Authors
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Technology, Seniors, and Sense MakingAs primary care physicians and leaders of Wellframe, a mobile health company working with payers and physicians groups to extend care between visits for patients with complex comorbidities, Drs Panch and Goodman discuss their experiences building a mobile application used by elderly patients to communicate with clinicians and manage chronic disease.
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Effects of a Community-Based Care Management Model for Super-UtilizersA community-based care management program for high-risk patients reduced hospital readmissions and also likely reduced admissions and Medicare parts A and B spending.
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Why Palliative Care Is the Answer to the Serious Illness Question in Payment ReformWhether it is through enlisting primary providers, building a champion workforce, or hiring more specialist consultants, there is no question that palliative programming must be at the heart of our healthcare system’s quality transformation.
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Costs Associated With Long-Acting Insulin Analogues in Patients With DiabetesFindings from a literature review indicate that overall costs of long-acting insulin analogues are not significantly different from those of intermediate-acting human insulin and oral antidiabetic agents.
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Evaluating Alternative Methods of Comparing Antihypertensive Treatment IntensityMedication dose captures modification of hypertension treatment intensity more precisely than medication count, and this measure should be preferred in studies that aim to improve hypertension management.
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Late Diagnosis of Hepatitis C Virus Infection, 2014-2016: Continuing Missed Intervention OpportunitiesLate hepatitis C virus infection diagnosis points to a need for earlier screening and treatment before the onset of severe liver disease leading to high cost and diminished outcomes.
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Geographic Variation in Medicare and the Military Healthcare SystemGeographic variation in healthcare spending and utilization within the Military Health System is higher and significantly correlated with Medicare across hospital referral regions.
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Designing Programs for Populations with Chronic Care Needs: A Blanket or a Quilt?Health policy must promote the ability of smaller systems to use sophisticated, rigorous, and less-than-perfect study designs to evaluate the impact of their local programs.
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Patient Assistance: Implementing Preventative Steps to Ensure Financial WellnessAn overview of patient assistance programs at Smilow Cancer Hospital at Yale-New Haven, including their innovative hospital-based explanation of benefits form, which can eliminate patient responsibilities and help expedite the turnaround times for payment processing with copay assistance.
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Availability of Prices for Shoppable Services on Hospital Internet SitesOnly 60% of hospitals display their cash prices and 5% display their minimum negotiated charges on their public websites; many hospitals are in violation of new federal legislation.
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Factors Influencing Primary Care Providers’ Decisions to Accept New Medicaid Patients Under Michigan’s Medicaid ExpansionIn the era after Medicaid expansion, primary care providers placed importance on practice capacity, specialist availability, and reimbursement when deciding whether to accept new Medicaid patients.
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The Role of Internal Medicine Subspecialists in Patient Care ManagementMost internal medicine subspecialists report the majority of their clinical time is spent in principal care or longitudinal consultative care patient management roles.
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High-Cost, High-Need Patients: The Impact of Reported Penicillin AllergyA reported penicillin allergy was common and was associated with suboptimal antibiotic choices and increased healthcare utilization in high-cost, high-need patients.
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A Comprehensive Hospital-Based Intervention to Reduce Readmissions for Chronically Ill Patients: A Randomized Controlled TrialA hospital-based transitional care program for patients with heart failure or pulmonary disease failed to reduce 30- or 90-day readmissions or emergency department visits.
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Do Economic Evaluations of Targeted Therapy Provide Support for Decision Makers?Economic evaluations of adjuvant trastuzumab were reviewed. Three primary shortcomings were identified including incorporation of local data and estimation and representation (visual) of decision uncertainty.
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Cost-effectiveness of Telephonic Disease Management in Heart FailureThis study shows that telephonic disease management was not cost-effective in a broadly representative sample of community-dwelling patients.
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Understanding and Improving Value Frameworks With Real-World Patient OutcomesNew value frameworks should incorporate real-world evidence that reflects patient treatment behavior, adherence to medication, and equity concerns arising from disparities in care.
