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A Dementia Care Management Intervention: Which Components Improve Quality?Specifically trained care managers are essential for quality gains from a dementia care management program; even higher quality accrues with coordination across community and primary care.
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A Payer–Provider Partnership for Integrated Care of Patients Receiving DialysisA report on the clinical and economic outcomes of a new payer–provider partnership serving patients with end-stage renal disease.
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Effect of High-Deductible Insurance on Health Care Use in Bipolar DisorderHigh-deductible health plan members with bipolar disorder experienced a reduction in nonpsychiatrist mental health provider visits but no changes in other utilization.
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The Budget Impact of Cervical Cancer Screening Using HPV Primary ScreeningThis study assesses the clinical and economic implications from a payer perspective of human papillomavirus genotyping for cervical cancer screening in comparison with existing practices.
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Medical Homes Require More Than an EMR and Aligned IncentivesPrimary care teams implementing medical homes experience professional role confusion and interpersonal conflict, and require effective administrative leadership to ensure success during this transition.
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The Effect of a Cardiovascular Educational Intervention on Healthcare Utilization and CostsA low-cost cardiovascular disease screening and periodic educational intervention did not increase healthcare resource utilization and expenditures at 1 year.
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The Health Information Technology Special Issue: Evolving Tech, Fundamental MethodsA letter from the guest editor highlights how the findings in this special issue touch on timely themes in health technology research and yield real-world considerations for practice.
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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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Access to Chiropractic Care and the Cost of Spine Conditions Among Older AdultsAmong older adults who have a spine condition, access to chiropractic care may reduce medical spending on diagnostic services.
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Quality of End-of-Life Care for Cancer Patients: Does Home Hospice Care Matter?Palliative principles were applied to the care of more HH patients than non-HH patients, but no differences were found in their utilization of healthcare services.
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The Need for a Serious Illness Digital Ecosystem (SIDE) to Improve Outcomes for Patients Receiving Palliative and Hospice CarePalliative and hospice care services produce well-known benefits for patients living with serious illness and for their families. Benefits include improved quality of life and reduced symptom burden, spiritual and emotional distress, and caregiver distress.
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Effect of a Managed Care Disease Management Program on Diabetes CareProcesses and outcomes of diabetes care improved substantially over 6 years in a managed care health plan with a comprehensive diabetes disease management program.
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Treatment Patterns Among Adults With ADHD Receiving Long-Acting TherapyAdults with attention-deficit/hyperactivity disorder (ADHD) who received long-acting combination therapy had significantly lower adherence and persistence compared with those who received long-acting monotherapy.
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Use of Health Information Technology to Improve Medication AdherenceAutomated telephone reminders resulted in a small but significant increase in adherence to inhaled corticosteroids among adult asthma patients in a large managed care organization.
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Inflammatory Bowel Disease Readmissions Are Associated With Utilization and ComorbidityThirty-day readmissions related to inflammatory bowel disease are common and associated with longer length of stay and a higher likelihood of having an associated comorbid condition compared with index hospitalizations.
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Addressing the Gap in Precision MedicineWe need the development of new, complex biomarkers to address the increasing complexity in treatment modalities that, in and of themselves, have characteristics of a continuous variable; they require innovation and outcomes data, which perhaps will be partly addressed by some of the emerging real-world evidence databases amassed by pairing sequence information and clinical outcomes. Tumor mutational burden is a great example of this innovation in practice.
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True "Meaningful Use": Technology Meets Both Patient and Provider NeedsA qualitative study of patient and provider perspectives regarding the after-visit summary and the patient portal features of the electronic health record.
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Impact of Clinical Pharmacy Services on Outcomes and Costs for Indigent Patients With DiabetesClinical pharmacy specialists impact patient care through improvements in clinical outcomes for diabetes, hypertension, and dyslipidemia via clinical interventions and promotion of medication adherence.
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Case Study of Linking Dental and Medical Healthcare RecordsAn n - 1 deterministic linkage strategy was used successfully to merge dental and medical data from a healthcare plan and a dental insurance carrier.
