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Development of a Multidisciplinary, Multicampus Subspecialty Practice in Endocrine CancersThe development of subspecialty tumor groups for uncommon malignancies represents an effective approach to building experience, increasing patient volumes and referrals, and fostering development of increased therapeutic options and clinical trials for patients afflicted with otherwise historically neglected cancers.
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Medicare Part D Claims Rejections for Nursing Home Residents, 2006 to 2010This study presents data on paid and rejected claims submitted by 1 large long-term care pharmacy over the initial 5 years of Medicare Part D.
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Opportunities to Improve the Value of Outpatient Surgical CareOutpatient surgeries in the United States account for roughly 7% of annual healthcare expenditures. To exploit substantial opportunities to improve the value of outpatient surgical care, the authors composed an evidence-based care delivery composite for national discussion and pilot testing.
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Association of Care Management Intensity With Healthcare Utilization in an All-Condition Care Management ProgramHigher intensity of care management in an all-condition program addressing care coordination and care barriers was associated with increased healthcare utilization among Medicaid and Medicare patients.
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Clinician Considerations When Selecting High-Risk Patients for Care ManagementClinicians consider a number of patient predisposing and enabling characteristics not typically available in clinical data systems when selecting high-risk patients for care management.
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Health Equity in the Era of Large Language ModelsThis article presents challenges and solutions regarding health care–focused large language models (LLMs) and summarizes key recommendations from major regulatory and governance bodies for LLM development, implementation, and maintenance.
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Pilot of Decision Support to Individualize Colorectal Cancer Screening RecommendationsColorectal cancer screening involves balancing immediate harms with longer-term benefits; electronic medical record decision support may facilitate personalized benefit/harm assessment.
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Measuring the Cost Implications of the Collaborative Accountable Care Initiative in TexasA private accountable care organization model with an embedded care coordinator and a list of recommended providers yields cost savings similar to initiatives with risk-based contracts.
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Hospital Admissions and MS: Temporal Trends and Patient CharacteristicsAn examination of hospitalization patterns in patients with multiple sclerosis with a focus on the association with time and patient characteristics.
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Abolishing Coinsurance for Oral Antihyperglycemic Agents: Effects on Social Insurance BudgetsA coinsurance rate decrease can result in increased adherence to oral antihyperglycemic agents and improved clinical outcomes and cost savings for the healthcare system.
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Email-Based Care Transitions to Improve Patient Outcomes and Provider Work Experience in a Safety-Net Health SystemA pilot of email-based care transitions between hospital and primary care teams improved patient attendance at follow-up visits, provider satisfaction, and work efficiency.
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The Relationship Between Preventive Dental Care and Overall Medical ExpendituresUsing an instrumental variable approach, this study is the first to present causal estimates of the effect of preventive dental visits on overall medical expenditures.
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Enhanced Risk Prediction Model for Emergency Department Use and Hospitalizations in Patients in a Primary Care Medical HomeAn enhanced risk model incorporating medication use, prior healthcare utilization, and mental health with comorbid health conditions predicts healthcare utilization better than health conditions alone.
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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.
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Recent Study on Site of Care Has Severe LimitationsThe outpatient community oncology setting is consistently less costly for cancer treatment as opposed to the outpatient hospital setting.
