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New Medication Adherence Scale Versus Pharmacy Fill Rates in Seniors With HypertensionScores on a new medication adherence scale maintained a strong graded association with antihypertensive drug pharmacy fill adherence among community-dwelling seniors in a managed care organization.
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Extending the 5Cs: The Health Plan Tobacco Cessation IndexThe Health Plan Tobacco Cessation Index-based on the 5C paradigm of Foldes & Manley-is introduced through a survey of New York plans.
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Producing Comparable Cost and Quality Results From All-Payer Claims DatabasesThis paper describes a replicable process for standardizing disparate databases and methods to calculate cost and quality measures within and across states.
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Reimbursement for Genetic Variant Reinterpretation: Five Questions Payers Should AskPeriodic reinterpretation of genetic sequencing results presents a challenge for developing transparent and systematic coverage and reimbursement policies.
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No Time to Waste: Decreasing Patient Wait Times for Chemotherapy Administration Using Automated Prioritization in an Oncology Pharmacy SystemUsing a prioritization algorithm in an oncology pharmacy system at the Johns Hopkins University, patient wait times for chemotherapy administration were significantly decreased.
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Adverse Drug Effects Across Patients With Heart Failure: A Systematic ReviewThis systematic literature review reports incidence of adverse drug effects associated with guideline-directed medical therapy for patients with heart failure with reduced ejection fraction.
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STABLE Results: Warfarin Home Monitoring Achieves Excellent INR ControlReal-world retrospective analysis of over 29,000 patients performing INR home monitoring for warfarin therapy shows excellent time in therapeutic range.
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Medicare Part D and Potentially Inappropriate Medication Use in the ElderlyHigh-risk drug use increased slightly among seniors gaining Medicare Part D coverage; however, high-risk drugs account for a small share of total drug use.
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Redesigning the Work of Case Management: Testing a Predictive Model for ReadmissionNew case management model achieves success in reducing readmissions and is easily duplicated across the Baptist Health System, Inc.
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Medical Policy Determinations for Pharmacogenetic Tests Among US Health PlansThis analysis demonstrated significant variability in medical policy determinations and evidence cited for clinically relevant pharmacogenetic tests among major US health insurers and laboratory benefit managers.
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Medicaid Managed Care: Issues for Enrollees With Serious Mental IllnessThe authors studied Kansas Medicaid enrollees with serious mental illness and their experiences with integrated managed care and unmet needs.
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Cost of Care for Malignant and Benign Renal MassesMethods for better identifying malignant versus benign disease before nephrectomy could provide significant benefits to patients and payers.
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A Descriptive Study of Patients Receiving Foundational Financial Assistance Through Local Specialty PharmaciesLocal specialty pharmacies collaborated with a charitable assistance organization to provide a safety net and to facilitate care for patients with chronic illnesses, allowing them to focus on receiving and adhering to medication, rather than on financial toxicity.
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A Physician-led Accountable Care Organization: From Award to ImplementationGaps in ACO implementation readiness are identified as appointment reminders, referral follow-ups, care management, care transition alerts, clinical quality measure knowledge, and resources.
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Hepatitis C Care Cascade Among Persons Born 1945-1965: 3 Medical CentersIn this analysis of patients with newly diagnosed hepatitis C, linkage to care was largely successful in the 1945-1965 birth cohort, but treatment initiation remained low. Check out our website’s new table/figure pop-up feature! Click on the name of a table or figure in the text to see it in your browser.
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A Cost-Effectiveness Analysis of Cardiology eConsults for Medicaid PatientsA randomized trial of eConsults for cardiology referrals from primary care resulted in significant reductions in total cost of care compared with traditional face-to-face consultations.
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Health Economic Analysis of Breast Cancer Index in Patients With ER+, LN- Breast CancerThis study projected that the breast cancer index assay is cost saving when used either at diagnosis or at 5 years post diagnosis.
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Effects of Coverage Gap Reform on Adherence to Diabetes MedicationsThe Part D coverage gap reform in 2011 improved adherence to diabetes medications in the coverage gap.
