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Impact of Workplace Health Services on Adherence to Chronic MedicationsPatients who used workplace primary care and pharmacy services had higher adherence rates to medications for their chronic conditions than community-treated patients.
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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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Impact of Cost-Sharing on Treatment Augmentation in Patients With DepressionHigher patient cost-sharing is associated with a lower likelihood of treatment augmentation in patients with depression who are treated with antidepressants.
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Reasons for Emergency Department Use: Do Frequent Users Differ?Frequent emergency department (ED) users gave similar reasons for using the ED rather than a clinic compared to other patients, including concerns around convenience, access, and quality.
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More Than “Beating the Benchmark”: 5 Medicare ACOs, 2015-2019This retrospective cohort study compared the results of 5 Medicare Shared Savings Program accountable care organizations (ACOs) vs both ACO benchmarks and regional comparators over 4 years.
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CMS HCC Risk Scores and Home Health Patient Experience MeasuresRisk adjustment for patient experience measures needs to be modified by including the CMS Hierarchical Condition Categories (HCC) risk scores of home health beneficiaries.
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Evaluation of Electronic Medical Record Administrative Data Linked Database (EMRALD)The combination of electronic medical record data and administrative data provides the fullest picture of patient health histories.
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Overdose Risk for Veterans Receiving Opioids From Multiple SourcesAmong veterans in Massachusetts, receipt of opioids from multiple sources, with or without benzodiazepines, was associated with worse opioid-related outcomes.
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Organization of Care and Diagnosed Depression Among Women VeteransThis analysis studies effects of practice structures, primary care and mental health integration, and sex-specific primary care services on diagnosis of depression among women veterans.
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Higher 30-Day and 60-Day Readmissions Among Patients Who Refuse Post Acute Care ServicesAlthough patients who refuse post acute care services are relatively young, well educated, and healthy, they are twice as likely to have 30- and 60-day readmissions compared with acceptors of services.
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Applicability of the Omaha System in Acute Care Nursing for Information Interoperability in the Era of Accountable CareComplex interventions from hospital settings mapped to Omaha System terms commonly used in community care; demonstrating its potential as a tool for interoperability across settings.
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Medication Adherence and Enrollment in a Consumer-Driven Health PlanMedication adherence was lower for some drug classes among CDHP patients who enrolled in consumer-driven health plans compared with patients who continuously enrolled in traditional managed care plans.
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Communication About Diabetes Risk Factors During Between-Visit EncountersIn an integrated delivery system among patients with diabetes, there was significantly less risk factor communication reported during between-visit encounters compared with in-person visits.
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Automated Phone and Mail Population Outreach to Promote Colorectal Cancer ScreeningAutomated phone and mail population outreach resulted in an almost 4-fold increase in the rate of screening for colorectal cancer even without an office visit.
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Differential Weight Loss Effects on Type 2 Diabetes Remission Among AdultsAn analysis of nationally representative survey-based data finds that 5.2% of adults with type 2 diabetes were in remission, without bariatric surgery, at the end of the second year.
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Effect of Management Strategies and Clinical Status on Costs of Care for Advanced HIVAntiretroviral drugs have replaced hospitalization and other services as the most costly component of HIV care, except in patients with especially advanced HIV.
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What Performance Measures Do Consumers Find Useful When Selecting Marketplace Health Plans?Marketplace consumers desire more health plan measures on how well plans support long-term patient—physician relationships. Consumers are skeptical of measures about rewarding providers for high quality.
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Is It Time to Remodel Diabetes Self-Management Education and Support?A former president of the American Association of Diabetes Educators addresses the need to remodel diabetes self-management education and support, to create a reimbursement system that better meets the needs of today's providers and patients.
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Correlates of Prostate-Specific Antigen Testing in a Large Multiethnic CohortProstate-specific antigen screening was highest among African American men and those concerned about prostate cancer and lowest when physicians did not discuss the test.
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Utilization of HER2 Genetic Testing in a Multi-Institutional Observational StudyEvaluation of real-world implementation of HER2 testing showed that uptake was high (>90%) and trastuzumab treatment was targeted to patients with positive HER2 status.
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Diabetes and Employment Productivity: Does Diabetes Management Matter?Diabetes itself affected working and wages more than control of blood sugar levels in a Mexican American population.
