Authors
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Cost Variation and Savings Opportunities in the Oncology Care ModelGeographic variation in cancer treatment spending reveals that chemotherapy and hospital inpatient care may offer opportunities for savings for practices participating in the Oncology Care Model.
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Testing Novel Patient Financial Incentives to Increase Breast Cancer ScreeningThis study tested 3 financial incentives encouraging breast cancer screening (mammograms) among women deemed overdue. None were effective overall; "person-centered" incentives worked in the most recently screened subgroup.
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Value Assessment and Heterogeneity: Another Side to the StoryThe founder and president of the Institute for Clinical and Economic Review responds to the commentary on heterogeneity in value assessment.
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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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Effect of Management Strategies and Clinical Status on Costs of Care for Advanced HIVAntiretroviral drugs have replaced hospitalization and other services as the most costly component of HIV care, except in patients with especially advanced HIV.
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Low Screening and Follow-up for Unhealthy Alcohol Use Among Health Plan BeneficiariesScreening and follow-up for unhealthy alcohol use are low among plan members. Use of standardized screening tools, documentation, and care for alcohol misuse need improvement.
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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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Enhancing Healthcare Delivery Research at the National Cancer InstituteThe National Cancer Institute's Division of Cancer Control and Population Sciences created the Healthcare Delivery Research Program in January 2015, recognizing the need for empirical evidence to address cancer care challenges.
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Survey Nonresponders Incurred Higher Medical Utilization and Lower Medication AdherenceIn a retrospective cohort analysis, diabetic nonresponders to a patient satisfaction survey had higher healthcare costs, clinic visits, and hospitalizations, but lower medication adherence.
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The Patient’s Photograph in the Medical Record as a Diagnostic ToolTwo case reports are presented in which previous photographs of the patients appearing in their medical record were of considerable assistance in making the diagnosis.
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Case Study: How Does an ACO Generate Savings Three Years in a Row?Increasing accountable care organization savings is dependent on maximizing quality scores and increasing the number of beneficiaries while maintaining a low per-capita spend through efficiencies of care.
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Reply to "Transforming Oncology Care": Advancing Value, Accessing InnovationPatient access to innovation may be at risk as new payment models emerge in oncology.
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Pathways, Outcomes, and Costs in Colon Cancer: Retrospective Evaluations in 2 Distinct DatabasesRetrospective evaluations of electronic health records and claims databases to assess clinical outcomes and costs associated with evidence-based pathways in colon cancer.
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Opportunity Costs of Ambulatory Medical Care in the United StatesAn analysis of the opportunity cost associated with ambulatory medical care in the United States demonstrates substantial time costs for individuals and society.
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Creating Clarity: Distinguishing Between Community and Population HealthThis paper aims to bring clarity to the conceptual confusion between community and population health, which currently impacts progress in both research and clinical practice.
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Quality’s Quarter-CenturyMeasurement and accountability are now part of the DNA of our entire healthcare system, and cost and quality are both improving.
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Applicability of the Omaha System in Acute Care Nursing for Information Interoperability in the Era of Accountable CareComplex interventions from hospital settings mapped to Omaha System terms commonly used in community care; demonstrating its potential as a tool for interoperability across settings.
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Impact of Hepatitis C Virus and Insurance Coverage on MortalityThe Medicaid population has significantly higher hepatitis C virus (HCV) prevalence and mortality rates than patients with private insurance. These data must be considered when policy makers assess providing additional support to Medicaid programs for HCV elimination.
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Opioid Prescribing for Chronic Pain in a Community-Based Healthcare SystemThis study identified populations with non-cancer chronic pain to determine which patients may be more likely to receive an opioid prescription in an outpatient setting.
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Financial Incentives Tied to Medicare Star Ratings: Impact on Influenza Vaccination Uptake in Medicare BeneficiariesInfluenza vaccine uptake improved among Medicare Advantage enrollees when influenza vaccination was introduced as a performance metric in Medicare star ratings and accompanying bonus payments.
