Authors
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Differential Impact of Mental Health Multimorbidity on Healthcare Costs in DiabetesAssessment of prevalence and specific costs associated with discrete multimorbid mental health disease clusters in adults with diabetes.
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A Strategic Plan for Integrating Cost-effectiveness Analysis Into the US Healthcare SystemA panel composed of medical and pharmacy directors expressed strong support for a greater role for cost-effectiveness analysis in US health policy decisions.
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Choosing Wisely Clinical Decision Support Adherence and Associated Inpatient OutcomesThis analysis examines the associations between adherence to Choosing Wisely recommendations embedded into clinical decision support alerts and 4 measures of resource use and quality.
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Reference-Based Pricing: An Evidence-Based Solution for Lab Services ShoppingReference-based pricing combined with employer education and an online shopping tool significantly improved members' utilization of lab services at or below the reference price
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Community Navigators Reduce Hospital Utilization in Super-UtilizersSuper-utilizers place a significant clinical and financial burden on the healthcare system. The authors investigated the effectiveness of community navigators in reducing hospital utilization and costs.
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Multimodality Cancer Care and Implications for Episode-Based Payments in CancerMost patients receiving multimodality cancer care receive care from different practices. Therefore, episode-based payments in oncology must hold multiple providers accountable for costs and quality.
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The Intersection of Health and Social Services: How to Leverage Community Partnerships to Deliver Whole-Person CareAs the healthcare industry continues its transition from volume to value, it is critical for healthcare organizations to leverage existing community partnerships to improve outcomes.
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Older Adult Consumers' Attitudes and Preferences on Electronic Patient-Physician MessagingA randomized controlled trial was conducted to assess whether adding a peer testimonial to a mailing increases conversion rates from brand name prescription medications to lower-cost equivalents.
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Hospital Readmission Rates in Medicare Advantage PlansHospital readmission rates in Medicare Advantage plans are considerably lower than those in Medicare's traditional fee-for-service program, after accounting for differences in risk.
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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 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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ACO Coalition Members Present Success Stories in Diabetes ManagementAs part of its mission to bring together stakeholders engaged in implementing the Affordable Care Act, The American Journal of Managed Care created the ACO and Emerging Healthcare Delivery Coalition, which gives participants opportunities to share best practices in using new reimbursement models. The final panel of "Patient-Centered Diabetes Care: Putting Theory Into Practice" invited ACO Coalition members to present insights on diabetes care.
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Cost-Effectiveness of a Patient Navigation Program to Improve Cervical Cancer ScreeningThis study investigates the cost-effectiveness of a community-based patient navigation program to improve cervical cancer screening.
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Hospital Cancer Pain Management by Electronic Health Record–Based Automatic ScreeningA cancer pain control program for inpatients based on electronic health record–based automatic screening provided effective pain relief and achieved high satisfaction among patients and physicians.
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Cervical Cancer Screening Overuse and Underuse: Patient and Physician FactorsCervical cancer screening underuse and overuse occur commonly in clinical practice and identifiable patient and physician factors can be targeted for quality improvement.
