Authors
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Patient Outcomes Associated With Tailored Hospital Programs for Intellectual DisabilitiesPatients with intellectual disabilities who were cared for in hospitals without programs tailored to intellectual disabilities had 6% higher costs, and those with extreme admission severity had 42% higher costs.
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Employer-Led Efforts to Improve the Value of Health SpendingFindings from a systematic review show that employer-led efforts to date have produced few promising strategies for improving the value of health spending.
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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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Turnover Among New Medicare Advantage Enrollees May Be Greater Than PerceivedEnrollees who join Medicare Advantage undergo significant turnover in the years following enrollment.
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Gender Differences in Healthcare Utilization of Patients With DiabetesGender differences were found in healthcare utilization in patients with type 2 diabetes mellitus in Germany, despite a high rate of enrollment in a disease management program.
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Colony-Stimulating Factor Prescribing Patterns in Patients Receiving Chemotherapy for CancerWe linked health insurance records to cancer registry data to analyze colony-stimulating factor use, finding wide divergence from that recommended by practice guidelines.
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Changes in Hospital Admissions for Urgent Conditions During COVID-19 PandemicAdmission rates during the coronavirus disease 2019 (COVID-19) pandemic were lower than in 2019 for acute medical conditions, suggesting that patients may be deferring necessary medical care.
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Medicare Underpayment for Diabetes Prevention Program: Implications for DPP SuppliersThe actual costs of implementing the evidence-based Diabetes Prevention Program (DPP) were compared with the latest reimbursement rates provided by CMS.
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A Health Plan's Investigation of Healthy Days and Chronic ConditionsLinking administrative claims to health-related quality of life measured in Healthy Days provides a new vision into the health of populations.
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Change to FIT Increased CRC Screening Rates: Evaluation of a US Screening Outreach ProgramFecal immunochemical testing resulted in higher colorectal cancer screening rates than did guaiac fecal occult blood tests, with less dependence on office visits.
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Assessing the Accuracy of Drug Profiles in an Electronic Medical Record System of a Washington State HospitalA medication reconciliation program is associated with a high rate of perfectly accurate drug profiles and may assist in reducing adverse drug events.
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Personalized Preventive Care Reduces Healthcare Expenditures Among Medicare Advantage BeneficiariesThis study investigated the impact of an enhanced preventive care delivery system on healthcare expenditure and utilization trends among Medicare Advantage beneficiaries.
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Achieving Value Through Palliative CarePalliative care is an underutilized and powerful resource in the drive towards value. In the current article, we review published evidence and highlight how Medicare Advantage plans, accountable care organizations, and oncology practices can benefit from concurrent palliative care under value-based payments.
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Low Screening and Follow-up for Unhealthy Alcohol Use Among Health Plan BeneficiariesScreening and follow-up for unhealthy alcohol use are low among plan members. Use of standardized screening tools, documentation, and care for alcohol misuse need improvement.
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Option Pricing: A Flexible Tool to Disseminate Shared Savings ContractsBy pricing options that protect providers from downside risk,health plans can more clearly evaluate different shared savings contracts and expand them to smaller providers.
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Adoption and Use of Stand-Alone Electronic Prescribing in a Health Plan-Sponsored InitiativeIn a health plan–sponsored e-prescribing initiative, participating PCPs' mean e-prescribing rate was 1 prescription per 4 pharmacy claims, but some PCPs achieved high use.
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Insomnia Risks and Costs: Health, Safety, and Quality of LifeThis review article discusses the issues surrounding the risks and costs of sleep disturbance as they relate to society and the individual.
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Evolving Approaches to Care in the Management of Psoriatic DiseaseErin L. Arnold, MD, FACR, of Orthopaedics and Rheumatology of the North Shore in Skokie, IL, discusses evolving treatment strategies and the use of biologic therapies in the management of psoriatic disease.
