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Impact of Medical Homes on Quality, Healthcare Utilization, and CostsPatient-centered medical home practices provided better preventive care and disease management with less resource utilization than practices not pursuing PCMH status.
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Lost in Translation: Healthcare Utilization by Low-Income Workers Receiving Employer-Sponsored Health InsuranceAn opportunity exists to better understand healthcare utilization patterns by low-income workers, which may contribute significantly to employer healthcare cost trend and lost workforce productivity.
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LACE+ Index as a Predictor of 90-Day Plastic Surgery OutcomesPatients with higher LACE+ index scores have significantly greater risk of unplanned readmission, emergency department visits, and reoperation after plastic surgery.
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Tracking Spending Among Commercially Insured Beneficiaries Using a Distributed Data ModelThe authors demonstrate the utility of distributed data models for reporting of local trends and variation in utilization, pricing, and spending for commercially insured beneficiaries.
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Antiquated Tests Within the Clinical Pathology LaboratoryPhysicians and laboratorians must work to reduce use of antiquated clinical laboratory tests.
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Transitions in Cancer Care - Moving From Crisis Intervention to Care Planning and ManagementAs the American healthcare sector transitions towards value-based and patient-centered care models, New York Oncology Hematology has seen success in modernizing palliative care delivery, integrating social services with the overall care experience, and using the family meeting model to ensure families remain involved throughout the patient’s treatment process.
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Does Distance Modify the Effect of Self-Testing in Oral Anticoagulation?Self-testing of anticoagulation improves outcomes, but is expensive. One might assume it is more helpful for patients living farther from care, but the authors disprove this assumption.
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Afrezza: Treating Diabetes in a Physiologic MannerProfessor R. Keith Campbell, MBA, BPharm, CDE, now retired from Washington State University College of Pharmacy, highlights the clinical advantages of Afrezza based on the evidence as well as his personal perspective.
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Patient Participation in Care Management: Are They Aware?Many patients offered, and those already participating in, care management are unaware of what care management is and that they have participated.
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When Doctors Go to Business School: Career Choices of Physician-MBAsLarge-scale analysis of Harvard Business School’s physician graduates yields new insights into physician-MBA career choices and the utility of these programs.
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Electronic Health Record Feedback to Improve Antibiotic Prescribing for Acute Respiratory InfectionsAn electronic health record–based feedback program, the Acute Respiratory Infection Quality Dashboard, did not lead to an overall change in antibiotic prescribing in primary care.
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Utilization of HER2 Genetic Testing in a Multi-Institutional Observational StudyEvaluation of real-world implementation of HER2 testing showed that uptake was high (>90%) and trastuzumab treatment was targeted to patients with positive HER2 status.
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5-ASA to Sulfasalazine Drug Switch Program in Patients With Ulcerative ColitisA 5-aminosalicylic acid (5-ASA) drug switch program switching from 5-ASA to sulfasalazine was instituted for insured patients with ulcerative colitis. Unanticipated barriers limited the number of patients who switched, but significant cost savings were still obtained.
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Impact of Clinical Oral Chemotherapy Program on Wastage and HospitalizationsAn oral chemotherapy cycle management program offers clinical support, reduces medication wastage, and provides management of adverse effects to realize cost savings for payers and patients.
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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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Pathways, Outcomes, and Costs in Colon Cancer: Retrospective Evaluations in 2 Distinct DatabasesRetrospective evaluations of electronic health records and claims databases to assess clinical outcomes and costs associated with evidence-based pathways in colon cancer.
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Mental Health and Diabetes Control Among Vulnerable Primary Care PatientsOnly 19% of patients in this sample had good diabetes control based on their tested glycated hemoglobin levels. Patients diagnosed with mental health conditions in this study were more likely to have good diabetes control.
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Higher 30-Day and 60-Day Readmissions Among Patients Who Refuse Post Acute Care ServicesAlthough patients who refuse post acute care services are relatively young, well educated, and healthy, they are twice as likely to have 30- and 60-day readmissions compared with acceptors of services.
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Correlates of Prostate-Specific Antigen Testing in a Large Multiethnic CohortProstate-specific antigen screening was highest among African American men and those concerned about prostate cancer and lowest when physicians did not discuss the test.
