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Pharmacy Team Engagement in Navigating the Revenue Cycle for High-Cost Medications in Patients With CancerWith the clinical and financial implications of high-cost medications, and their impact on health system revenue, it is of utmost importance for all key stakeholders to be engaged in the complex revenue cycle.
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Progress of Diabetes Severity Associated With Severe Hypoglycemia in TaiwanRapid progression of diabetes complications was associated with higher risk of severe hypoglycemia.
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General Medical Claims for Behavioral Health Patients in JapanThis Japanese cohort shows that behavioral health service users had health care costs higher than those of individuals who did not use behavioral health services, yet lower than the costs demonstrated by studies in US populations.
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Ambulatory Care Fragmentation and Hospitalization Among Veterans With DiabetesHaving highly fragmented ambulatory care and a usual provider of care outside the Veterans Health Administration increased the odds of hospitalization among veterans with diabetes.
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Telehealth and Hospitalizations for Medicare Home Healthcare PatientsAn integrated, clinician-focused telehealth monitoring system significantly reduced hospitalizations in Medicare home healthcare patients.
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Oncology Practice Transformation Helps Deliver Patient-Centered Cancer Care in a Community Oncology PracticeOne possible way to reduce overall cost, improve patient experience, and improve outcomes in cancer care is to shift the focus of healthcare delivery away from volume and toward value. Patient-centered cancer care holds the promise of addressing these issues.
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Physician Prices and Low-Value Services: Evidence From General Internal MedicineThis study found extensive variation in general internal medicine physician prices and that high-priced physicians provided fewer low-value services but had higher spending on these services.
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Identifying Frail Older People Using Predictive ModelingThe frailty determination of the Adjusted Clinical Groups“diagnoses based predictive model identified frail elders with moderate success compared with a validated screening questionnaire.
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Effect of a Managed Care Disease Management Program on Diabetes CareProcesses and outcomes of diabetes care improved substantially over 6 years in a managed care health plan with a comprehensive diabetes disease management program.
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Early Clinical Experience With Networked System for Promoting Patient Self-ManagementA networked system designed to promote patient self-management appears to be safe and effective in capturing, integrating, and presenting medication adherence and physiologic information.
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Changing Demographics Among Populations Prescribed HCV Treatment, 2013-2017From 2013 to 2017, the population of US patients prescribed treatment for chronic hepatitis C virus (HCV) changed, becoming predominantly treatment-naïve and having received care in nonacademic centers.
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Is Integration in Large Medical Groups Associated With Quality?Integrated care systems allegedly provide better care. This study of 97 large medical groups nationally provides suggestive evidence that this may be true.
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Understanding and Improving Value Frameworks With Real-World Patient OutcomesNew value frameworks should incorporate real-world evidence that reflects patient treatment behavior, adherence to medication, and equity concerns arising from disparities in care.
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Inappropriate Wrist MRI: Did Guidelines Have an Impact?This article analyzes the use of MRI in a national sample of patients with wrist pain before and after consensus guideline publication.
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Does Distance Modify the Effect of Self-Testing in Oral Anticoagulation?Self-testing of anticoagulation improves outcomes, but is expensive. One might assume it is more helpful for patients living farther from care, but the authors disprove this assumption.
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Estimating the Staffing Infrastructure for a Patient-Centered Medical HomeThis study suggests that implementing a patient-centered medical home requires additional staff with specific expertise based on the needs of the practice and its population.
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Clinical Consequences of Disseminating the Rosiglitazone FDA Safety WarningNotifying patients and providers about the rosiglitazone cardiovascular safety alert led to sweeping changes in drug therapy that were initiated by both physicians and patients.
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Postacute Care Partnerships and Patient ProgressionPostacute care partners are required for successful patient transitions. Collaboration among multidisciplinary teams and community resources is critical for discharge planning and partnership alignment.
