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Advanced APMs and the Emerging Role of Immuno-Oncology Agents: Balancing Innovation and ValueThe shift to value-based care, concurrent with innovations in immune-based care, will create challenges in oncology. What should be the physician and manufacturer responsibility during these changing times?
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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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Predictive Index for 90-Day Postoperative Outcomes Following Gynecologic SurgeryIncreasing LACE+ index score is a significant predictor of greater risk of unplanned readmission, emergency department visits, and reoperation after gynecologic surgery.
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Role of Insurance, Income, and Affordability in Human Papillomavirus VaccinationCompared with insured adults, uninsured adults in California had less knowledge of the human papillomavirus vaccine and were less likely to be vaccinated.
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Thirty-Day Readmissions: Relationship to Physician Attending Type and Social ConnectednessThis study examined patient clinical and demographic characteristics, healthcare system factors, and patients’ experiences of care associated with 30-day readmissions in a hospital with a Pioneer Accountable Care Organization.
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Variation in Fracture Risk Estimation Among East Asian WomenFracture prediction tools for East Asian individuals vary by country. In the United States, the US-Asian Fracture Risk Assessment Tool provides hip fracture probabilities that correspond to observed estimates.
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Value-Based Insurance Design in Louisiana: Blue Cross Blue Shield’s Zero Dollar Co-pay ProgramEnrollment in a value-based insurance design program that eliminated pharmacy co-pays for 4 chronic disease drug classes was associated with a large decline in health care spending.
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One Size Does Not Always Fit All in Value AssessmentLaying a clear path for incorporating reliable evidence on heterogeneity in value assessments could improve their applicability for healthcare decision making.
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Impact of Primary and Specialty Care Integration via Asynchronous CommunicationGeisinger’s Ask-a-Doc program, which enables direct asynchronous communication between primary and specialty care, was associated with lower healthcare utilization and cost, implying more efficient care.
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Measuring Value for Low-Acuity Care Across SettingsTo analyze value of low-acuity care, an existing model is adapted to highlight factors impacting how stakeholders assess emergency department care compared with alternatives.
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Variation in Hospital Inpatient Prices Across Small Geographic AreasGreater geographic variation was found among private than public payers in the inpatient price per discharge for most hospital services.
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A Web-Based Clinical Decision Support System for Depression Care ManagementThis article describes the development and capabilities of a Webbased decision support system for care managers working in the context of the chronic care model.
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Changing Trends in Type 2 Diabetes Mellitus Treatment Intensification, 2002-2010Glycemic control can lower the risk of diabetes-related complications, and delayed treatment intensification can impede optimal diabetes care.This study examines trends in hyperglycemia treatment intensification between 2002 and 2010.
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Comparing Spending Across Medicare ProgramsAs Medicare Advantage increasingly becomes the dominant form of Medicare coverage, Congress must improve transparency of programmatic costs and benefits to promote beneficiary choice.
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How Comorbidities and Preoperative Expenditures Correlate With Postoperative Adverse OutcomesAdjusting for patients' covariates, postoperative complications and mortality among geriatric surgical patients exhibited an age-dependent, illness-related, and preoperative medical expense“associated pattern under universal healthcare coverage.
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Preventive Care for Chronically Ill Children in Medicaid Managed CareThe existence of chronic conditions did not adversely impact the ability of children in Medicaid managed care to access and utilize recommended preventive care services.
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Older Adult Consumers' Attitudes and Preferences on Electronic Patient-Physician MessagingA randomized controlled trial was conducted to assess whether adding a peer testimonial to a mailing increases conversion rates from brand name prescription medications to lower-cost equivalents.
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High-Impact Workflow Changes for Value-Based Care SuccessAs oncology practices transition to value-based care, they are challenged to take on more holistic responsibility for their patient. Fortunately, the examples of practices participating in CMS’ Oncology Care Model can offer valuable insight into the most impactful workflow changes providers can implement as they strive to achieve cost and quality improvements.
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Email-Based Care Transitions to Improve Patient Outcomes and Provider Work Experience in a Safety-Net Health SystemA pilot of email-based care transitions between hospital and primary care teams improved patient attendance at follow-up visits, provider satisfaction, and work efficiency.
