Authors
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Sustainable Lifelines: Supporting Integrated Behavioral Health Services for Children and Adolescents in the Accountable Care EraA reimbursement strategy for collaborative care models is presented to enhance access to integrated behavioral healthcare for children and adolescents from underserved areas.
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Medicare Part D Coverage Gap and Diabetes BeneficiariesWhen diabetic patients in 2 Medicare Advantage Part D plans reached the 2006 coverage gap, overall drug costs dropped as out-of-pocket costs increased.
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Value-Based Payment in Implementing Evidence-Based Care: The Mental Health Integration Program in Washington StateValue-based payment improved fidelity to key elements of the Collaborative Care Model—an evidence-based mental health intervention—and improved patient depression outcomes in Washington state.
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Alignment of Breast Cancer Screening Guidelines, Accountability Metrics, and Practice PatternsThis study measured breast cancer screening practice patterns in relation to evidence-based guidelines and accountability metrics, and found closer alignment is needed for providing patient-centered care.
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Do You Speak My Language? When Patient Care Meets Cost-EffectivenessHealth system innovations are sometimes justified in economic language, but clinicians speak the language of patient care. Advancing reform requires translators who speak both languages.
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Comparing Apples With Oranges: Administrative Expenses and Finances in Medicare SystemsIn the debate of administrative expenses for public and private Medicare, we show incompatibility and extend the analysis to income, benefits, and loss ratio comparisons.
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Cost-Effectiveness of Collaborative Care for Depression and PTSD in Military PersonnelCentrally assisted collaborative telecare is a cost-effective strategy relative to usual care for treating posttraumatic stress disorder and depression in the Military Health System.
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EHRs in Primary Care Practices: Benefits, Challenges, and Successful StrategiesSmall primary care practices reap some organizational and quality of care improvements from electronic health records; however, challenges persist in achieving meaningful use standards.
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Is There a Relationship Between Early Statin Compliance and a Reduction in Healthcare Utilization?Statin therapy compliance of 80% or higher during the first 2 years of treatment is associated with reduced healthcare resource utilization in the following year.
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Is Patient Satisfaction Influenced by the Intensity of Medical Resource Use by Their Physicians?Patient satisfaction does not seem to be influenced by the intensity of medical resource use by their physicians.
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ACO Contracting With Private and Public Payers: A Baseline Comparative AnalysisThe authors find 51% of accountable care organizations have private payer contracts, which are more likely than public contracts to include downside risk and upfront payments.
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Case-Mix Adjustment for Diabetes Indicators: A Systematic ReviewA systematic review of the impact and rationale for the selection of adjustment factors (case-mix factors) used to describe performance in diabetes care.
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Representativeness of Dipeptidyl-Peptidase-4 Inhibitor Cardiovascular Outcomes TrialsGiven the growing prevalence of type 2 diabetes (T2D) and its contribution to cardiovascular disease, cardiovascular outcomes trials should aim to be more representative of the average patient with T2D.
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Measures of ED Utilization in a National Cohort of ChildrenThrough analysis of multistate Medicaid data, this study identifies differences in 2 commonly used measures of emergency department (ED) utilization, ED visit count and ED reliance.
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Impact of Clinical Training on Recruiting Graduating Health ProfessionalsA business case is made for medical centers to offer high-quality clinical training experiences to recruit graduating health professionals.
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Colony-Stimulating Factor Prescribing Patterns in Patients Receiving Chemotherapy for CancerWe linked health insurance records to cancer registry data to analyze colony-stimulating factor use, finding wide divergence from that recommended by practice guidelines.
