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August 2018
Baseline and Postfusion Opioid Burden for Patients With Low Back Pain
August 09, 2018
Article
WEB EXCLUSIVE
Patients with low back pain have a high opioid burden, which increases following spinal fusion surgery; 27% of fusion patients filled opioid prescriptions at least 12 months post surgery.
Patient and Physician Predictors of Hyperlipidemia Screening and Statin Prescription
August 10, 2018
Article
WEB EXCLUSIVE
Physician and patient predictors of hyperlipidemia screening and statin prescription at a large, multihospital regional health center based on electronic health record data.
Evaluating HCV Screening, Linkage to Care, and Treatment Across Insurers
August 10, 2018
Article
WEB EXCLUSIVE
An optimized hepatitis C virus screening and linkage-to-care process reduces the number of patients lost to follow-up and improves linkage to care for Medicare, Medicaid, and commercially insured patients.
Reducing Coprescriptions of Benzodiazepines and Opioids in a Veteran Population
August 13, 2018
Article
WEB EXCLUSIVE
This study evaluated a passive clinical pharmacist intervention to reduce the coprescribing of benzodiazepines and opioid analgesics by using chart review notes to alert providers.
Medicare Advantage Enrollees’ Use of Nursing Homes: Trends and Nursing Home Characteristics
August 13, 2018
Article
WEB EXCLUSIVE
The share of Medicare Advantage (MA) beneficiaries in the nursing home (NH) population has been steadily rising, while MA plans appear to be increasingly concentrating beneficiaries in select NHs with better performance on quality measures.
Precision Medicine and Sharing Medical Data in Real Time: Opportunities and Barriers
August 14, 2018
Article
COMMENTARY
Facilitating real-time data sharing while protecting individual privacy, reducing the risk of data misuse, and enhancing public trust becomes critical as precision medicine moves forward.
Impact of a Medical Home Model on Costs and Utilization Among Comorbid HIV-Positive Medicaid Patients
August 16, 2018
Article
CLINICAL
Among HIV-positive Medicaid patients with comorbid medical and psychiatric disorders, there was increased outpatient service utilization, yet relative cost savings, for patients who were treated in patient-centered medical homes.
Optimizing Number and Timing of Appointment Reminders: A Randomized Trial
August 16, 2018
Article
MANAGERIAL
Two text message or phone reminders were more effective in reducing missed primary care appointments than a single reminder, particularly in patients at high risk of missing appointments.
Impact of After-Hours Telemedicine on Hospitalizations in a Skilled Nursing Facility
August 14, 2018
Article
TRENDS FROM THE FIELD
A case study highlighting clinical and financial outcomes of an after-hours on-demand telemedicine intervention in a skilled nursing facility.
Levers to Reduce Use of Unnecessary Services: Creating Needed Headroom to Enhance Spending on Evidence-Based Care
August 15, 2018
Article
EDITORIAL
Health system leaders, policy makers, payers, and consumer advocates should use multiple synergistic levers to reduce the use of care that does not provide clinical benefit.
Choosing Wisely Clinical Decision Support Adherence and Associated Inpatient Outcomes
August 15, 2018
Article
CLINICAL
This analysis examines the associations between adherence to Choosing Wisely recommendations embedded into clinical decision support alerts and 4 measures of resource use and quality.