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Cost Sharing and Branded Antidepressant Initiation Among Patients Treated With GenericsHigher cost sharing is associated with reduced branded antidepressant initiation among patients trying generic therapy. Dynamic benefit designs could enhance access to branded medications when appropriate.
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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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Empirical Analysis of Domestic Medical Travel for Elective Cardiovascular ProceduresPromoting domestic medical travel to high-quality providers could improve clinical outcomes and reduce long-term healthcare costs.
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Improving Patient Self-Management of Multiple Sclerosis Through a Disease Therapy Management ProgramThis study evaluated the effect of a multiple sclerosis disease therapy management program on medication adherence, therapy persistence, relapses, work productivity, and quality of life.
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Disparities in Diabetes and Hypertension Care for Individuals With Serious Mental IllnessThis study highlights disparities in care for diabetes and hypertension for individuals with serious mental illness compared with the general Medicaid and Medicare populations.
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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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The Clinical Core of the JNC 8 Hypertension GuidelinesThe latest Joint National Committee guidelines are based on 27 large clinical trials concerning hypertension management. These trials are often discussed in isolation, but their data have never been aggregated into a single source.
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The Value of Value-Based Insurance Design: Savings From Eliminating Drug Co-PaymentsGeisinger Health System’s $0 co-pay drug program for its chronically ill employee population is associated with positive cost savings and a 5-year return-on-investment of approximately 1.8.
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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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Health Information Technology for Ambulatory Care in Health SystemsHealth systems are important in driving electronic health record adoption in ambulatory clinics, although the uptake of key functionalities varies across systems.
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Impact of a Co-pay Accumulator Adjustment Program on Specialty Drug AdherenceCommercial health plan initiation of a co-pay accumulator adjustment program for specialty medications treating autoimmune diseases was associated with significant reductions in medication adherence and persistence.
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Leveling the Field: Addressing Health Disparities Through Diabetes Disease ManagementA subanalysis of a successful algorithm-driven primary care–based diabetes disease management program examines the relationships among patient characteristics, labor inputs, and improvement in A1C level.
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Results From a National Survey on Chronic Care Management by Health PlansThis study shows that health plans use chronic care management programs as standard components of the overall approach to manage the health of their members.
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Comprehensive Health Management Pharmacist-Delivered Model: Impact on Healthcare Utilization and CostsPharmacist-provided comprehensive medication management led to a significant difference in emergency department visits and a cost savings of $2.10 to $2.60 for every $1.00 spent relative to a comparator group.
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Effects of Telephone Counseling on Antipsychotic Adherence and Emergency Department UtilizationA telehealth nursing program used psychological counseling techniques to improve antipsychotic medication adherence, leading to reduced emergency department utilization in a managed Medicaid population.
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The Utility of Cost Discussions Between Patients With Cancer and OncologistsMany patients with cancer desire cost discussions with doctors, but those discussions are rare. Nevertheless, cost discussions may lower patient costs-usually without altering treatment.
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Chief Happiness Officer-An Emerging New C-Suite RoleTreating physicians as your most valued customers: embracing the role of chief happiness officer to drive physician engagement and change management.
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Chronic Pain as a Driver of Cost in ACO ArrangementsA discussion of chronic pain prevalence, care obstacles, and potential opportunities for care improvement within the accountable care organization context at University of California, San Francisco Health.
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Healthcare Utilization and Cost Effects of Prior Authorization for Pregabalin in Commercial Health PlansPrior authorization for pregabalin in commercial insurance plans accomplished the objective of lower pregabalin utilization; however, there was no significant decrease in disease-related healthcare costs.
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A Web-Based Clinical Decision Support System for Depression Care ManagementThis article describes the development and capabilities of a Webbased decision support system for care managers working in the context of the chronic care model.
