Authors
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Impact of Medical and/or Pharmacy Reimbursement on Adult Vaccination RatesBy covering vaccinations under both the medical and pharmacy benefit, rather than the medical benefit alone, health insurers can help improve adult vaccination rates.
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Healthcare Costs and Access for Young Adult Cancer Survivors: A Snapshot Post ACAThe Samfund conducted a preliminary investigation into the impact of the Affordable Care Act on young adult cancer survivors’ medical cost burden and access to health care.
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Value-Based Insurance Design: Infusing Clinical Nuance Into Healthcare TransformationThe concept of clinical nuance-among others-is highlighted at the University of Michigan Center for Value-Based Insurance Design's annual Summit.
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Collaborative Care Plans Reduce Subspecialty Consults: The Experience From a Safety Net HospitalCollaborative care plans combined with provider education resulted in significant reductions in referrals to specialists without an apparent increase in the rate of emergency department visits or hospital admissions.
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Cost Savings Associated With Electronic Specialty ConsultationsThis retrospective cohort evaluation found that patients receiving electronic, compared with face-to-face, specialty consultation had significantly lower health care costs for at least 3 months.
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Periodic Health Examinations and Missed Opportunities Among Patients Likely Needing Mental Health CareAmong patients likely needing mental health care, two-thirds had no discussion or perfunctory discussion of mental health during periodic health exams.
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The Adoption and Spread of Hospital Care Coordination Activities Under Value-Based ProgramsValue-based programs such as accountable care organizations appear to encourage the adoption and spread of care coordination activities by hospitals.
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Worksite Medical Home: Health Services Use and Claim CostsThis study examined the relationship among availability of an on-site, employer-provided primary care medical home, and health services use and health plan costs.
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Evaluating Alternative Methods of Comparing Antihypertensive Treatment IntensityMedication dose captures modification of hypertension treatment intensity more precisely than medication count, and this measure should be preferred in studies that aim to improve hypertension management.
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Effect of the Pay-for-Performance Program for Breast Cancer Care in TaiwanThe pay-for-performance program for breast cancer care had a positive impact on breast cancer outcome in Taiwan. Enrollees received better quality care and had better outcome.
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Extending Cancer Care Past Remission: The Importance of Cardiac Toxicity Monitoring and AwarenessMedical monitoring and counseling can help us track and contain many harmful effects of cancer drug-induced cardiotoxicity. Patient engagement from the very beginning, along with medically advanced testing methods, can help us surmount cardiotoxicity and better ensure that patients receive only the benefits of essential cancer treatment.
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Evaluation of Electronic Medical Record Administrative Data Linked Database (EMRALD)The combination of electronic medical record data and administrative data provides the fullest picture of patient health histories.
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Medicaid Prior Authorization Policies and Imprisonment Among Patients With SchizophreniaThis study examined the impact of prior authorization formularies on the likelihood that patients with schizophrenia will be arrested and incarcerated.
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Evaluation of Collaborative Therapy Review to Improve Care of Heart Failure PatientsWe implemented and evaluated a collaborative therapy review process aimed at optimizing heart failure therapy among patients managed by their primary care providers.
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Preventive/Office Visit Patient Knowledge and Their Insurance Information Gathering PerceptionsPatients have an incomplete understanding of what constitutes no-cost preventive care services. Ease of obtaining information from insurance companies can significantly affect whether patients are charged correctly.
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Medication Adherence and Medicare Expenditure Among Beneficiaries With Heart FailureModest increases in adherence to medication regimens among Medicare patients with heart failure were associated with lower Medicare spending in 3 major drug classes.
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Medication Adherence as a Measure of the Quality of Care Provided by PhysiciansPhysician-level medication adherence is a strong predictor of patient health and should be considered as a measure of physician quality.
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A Novel Nursing-Driven Standardized Diabetes Education Process in Primary CareA new nursing-driven diabetes education process established within a patient-centered primary care model significantly improved diabetes control for veterans at the Albany Stratton VA Medical Center.
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Cost-Effectiveness of Laparoscopic Gastric Banding and Bypass for Morbid ObesityLaparoscopic adjustable gastric banding and gastric bypass are cost-effective treatments for morbid obesity compared with no treatment.
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Can Outpatient Pharmacy Data Identify Persons With Undiagnosed COPD?Algorithms based on managed care pharmacy data can efficiently identify persons at risk for undiagnosed chronic obstructive pulmonary disease.
