Authors
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Comorbidities and Cardiovascular Disease Risk in Older Breast Cancer SurvivorsEffective management of the comorbidities of diabetes and hypertension may increase survival in older breast cancer survivors.
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False Activation of the Cardiac Catheterization Laboratory for Primary PCIBetween 2005 and 2011, rates of cardiac catheterization laboratory false activation doubled while mean door-to-balloon times for primary PCI declined.
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Proton Therapy Eliminates Unnecessary Radiation Exposure and Is Medically NecessaryWhen it comes to health coverage, most Americans face an unnerving reality-they have no idea what is covered under their health insurance policy until after they are affected by illness or disease.
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Variation in Outpatient Antibiotic Prescribing in the United StatesRates of outpatient antibiotic prescribing vary widely between US commercial health plans. High-utilizing health plans may improve quality and lower costs by reducing unnecessary antibiotic use.
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Sources of Information Used in Selection of SurgeonsThis article explores the information (scorecards, referrals, prior experience, location) influencing the choice of orthopedic surgeon and how this influence varies by patient characteristics.
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Bending the Curve Through Health Reform ImplementationAuthors from The Brookings Institution update their recommendations by focusing on 3 concrete objectives to slow spending and improve quality of care within the next 5 years.
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The Effect of Disease Management on Utilization of Services by Race/Ethnicity: Evidence From the Florida Medicaid ProgramThis study examines racial/ethnic differences in utilization of inpatient days and ED and outpatient visits before and after implementation of a Medicaid disease management program.
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ACO Use of Case Mix Index to Comprehensively Evaluate Postacute Care PartnersThis article describes how one accountable care organization (ACO) created a risk-adjusted algorithm to evaluate current and potential candidates for skilled nursing facility partnerships.
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Prevalence of Osteoporosis in Men in a VA Rehabilitation CenterMen in a VA rehabilitation unit who had osteoporosis were older and thinner, but otherwise similar (metabolic and functional status) to control subjects.
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Questioning the Widely Publicized SavingsTwo responses to the commentary entitled Questioning the Widely Publicized Savings Reported for North Carolina Medicaid by Al Lewis, JD, published in the August 2012 issue of The American Journal of Managed Care.
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Real-World Economic Value of a 21-Gene Assay in Early-Stage Breast CancerUniversal gene expression profiling of patients with stage II breast cancer resulted in outpatient savings of $11,000 (inclusive of testing costs) within 6 months of initiation of medical therapy.
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Performance of the Adapted Diabetes Complications Severity Index Translated to ICD-10We present an International Classification of Diseases, Tenth Revision (ICD-10) translation of the adapted Diabetes Complications Severity Index and show its performance in predicting hospitalizations, mortality, and healthcare-associated costs.
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Rates of Guideline Adherence Among US Community Oncologists Treating NSCLCUS community oncologists treating NSCLC were significantly more likely to be guideline adherent when providing first-line rather than adjuvant treatment.
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State of Emergency Preparedness for US Health Insurance PlansHealth insurance plans serve a critical role in public health emergencies. The authors queried plans about issues related to emergency preparedness: infrastructure, adaptability, connectedness, and best practices.
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Dialing In: Effect of Telephonic Wellness Coaching on Weight LossSmall weight loss was reported by overweight/obese individuals targeted for telephonic wellness coaching in this large retrospective study using pre-post design.
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Public Outrage Overturning Drug Price HikesPublic outrage over the 5000% price increase for Daraprim, a 62-year-old drug purchased by Turing Pharmaceuticals in August, prompted the company to promise it would lower the drug's cost. This is not the first time such an incidence has occurred.
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Connected Care: Improving Outcomes for Adults With Serious Mental IllnessCase study of a payer-led intervention to improve coordination of care for adult Medicaid beneficiaries with serious mental illness.
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The Wider Public Health Value of HCV Treatment Accrued by Liver Transplant RecipientsAdvances in treatment for hepatitis C virus (HCV) have the potential to generate considerable spillover benefits to patients awaiting transplants, especially among those with non—HCV-mediated liver failure.
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Preferred Roles in Treatment Decision Making Among Patients With Cancer: A Pooled Analysis of Studies Using the Control Preferences ScaleThis pooled analysis assesses preferred roles in treatment decision making, actual roles, and preferred versus actual discordance among 6 studies of patients with cancer.
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Medicare’s Bundled Payment Model Did Not Change Skilled Nursing Facility Discharge PatternsHospital participation in Medicare’s Bundled Payments for Care Improvement model was not associated with changes in number of skilled nursing facility (SNF) partners or in SNF discharge concentration.
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Using Aggregated Pharmacy Claims to Identify Primary NonadherenceWe used aggregated pharmacy claims data available within the electronic health record to identify a high rate of primary nonadherence in a nonintegrated primary care network.
