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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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Using a Modified Next Generation ACO Benchmark Can Improve the MSSPThe Medicare Shared Saving Program benchmark can be improved by following the example of Next Generation accountable care organizations, but with a larger adjustment level.
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Primary Care Practice Structural Capabilities in Health Professional Shortage AreasNurse practitioners are increasingly meeting primary care demands in underserved areas and are more likely to deliver structural capabilities related to chronic disease management.
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Early Clinical Experience With Networked System for Promoting Patient Self-ManagementA networked system designed to promote patient self-management appears to be safe and effective in capturing, integrating, and presenting medication adherence and physiologic information.
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Patients' Perspectives of Care Management: A Qualitative StudyRisk-stratified care management is a cornerstone of patient-centered medical home models, but studies on patients’ perspectives of it are scarce. We explored patients’ experiences with care management, what they found useful, and what needs improvement.
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Cost-Offset Analysis: Bimatoprost Versus Other Prostaglandin Analogues in Open-Angle GlaucomaTreatment of glaucoma with bimatoprost is associated with cost savings compared with treatment with latanoprost or travoprost because of greater intraocular pressure reduction.
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Reducing Readmissions in the Safety Net Through AI and AutomationArtificial intelligence (AI) and electronic health record–based automation tools helped a safety-net health system meet performance-based readmission metrics, thereby retaining critical funding while improving clinical and equity outcomes.
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Primary Care and Communication in Shared Cancer Care: A Qualitative StudyThis qualitative study assesses patient, PCP, and oncologist views on primary care roles in shared cancer care, as well as patterns of communication between physicians.
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Discharge Before Noon: Is the Sun Half Up or Half Down?Discharge before noon was associated with longer length of stay in patients with medical diagnoses and shorter length of stay in surgical patients.
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Cost-Effectiveness Analysis of SBRT Versus IMRT: An Emerging Initial Radiation Treatment Option for Organ-Confined Prostate CancerStereotactic body radiation therapy for low- to intermediate-risk prostate cancer has potential cost savings and may improve access to radiation, increase convenience, and boost quality of life.
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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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Age and Rural Residence Effects on Accessing Colorectal Cancer Treatments: A Registry StudyOlder patients with colorectal cancer were less likely to undergo surgery, radiation, and chemotherapy; rural patients with colon cancer were less likely to undergo chemotherapy.
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Adherence and Dosing Frequency of Common Medications for Cardiovascular PatientsIn this database analysis, greater adherence was observed for once-daily dosing compared with twice-daily dosing with chronic-use prescription medications used by patients with cardiovascular disease.
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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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Language Disparities and Timely Care for Children in Managed Care MedicaidParents with language barriers reported less timely illness care and routine care for children in managed care Medicaid.
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Cost-effectiveness of Telephonic Disease Management in Heart FailureThis study shows that telephonic disease management was not cost-effective in a broadly representative sample of community-dwelling patients.
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Improvement of Outpatient Quality Metrics in a Limited-Resource SettingThis study presents an example of a population health initiative in a limited-resource primary care setting that led to significant improvements in preventive care quality metrics in the context of major insurance payers.
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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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Patient Experience During a Large Primary Care Practice Transformation InitiativeFour years of practice transformation toward comprehensive primary care had little effect on patient experience.
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CMS Needs to Address Medicare Underfunding in 2017 Hospital Inpatient Rule for Bone Marrow TransplantationThe Be The Match Registry has seen phenomenal success with bone marrow and umbilical cord transplants. After having overcome donor availability, it is now important for CMS to create standardized reimbursement policies for the procedure.
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Process of Care Compliance Is Associated With Fewer Diabetes ComplicationsAdherence to process of care measures was associated with reduced risk of 2 diabetes complications or any of 4 complications in a national industrial cohort.
