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The Evolving Role of Subspecialties in Population Health Management and New Healthcare Delivery ModelsThis article explores the role of subspecialists in new care delivery models and argues compensation should recognize the range of ways subspecialists provide value to populations.
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A Predictive Model of Hospitalization Risk Among Disabled Medicaid EnrolleesPredictive modeling can be used to identify disabled Medicaid beneficiaries at high risk of future hospitalizations who could benefit from appropriate interventions.
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Medicare Coverage of Buprenorphine-Naloxone Film Surrounding Generic EntryMedicare plans are replacing brand-name buprenorphine-naloxone film with its generic equivalents, resulting in a decrease in out-of-pocket cost faced by enrollees with opioid use disorder.
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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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Rates of Guideline Adherence Among US Community Oncologists Treating NSCLCUS community oncologists treating NSCLC were significantly more likely to be guideline adherent when providing first-line rather than adjuvant treatment.
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Automated Patient Assessments After Outpatient Surgery Using an Interactive Voice Response SystemUsing an interactive voice response system to contact patients after outpatient surgery will likely result in improved efficiency without a decrease in assessment quality.
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Low-Value Care for Acute Sinusitis Encounters: Who's Choosing Wisely?Acute sinusitis is a common acute illness and offers an opportunity to eliminate low-value care. The authors describe current practices, comparing primary care, urgent care, and the emergency department.
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Measuring Concurrent Oral Hypoglycemic and Antidepressant Adherence and Clinical OutcomesSelf-reported adherence tended to overestimate medication adherence compared with electronic monitoring. Electronic monitoring of oral hypoglycemic agents but not self-reported adherence predicted glycemic control.
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LDL Cholesterol Response and Statin Adherence Among High-Risk Patients Initiating TreatmentNonadherence is common among high-risk patients initiating statins and is associated with suboptimal low-density lipoprotein cholesterol (LDL-C) reduction. LDL-C should be monitored to identify suboptimal response and medication nonadherence.
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Cost Sharing and Branded Antidepressant Initiation Among Patients Treated With GenericsHigher cost sharing is associated with reduced branded antidepressant initiation among patients trying generic therapy. Dynamic benefit designs could enhance access to branded medications when appropriate.
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Patients Discharged From the Emergency Department After Referral for Hospitalist AdmissionHospitalization is costly and associated with the potential for adverse medical events. Hospitalists are uniquely positioned to help avoid unnecessary emergency department admissions through consultation.
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Performance of the Adapted Diabetes Complications Severity Index Translated to ICD-10We present an International Classification of Diseases, Tenth Revision (ICD-10) translation of the adapted Diabetes Complications Severity Index and show its performance in predicting hospitalizations, mortality, and healthcare-associated costs.
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Telephone Follow-Up on Medicare Patient Surveys Remains CriticalIncluding a telephone component in Medicare Consumer Assessment of Healthcare Providers and Systems survey administration continues to be valuable because telephone responses comprise a substantial portion of responses for several underserved groups.
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Cost Burden of Hepatitis C Virus Treatment in Commercially Insured PatientsRates of hepatitis C virus (HCV) treatment in a commercially insured population doubled after availability of new direct-acting antivirals. Member out-of-pocket spending was kept low while the health plan bore 99% of spending on HCV medications.
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Health Plan—Provider Accountable Care Partnerships: How Have They Evolved?Although health plan accountable care models have evolved provider readiness, data, analytics, and the use of performance measurement are important components of plan-provider partnerships.
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Does CAC Testing Alter Downstream Treatment Patterns for Cardiovascular Disease?This article provides an assessment of the downstream impact of coronary artery calcium scanning on the subsequent treatment patterns of non—high-risk patients.
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Comparative Effectiveness Research: Challenges for Medical JournalsIn order to encourage dissemination, this commentary is freely available in PLoS Medicine, and will also be published in Medical Decision Making, Croatian Medical Journal, The Cochrane Library, Trials, and Journal of Clinical Epidemiology.
