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Direct Oral Anticoagulant Prescription Trends, Switching Patterns, and Adherence in Texas MedicaidDirect oral anticoagulants (DOACs) are associated with increased prescription costs. Actual practice data show a high switch rate and poor adherence among DOAC initiators that need to be addressed.
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Interactive Voice Response Systems for Improving Delivery of Ambulatory CareA systematic review of interactive voice response system studies showed that these interventions significantly benefit adherence to various processes of care.
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Anticonvulsant Use After Formulary Status Change for Brand-Name Second-Generation AnticonvulsantsThe utilization pattern of anticonvulsants after a change in preferred-formulary coverage resulted in health plan savings of $0.16 per member per month.
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Who Should We Treat: Elective Surgical Admissions or Patients With COVID-19?In the midst of the coronavirus disease 2019 (COVID-19) pandemic, health care leaders must work to optimize emergency department and hospital efficiency while maintaining patient access to care.
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The Arkansas Payment Improvement Initiative: Early Perceptions of Multi-Payer Reform in a Fragmented Provider LandscapeArkansas has implemented multi-payer payment reform incorporating both episodic and Patient-Centered Medical Home models. Early perceptions of a sample of stakeholders were largely positive to date.
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The Unintended Consequences of Medicare’s Wage Index Adjustment on Device-Intensive Hospital ProceduresThe authors found an association between Medicare’s wage index adjustment and the differential use of labor-intensive surgical procedures and medical device–intensive minimally invasive clinical procedures across the United States.
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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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Challenges of Fracture Risk Assessment in Asian and Black WomenDifferences in bone density and FRAX fracture risk scores among Black and Asian women yield greater discordance in fracture risk estimation compared with White women.
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Pilot of Urgent Care Center Evaluation for Acute Coronary SyndromeA formal protocol for urgent care center evaluation of potential acute coronary syndrome safely precluded emergency department visits among 84% of those eligible.
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Diabetes and Employment Productivity: Does Diabetes Management Matter?Diabetes itself affected working and wages more than control of blood sugar levels in a Mexican American population.
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Effect of Medication Dosing Frequency on Adherence in Chronic DiseasesMedication adherence is important in chronic disease management. This systematic review demonstrates that dosing frequency has important effects on medication adherence.
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Methodological Effects on the Measurement of Repeat HospitalizationsThe rates of potentially preventable readmissions vary across measurement methodologies which explains inconsistencies in previous studies. Results suggest measurement of readmissions incentivizes inefficient behavior.
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Ambulatory Care Visits for Pap Tests, Abnormal Pap Test Results, and Cervical Cancer Procedures in the United StatesThe pre-HPV vaccination burden of ambulatory care visits and procedures related to cervical cancer screening is assessed, with projected effects of HPV vaccination and testing.
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Building Health IT Capacity to Improve HIV Infection Health OutcomesMassachusetts is integrating HIV surveillance and leveraging electronic health record clinical data into their electronic disease case management system to enhance monitoring the HIV continuum of care.
