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Payer Management of Oncology Gets SeriousHealth Plans Continue to Seek Methods to Curtail Cancer Costs
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Cardio-Oncology: The Intersection Between Cancer and Cardiovascular DiseaseWith the prognosis for many cancers improving, we are seeing an appropriate sharpening of focus on the cardiovascular risks of patients who have survived cancer or are being treated for cancer, as well as a growing recognition of the impact this competing morbidity has on both short- and long-term health outcomes.
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Disparities in Diabetes and Hypertension Care for Individuals With Serious Mental IllnessThis study highlights disparities in care for diabetes and hypertension for individuals with serious mental illness compared with the general Medicaid and Medicare populations.
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Effect of Inadequate Response to Treatment in Patients With DepressionPatients with inadequate response to depression treatment used increased resources, were less likely to be employed, and had more presenteeism than those with treatment response.
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EMR-Based Medication Adherence Metric Markedly Enhances Identification of Nonadherent PatientsIntegration of written-prescription data into medication adherence measures doubled the number of patients identified as nonadherent and improved prediction of follow-up LDL cholesterol.
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The Impact of Hospitalists on Length of Stay and Costs: Systematic Review and Meta-AnalysisIn this systematic review and meta-analysis, we found that hospitalists reduce hospital length of stay without increasing costs.
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Examining Differential Performance of 3 Medical Home Recognition ProgramsWe examine utilization, quality, and expenditures among Medicare beneficiaries receiving care at federally qualified health centers and compare outcomes among those attributed to 1 of 3 recognition programs versus none.
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US Insurance Program's Experience With a Multigene Assay for Early-Stage Breast CancerThis study presents Humana's experience with a multigene breast cancer assay and provides an analysis of the clinical utility and economics of this technology.
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Association of Co-pay Elimination With Medication Adherence and Total CostThis study evaluated cost and utilization attributed to members enrolled in a health care program with no pharmacy co-pay. Health care savings were identified in addition to medication adherence improvements.
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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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Continuous Quality Improvement Program, Based on Lean Concepts, Allows Emptying of Emergency Department CorridorsA continuous quality improvement program, based on Lean concepts and including architectural, managerial, and organizational features, allows the emptying of emergency department corridors and the improvement of time interval measurements/quality indicators.
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The Cost of Learning: Participating in APMs Despite Projected Financial LossesThis article explores Northwestern Medicine’s decision to participate in a Medicare alternative payment model (APM) despite projected losses.
