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Demystifying "Patient-Centered" Care in Type 2 Diabetes: The Role of Systematic MeasurementQuestionnaires are noninvasive, inexpensive measures that can identify key elements of the patient perspec­tive that are important for the achievement of better outcomes in diabetes care.
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Physician Assistants in American Medicine: The Half-Century MarkPhysician assistants work in a broad range of health services and improve organizational efficiency through team-based care.
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Preventive Drug Lists as Tools for Managing Asthma Medication CostsFindings of this qualitative interview study suggest promise, but also challenges, with regard to using preventive drug lists to help families manage asthma medication costs.
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Treatment of Ductal Carcinoma In Situ Among Patients Cared for in Large Integrated Health PlansAlthough we found no DCIS treatment disparities by race/ethnicity, use of adjuvant radiation therapy was less among older women and among residents of poorer neighborhoods.
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Shared Savings Program for Accountable Care Organizations: A Bridge to Nowhere?The Shared Savings Program design is at risk of not providing a sufficiently strong business case to convince provider organizations to change their practice cultures.
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Placement of Selected New FDA-Approved Drugs in Medicare Part D Formularies, 2009-2013There is significant heterogeneity in formulary placement and restrictions on new drug approvals in the Part D marketplace.
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Improved Cost and Utilization Among Medicare Beneficiaries Dispositioned From the ED to Receive Home Health Care Compared With Inpatient HospitalizationA retrospective analysis of Medicare claims was used to study emergency department (ED) dispositions, specifically evaluating inpatient admissions compared with home health referrals.
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Early Intervention in Younger Patients With CAD Benefits Long-Term PrognosisPremature coronary artery disease (CAD) is an aggressive disease with a high rate of ischemic recurrences and premature death, researchers said.
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How Do Providers Prioritize Prevention? A Qualitative StudyPrimary care providers utilize many strategies for prioritizing preventive care during time-constrained clinical encounters, in addition to being prompted by clinical reminders.
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Formulary Restrictions and Stroke Risk in Patients With Atrial FibrillationLimiting access to non–vitamin K antagonist oral anticoagulants through step therapy and prior authorization may exacerbate current underuse of anticoagulants and increase the risk of stroke in patients with newly diagnosed atrial fibrillation.
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Systematic Review of Benefit Designs With Differential Cost Sharing for Prescription DrugsA systematic review of insurance benefit designs with differential cost sharing for substitute prescription drugs.
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Helping Cancer Patients and Caregivers Navigate Immunotherapy TreatmentPatients, caregivers, and providers need education on immunotherapy treatment, support in patient-provider communications as well as support in mitigating the financial impact of immunotherapy treatment.
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Is Occupational Type Related to Obesity Risk?Sociodemographic characteristics of blue-collar workers may be attributed to the higher rates of obesity and chronic disease seen among them compared with white-collar workers.
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Emergency Department Visits for Nonurgent Conditions: Systematic Literature ReviewThis article presents a systematic review of the US literature on factors influencing the decision to visit the emergency department for nonurgent conditions.
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Primary Care Physician Resource Use Changes Associated With Feedback ReportsImplementing systemwide dissemination of feedback reports to primary care physicians in an integrated delivery system may be associated with changes in medical resource use.
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Cost-Effectiveness of Medicare Drug Plans in Schizophrenia and Bipolar DisorderIn Medicare Part D, generic drug coverage was cost saving compared with no coverage in bipolar disorder and schizophrenia while improving health outcomes.
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Effects of a Community-Based Care Management Model for Super-UtilizersA community-based care management program for high-risk patients reduced hospital readmissions and also likely reduced admissions and Medicare parts A and B spending.
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Self-Efficacy in Insurance Decision Making Among Older AdultsOlder adults who prefer to delegate insurance decisions tend to be female and married, to have less Medicare knowledge, and to have someone in their lives they trust to make decisions for them.
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Positive Predictive Values of ICD-9 Codes to Identify Patients With Stroke or TIAThis study determined that ICD-9 codes 433.X1, 434.XX, and V12.54 had positive predictive values >90%, and may be used to focus care on stroke patients.
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Multi-Payer Advanced Primary Care Practice Demonstration on Quality of CareAn evaluation of the Multi-Payer Advanced Primary Care Practice Demonstration found mixed results in terms of quality of care provided to Medicare and Medicaid beneficiaries.
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Connecting Statewide Health Information Technology Strategy to Payment ReformWhen aggregated data regarding health outcomes are shared, a clearer picture emerges of provider performance baselines and improvements with which payment models can be developed.
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The Oncology Medical Home - Beyond Clinical PathwaysClinical pathways have been emphasized as a means to deliver efficient, quality care and to ensure better outcomes at lower costs. The Oncology Medical Home takes this to the next, more comprehensive, step of quantifying and improving quality and value in cancer care while lowering overall costs.
