Authors
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COVID-19 and MCO-Community Partnerships to Address Enrollee Social NeedsCOVID-19 strained already-burdened community partners, affecting service delivery, communication, and partnerships. Managed care organization (MCO) partnerships with these organizations evolved in response to changing needs and resources.
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Primary Care Appointment Availability and Nonphysician Providers One Year After Medicaid ExpansionAfter Medicaid expansion in Michigan, appointment availability for new Medicaid patients stably increased-this is perhaps attributable to increasing proportions of appointments scheduled with nonphysician providers.
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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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Effective Prevention and Management of COVID-19 in Outpatient Hemodialysis PatientsThe authors introduce a mobile phone app that may effectively prevent and manage coronavirus disease 2019 (COVID-19) in outpatient hemodialysis patients in Sichuan Province, China.
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Molecular Testing Patterns in Metastatic Non—Small Cell Lung CancerAssessment of the timing of histologic and molecular testing indicates that testing occurred prior to treatment initiation for most patients with metastatic non—small cell lung cancer.
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Gender Differences in Newly Separated Veterans’ Use of HealthcareA survey of veterans leaving the military in 2016 found that women may be underserved by the Veterans Health Administration and may need housing assistance.
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Reasons for Emergency Department Use: Do Frequent Users Differ?Frequent emergency department (ED) users gave similar reasons for using the ED rather than a clinic compared to other patients, including concerns around convenience, access, and quality.
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Improving Partnerships Between Health Plans and Medical GroupsTo provide guidance for successful partnerships, the authors identify common themes from their experience with successful health plan/medical group partnerships programs.
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Patient Assignment and Quality Performance: A Misaligned SystemThis article explores the congruence between payer patient assignment and quality performance and the implications for incentive payments in alternative payment models.
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A Novel Nursing-Driven Standardized Diabetes Education Process in Primary CareA new nursing-driven diabetes education process established within a patient-centered primary care model significantly improved diabetes control for veterans at the Albany Stratton VA Medical Center.
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Provider and Patient Burdens of Obtaining Oral Anticancer MedicationsOral anticancer medications are frequently used to treat patients with cancer. We found significant time and energy burdens for clinic staff and patients in obtaining these drugs.
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No Time to Waste: Decreasing Patient Wait Times for Chemotherapy Administration Using Automated Prioritization in an Oncology Pharmacy SystemUsing a prioritization algorithm in an oncology pharmacy system at the Johns Hopkins University, patient wait times for chemotherapy administration were significantly decreased.
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Community Pharmacy Automatic Refill Program Improves Adherence to Maintenance Therapy and Reduces Wasted MedicationEvaluation of a national retail pharmacy automatic refill program for patients on medication for chronic disease demonstrated significantly improved patient adherence and reduced medication oversupply.
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Is All "Skin in the Game" Fair Game? The Problem With "Non-Preferred" GenericsThe authors comment on the growth of drug plans with tiers for "non-preferred" generics, and argue that most are inconsistent with established principles of formulary design.
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Risk Stratification for Return Emergency Department Visits Among High-Risk PatientsThe authors examined 2 high-risk classification methods to compare and contrast the patient populations, and to identify the preferred method for predicting subsequent emergency department visits.
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Adoption of New Agents and Changes in Treatment Patterns for Hepatitis C: 2010-2014New hepatitis C medications have been quickly adopted into practice and increased treatment rate. The median out-of-pocket costs of new medications were relatively low.
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Economic Burden of Unintended PregnancyPayer considerations regarding unintended pregnancy is discussed by Maria Lopes, MD, MS, and Kevin Stephens Sr., MD, JD.
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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.
