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Health Plan Resource Use Bringing Us Closer to Value-Based DecisionsThere is a critical need for comparative information about plan resource use to support value-based purchasing efforts.
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A Strategy to Promote Population-Wide Life Satisfaction While Advancing EquityThe authors used health care claims and survey data to identify a strategy that might promote life satisfaction while advancing equity in an insured population.
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Reducing Long-Term Cost by Transforming Primary Care: Evidence From Geisinger's Medical Home ModelProvenHealth Navigator, Geisinger's version of advanced patient-centered medical homes, is associated with significant savings in total cost of care over time.
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Patient Perceptions of In-home Urgent Care via Mobile Integrated HealthComparing patients’ experiences with in-home urgent care from community paramedics vs urgent care provided in emergency departments, we found higher satisfaction among patients receiving in-home treatment.
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Genetic Counselors Save Costs Across the Genetic Testing SpectrumGenetic counselors (GCs) increasingly serve a variety of roles across the healthcare spectrum, including test utilization management. Our data show that utilizing the expertise of GCs reduced test order errors, improved patient outcomes, and resulted in significant cost savings to the healthcare system.
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Impact of a Pharmacy-Based Transitional Care Program on Hospital ReadmissionsPatients receiving postdischarge care from pharmacists had a 28% lower risk of readmission at 30 days and a 31.9% lower risk at 180 days compared with usual care.
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IT-Enabled Systems Engineering Approach to Monitoring and Reducing ADEsSelf-empowering team resource management, when aided by information technology, appears to help reduce adverse drug events in primary care offices.
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Project ECHO: An Effective Means of Increasing Palliative Care CapacityThis article provides insight on the work of 7 of Project ECHO’s replicating partners from around the world who are implementing the ECHO model to address the knowledge gap that underlies integrated palliative care crisis.
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CHAPTER 4. Guideline for the Care of the Older Adult With DiabetesFrom the Adult Diabetes and Clinical Research sections, Joslin Diabetes Center, Harvard Medical School, Boston, Massachusetts. This guideline was revised and approved May 17, 2017, and updated February 7, 2018.
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Costs of Asthma Among US Working AdultsAmong a working population, patients with asthma experienced significantly higher direct medical costs and modestly higher work loss than patients without asthma.
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Assessing Opportunities to Advance Quality Measures in Adult ObesityObesity is a serious chronic disease and risk factor for a broad range of outcomes. This study identifies opportunities for improving quality in obesity care.
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Case Study: How Does an ACO Generate Savings Three Years in a Row?Increasing accountable care organization savings is dependent on maximizing quality scores and increasing the number of beneficiaries while maintaining a low per-capita spend through efficiencies of care.
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Evaluation of Care Management Intensity and Bariatric Surgical Weight LossThis study examines the effect of pre- and postoperative care management intensity on weight loss outcomes after bariatric surgery in 9 US centers.
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Colorectal Cancer Screening Use Among Insured Primary Care PatientsColorectal cancer screening use was similar in 2 divergent primary care populations. Colonoscopy was the most frequently used modality; FOBT was used inconsistently.
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Integrating Behavioral Health Under an ACO Global Budget: Barriers and Progress in OregonFinancial barriers to behavioral health integration in Oregon Medicaid accountable care organizations (ACOs) limit opportunities to expand integrated care, but state and organizational opportunities exist.
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Identifying Subgroups of Complex Patients With Cluster AnalysisCluster analysis can aid in identifying subgroups of patients with similar patterns of comorbid conditions for targeted care management.
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EMR-Based Medication Adherence Metric Markedly Enhances Identification of Nonadherent PatientsIntegration of written-prescription data into medication adherence measures doubled the number of patients identified as nonadherent and improved prediction of follow-up LDL cholesterol.
