Authors
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Inflammatory Bowel Disease Readmissions Are Associated With Utilization and ComorbidityThirty-day readmissions related to inflammatory bowel disease are common and associated with longer length of stay and a higher likelihood of having an associated comorbid condition compared with index hospitalizations.
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Achieving Meaningful Use: A Health System PerspectiveThe experience of Partners HealthCare offers some unique insights into the process of electronic medical record adoption across a large, diverse health system.
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Using Financial Incentives to Improve the Care of Tuberculosis PatientsPatients enrolled in the tuberculosis pay-for-performance program received more comprehensive ambulatory care with slightly lower costs and a higher treatment success rate.
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Patient Experience and Physician/Staff Satisfaction in Transforming Medical HomesBecoming a medical home appears to increase physician and staff job satisfaction, but it also risks decreasing patient satisfaction with access to care.
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Nurse-Run, Telephone-Based Outreach to Improve Lipids in People With DiabetesNurses can improve lipid control in people with diabetes in a primarily indigent population through telephone care using moderately complex algorithms. Telephone-based outreach may decrease resource utilization.
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Impact of a Value-Based Formulary in Three Chronic Disease CohortsA value-based formulary was implemented that used cost-effectiveness analysis to inform medication co-payments. Diabetes cohort expenditures decreased by $9 per member per month.
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US Prevalence of Upper Gastrointestinal Symptoms: A Systematic Literature ReviewSystematic review and meta-analysis suggest that upper gastrointestinal symptoms and disorders are common to inhabitants of the United States.
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Predicting Opioid Use Disorder and Associated Risk Factors in a Medicaid Managed Care PopulationA Medicaid managed care organization developed a machine learning model to identify opioid use disorder (OUD) risk factors and predict OUD incidence in its multistate population.
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Higher 30-Day and 60-Day Readmissions Among Patients Who Refuse Post Acute Care ServicesAlthough patients who refuse post acute care services are relatively young, well educated, and healthy, they are twice as likely to have 30- and 60-day readmissions compared with acceptors of services.
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Excess Hospitalization Days in an Academic Medical Center: Perceptions of Hospitalists and Discharge PlannersWe assessed the frequency of and reasons for medically unnecessary hospital days, which affect patients, payers, hospitals, and healthcare providers.
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Physician Variation in Lung Cancer Treatment at the End of LifePatients receiving care for advanced non—small cell lung cancer in small, independent oncology practices are more likely to receive chemotherapy in the last 30 days of life.
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Impact of Hospital-Physician Integration on Medicare Patient MixThis study found no evidence that hospital employment of physicians resulted in physicians treating sicker patients, undercutting claims that hospital-employed physicians serve a higher-acuity patient mix.
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Limited Distribution Networks Stifle Competition in the Generic and Biosimilar Drug IndustriesA limited distribution network is a pharmaceutical distribution strategy that some drug companies have capitalized upon to obstruct generic and biosimilar competition.
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Measuring Patient-Centered Medical Home Access and Continuity in Clinics With Part-Time CliniciansCommonly used measures of performance for assessing patient access do not reflect PCMH-encouraged strategies to improve access that may be preferentially used by part-time physicians.
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Improving Partnerships Between Health Plans and Medical GroupsTo provide guidance for successful partnerships, the authors identify common themes from their experience with successful health plan/medical group partnerships programs.
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Health Information Technology and Physicians' Knowledge of Drug CostsHigh rates of health information technology use by physicians were only modestly associated with better knowledge of drug costs.
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One Size Does Not Always Fit All in Value AssessmentLaying a clear path for incorporating reliable evidence on heterogeneity in value assessments could improve their applicability for healthcare decision making.
