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A Deep Learning Model for Pediatric Patient Risk StratificationArtificial intelligence based on medical claims data outperforms traditional models in stratifying patient risk.
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Availability of Data for Measuring Physician Quality PerformanceTypical health plan data provide limited information for benchmarking physician performance using even a less stringent rule for attributing patient measures to physicians.
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Inflammatory Bowel Disease Readmissions Are Associated With Utilization and ComorbidityThirty-day readmissions related to inflammatory bowel disease are common and associated with longer length of stay and a higher likelihood of having an associated comorbid condition compared with index hospitalizations.
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Association Between Use of Clinician Performance Information and Patient ExperienceHigh patient experience scores were associated with the collection and use of any clinician performance information, especially with whether the practice shared this information internally to compare.
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Leveling the Field: Addressing Health Disparities Through Diabetes Disease ManagementA subanalysis of a successful algorithm-driven primary care–based diabetes disease management program examines the relationships among patient characteristics, labor inputs, and improvement in A1C level.
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Physician Response to Patient Request for Unnecessary CareMany primary care physicians in the United States reported providing unnecessary medical care in response to patient requests; several factors predicted this behavior.
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Cancer Screening Across the Aging ContinuumThe article reviews the current state of knowledge regarding screening guidelines for older adults and gives recommendations for healthcare providers working with older adults.
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Economic Burden of Osteoporotic Fractures in US Managed Care EnrolleesOsteoporotic fractures are associated with a significant economic burden, including costs of rehabilitation services and a high total all-cause cost of care.
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The Association of Health Literacy Domains With Hospitalizations and MortalityDespite previous research evidence, this study did not reveal an overall association of health literacy, numeracy, and graph literacy with all-cause hospitalizations or mortality.
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Provider Barriers in Uptake of Biosimilars: Case Study on FilgrastimPrevious studies have found modest uptake of biosimilars in both commercial and Medicare populations. This study finds that the uptake varies between the rural and urban provider settings.
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Variation in Markups on Outpatient Oncology Services in the United StatesCharges for oncology services vary widely across hospitals and impose financial burdens. Further legislation is needed to address disparities in access to high-quality cancer care.
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Reply to “Risk Adjustment in Home Health Care CAHPS”The authors of “CMS HCC Risk Scores and Home Health Patient Experience Measures” respond to a letter to the editor.
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Assessing the Impact of an Integrated Care System on the Healthcare Expenditures of Children With Special Healthcare NeedsThis study analyzes the effect of a managed care program on Medicaid expenditures for children with special healthcare needs using a quasi-experimental design.
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Potential Role of Network Meta-Analysis in Value-Based Insurance DesignThis study illustrates that where clinical trials are lacking, network meta-analysis can provide valuable insights into the potential clinical and economic benefits of value-based insurance design.
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Pilot-Testing a New Program for Providing Personalized and Patient-Centered Preventive CareProgram that enhances personalized and patient-centered preventive care at a busy inner-city primary care clinic may be associated with improved health outcomes.
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Future Thinking in Diabetes Care: The Impact of New Practice ModelsDuring his keynote address, Dr Gabbay spoke about the means of improving patient care and how new practice models, implemented at Joslin, have revolutionized the field.
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A Multimodal Blood Pressure Control Intervention in 3 Healthcare SystemsA multisite multimodal intervention of patient education, home monitoring, measurement reporting to an IVR system, and pharmacist follow-up achieved greater BP reductions vs usual care.
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Electronic Health Record Feedback to Improve Antibiotic Prescribing for Acute Respiratory InfectionsAn electronic health record–based feedback program, the Acute Respiratory Infection Quality Dashboard, did not lead to an overall change in antibiotic prescribing in primary care.
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Lessons From the Front: Designing and Implementing Clinical Pathways by and for CliniciansAs cancer care becomes more complex and more expensive, decision-support algorithms offer a mechanism to define best practice, reduce unwarranted variation, and control costs across growing networks.
