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Benzodiazepine and Unhealthy Alcohol Use Among Adult OutpatientsAmong outpatients who were screened for alcohol use, those with unhealthy alcohol use, women, and those who were older, white, and of lower socioeconomic status were more likely to use benzodiazepines.
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Early Evaluations of the Medical Home: Building on a Promising StartFindings from a systematic evidence review of the medical home are promising, but indicate the critical need for stronger evaluations to guide policy makers.
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Treatment of Diabetes Mellitus: The Urgent Need for Multifactorial InterventionsThe pandemic of type 2 diabetes mellitus requires implementation of multifactorial interventions by clinicians for individual patients and policy makers for the health of the general public.
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Accountable Care Organizations: The Proposed Regulations and the Prospects for SuccessCMS recently proposed regulations for Accountable Care Organizations which are extensive and complex. This article reviews the proposed regulations and discusses the prospects for success.
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Interest in Mental Health Care Among Patients Making eVisitsSome patients using a patient portal for eVisits seek mental health care even when it is not designated for such use.
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Medicare Savings From Conservative Management of Low Back PainThis instrumental variables analysis estimates that Medicare would realize $362 million in annual savings if all patients with newly diagnosed low back pain were managed conservatively.
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Physician Clinical Knowledge, Practice Infrastructure, and Quality of CarePatient-centered practice infrastructure was associated with better care quality only among physicians who scored well on their Maintenance of Certification exam.
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A Better Way: Leveraging a Proven and Utilized System for Improving Current Medication Reconciliation ProcessesIn this reply to the commentary, “A Call for a Statewide Medication Reconciliation Program,” published in the October 2016 issue of The American Journal of Managed Care®, authors discuss a proven and scalable solution to improve medication reconciliation that is already available to, and used by, clinicians.
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Access to Chiropractic Care and the Cost of Spine Conditions Among Older AdultsAmong older adults who have a spine condition, access to chiropractic care may reduce medical spending on diagnostic services.
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Evaluation of a Packaging Approach to Improve Cholesterol Medication AdherenceA 7.6% improvement in 12-month cholesterol refill was observed among US military veterans randomized to an adherence blister packaging intervention versus an education-only intervention.
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The Influence of Provider Characteristics and Market Forces on Response to Financial IncentivesWe determine a specialist physician phenotype responsive to financial incentives that may be leveraged to identify physicians and markets well-suited for participation in alternative payment models.
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Medication Adherence for 90-Day Quantities of Medication Dispensed Through Retail and Mail Order PharmaciesPatients' adherence to maintenance medications at retail pharmacy is slightly higher than those at mail order, presenting opportunities for pharmacists to provide quality care.
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Managed Care Patients' Preferences, Physician Recommendations, and Colon Cancer ScreeningCRC screening rates in a large managed care organization were low. Among those screened, use was associated more with physicians' recommendations than with patient preferences.
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Patient-Centered Medical Home Demonstration: A Prospective, Quasi-Experimental, Before and After EvaluationA 12-month evaluation of a patient-centered medical home demonstration indicated improvement in quality of care without an increase in overall costs.
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Risk Adjusting Medicare Advantage Star Ratings for Socioeconomic StatusThe National Committee for Quality Assurance urges socioeconomic risk adjustment to payments, not quality measures.
