Authors
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Cannabis Improves Quality of Life in Women With Treatment-Resistant FibromyalgiaFibromyalgia is a common pain syndrome that affects women twice as much as men.
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Characteristics of Self-Triaged Emergency Department Visits by Adults With CancerAdults with cancer may have difficulty self-assessing the clinical severity of their acute care needs, yet they rarely use a telephone triage line available to them.
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The Relationship Between the Follow-up to Discharge Ratio and Length of StayThe objective was to evaluate the correlation between the follow-up to discharge ratio and average length of stay.
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Service Line Care Delivery Model for COVID-19 Patient-Centric CareThe authors provide steps hospitals can take to align their care delivery model to effectively meet the demands of a public health crisis such as the current pandemic.
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Hospitals’ Strategies to Reduce Costs and Improve Quality: Survey of Hospital LeadersHospitals pursue a broad range of efforts to improve quality, with those participating in bundled payments attempting to reduce postacute care to a greater degree than nonparticipants.
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Consumer-Centric Approach to Enhance Access to Pediatric Specialty CareThe authors’ organization optimized scheduling techniques that improved patient access to pediatric specialists to within 7 calendar days for new patients.
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Changes in Use of Low-Value Services During the COVID-19 PandemicUse of low-value care services during COVID-19 exhibits substantial heterogeneity but, on average, shows declines similar to the use of high-value services; low-value care use lags behind high-value care use in the rebound phase.
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Increasing Medicare Annual Wellness Visits in Accountable Care OrganizationsThrough innovations increasing the ease of scheduling and the efficiency of conducting annual wellness visits (AWVs), a large Medicare accountable care organization has been able to increase AWV rates among eligible beneficiaries.
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Health Impacts of Health System Implementation of a Food-as-Medicine StrategyThis article describes the reach of a Food-as-Medicine strategy implemented by a regional health care system and its impact on adult participants’ cardiometabolic risk factors.
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Pharmacist-Driven SMART Formulary Improves PharmacoequityA large academic medical center implemented a charitable care formulary with clinical pharmacist oversight, which resulted in more efficient usage of funds and fewer readmissions.
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Discharge Before Noon: Is the Sun Half Up or Half Down?Discharge before noon was associated with longer length of stay in patients with medical diagnoses and shorter length of stay in surgical patients.
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AI Meets Medicare: Inside CMS’s WISeR Model With Sanjay Doddamani, MD, MBA, Part 2In this second part of his interview with The American Journal of Managed Care®, Sanjay Doddamani, MD, MBA, a former senior advisor to CMMI and founder and CEO of Guidehealth, continues a dialogue on the future of value-based care and the promise—and limits—of AI-enabled innovation, reflecting on challenges like rising Medicare costs and patients’ growing financial burdens.
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Medicare Advantage Coverage Restrictions for the Costliest Physician-Administered DrugsFour large Medicare Advantage insurers manage access to expensive physician-administered drugs with a combination of prior authorization, step therapy, and Part D formulary design.
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Cost Analysis of Self-Monitoring Blood Glucose in Nonintensively Managed Type 2 DiabetesAnalysis of claims data showed reduced utilization and costs among patients with nonintensively managed type 2 diabetes using self-monitoring of blood glucose compared with continuous glucose monitoring.
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Use of Second-Generation Antidiabetic Medication Among a Nationally Representative SampleAmong individuals with a diagnosis of type 2 diabetes across the United States, income level, hemoglobin A1c, and comorbidity burden were the primary patient-level drivers of the use of newer antidiabetic agents.
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A Novel Approach to Attribute Responsible Physicians Using Inpatient ClaimsThe authors propose a novel approach in which physicians’ responsibility for inpatient stays is expressed through physician-specific attribution ratios informed by patient characteristics.
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Addressing Cancer Care Barriers Through Community Outreach and SupportFebruary 4 is World Cancer Day, and in these interviews with our Strategic Alliance Partner, NYU Langone Health, we learn about the importance of forming strong relationships with the communities you are located in and with whom you work to optimize cancer-related outcomes.
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Improving Care Coordination and Reducing ED Utilization Through Patient NavigationA navigation program demonstrated decreased odds of repeat emergency department (ED) visits in patients with low baseline ED utilization and increased odds of follow-up primary care appointments.
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Financial Considerations Influencing Treatment Strategies in PNH Treatment PathwayThe panelists provide their final thoughts, highlighting financial considerations in PNH treatment.
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Breaking Down Taletrectinib’s FDA Approval: Jorge J. Nieva, MDIn this interview with TRUST-I and TRUST-II trial investigator, Jorge J. Nieva, MD, USC Keck School of Medicine, he walks through the design of the trials, the results that supported the FDA approval, and taletrectinib’s potential to redefine first-line therapy.
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Geographic Variation in Medicare Home Health ExpendituresThis study attempts to identify the sources of the significant 2.5-fold variation found in home health expenditures, a possible indicator of inefficiency and waste.
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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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Additional Clinical Considerations for the Management of ObesityPanelists discuss how reaching underserved populations requires proactive outreach, digital health tools with appropriate training, addressing health literacy barriers, and ensuring equitable access to diabetes technologies and treatments rather than waiting for patients to seek care.
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Treosulfan Approval Offers Novel Option for Allo-HSCT Conditioning in AML/MDSMikkael A. Sekeres, MD, Sylvester Comprehensive Cancer Center, discusses the potential benefits of treosulfan, a newly approved agent for allogeneic hematopoietic stem cell transplantation (allo-HSCT) conditioning in acute myeloid leukemia (AML) or myelodysplastic syndrome (MDS).
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Advancing Team-Based Primary Care: The Importance and Challenges in 2023This editorial describes several key lessons about the development of effective value-based care delivery.
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KAP Regarding ChatGPT Among Health Care Professionals: CorrespondenceThis letter discusses previously published research that paves the way for deeper exploration of the ethical and human aspects of artificial intelligence in health care.
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Health Care Leader Perspectives on State Government–Sponsored Accountable Care for Public EmployeesQualitative interviews reveal health care leader perspectives on how state governments influenced payment reform by developing an accountable care program for public employees.
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Individuals With Mental Illness Continue to Face Barriers in Access to Care: Michael McGuire, PharmDIndividuals with mental illness in America continue to face socioeconomic barriers when it comes to accessing necessary care and treatment.
