Authors
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Using Aggregated Pharmacy Claims to Identify Primary NonadherenceWe used aggregated pharmacy claims data available within the electronic health record to identify a high rate of primary nonadherence in a nonintegrated primary care network.
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Effects of a Community-Based Care Management Model for Super-UtilizersA community-based care management program for high-risk patients reduced hospital readmissions and also likely reduced admissions and Medicare parts A and B spending.
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Health Economic Analysis of Breast Cancer Index in Patients With ER+, LN- Breast CancerThis study projected that the breast cancer index assay is cost saving when used either at diagnosis or at 5 years post diagnosis.
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"No-Shows": Who Fails to Follow Up With Initial Behavioral Health Treatment?Patients who obtained authorization but did not get initial mental health treatment needed treatment as much as or more than patients who presented for care.
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Targeting a High-Risk Group for Fall Prevention: Strategies for Health PlansThis study evaluates different strategies to identify high fall risk among community-dwelling elders using a combination of easily obtainable administrative data and patient screening questions.
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Cost Per Response Analysis of Strategies for Chronic Immune ThrombocytopeniaThis decision tree model estimates the cost per response and incremental cost per additional responder for romiplostim, eltrombopag, and “watch and rescue” for immune thrombocytopenia.
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Comparing Apples With Oranges: Administrative Expenses and Finances in Medicare SystemsIn the debate of administrative expenses for public and private Medicare, we show incompatibility and extend the analysis to income, benefits, and loss ratio comparisons.
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Reasons for Emergency Department Use: Do Frequent Users Differ?Frequent emergency department (ED) users gave similar reasons for using the ED rather than a clinic compared to other patients, including concerns around convenience, access, and quality.
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Characteristics of and Trends in the Late-stage Biopharmaceutical PipelineResearch on characteristics of the biopharmaceutical pipeline and on changes since 2003 includes a description of new features and recommendations for health policy decision makers.
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Measuring Overuse With Electronic Health Records DataElectronic health records data can accurately quantify overuse of clinical services and the risk factors that may trigger low-value testing and screening.
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Health Plan Strategies for Value-Based Care: Closing Gaps in Care Means Getting Serious About PreventionPreventive services are severely underutilized and contribute substantially to care gaps and preventable deaths. Three key trends promise improvement: consumerism, big data, and technology.
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State Prescription Drug Monitoring Programs and Fatal Drug OverdosesThis study investigates the impact of state prescription drug monitoring programs on drug overdose mortality rates for all drug categories.
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Disparities in Antidepressant Adherence in Primary Care: Report From IsraelPatient characteristics such as psychiatric diagnosis were associated with variations in adherence, although physician characteristics were not.
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Claims Identification of Patients With Severe Cancer-Related SymptomsThe authors established a claims-based mechanism for identifying patients with lung cancer with more severe patient-reported cancer-related symptoms who could benefit from engagement with health care programs.
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Heroin and Healthcare: Patient Characteristics and Healthcare Prior to OverdoseAn analysis of administrative claims showed increasing rates of heroin overdose among an insured population and opportunities for interventions during healthcare encounters before overdose.
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Increasing Hepatitis C Screening in a Large Integrated Health System: Science and Policy in ConcertThe success of recommendations to improve screening often rests on the availability of efficacious therapies, coverage policies, and other factors that enable and justify screening.
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Association of Co-pay Elimination With Medication Adherence and Total CostThis study evaluated cost and utilization attributed to members enrolled in a health care program with no pharmacy co-pay. Health care savings were identified in addition to medication adherence improvements.
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Bridging the Care Gap Between Pediatric and Young Adult CancerThrough a multi-site, multidisciplinary approach, AYA@USC addresses the unique needs of young adult cancer patients, improving outcomes and bridging the care gap in this population.
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Influence of Patient Preferences on the Cost-Effectiveness of Screening for Lynch SyndromeThis cost-utility analysis reports on the effect of quality of life on the value of screening all new patients with colorectal cancer for Lynch Syndrome.
