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Creating Peer Groups for Assessing and Comparing Nursing Home PerformanceA methodologically sound, empirically based approach to creating peer groupings can and should be adapted to fit the setting of nursing homes.
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Medicaid Managed Care Reduces Readmissions for Youths With Type 1 DiabetesAn analysis of the largest cohort available reveals that youths with type 1 diabetes, on a Medicaid managed care plan, are less likely to be readmitted within 90 days of discharge.
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Impact of Predictive Model-Directed End-of-Life Counseling for Medicare BeneficiariesA telephonic counseling program, directed by a predictive model, reduced end-of-life costs by 4.5% within 2 Medicare Health Support pilot programs.
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Ambulatory Care–Sensitive Emergency Visits Among Patients With Medical Home AccessPatients often self-refer to the emergency department (ED) for management of an ambulatory care–sensitive condition, and the ED may be the most appropriate care location.
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Overuse and Insurance Plan Type in a Privately Insured PopulationHealth insurance plan type may be an important lever for reducing low-value healthcare use among patients with commercial insurance.
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Evaluation of a Hospital-in-Home Program Implemented Among VeteransThe Hospital-in-Home program implemented at the Veterans Affairs Pacific Islands Health Care System in Honolulu, Hawaii, is associated with reduced costs with no compromise in quality.
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Impact of Certified CME in Atrial Fibrillation on Administrative ClaimsUse of administrative claims data is an innovative way of measuring the effect of continuing medical education on physician practice behavior and patient outcomes.
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Payer's Role in Care: Gatekeeper or Change Agent?The panel discussion for Session 3, "The Role of Health Plans and Payers in Patient Care," discussed the role of payers in revolutionizing the system to make it patient-centric.
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Using "Roll-up" Measures in Healthcare Quality Reports: Perspectives of Report Sponsors and National AlliancesThis study identifies practices and perceptions around public reporting of “roll-upâ€
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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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Ezetimibe 5 and 10 mg for Lowering LDL-C: Potential Billion-Dollar Savings With Improved TolerabilityThis retrospective study strongly suggests that splitting a 10-mg ezetimibe tablet yields a 5-mg dose that is clinically equivalent to the 10-mg dose.
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Are Obese Patients Assisted in Losing Weight?In obese patients, we assessed the lack of advice to lose weight and its association with cardiovascular risk using the REGICOR chart (adaption of Framingham).
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How Pooling Fragmented Healthcare Encounter Data Affects Hospital ProfilingIncomplete records of patient history can bias hospital profiling. Completing health records for Medicare-covered patients in VA hospitals resulted in modest changes in hospital performance.
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The Association of Health Literacy Domains With Hospitalizations and MortalityDespite previous research evidence, this study did not reveal an overall association of health literacy, numeracy, and graph literacy with all-cause hospitalizations or mortality.
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Estimating the Staffing Infrastructure for a Patient-Centered Medical HomeThis study suggests that implementing a patient-centered medical home requires additional staff with specific expertise based on the needs of the practice and its population.
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The Relationship Between Adherence and Total Spending Among Medicare Beneficiaries With Type 2 DiabetesThis study describes a widespread variation in medication adherence, pharmacy cost sharing, and medical spending. Increased cost sharing may decrease adherence and increase total diabetes spending.
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Use of Patient-Reported Outcomes and Satisfaction for Quality AssessmentsUnderstanding the relationships among patient-reported outcomes, satisfaction, and quality is the first step in drawing meaningful conclusions that can then be translated into policy.
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Financial Effects of Health Information Technology: A Systematic ReviewAlthough health information technology interventions are associated with cost savings and revenue gains, there still are few articles on this topic.
