Authors
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Medication Adherence for 90-Day Quantities of Medication Dispensed Through Retail and Mail Order PharmaciesPatients' adherence to maintenance medications at retail pharmacy is slightly higher than those at mail order, presenting opportunities for pharmacists to provide quality care.
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Managed Care Patients' Preferences, Physician Recommendations, and Colon Cancer ScreeningCRC screening rates in a large managed care organization were low. Among those screened, use was associated more with physicians' recommendations than with patient preferences.
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Patient-Centered Medical Home Demonstration: A Prospective, Quasi-Experimental, Before and After EvaluationA 12-month evaluation of a patient-centered medical home demonstration indicated improvement in quality of care without an increase in overall costs.
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Risk Adjusting Medicare Advantage Star Ratings for Socioeconomic StatusThe National Committee for Quality Assurance urges socioeconomic risk adjustment to payments, not quality measures.
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Value-Based Arrangements May Be More Prevalent Than AssumedWe surveyed biopharmaceutical manufacturers and payers to understand the prevalence and characteristics of value-based payment arrangements, as well as their implementation obstacles and success factors.
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Developing an Oncology Clinical Pathways Program - the UPMC Case StudyAn overview of the oncology clinical pathways development program at the UPMC CancerCenter and how it led to the creation of Via Oncology, a clinical pathways vendor.
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Preventing Patient Absenteeism: Validation of a Predictive Overbooking ModelElectronic health record data can be used to predict patient absenteeism accurately. Predictive overbooking of missed appointments can significantly increase service utilization.
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Effectiveness of Care Coordination and Health Counseling in Advancing IllnessThis prospective trial suggests that specialized care coordination and health counseling for patients coping with advanced stages of 4 life-limiting illnesses can be beneficial.
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How Pooling Fragmented Healthcare Encounter Data Affects Hospital ProfilingIncomplete records of patient history can bias hospital profiling. Completing health records for Medicare-covered patients in VA hospitals resulted in modest changes in hospital performance.
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Economic Burden of Osteoporotic Fractures in US Managed Care EnrolleesOsteoporotic fractures are associated with a significant economic burden, including costs of rehabilitation services and a high total all-cause cost of care.
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Factors Associated With Primary Care Physician Turnover in the VAThis longitudinal observational study found higher team satisfaction with workload to be significantly associated with lower primary care physician turnover.
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Impact of Weekly Feedback on Test Ordering PatternsProviding a weekly feedback report significantly influences the test ordering behavior of internal medicine residents and reduces laboratory overutilization.
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Reconsidering the Economic Value of Multiple Sclerosis TherapiesAvailability of multiple sclerosis (MS) therapies provides substantial value to the currently healthy (who may contract MS in the future), particularly when treatment is fully covered by insurance.
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Molecular Testing Patterns in Metastatic Non—Small Cell Lung CancerAssessment of the timing of histologic and molecular testing indicates that testing occurred prior to treatment initiation for most patients with metastatic non—small cell lung cancer.
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Collection of Language Data and Services Provided by Health PlansHealth plans have made substantial progress in the collection of language data and many are offering options for language services.
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Development of a Tailored Survey to Evaluate a Patient-Centered InitiativeWe developed short patient experience surveys that were sensitive to our broad quality initiative, were meaningful and acceptable to patients, and had good response rates.
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Real-World Impact of Comparative Effectiveness Research Findings on Clinical PracticeThe authors found no consistent pattern in the concordance between CER evidence and subsequent utilization patterns.
