Authors
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Scaling Lean in Primary Care: Impacts on System PerformanceLean redesigns in primary care improved workflow efficiencies, physician productivity, and overall satisfaction among patients, physicians, and staff, with no adverse effects on clinical quality.
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Two-Sided Risk in the Oncology Care ModelThe US healthcare system remains one of the most inefficient healthcare systems in the world. The Bloomberg Health-Care Efficiency Index ranked the United States 54th among 56 countries in 2018, tied with Azerbaijan and only ahead of Bulgaria. This occurs even though the United States spends $10,244 per capita annually on healthcare, a figure representing 17% of the gross domestic product.
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Routine Pre-cesarean Staphylococcus aureus Screening and Decolonization: A Cost-Effectiveness AnalysisRoutinely screening pregnant women for Staphylococcus aureus colonization and decolonizing carriers before cesarean delivery are unlikely to be cost-effective under current epidemiologic circumstances.
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Primary Nonadherence to Medications in an Integrated Healthcare SettingThis retrospective study measures primary nonadherence rates for 10 drug groups and identifies important factors of primary nonadherence for chronic and acute medications.
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Outpatient Parenteral Antimicrobial Therapy at Large Veterans Administration Medical CenterOutpatient parenteral antimicrobial therapy was successfully delivered in our facility despite significant comorbidity and geographic limitations.
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Supporting the Patient's Role in Guideline Compliance: A Controlled StudyThis study measured compliance with evidence-based guidelines after clinical alerts sent to physicians, compared with compliance after alerts sent to both physicians and their patients.
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Pathways, Outcomes, and Costs in Colon Cancer: Retrospective Evaluations in 2 Distinct DatabasesRetrospective evaluations of electronic health records and claims databases to assess clinical outcomes and costs associated with evidence-based pathways in colon cancer.
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Voice Response System to Measure Healthcare Costs:A STAR*D ReportModerate underreporting biases were found when patient responses to an interactive voice response system were compared with medical records in the STAR*D clinical trial.
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The Potential Impact of CAR T-Cell Treatment Delays on SocietyTreatment delays limit the social value generated by chimeric antigen receptor (CAR) T-cell therapy for the treatment of pediatric acute lymphoblastic leukemia and diffuse large B-cell lymphoma.
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Population Health Approach for Diabetic Patients With Poor A1C ControlA population health management approach to identify, track, and intervene with diabetic patients before their blood sugar becomes poorly controlled can improve their overall health.
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Provider Differences in Biosimilar Uptake in the Filgrastim MarketThe speed and extent of biosimilar penetration differ across provider types. Provider awareness and incentives are significantly associated with biosimilar uptake.
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Assessing the Impact of an Integrated Care System on the Healthcare Expenditures of Children With Special Healthcare NeedsThis study analyzes the effect of a managed care program on Medicaid expenditures for children with special healthcare needs using a quasi-experimental design.
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Impact of a Medical Home Model on Costs and Utilization Among Comorbid HIV-Positive Medicaid PatientsAmong HIV-positive Medicaid patients with comorbid medical and psychiatric disorders, there was increased outpatient service utilization, yet relative cost savings, for patients who were treated in patient-centered medical homes.
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Thromboembolism Prophylaxis in Medical Inpatients: Effect on Outcomes and CostsVTE prophylaxis is underutilized in medical patients in US hospitals, but the occurrence of VTE has a major clinical and economic impact.
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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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The Effect of Implementing a Care Coordination Program on Team Dynamics and the Patient ExperienceA primary care redesign program embedding care coordinators into practices slightly improves the patient experience and does not disrupt team dynamics.
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TSI Assay Utilization: Impact on Costs of Graves' Hyperthyroidism DiagnosisAn evidence-based managed care budget impact model shows that incorporating TSI testing into existing Graves%u2019 disease hyperthyroidism diagnostic algorithms reduces costs and shortens time to diagnosis.
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Increasing Integration of Behavioral Health Care in ACOsMany accountable care organizations are beginning to adopt various programs or strategies into their framework to increase patient access to behavioral health care, but several challenges remain.
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The Association Between Insurance Type and Cost-Related Delay in Care: A SurveyIn a survey of patients and visitors to a large academic medical center, middle-income respondents with private insurance reported more cost-related delays in care than those with public insurance.
