assess clinician attitudes and experiences after participating in a New York City cardiovascular disease focused quality recognition and financial incentive program using health information technology.
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Comparison of Provider and Plan-Based Targeting Strategies for Disease ManagementThe authors compared targeting strategies and characteristics of chronic disease care management programs delivered by primary care practices with one administered by a large health plan.
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ACO Quality Over Time: The MSSP Experience and Opportunities for System-Wide ImprovementFrom 2013 to 2016, Medicare Shared Savings Program accountable care organizations (ACOs) improved quality. Continued infrastructure development funding, better relationships with postacute care facilities, and shared learnings among diverse ACOs would maximize quality improvement.
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A Narrow View of Choosing WiselyThis letter argues that an editorial published in the August 2018 issue provides an unduly limited perspective of the impact of Choosing Wisely.
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Assessing the Effect of the VHA PCMH Model on Utilization Patterns Among Veterans With PTSDThis study utilizes a validated instrument to create case and control groups to measure the effect of the Veterans Health Administration (VHA)’s patient-centered medical home (PCMH) model on utilization patterns among veterans with posttraumatic stress disorder (PTSD).
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Advancing Patient Care in Cardio-Oncology: The ACC.15 Cardio-Oncology IntensiveA Cardio-Oncology Working Group formed by the ACC conducted a nationwide survey focused on cardio-oncology services, gathering opinions from cardiovascular division chiefs and fellowship training directors. This helped identify important challenges, including the need for broader educational opportunities and training.
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Implementation of Cancer Clinical Care Pathways: A Successful Model of Collaboration Between Payers and ProvidersA statewide collaboration between payers and providers to create a cancer clinical care pathways program is successful.
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Patient-Centered Teamwork in Care TransitionsPhysician-led patient care teams have the potential to impact care transitions to prevent fragmentation of care, and ensure seamless care delivery.
