Authors
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Effectiveness of Care Coordination and Health Counseling in Advancing IllnessThis prospective trial suggests that specialized care coordination and health counseling for patients coping with advanced stages of 4 life-limiting illnesses can be beneficial.
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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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Prioritized Post-Discharge Telephonic Outreach Reduces Hospital Readmissions for Select High-Risk PatientsA randomized control study that analyzes the impact of a postdischarge prioritization case management strategy on readmissions for select high-risk patients that are commercially insured.
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Successful Implementation of APSO Notes Across a Major Health SystemIn this study, the authors demonstrate widespread adoption and satisfaction with the novel APSO (Assessment, Plan, Subjective, Objective) format for progress notes at a large, integrated health delivery network.
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Coverage With Evidence Development: Where Are We Now?Review of CMS’ coverage with evidence development program exposes a need to improve program transparency and clarify requirements and timetables for reporting to improve access to novel therapies.
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The Personal Financial Burden of Cancer for the Working-Aged PopulationBeing actively treated for cancer increases the mean annual out-of-pocket medical expenditures by $1170 compared with not having cancer.
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Economic Evaluation of an Internet-Based Weight Management ProgramAn Internet-based weight management program provides a cost-effective alternative for weight management.
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Predictive Model for Emergency Hospital Admission and 6-Month ReadmissionPredictive models for hospital admissions and readmissions in persons aged >65 years have been developed through a combination of comorbidity and previous healthcare use.
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Potential of Risk-Based Population Guidelines to Reduce Cardiovascular Risk in a Large Integrated Health SystemThe authors evaluated the clinical applicability, accuracy, and implications of using an automated risk calculator and risk-based decision tool in an integrated health system.
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High-Deductible Insurance: Two-Year Emergency Department and Hospital UseHigh-deductible health plan members had sustained reductions in emergency department visits over 2 years but initial reductions in hospital utilization and costs were not sustained.
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Letters From White House Could Push Some Compliance, Broad Agreements Unlikely: Q&A With Kathy Oubre, MSNew demands to follow the most favored nation executive order could lead to some compliance but it is unknown just how effective they will be across all health care.
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Impact of Clinical Oral Chemotherapy Program on Wastage and HospitalizationsAn oral chemotherapy cycle management program offers clinical support, reduces medication wastage, and provides management of adverse effects to realize cost savings for payers and patients.
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Electronic Health Record Problem Lists: Accurate Enough for Risk Adjustment?Electronic health record (EHR)-based comorbidity assessment had low sensitivity for identifying major comorbidities and poorly predicted survival. EHR-based comorbidity data require validation prior to application to risk adjustment.
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The Hospital Tech Laboratory: Quality Innovation in a New Era of Value-Conscious CareTechnology innovation drives expenditures. A Michigan Medicine, IBM, and AirStrip partnership demonstrates the hospital’s role in developing transformative technologies that deliver value.
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Care Coordination for Veterans With COPD: A Positive Deviance StudyImproving relational coordination and reducing structural barriers to collaboration may enhance quality of care for chronic obstructive pulmonary disease (COPD) and other chronic conditions.
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Cost Minimization of Medicare Part D Prescription Drug Plan ExpendituresStudy results indicate that outreach interventions performed by trained student pharmacists assist Medicare beneficiaries to effectively navigate their Part D benefit, thereby reducing out-of-pocket costs.
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Medicare Inpatient and Postdischarge Outcomes of Elective Percutaneous Coronary InterventionsAn understanding of risk-adjusted outcomes for percutaneous coronary interventions for both inpatient and 90-day postdischarge events is necessary for the redesign of care outcomes.
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Are Medical Offices Ready for Value-Based Reimbursement? Staff Perceptions of a Workplace Climate for Value and EfficiencyThis study surveyed 840 clinical and nonclinical staff in 96 medical offices regarding workplace policies and procedures that facilitate a climate for value.
