Authors
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There's More Than One Way to Build a Medical HomeEven among practices reaching the highest level of PCMH achievement, there are variations in the implementation of key medical home capabilities.
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Medication Adherence as it Relates to Quality of Diabetes CareJosh Benner, PharmD, ScD, says nonadherence in diabetes medication is a large contributor to high costs in healthcare and should be a priority for care givers.
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Targeting a High-Risk Group for Fall Prevention: Strategies for Health PlansThis study evaluates different strategies to identify high fall risk among community-dwelling elders using a combination of easily obtainable administrative data and patient screening questions.
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Distal Upper and Lower Limb Fractures Associated With Thiazolidinedione UseThis study demonstrates that patients with diabetes taking thiazolidinediones have higher proportions of distal upper and lower limb fractures than those not taking the drug.
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Assessing the Impact of an Integrated Care System on the Healthcare Expenditures of Children With Special Healthcare NeedsThis study analyzes the effect of a managed care program on Medicaid expenditures for children with special healthcare needs using a quasi-experimental design.
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The Association Between Insurance Type and Cost-Related Delay in Care: A SurveyIn a survey of patients and visitors to a large academic medical center, middle-income respondents with private insurance reported more cost-related delays in care than those with public insurance.
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Employees' Willingness to Pay to Prevent InfluenzaThe willingness of employees to pay to prevent influenza demonstrates a strong preference to protect themselves and their household members; however, modifiable barriers to vaccination persist.
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Mental Health Services Utilization Among Women Experiencing Intimate Partner ViolenceAmong women diagnosed as having intimate partner violence, odds of mental health utilization were lower among those diagnosed in emergency departments versus primary care clinics.
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Global Payment Contract Attitudes and Comprehension Among Internal Medicine PhysiciansFour years following engagement by an urban care organization in global payment contracts, a majority of internal medicine physicians there were supportive of this action.
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Systematic Review of Comparative Effectiveness Data for Oncology Orphan DrugsThis study critically assessed the published clinical and economic evidence supporting oncology orphan drugs marketed in the United States.
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Predictive Index for 90-Day Postoperative Outcomes Following Gynecologic SurgeryIncreasing LACE+ index score is a significant predictor of greater risk of unplanned readmission, emergency department visits, and reoperation after gynecologic surgery.
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Risk Adjusting Community-acquired Pneumonia Hospital Outcomes Using Automated DatabasesUsing laboratory and administrative data, large managed care organizations can assign severity of illness scores to patients with pneumonia for risk adjustment and reporting.
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Impact of Hypertension on Healthcare Costs Among ChildrenThis study demonstrates a major influence of prehypertension and hypertension on healthcare costs in a large cohort of children, independent of body mass index.
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Hospital Strategies in Commercial Episode-Based ReimbursementThis study reports qualitative findings from an explanatory sequential mixed-methods investigation to understand hospitals’ approaches to a novel commercial episode-based reimbursement incentive program.
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Number of Manufacturers and Generic Drug Pricing From 2005 to 2017Regardless of the number of manufacturers, generic drug prices presented double-digit average increases from 2012 to 2015.
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Cost-Effectiveness of Roux-en-Y Gastric Bypass in Type 2 Diabetes PatientsA predictive health economic model indicated that Roux-en-Y gastric bypass is cost-effective in the treatment of type 2 diabetes mellitus compared with medical management.
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Physician and Patient Tools to Improve Chronic Kidney Disease CareDecision support tools, disease registries, and patient engagement materials can improve population-based chronic kidney disease care.
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Unintended Consequences of a Quality Measure for Acute BronchitisA quality measure reduced antibiotic use for patients with acute bronchitis but led to use of an alternative diagnosis, offsetting most of the observed improvement.
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Passive Social Health Surveillance and Inpatient ReadmissionsBy collecting self-identified social needs and linking them to claims data, this study analysis reveals that social needs are associated with inpatient readmissions.
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Medication Adherence and Enrollment in a Consumer-Driven Health PlanMedication adherence was lower for some drug classes among CDHP patients who enrolled in consumer-driven health plans compared with patients who continuously enrolled in traditional managed care plans.
