Authors
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Improving Antibiotic Stewardship: A Stepped-Wedge Cluster Randomized TrialThe authors assessed the effect of provider education and clinical decision support (CDS) on antibiotic prescribing for acute sinusitis. Education and CDS improved antibiotic stewardship and changed diagnosis patterns.
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Costs and Spillover Effects of Private Insurers' Coverage of Hepatitis C TreatmentExpanding private-payer coverage of hepatitis C treatment may yield significant long-term cost savings for private payers, reduced costs to Medicare, and increased social value.
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Battling the Chargemaster: A Simple Remedy to Balance Billing for Unavoidable Out-of-Network CareThe authors propose a simple legal mechanism to combat chargemaster abuses and encourage provider price competition. This solution is superior to prevailing legislative and regulatory responses to surprise out-of-network bills.
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Prescriber Compliance With Black Box Warnings in Older Adult PatientsElderly patients prescribed drugs with a drug-laboratory black box warning (BBW) had lower rates of prescriber BBW compliance than patients prescribed drugs with a drug-disease warning.
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COVID-19 Control in the United States: The Case for MaskingIn the control of COVID-19, the future perfect of the vaccine should not be the enemy of the present good, which is masking.
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Medicare Star Excludes Diabetes Patients With Poor CVD Risk Factor ControlThe Medicare STAR medication adherence measures exclude diabetes patients at high risk for poor cardiovascular outcomes, and underestimate the prevalence of medication nonadherence in diabetes.
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Healthcare Costs and Access for Young Adult Cancer Survivors: A Snapshot Post ACAThe Samfund conducted a preliminary investigation into the impact of the Affordable Care Act on young adult cancer survivors’ medical cost burden and access to health care.
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Does the Offer of Free Prescriptions Increase Generic Prescribing?The offer of free medications to low-income Medicare beneficiaries with diabetes enrolled in Part D plans has no impact on generic prescribing rates.
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Preconsultation Exchange in the United States: Use, Awareness, and AttitudesInternists reported frequent use of, and support for, preconsultation exchange to improve access to and efficiency of specialty care.
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Potential Impact of Hospital at Home on Postoperative ReadmissionsMany postoperative readmissions are amenable to diversion to a hospital at home program for surgical patients, representing an opportunity to generate revenue and improve patient experience.
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Active Pharmacovigilance and Healthcare UtilizationThis study highlights the potential value of innovative ways of collecting information about adverse drug events directly from patients.
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Referrals and the PCMH: How Well Do We Know Our Neighborhood?A descriptive analysis of specialty referral patterns in an academic, internal medicine patient-centered medical home (PCMH).
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Navigating Privacy and Security in Telemedicine for Primary CareThis qualitative study of patients and providers in primary care evaluated privacy and safety considerations in telemedicine following the COVID-19 pandemic.
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Overcoming Barriers to a Research-Ready National Commercial Claims DatabaseLessons learned about data governance and distribution from a voluntary healthcare claims repository, the Health Care Cost Institute, a nonprofit research organization
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Measuring Quality in the Early Years of Health Insurance ExchangesThis article recommends quality measures for exchange health plans and strategies to increase the availability of quality results for public reporting.
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Use of Well-Child Visits in High-Deductible Health PlansWhen preventive care was exempt from the deductible, well-child visits did not change for children switching from traditional plans to high-deductible plans.
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Opioid Prescribing for Chronic Pain in a Community-Based Healthcare SystemThis study identified populations with non-cancer chronic pain to determine which patients may be more likely to receive an opioid prescription in an outpatient setting.
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A Randomized Controlled Trial of Negative Co-Payments: The CHORD TrialThis study extends value-based insurance design concepts in testing the impact on blood pressure control of rewards that provided negative co-payments for blood pressure medication.
