Authors
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Reduction of Emergency Department Use in People With DisabilitiesThis study examined emergency department use by Medicaid beneficiaries with disabilities in safety-net clinics that have adopted the patient-centered medical home model compared with matched comparison beneficiaries.
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A Systematic Review of Reference Pricing: Implications for US Prescription Drug SpendingReference pricing is an effective cost-containment tool widely used in other countries; it may be an attractive policy strategy for the US healthcare system.
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Challenges Faced by Medicaid Managed Care Coordinators Working With Members With Substance Use DisorderAccessing medical and social resources for patients, heavy administrative burden, and lack of data integration are barriers to Medicaid managed care organization care coordinators’ job performance.
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Medication Nonadherence, Mental Health, Opioid Use, and Inpatient and Emergency Department Use in Super-UtilizersNonadherence to essential chronic medications and mental health diagnosis were associated with higher hospitalizations and emergency department use among Medicare super-utilizers.
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Acupuncture and Chiropractic Care: Utilization and Electronic Medical Record CaptureMost patients with chronic musculoskeletal pain use acupuncture or chiropractic care. A substantial percentage of this utilization, however, is not captured by the electronic medical record.
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Nurse Practitioner Comanagement for Patients in an Academic Geriatric PracticeNurse practitioner comanagment improved quality of care for 5 chronic conditions in an academic geriatrics practice.
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Areas of Addressable Friction for the Adoption of Greater Healthcare Affordability: Insights from US PhysiciansBased on an analysis of Medscape Business of Medicine data, we identify 5 specific areas of friction for the success of payment reform efforts.
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Uniting the Tribes of Health System ImprovementLarge-scale transformation of the US healthcare system will require multiple interventions and tools implemented together.
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Cost-effectiveness of Brentuximab Vedotin With Chemotherapy in Treatment of CD30-Expressing PTCLAn economic model based on the ECHELON-2 trial demonstrated cost-effectiveness of brentuximab vedotin with chemotherapy in frontline treatment of CD30-expressing peripheral T-cell lymphoma (PTCL).
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Integrated Care Organizations: Medicare Financing for Care at HomeThis paper presents a policy proposal to integrate care for Medicare beneficiaries through creation of integrated care organizations and a Medicare home care benefit.
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Comparing Quality of Care in the Medicare ProgramQuality measures showed large, though mixed, differences between Medicare fee-for-service and Medicare Advantage programs.
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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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Trends in Low-Value Cancer Care During the COVID-19 PandemicAmong adults with newly diagnosed cancer, rates of low-value cancer services persisted throughout the COVID-19 pandemic in areas ranging from peridiagnosis imaging to end-of-life care.
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A Health Systems Improvement Research Agenda for AJMC's Next DecadeThe ultimate goal of the research that will be published in the pages of AJMC and elsewhere over the next decade is to provide those on the ground involved in health reform implementation and health systems redesign with critical, timely evidence in order to make mid-term corrections in the redesign of the US health system going forward.
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Toyota Production System Quality Improvement Initiative Improves Perioperative Antibiotic TherapyUse of Toyota production system methods as part of a nosocomial MRSA prevention initiative on a surgical unit improved quality of care in other areas.
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Payer Source Influence on Effectiveness of Lifestyle Medicine ProgramsThe health benefits for participants of the Complete Health Improvement Program ("CHIP"), a lifestyle medicine program, are present regardless of the program tuition payment source.
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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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ASCO 2024 Review and Needed Future Research in CDK4/6 inhibitors Early Breast CancerA panel of experts review ASCO 2024 and the need for future research in CDK4/6 inhibitors.
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e-Consult Implementation Success: Lessons From 5 County-Based Delivery SystemsThis case study of 5 county-based delivery systems finds that existing specialty care relationships and information technology integration are important differentiating factors for e-consult implementation success.
