Authors
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Cost Burden of Treatment Resistance in Patients With DepressionWhen a clinical staging algorithm for treatment-resistant depression was applied to administrative claims data, higher scores predicted higher future medical costs.
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A Health Plan Prescription for Health Information TechnologyUsing their own technology, health plans can provide valuable data and capabilities to move adoption of health information technology systems forward.
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Changing Physician Behavior: What Works?The authors evaluate methods for implementing clinical research and guidelines, in order to change physician practice patterns, in surgical and general practice.
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Telemonitoring With Case Management for Seniors With Heart FailureAn Internet-based telehealth intervention for elderly heart failure patients found no discernible incremental impact on morbidity or mortality compared with case management alone.
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Enhancing Healthcare Delivery Research at the National Cancer InstituteThe National Cancer Institute's Division of Cancer Control and Population Sciences created the Healthcare Delivery Research Program in January 2015, recognizing the need for empirical evidence to address cancer care challenges.
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Delivering on the Value Proposition of Precision Medicine: The View From Healthcare PayersGenomics-based precision medicine has the potential to transform healthcare delivery. However, effective collaborations among scientists, clinicians, and payers are needed to accelerate the translation of precision medicine to clinical practice and ensure its sustainability.
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Pilot of Decision Support to Individualize Colorectal Cancer Screening RecommendationsColorectal cancer screening involves balancing immediate harms with longer-term benefits; electronic medical record decision support may facilitate personalized benefit/harm assessment.
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Impact of Electronic Information Exchange on Repeat Imaging During 30-Day Readmissions Among Medicare BeneficiariesThis analysis of Medicare data examines the relationships between fragmented readmission, health information exchange, and repeat imaging in older adults with and without Alzheimer disease.
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Medicare Part D and Potentially Inappropriate Medication Use in the ElderlyHigh-risk drug use increased slightly among seniors gaining Medicare Part D coverage; however, high-risk drugs account for a small share of total drug use.
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Placement of Selected New FDA-Approved Drugs in Medicare Part D Formularies, 2009-2013There is significant heterogeneity in formulary placement and restrictions on new drug approvals in the Part D marketplace.
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Opioid Safety Initiative Associated With Decreased Emergency Department Opioid PrescribingA scalable health system–wide emergency physician education and feedback initiative was associated with decreased opioid prescribing, in excess of background temporal decline.
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Implementing a Hybrid Approach to Select Patients for Care Management: Variations Across PracticesHybrid approaches allow for clinician input into case finding for care management, but training and monitoring is required to protect against unintentional biases.
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Contributor: When It Comes to Maternal Health, States Can Be Health Plans’ North StarStates are turning to alternative payment models to improve outcomes and reduce health care expenditures, representing a critical step forward specifically for the US maternal health crisis.
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Patient-Centered Medical Home Features and Expenditures by Medicare BeneficiariesAnalysis of the impact of individual features of the patient-centered medical home care model on future healthcare expenditures among Medicare beneficiaries.
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CMS Gets Ready to Release OCM Report CardsOncology care model (OCM) practices are awaiting CMS' release of the first performance period one true-up and performance period two initial reconciliation results.
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Using Guidelines: When Is It Appropriate?This article aims to review guideline development methodology to inform users on key aspects to consider when judging if a practice should be adapted or changed.
