Authors
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Healthcare Costs and Nonadherence Among Chronic Opioid UsersHealthcare costs are elevated for patients on chronic opioid therapy; nonadherence to the opioid regimen, based on urine drug monitoring results, further increases costs.
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Medicare Advantage Enrollees’ Use of Nursing Homes: Trends and Nursing Home CharacteristicsThe 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.
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Medicaid Managed Care: Issues for Enrollees With Serious Mental IllnessThe authors studied Kansas Medicaid enrollees with serious mental illness and their experiences with integrated managed care and unmet needs.
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Population Health in Primary Care: Cost, Quality, and Experience ImpactAn evaluation of the use of predictive modeling for primary care resource allocation demonstrated reduced spending and improved quality and patient experience for publicly insured adults.
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CareMore's Togetherness Program Addresses a Symptom of Living With Chronic Illness: LonelinessCareMore's program is a first-in-industry approach to targeting loneliness as a health condition that can be diagnosed and treated through community-based interventions and close engagement with patients.
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Care Coordination to Increase Referrals to Smoking Cessation Telephone Counseling: A Demonstration ProjectAn intervention to increase tobacco treatment rates through care coordination for telephone counseling was effective in raising referral rates and in achieving excellent long-term abstinence.
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Worksite Medical Home: Health Services Use and Claim CostsThis study examined the relationship among availability of an on-site, employer-provided primary care medical home, and health services use and health plan costs.
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Characteristics Driving Higher Diabetes-Related Hospitalization Charges in PennsylvaniaDiabetes-related hospital charges are driven by complications, hospital misadventures, procedures, and other patient and discharge characteristics. Readmission charges are not different from initial admission charges.
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Lynch Syndrome Screening Implementation: Business Analysis by a Healthcare SystemThis study synthesized published evidence on Lynch syndrome screening and expanded that evidence to match the decision needs of internal decision makers.
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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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A Meta-analysis Update: Percutaneous Coronary InterventionsMeta-analyses of percutaneous coronary interventions in stable coronary artery disease are updated to include 2 recent large randomized controlled trials.
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Performance Measurement for People With Multiple Chronic Conditions: Conceptual ModelThe Performance Measurement for People with Multiple Chronic Conditions conceptual model can facilitate development and refinement of quality measures for a medically complex population.
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Managed Care and Cancer Outcomes for Medicare Beneficiaries With DisabilitiesThis study showed better outcomes for disabled Medicare patients with breast cancer but not those with lung cancer when they were enrolled in HMOs.
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Collaborative DTM Reduces Hospitalization and Healthcare Costs in Patients With Diabetes Treated With PolypharmacyDrug therapy management implementation in 2 health plans resulted in significant cost savings and modest to significant reductions in emergency department visits and inpatient admissions among patients with diabetes.
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Using Sequence Discovery to Target Outreach for Diabetes Medication AdherenceSequence discovery techniques identified sequences of events that led to gaps in diabetic therapies and were used to identify outreach opportunities aimed at improving medication adherence.
