Authors
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A Health Plan Prescription for Health Information TechnologyUsing their own technology, health plans can provide valuable data and capabilities to move adoption of health information technology systems forward.
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National Psoriasis Foundation: A Patient-Centric Approach to Improve Access to Psoriatic Disease TreatmentThis case study from the National Psoriasis Foundation describes its aim to eliminate access barriers-including cost-through legislative and regulatory advocacy, direct patient assistance programs, and engagement with health insurers.
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Cost of Dementia in Medicare Managed Care: A Systematic Literature ReviewA systematic review of the literature reporting the cost of dementia among Medicare managed care plans found a limited and dated body of evidence.
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Medical Homes: Cost Effects of Utilization by Chronically Ill PatientsA longitudinal case-control design was used to evaluate the effects of the patient-centered medical home model on medical costs and utilization among chronically ill patients.
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Multipayer Primary Care Transformation: Impact for Medicaid Managed Care BeneficiariesThe Michigan Primary Care Transformation project generated cost savings among adults in Medicaid managed care, particularly high-risk adults, while largely maintaining quality of care.
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Understanding Factors Associated With Increases in Medicare Advantage Enrollment, 2007-2018Increases in Medicare Advantage market share over the past 10 years are largely caused by an increased preference for managed care among Medicare beneficiaries.
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Can a Virtual Coach Activate Patients? A Proof of Concept StudyThis study demonstrates patient acceptance of a virtual health coach while waiting for the physician to enter the primary care exam room.
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Using Simulation to Identify and Resolve Threats to Patient SafetyThe same simulation methodology used in the aviation industry was able to uncover latent environmental threats to patient safety.
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Importance of Reasons for Stocking Adult VaccinesEconomic factors associated with the purchase and maintenance of vaccine inventory and inadequate reimbursement for vaccination services were the most important to pharmacy and doctors’ office decision makers when considering whether to stock adult vaccines.
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Solutions for Filling Gaps in Accountable Care Measure SetsGaps in accountable care measure sets can be addressed efficiently using priority measure types and innovative approaches to measurement.
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Organizational Structure for Chronic Heart Failure and Chronic Obstructive Pulmonary DiseaseIn a nationwide cross-sectional comparison of organizational structure for chronic disease management, less attention was given to chronic obstructive pulmonary disease than chronic heart failure.
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Does Care Consultation Affect Use of VHA Versus Non-VHA Care?Uncoordinated multisystem use is problematic for Veterans Health Administration (VHA) patients with dementia. The Partners in Dementia Care intervention is successful in changing the pattern of VHA versus non-VHA use.
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Real-World Outcomes of Ledipasvir/Sofosbuvir in Treatment-Naïve Patients With Hepatitis CIn the treatment of hepatitis C virus, the gap between efficacy and real-world effectiveness narrows with improved tolerability and ease of use.
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Predictive Index for 90-Day Postoperative Outcomes Following Gynecologic SurgeryIncreasing LACE+ index score is a significant predictor of greater risk of unplanned readmission, emergency department visits, and reoperation after gynecologic surgery.
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Beyond Satisfaction Scores: Exploring Emotionally Adverse Patient ExperiencesThis study explores the causes of emotionally adverse patient experiences in cancer care and presents a taxonomy for analyzing free-text patient data.
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Clinical Outcomes and Healthcare Use Associated With Optimal ESRD StartsOptimal end-stage renal disease (ESRD) starts were associated with lower 12-month morbidity, mortality, and inpatient and outpatient utilization in an integrated healthcare delivery system.
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Medication, Diagnostic, and Cost Information as Predictors of High-Risk Patients in Need of Care ManagementPredictive models from diagnostic or medication data identify care management candidates who are more amenable to clinical interventions than groups identified using prior cost alone.
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Cost Variation and Savings Opportunities in the Oncology Care ModelGeographic variation in cancer treatment spending reveals that chemotherapy and hospital inpatient care may offer opportunities for savings for practices participating in the Oncology Care Model.
