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Effectiveness and Cost of Influenza Vaccine Reminders for Adults With Asthma or Chronic Obstructive Pulmonary DiseaseInteractive voice response reminders had neither a positive nor a negative effect on promoting influenza vaccination over reminders via postcards, but are a potentially less expensive option.
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Patient Participation in Care Management: Are They Aware?Many patients offered, and those already participating in, care management are unaware of what care management is and that they have participated.
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Revisiting Hospital Length of Stay: What Matters?Over 50% of inpatients are unmarried and experience 22% longer LOS. Racial/income disparities are not unavoidable; how care is paid for and delivered may make a difference.
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Variation in Prescription Use and Spending for Lipid-Lowering and Diabetes Medications in the Veterans Affairs Healthcare SystemSubstantial variation in prescription spending and use of brand-name drugs exists across the VA healthcare system, with no apparent relationship to quality of care.
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Impact of Emergency Physician–Provided Patient Education About Alternative Care VenuesPostvisit phone education from an emergency physician and/or mailed information about alternative venues of care reduced subsequent emergency department (ED) utilization for low-acuity treat-and-release adult ED patients.
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Spending and Mortality in US Acute Care HospitalsAcross the US, adults with major medical conditions were less likely to die in hospitals with higher spending levels, even after adjusting for patient risk.
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Asthma Expenditures in the United States Comparing 2004 to 2006 and 1996 to 1998Increased expenditures in US asthma are driven by increased medication spending that are not offset by decreases in emergency department and hospital spending.
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Health Insurance Literacy: Disparities by Race, Ethnicity, and Language PreferenceRacial/ethnic minorities are disproportionately at risk for adverse health and financial consequences due to lower health insurance literacy compared with white enrollees.
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Multimodality Cancer Care and Implications for Episode-Based Payments in CancerMost patients receiving multimodality cancer care receive care from different practices. Therefore, episode-based payments in oncology must hold multiple providers accountable for costs and quality.
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ACOs With Risk-Bearing Experience Are Likely Taking Steps to Reduce Low-Value Medical ServicesExperience with risk-based contracting best predicts active engagement of accountable care organizations in reducing low-value medical services, mainly through physician education and encouraging shared decision making.
