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Relationship of Diabetes Complications Severity to Healthcare Utilization and Costs Among Medicare Advantage BeneficiariesThis retrospective cohort study in a Medicare Advantage population posits that type 2 diabetes mellitus complications pose an excess burden on healthcare resource use and related costs.
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The Role of Advanced Technologies in Improving Diabetes OutcomesThis article reviews underlying barriers to health care access and discusses how a value-based diabetes care model could improve patient outcomes and reduce long-term costs.
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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.
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Physician Utilization by Insurance Type Among Youth With Type 2 DiabetesPhysician utilization during the year before the first indication of type 2 diabetes did not differ between Medicaid-covered and privately insured youth.
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Sustainable Lifelines: Supporting Integrated Behavioral Health Services for Children and Adolescents in the Accountable Care EraA reimbursement strategy for collaborative care models is presented to enhance access to integrated behavioral healthcare for children and adolescents from underserved areas.
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Racial/Ethnic and Age Disparities in Chemotherapy Selection for Colorectal CancerAmong Medicare enrollees with metastatic colorectal cancer, the use of newer chemotherapy agents was lower for African American patients and for older patients.
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Provider Type and Management of Common Visits in Primary CareIn primary care, nurse practitioners and physician assistants do not necessarily order more ancillary services, or more costly services among alternatives, than physicians.
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Dangerous Liaisons: Obesity and DiabetesApproximately 80% to 90% of Patients Diagnosed With Type 2 Diabetes Mellitus Are Also Obese
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A Descriptive Study of Patients Receiving Foundational Financial Assistance Through Local Specialty PharmaciesLocal specialty pharmacies collaborated with a charitable assistance organization to provide a safety net and to facilitate care for patients with chronic illnesses, allowing them to focus on receiving and adhering to medication, rather than on financial toxicity.
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How Health Plans Promote Health IT to Improve Behavioral Health CareCommercial health plans promote the use of health IT to support behavioral health care access and delivery.
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A Dementia Care Management Intervention: Which Components Improve Quality?Specifically trained care managers are essential for quality gains from a dementia care management program; even higher quality accrues with coordination across community and primary care.
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The 2014 Elections and the Future of MedicaidThe 2014 elections are likely to have minor, but noticeable impacts on the future of the Medicaid program, both in terms of federal conversations on entitlement reform and in state approaches to the Medicaid expansion.
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Pilot of Urgent Care Center Evaluation for Acute Coronary SyndromeA formal protocol for urgent care center evaluation of potential acute coronary syndrome safely precluded emergency department visits among 84% of those eligible.
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5-ASA to Sulfasalazine Drug Switch Program in Patients With Ulcerative ColitisA 5-aminosalicylic acid (5-ASA) drug switch program switching from 5-ASA to sulfasalazine was instituted for insured patients with ulcerative colitis. Unanticipated barriers limited the number of patients who switched, but significant cost savings were still obtained.
