Authors
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Comparison Between Guideline-Preferred and Nonpreferred First-Line HIV Antiretroviral TherapyInitiation of guideline-preferred first-line antiretroviral therapy (ART) was associated with better ART adherence and persistence and similar total healthcare expenditures among Medicaid-insured HIV patients.
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Small Practices' Experience With EHR, Quality Measurement, and IncentivesA study to assess clinician attitudes and experiences after participating in a New York City cardiovascular disease focused quality recognition and financial incentive program using health information technology.
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Comparison of Provider and Plan-Based Targeting Strategies for Disease ManagementThe authors compared targeting strategies and characteristics of chronic disease care management programs delivered by primary care practices with one administered by a large health plan.
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ACO Quality Over Time: The MSSP Experience and Opportunities for System-Wide ImprovementFrom 2013 to 2016, Medicare Shared Savings Program accountable care organizations (ACOs) improved quality. Continued infrastructure development funding, better relationships with postacute care facilities, and shared learnings among diverse ACOs would maximize quality improvement.
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A Narrow View of Choosing WiselyThis letter argues that an editorial published in the August 2018 issue provides an unduly limited perspective of the impact of Choosing Wisely.
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Assessing the Effect of the VHA PCMH Model on Utilization Patterns Among Veterans With PTSDThis study utilizes a validated instrument to create case and control groups to measure the effect of the Veterans Health Administration (VHA)’s patient-centered medical home (PCMH) model on utilization patterns among veterans with posttraumatic stress disorder (PTSD).
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Advancing Patient Care in Cardio-Oncology: The ACC.15 Cardio-Oncology IntensiveA Cardio-Oncology Working Group formed by the ACC conducted a nationwide survey focused on cardio-oncology services, gathering opinions from cardiovascular division chiefs and fellowship training directors. This helped identify important challenges, including the need for broader educational opportunities and training.
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Implementation of Cancer Clinical Care Pathways: A Successful Model of Collaboration Between Payers and ProvidersA statewide collaboration between payers and providers to create a cancer clinical care pathways program is successful.
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Patient-Centered Teamwork in Care TransitionsPhysician-led patient care teams have the potential to impact care transitions to prevent fragmentation of care, and ensure seamless care delivery.
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How We Did It: How One Physician-Owned ACO Earned Shared SavingsPalm Beach ACO discusses the grassroots approach they took to becoming one of 29 ACOs to earn shared savings in the first performance year.
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Challenges in Diabetes: How to Focus on Individuals, Improve Health of PopulationsDuring the first panel discussion at PCDC 2014, "Addressing Challenges in Diabetes," the panelists talked about individualizing patient care.
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Impact of Clinical Training on Recruiting Graduating Health ProfessionalsA business case is made for medical centers to offer high-quality clinical training experiences to recruit graduating health professionals.
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Analytic Models to Identify Patients at Risk for Prescription Opioid AbuseThis study evaluates the feasibility of using claims data to evaluate risk factors for prescription opioid abuse among patients in a privately insured population.
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Collaborative DTM Reduces Hospitalization and Healthcare Costs in Patients With Diabetes Treated With PolypharmacyDrug therapy management implementation in 2 health plans resulted in significant cost savings and modest to significant reductions in emergency department visits and inpatient admissions among patients with diabetes.
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Care by Cell Phone: Text Messaging for Chronic Disease ManagementCell phone“based text messaging may be used to feasibly support chronic disease management and engagement in diabetes self-care behaviors for some patients.
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Multi-Payer Advanced Primary Care Practice Demonstration on Quality of CareAn evaluation of the Multi-Payer Advanced Primary Care Practice Demonstration found mixed results in terms of quality of care provided to Medicare and Medicaid beneficiaries.
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Can Accountable Care Divert the Sources of Hospitalization?Oregon’s Medicaid accountable care organizations led to reductions in preventable hospital admissions, especially unscheduled admissions, among female beneficiaries aged 15 to 44 years.
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From Red Tape to Relief: Rewriting the Rules of Prior AuthorizationUp to 257 million Americans could benefit from these prior authorization reforms that could have cross-market implications on health care plans administered through commercial insurers, Medicare Advantage, and Medicaid.
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Persistent High Utilization in a Privately Insured PopulationThis study describes the small number of individuals responsible for larger shares of healthcare cost persistently over a 3-year period.
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Connected Care: Improving Outcomes for Adults With Serious Mental IllnessCase study of a payer-led intervention to improve coordination of care for adult Medicaid beneficiaries with serious mental illness.
