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e-Consult Implementation Success: Lessons From 5 County-Based Delivery SystemsThis case study of 5 county-based delivery systems finds that existing specialty care relationships and information technology integration are important differentiating factors for e-consult implementation success.
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State-Level Projections of Cancer-Related Medical Care Costs: 2010 to 2020State-level estimates of the number of people treated for cancer and the average cost of their treatment by state from 2010 through 2020.
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Treatment Patterns for Patients With Advanced/Metastatic Cancers by Site of CareTreatment patterns and overall survival were similar regardless of site of care between patients receiving anticancer therapy in the hospital outpatient vs physician office setting.
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Physician Practice Variation Under Orthopedic Bundled PaymentThis study demonstrates that variation reduction is an important, but not requisite, component of organizational success under orthopedic bundled payment.
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ED-Based Care Coordination Reduces Costs for Frequent ED UsersResults of our pilot randomized controlled intervention involving emergency department (ED)-based care coordination and community health workers demonstrated a trend toward fewer ED visits, fewer hospitalizations, and lower costs among intervention patients.
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Hepatitis B Virus Infection Testing and Prevalence Among Asian and Pacific IslandersWe examined the effect of country of origin on HBV testing and chronic HBV infection prevalence among APIs using data from Kaiser Permanente Hawaii.
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The Financial Impact of Team-Based Care on Primary CareAlthough team-based care improved cardiovascular disease risk factors, it had a negative financial impact on a primary care practice.
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Performance Measurement for People With Multiple Chronic Conditions: Conceptual ModelThe Performance Measurement for People with Multiple Chronic Conditions conceptual model can facilitate development and refinement of quality measures for a medically complex population.
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Substitutive Hospital at Home for Older Persons: Effects on CostsSubstitutive Hospital at Home care for 4 common conditions is associated with cost savings.
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Value-Based Contracting Innovated Medicare Advantage Healthcare Delivery and Improved SurvivalElderly Medicare Advantage members with multiple chronic conditions attained a survival benefit from more cost-effective care when a private plan developed gainshare and monetary risk-bearing arrangements with its contracted providers.
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Adherence to Medication Under Mandatory and Voluntary Mail Benefit DesignsPharmacy benefit designs that mandate mail pharmacy use interfere with prescription drug access, particularly for individuals without previous mail pharmacy experience.
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Treating Medicaid Patients With Hepatitis C: Clinical and Economic ImpactHepatitis C virus treatment is often restricted in Medicaid patients. This analysis evaluates the clinical and cost impacts of treating all Medicaid patients versus the current status quo.
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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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EHR Adoption Among Ambulatory Care TeamsHealth IT—enabled information sharing promotes communication within care teams. This study examined health IT adoption rates among practices that employ nurse practitioners and physician assistants.
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Anticoagulation in Atrial Fibrillation: Impact of Mental IllnessAtrial fibrillation patients with mental health conditions are less likely to be eligible for warfarin receipt, and those who are eligible receive warfarin at lower rates.
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A Gray Area for Reimbursement: Medical Foods for Non–Inborn Errors of MetabolismMost non–inborn errors of metabolism (non-IEM) medical foods (MFs) do not meet the regulatory MF definition and lack scientific evidence for safety and efficacy. Non-IEM MFs are not yet ready for reimbursement by public insurers.
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Physician Response to Patient Request for Unnecessary CareMany primary care physicians in the United States reported providing unnecessary medical care in response to patient requests; several factors predicted this behavior.
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A Randomized, Pragmatic, Pharmacist-Led Intervention Reduced Opioids Following Orthopedic SurgeryThis pharmacist-led, patient-directed intervention demonstrated a reduction in opioid dispensings in the 90 days following hip replacement but not knee replacement.
