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Precision Oncology: Why Payers Should Initiate CGP Coverage Now!Precision oncology, or the clinically and financially efficient use of genomically matched treatments and clinical trials, is evolving as a potentially important starting point for cancer care within successful alternative payment models.
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Patient-Centered Teamwork in Care TransitionsPhysician-led patient care teams have the potential to impact care transitions to prevent fragmentation of care, and ensure seamless care delivery.
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Costs of Providing Antiplatelet Medication for Percutaneous Coronary Intervention PatientsAn insurance benefit that provides percutaneous coronary intervention patients with a discharge supply of antiplatelet medication could result in cost savings for insurers.
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Comparative Effectiveness of Early Natalizumab Treatment in JC Virus-Negative Relapsing-Remitting Multiple SclerosisWe estimated the long-term risks and benefits of disease modifying therapies. Benefits were favored by natalizumab with minimal increased risks in the negative anti-JC virus population.
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Effect of Emergency Department Crowding on Pneumonia Admission Care ComponentsMultivariate analyses associate increased emergency department volume with delayed nursing-dependent care for patients with pneumonia, despite high ratios of nurses to patients.
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Assessing the Impact of an Integrated Care System on the Healthcare Expenditures of Children With Special Healthcare NeedsThis study analyzes the effect of a managed care program on Medicaid expenditures for children with special healthcare needs using a quasi-experimental design.
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Addressing Cost Barriers to Medications: A Survey of Patients Requesting Financial AssistancePatients are receptive to diverse strategies to screen for cost barriers but want participatory decision making to address cost-efficacy tradeoffs.
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A Transitional Care Model for Patients With Acute Coronary SyndromeThis study suggests that the Bridging the Discharge Gap Effectively (BRIDGE) program can help decrease the number of hospital readmissions in patients with acute coronary syndrome that cause unnecessary and substantial healthcare systems costs.
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Role of Pharmaceuticals in Value-Based Healthcare: A Framework for SuccessA framework for the role of pharmaceuticals in value-based healthcare, practical examples from organizations that have made the transition, and implementation considerations.
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Persistence With Biologic Therapies in the Medicare Coverage GapFor patients who reached the Medicare Part D coverage gap, discontinuation was more likely for patients taking osteoporosis medication.
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Understanding the Social Risk Factor Adjustment’s Effect on Star RatingsThis article examines how CMS’ adjustment for social risk factors affects the Medicare Advantage Star Ratings and the type of contracts affected by the adjustment.
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Understanding Price Growth in the Market for Targeted Oncology TherapiesThe prices of targeted oncology therapies have grown substantially, but revenues have not. This is due in part to large declines in per-drug patient counts.
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Costs of Asthma Among US Working AdultsAmong a working population, patients with asthma experienced significantly higher direct medical costs and modestly higher work loss than patients without asthma.
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Cost-Benefit of Appointment-Based Medication Synchronization in Community PharmaciesThis study conducted a cost-benefit analysis of appointment-based medication synchronization for improving adherence in patients on chronic medications for hypertension, hyperlipidemia, and diabetes.
