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The Best of Reform: Postacute Care BundlingBundled payments are a step in the right direction when it comes to moving away from a fee-for-service payment structure. They have been proved to cut costs, and providers are responding by producing significantly better outcomes. naviHealth, a postacute care benefit manager, will test one bundled payment model using 11 hospitals in 5 states.
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Medicare Underpayment for Diabetes Prevention Program: Implications for DPP SuppliersThe actual costs of implementing the evidence-based Diabetes Prevention Program (DPP) were compared with the latest reimbursement rates provided by CMS.
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Partnering With Patients to Rapidly Develop a Quality-of-Life Measure in Mycosis Fungoides/Sézary Syndrome Type Cutaneous T-cell LymphomaThe field of measurement in Mycosis Fungoides/Sézary syndrome type cutaneous T-cell lymphoma lacked a specific quality-of-life measure to describe patient experience or guide treatment decisions. Using an online platform with an engaged patient community, we developed and psychometrically validated a new measure in just under a year.
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Disparities in Antidepressant Adherence in Primary Care: Report From IsraelPatient characteristics such as psychiatric diagnosis were associated with variations in adherence, although physician characteristics were not.
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Adherence Patterns 1 Year After Initiation of SGLT2 Inhibitors: Results of a National Cohort StudyThis article describes the trajectory of adherence patterns among users of sodium-glucose cotransporter 2 (SGLT2) inhibitors. The authors found that baseline factors were unable to predict the adherence trajectory groups.
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Language Barriers and LDL-C/SBP Control Among Latinos With DiabetesAmong Latino patients with diabetes, ethnicity and language barriers were not associated with lipid and blood pressure control despite their associations with glycemic control in prior research. Check out our website’s new table/figure pop-up feature! Click on the name of a table or figure in the text to see it in your browser.
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The Effect of Medicare Advantage Enrollment on Mammographic ScreeningMedicare Advantage beneficiaries were 1.06 times more likely to receive mammography compared with fee-for-service (FFS) beneficiaries. FFS providers were less likely to recommend mammograms to racial/ethnic groups.
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Persistence With Biologic Therapies in the Medicare Coverage GapFor patients who reached the Medicare Part D coverage gap, discontinuation was more likely for patients taking osteoporosis medication.
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Contributor: 3 Key Questions for the Biden Administration and the 117th Congress Coming Out of the COVID-19 CrisisThe incoming Biden administration will be challenged to address flex capacity, the supply chain, and real-time data as we transition from coronavirus disease 2019 (COVID-19) response to durable recovery.
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Why Aren’t More Employers Implementing Reference-Based Pricing Benefit Design?This qualitative study finds low employer adoption of reference-based pricing (RBP) benefit design and that redesign of RBP may be necessary to overcome barriers to adoption.
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High-Cost, High-Need Patients: The Impact of Reported Penicillin AllergyA reported penicillin allergy was common and was associated with suboptimal antibiotic choices and increased healthcare utilization in high-cost, high-need patients.
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Health Economic Analysis of Breast Cancer Index in Patients With ER+, LN- Breast CancerThis study projected that the breast cancer index assay is cost saving when used either at diagnosis or at 5 years post diagnosis.
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Catheter Management After Benign Transurethral Prostate Surgery: RAND/UCLA Appropriateness CriteriaThis manuscript synthesizes findings from a multidisciplinary panel following the RAND/UCLA Appropriateness Method to guide standardization of urinary catheter use after transurethral prostate surgery.
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Clinical Characteristics and Treatment Patterns Among US Patients With HIVIt is important to take into account individual complexities such as comorbidities and pill burden when selecting antiretroviral therapy regimens for individuals living with HIV.
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Utilization of HER2 Genetic Testing in a Multi-Institutional Observational StudyEvaluation of real-world implementation of HER2 testing showed that uptake was high (>90%) and trastuzumab treatment was targeted to patients with positive HER2 status.
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A Payer–Provider Partnership for Integrated Care of Patients Receiving DialysisA report on the clinical and economic outcomes of a new payer–provider partnership serving patients with end-stage renal disease.
