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Does Care Consultation Affect Use of VHA Versus Non-VHA Care?Uncoordinated multisystem use is problematic for Veterans Health Administration (VHA) patients with dementia. The Partners in Dementia Care intervention is successful in changing the pattern of VHA versus non-VHA use.
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Effects of Health Savings Account Eligible Plans on Utilization and ExpendituresThe health savings account-eligible design may decrease costs and utilization, but it also may decrease use of preventive services.
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Trends in Primary Care Encounters Across Professional Roles in PCMHA metric of primary care delivery by non–primary care provider clinicians demonstrated increasing trends in patient encounters by nurses and social workers and was responsive to patient-centered medical home implementation.
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Healthcare Costs and Access for Young Adult Cancer Survivors: A Snapshot Post ACAThe Samfund conducted a preliminary investigation into the impact of the Affordable Care Act on young adult cancer survivors’ medical cost burden and access to health care.
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High-Impact Trials at ACC.25 Signal Shift in Chronic Disease TreatmentExperts highlight groundbreaking research presented at the American College of Cardiology Annual Scientific Session (ACC.25), which emphasized a shift toward more personalized, evidence-based treatment strategies.
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Economic Burden of Osteoporotic Fractures in US Managed Care EnrolleesOsteoporotic fractures are associated with a significant economic burden, including costs of rehabilitation services and a high total all-cause cost of care.
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Evaluation of Human Immunodeficiency Virus and Hepatitis C Telemedicine ClinicsIn an integrated health system, human immunodeficiency virus and hepatitis C telemedicine clinics are associated with improved access, high patient satisfaction, and reduction in health visit“related time.
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Anticoagulation in Atrial Fibrillation: Impact of Mental IllnessAtrial fibrillation patients with mental health conditions are less likely to be eligible for warfarin receipt, and those who are eligible receive warfarin at lower rates.
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Comprehensive Medication Management Services: Benefits for Seniors With DiabetesAuthors from the University of Minnesota College of Pharmacy highlight the role that pharmacists can play in care optimization for seniors with chronic conditions.
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Chasing High Performance: Best Business Practices for Using Health Information Technology to Advance Patient SafetyThis commentary reflects how high-performing healthcare organizations use health information technology to advance patient safety.
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Medication Adherence as a Measure of the Quality of Care Provided by PhysiciansPhysician-level medication adherence is a strong predictor of patient health and should be considered as a measure of physician quality.
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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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Simply Delivered Meals: A Tale of CollaborationOffering a meal delivery service to patients in a community-based care transition program was associated with cost savings and a 38% lower 30-day hospital readmission rate.
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Sacubitril/Valsartan in Medicare Alternative Payment ModelsOptimizing utilization of sacubitril/valsartan for treatment of heart failure could improve provider performance in the Bundled Payments for Care Improvement initiative and the Medicare Shared Savings Program.
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New Thinking on Clinical Utility: Hard Lessons for Molecular DiagnosticsThe authors describe 5 basic requirements for planning, implementing, and proving clinical utility for diagnostic tests, drawing on recent reimbursement decisions.
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The Long-term Social Value of Granulocyte Colony-Stimulating FactorsAlthough currently underutilized, granulocyte colony-stimulating factor prophylaxis as supportive cancer care provides substantial value to society. Aligning utilization with clinical guidelines would increase this value considerably.
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The Use of Claims Data Algorithms to Recruit Eligible Participants Into Clinical TrialsUsing an ICD-9-CM code algorithm, the authors effectively identified potentially difficult-to-reach populations for a hypertension clinical trial.
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A Telephone-Based Intervention for Increasing the Use of Osteoporosis Medication: A Randomized Controlled TrialIn this randomized controlled trial, women receiving monthly telephone calls had significantly higher use of osteoporosis medication at 1 year versus women receiving usual care.
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Provider Organization Performance Assessment Utilizing Diabetes Physician Recognition ProgramRetrospective chart review to assess the impact of the Diabetes Physician Recognition Program showed that most patients achieved control levels recommended by national treatment guidelines.
