Authors
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Medicare Star Excludes Diabetes Patients With Poor CVD Risk Factor ControlThe Medicare STAR medication adherence measures exclude diabetes patients at high risk for poor cardiovascular outcomes, and underestimate the prevalence of medication nonadherence in diabetes.
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Value-Based Insurance Designs in the Treatment of Mental Health DisordersThis study examined the application of value-based insurance design to the treatment of mental health disorders and addresses any additional challenges.
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Patient-Centered Medical Home and Quality Measurement in Small PracticesSmall practices with NCQA patient-centered medical home recognition perform better on quality measures, especially those related to chronic conditions.
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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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It Is Time to Ask Patients What Outcomes Are Important to ThemPatients with abdominal or back pain identified 21 outcomes important to them, but the reported outcomes are quite different from the symptom and function outcomes studied by researchers.
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The Utility of Cost Discussions Between Patients With Cancer and OncologistsMany patients with cancer desire cost discussions with doctors, but those discussions are rare. Nevertheless, cost discussions may lower patient costs-usually without altering treatment.
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Increasing Trust in Health CareThis commentary describes 4 dimensions of trust that have been illuminated by contributions from leading health care organizations to the ABIM Foundation’s Trust Practices Network.
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Oral Antidiabetic Medication Adherence and Glycemic Control in Managed CareIn this retrospective study of patients with diabetes, adherent patients were more likely to achieve glycemic control than nonadherent patients.
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Treatment Patterns, Healthcare Utilization, and Costs of Chronic Opioid Treatment for Non-Cancer Pain in the United StatesHealthcare utilization and costs increased in the 6 months after patients started opioid therapy for chronic pain; they then decreased but never reverted to baseline levels.
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Use of Patient-Reported Outcomes and Satisfaction for Quality AssessmentsUnderstanding the relationships among patient-reported outcomes, satisfaction, and quality is the first step in drawing meaningful conclusions that can then be translated into policy.
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Implications of Eligibility Category Churn for Pediatric Payment in MedicaidAnalyses of Ohio Medicaid claims data from 2013 to 2015 reveal that instability among eligibility categories is common and affects average capitation but not health service use.
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Process of Care Compliance Is Associated With Fewer Diabetes ComplicationsAdherence to process of care measures was associated with reduced risk of 2 diabetes complications or any of 4 complications in a national industrial cohort.
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Examining the Reality of What Insulin Costs Do to PatientsThe editor-in-chief of Evidence-Based Diabetes Management™ introduces the special issue, Perspectives on Insulin Pricing, and shares that he has seen rationing among his own patients.
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Reduced Medical Spending Associated With Integrated Pharmacy BenefitsMembers covered by an integrated pharmacy benefit (as opposed to a pharmacy carve-out) experienced slower growth in medical spending.
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Factors Associated With Timeliness in Academic General Surgery Clinics: A Prospective Quality AssessmentThe participation of residents and physician assistants significantly increased patient wait time without reducing the attending surgeon’s consultation length in outpatient surgery clinics.
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Formulary Considerations: The Past, Present, and FutureThe hospital formulary system is an ongoing process that evaluates and selects the safest, most effective, and most economical care for hospitalized patients. As healthcare continues to change, so will the formulary management process.
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Referring Wisely: Orthopedic Referral Guidelines at an Academic InstitutionThe authors used the modified Delphi method to develop local orthopedic referral guidelines, enabling detailed decision support and non—face-to-face consultation at the point of referral.
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Primary Care Physician Practice Styles and Quality, Cost, and ProductivityPrimary care physicians who address multiple problems during acute care visits achieve better clinical scores, comparable patient experience, and lower annual cost.
