Authors
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Defragmentation of Care in Complex Patients With ESKD Improves Clinical OutcomesA novel program utilizing an approach to defragment care for patients with end-stage kidney disease (ESKD) resulted in better patient outcomes.
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Adherence, Persistence, and Switching Patterns of Dabigatran EtexilateWe present a descriptive analysis utilizing pharmacy claims from a managed care population to quantify adherence, persistence, and switching patterns for patients initiating dabigatran.
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Ninety-Day Readmission Risks, Rates, and Costs After Common Vascular SurgeriesCommon vascular surgery procedures are associated with frequent and high-cost readmissions. Open wounds with infection, functional dependence, lengthy procedures, and transfusion are associated with 90-day readmission after vascular surgery.
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A Comparison of Administrative Claims–Based Risk Predictors for Pediatric AsthmaA comparison of claims-based asthma risk predictors in a national sample of children with Medicaid determines accuracy and informs risk predictor choice.
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Alignment of Breast Cancer Screening Guidelines, Accountability Metrics, and Practice PatternsThis study measured breast cancer screening practice patterns in relation to evidence-based guidelines and accountability metrics, and found closer alignment is needed for providing patient-centered care.
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Long-term Economic Benefits Attributed to IVF-conceived Children: A Lifetime Tax CalculationWe estimate the future net tax contributions from an IVF-conceived child to highlight that removing barriers to fertility treatments can have long-term economic benefits.
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Patient Experience During a Large Primary Care Practice Transformation InitiativeFour years of practice transformation toward comprehensive primary care had little effect on patient experience.
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Can Electronic Health Records Help Improve Patients' Understanding of Medications?Patients' problems in understanding of new and existing medications were evaluated to design a primary care electronic health record quality improvement study.
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High-Touch Care Leads to Better Outcomes and Lower Costs in a Senior PopulationEvaluating the impact of a high-touch primary care model among a Medicare Advantage population in comparison with a standard practice–based model. 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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Characteristics of Older Adult Physical Activity Program UsersAuthors compared users and non-users of older adult physical activity programs (EnhanceFitness and Silver Sneakers) within a healthcare system on health conditions, utilization, and costs.
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Patient and Physician Predictors of Hyperlipidemia Screening and Statin PrescriptionPhysician and patient predictors of hyperlipidemia screening and statin prescription at a large, multihospital regional health center based on electronic health record data.
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Diabetes Care Improvement in Pharmacist- Versus Nurse-Supported Patient-Centered Medical HomesIn this longitudinal comparative effectiveness study of different chronic disease self-management support approaches within 1 system, both pharmacist- and nurse-led patient-centered medical home approaches improved diabetes care.
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Robotic Arm–Assisted Knee Surgery: An Economic AnalysisCompared with manual total knee arthroplasty, patients younger than 65 years undergoing robotic arm–assisted total knee arthroplasty experience fewer days in hospital, less utilization of services, and lower average total costs at 90 days.
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Reducing Barriers to Medication Access and Adherence for ACA and Medicaid Participants: A Peer-to-Peer, Community-Based ApproachHow peer-to-peer, community support programs can educate and empower patients to become more adherent to treatments, which will improve outcomes and reduce healthcare costs.
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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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Provider Type and Management of Common Visits in Primary CareIn primary care, nurse practitioners and physician assistants do not necessarily order more ancillary services, or more costly services among alternatives, than physicians.
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Did Medicaid Expansion Matter in States With Generous Medicaid?Medicaid expansion significantly increased Medicaid coverage of the low-income population in New York and, specifically, that among the working poor in New York and Massachusetts.
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High-Touch Care Leads to Better Outcomes and Lower Costs in a Senior PopulationEvaluating the impact of a high-touch primary care model among a Medicare Advantage population in comparison with a standard practice–based model. 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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Implementing Multistate Behavioral Health Pay-for-Performance Initiatives in Medicaid Managed CareThe authors describe a pay-for-performance initiative targeting behavioral health providers, which was introduced by a large Medicaid managed care organization across multiple states.
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Prescription Opioid Abuse: Challenges and Opportunities for PayersThis article outlines strategies insurers can use to mitigate their risks related to prescription opioid abuse by members, while addressing this serious public health problem.
