Authors
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The Effect of Narrow Network Plans on Out-of-Pocket CostThe authors examined the effect of narrow network plan selection on beneficiaries’ outpatient visits and outpatient out-of-pocket expenditures in the 2014 nongroup health insurance market.
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Consumers to See Star-Ranking System in Healthcare InsuranceStarting in fall 2013, US consumers can expect to see more health insurers utilizing a star-rating system. The new approach in healthcare coverage aims to reflect the quality of insurance plans in relation to costs for policy holders.
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The Development of a Patient-Reported Functional Limitations IndexWe describe an easy-to-interpret, patient-reported Functional Limitations Index that can be used to monitor care of patients along the disability continuum.
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Areas of Addressable Friction for the Adoption of Greater Healthcare Affordability: Insights from US PhysiciansBased on an analysis of Medscape Business of Medicine data, we identify 5 specific areas of friction for the success of payment reform efforts.
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Impact of Clinical Pharmacy Services on Outcomes and Costs for Indigent Patients With DiabetesClinical pharmacy specialists impact patient care through improvements in clinical outcomes for diabetes, hypertension, and dyslipidemia via clinical interventions and promotion of medication adherence.
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Implementation Variation in Natural Experiments of State Health Policy InitiativesThis paper presents a method to characterize policy implementation across states to enable more nuanced impact assessments of federal healthcare delivery system and payment reforms.
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Validating Electronic Cancer Quality Measures at Veterans Health AdministrationEven in a fully integrated healthcare system, only 28% of cancer quality measures could be validated by using electronically available data.
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Building Health IT Capacity to Improve HIV Infection Health OutcomesMassachusetts is integrating HIV surveillance and leveraging electronic health record clinical data into their electronic disease case management system to enhance monitoring the HIV continuum of care.
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Survivorship Care Throughout the Cancer JourneyLeaders at Florida Cancer Specialists discuss the cancer survivorship program they've created to meet the needs of their diverse population of patients.
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Incentives and Tools as Keys to Improving Medication AdherenceDr Benner presented a program that helps providers improve medication adherence among their patients.
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Delayed Radiotherapy for Breast Cancer Patients in Integrated Delivery SystemsAmong older women in 5 integrated delivery systems, 14% experienced delayed radiotherapy for breast cancer, even though they had insurance and access to care.
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Care by Cell Phone: Text Messaging for Chronic Disease ManagementCell phone“based text messaging may be used to feasibly support chronic disease management and engagement in diabetes self-care behaviors for some patients.
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IT-Enabled Systems Engineering Approach to Monitoring and Reducing ADEsSelf-empowering team resource management, when aided by information technology, appears to help reduce adverse drug events in primary care offices.
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Preventive Care and Health Behaviors Among Overweight/Obese Men in HMOsHealthcare organizations may reduce weight-related health risks and disparities in care among overweight/obese patients through promoting cancer screening exams, healthier diets, and physical activity.
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Late Diagnosis of Hepatitis C Virus Infection, 2014-2016: Continuing Missed Intervention OpportunitiesLate hepatitis C virus infection diagnosis points to a need for earlier screening and treatment before the onset of severe liver disease leading to high cost and diminished outcomes.
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Does Sharing Care Across the Primary–Specialty Interface Improve Outcomes in Chronic Disease? A Systematic ReviewEvidence to support the introduction of shared care services into clinical practice is limited, although methodologic shortcomings may account for this lack of evidence.
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ICER's Value Assessment Framework: Capturing the Patient ExperienceThe Institute for Clinical and Economic Review (ICER), has established a robust health technology assessment strategy for engaging patients so that the entire process is informed by the patient experience and what “value” means to them.
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Practical Solutions When Facing Cost Sharing: The American Cancer Society's Health Insurance Assistance ServiceThis case study from the American Cancer Society (ACS) describes the ACS’s Health Insurance Assistance Service and offers profiles of 2 cases, which describe the challenges of finding adequate and affordable solutions, as well as sharing lessons learned.
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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.
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Availability and Variation of Publicly Reported Prescription Drug PricesRetail prices for commonly prescribed drugs are often absent from state prescription drug price websites, but when reported, can vary substantially.
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Predialysis Nephrology Care Among Older Veterans Using Department of Veterans Affairs or Medicare-Covered ServicesMany older veterans do not receive appropriate nephrology care before beginning dialysis. Dual use of Veterans Affairs and Medicare-covered services was associated with better patterns of care.
