Authors
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Sofosbuvir Initial Therapy Abandonment and Manufacturer Coupons in a Commercially Insured PopulationMember cost negatively affects initial medication adherence and manufacturer coupons can decrease member share by up to 98%.
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Unintended Consequences of a Quality Measure for Acute BronchitisA quality measure reduced antibiotic use for patients with acute bronchitis but led to use of an alternative diagnosis, offsetting most of the observed improvement.
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Screening for Health Literacy, Social Determinants, and Discrimination in Health PlansThis study provides insight on the experiences of patients of a national health plan with 2 structural determinants of health—health care discrimination and health literacy—and how those interact with social determinants of health and patient demographics.
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Enhanced Care Coordination Improves HIV Viral Load Suppression RatesEnhanced care coordination in New York City that leveraged surveillance data with a health plan’s Medicaid managed care roster improved its HIV viral load suppression rate.
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Healthcare Utilization and Costs in Persons With Insomnia in a Managed Care PopulationPatients with an insomnia diagnosis have higher healthcare utilization and costs than a matched control group, both before and after the diagnosis.
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HCV Screening Practices and Prevalence in an MCO, 2000-2007HCV screening and prevalence estimates, unadjusted and adjusted for HCV risk factors, are examined in this 8-year observational study of a managed care organization.
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Achieving a Culture of Health: Steps for Engaging State GovernmentBased on findings from a 2-state exploratory study, the authors articulate research-informed action steps for promoting state government roles in the pursuit of a culture of health.
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Health of Medicare Advantage Plan Enrollees at 1 Year After Hurricane KatrinaAt 1 year after Hurricane Katrina, the health burden of enrollees increased significantly more versus a comparison group. Emergency department visits and hospitalizations remained elevated.
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A Randomized, Pragmatic, Pharmacist-Led Intervention Reduced Opioids Following Orthopedic SurgeryThis pharmacist-led, patient-directed intervention demonstrated a reduction in opioid dispensings in the 90 days following hip replacement but not knee replacement.
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Cost-Effectiveness of 70-Gene MammaPrint Signature in Node-Negative Breast CancerTargeting chemotherapy with 70-gene MammaPrint signature in patients 60 years or younger with node-negative breast cancer is likely to be cost-effective.
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Uncertainty From COVID-19 Delays Progress on the Road to Value-Based Cancer CareCOVID-19 has created a significant distraction from normal practice operations. The uncertainty that comes along with the pandemic is a huge worry, and can distract from practice transformation.
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Impact of a National Specialty E-Consultation Implementation Project on AccessE-consult implementation grew from 12 to 122 VHA sites with multiple specialties. The adjusted e-consult rate of 1.93/100 consults saved significant patient travel miles and costs.
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Multilevel Influences on Patient Engagement and Chronic Care ManagementHealth systems may be better able to support adoption of chronic care management processes, which have a strong evidence base for practice implementation, compared with patient engagement strategies, which have less evidence to guide effective implementation.
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Impact of a National Specialty E-Consultation Implementation Project on AccessE-consult implementation grew from 12 to 122 VHA sites with multiple specialties. The adjusted e-consult rate of 1.93/100 consults saved significant patient travel miles and costs.
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Improving HCV Cure Rates in HIV-Coinfected Patients - A Real-World PerspectiveThe authors examine real-world hepatitis C virus cure rates with direct-acting antivirals among patients coinfected with HIV.
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Multilevel Predictors of Colorectal Cancer Screening Use in CaliforniaWe studied contextual factors and found that locality, availability of primary care, and HMO membership influenced use of colorectal cancer screening in California.
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Electronic Health Record Adoption and Quality Improvement in US HospitalsA national study of electronic health record (EHR) adoption and hospital quality finds that existing measures may be inappropriate for assessing the effect of EHR adoption on quality.
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Economic Value of Pharmacist-Led Medication Reconciliation for Reducing Medication Errors After Hospital DischargeThe results of this simulation model suggest that implementing a pharmacist-led medication reconciliation intervention at hospital discharge could be cost-saving compared with usual care.
