Authors
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Increasing Rates of Cancer ScreeningJohn B. Kisiel, MD, and Philip Parks, MD, MPH, provide an update on the future of cancer screenings and explain how improved treatment regimens offer the potential to reduce the cancer-related healthcare cost burden.
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The Relationship Between Adherence and Total Spending Among Medicare Beneficiaries With Type 2 DiabetesThis study describes a widespread variation in medication adherence, pharmacy cost sharing, and medical spending. Increased cost sharing may decrease adherence and increase total diabetes spending.
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Evaluation of Value-Based Insurance Design With a Large Retail EmployerRetrospective analysis of value-based insurance design (VBID) showed the potential for VBID to improve adherence and reduce utilization and costs with active disease management counseling.
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Adjusting Starting Points for Initial Price Offers: The Example of IbrutinibIbrutinib has been selected for Medicare price negotiation under the Inflation Reduction Act. The authors summarize the House Oversight Committee investigation to be considered by CMS during the price negotiation process.
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Improving BP Control Through Electronic Communications: An Economic EvaluationHome blood pressure (BP) monitoring and use of secure webbased tools to manage care collaboratively with pharmacists is a cost-effective way to improve BP control.
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Could Patiromer Change the Face of Treatment for Patients With Diabetic Renal Disease?A newly approved therapy offers the first new option in years to prevent hyperkalemia.
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Is the Medicare Bundled Payments for Care Improvement Initiative Designed to Succeed?Providers' perspectives point to key considerations for policy makers as they seek to broaden participation in the Bundled Payments for Care Improvement Initiative.
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Improving Pneumococcal and Herpes Zoster Vaccination Uptake: Expanding Pharmacist PrivilegesStates offering pharmacists full immunization privileges have significantly higher vaccination uptake rates for pneumococcal disease and herpes zoster than states with restricted or no authorization.
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New Diabetes HEDIS Blood Pressure Quality Measure: Potential for OvertreatmentThe new HEDIS diabetes blood pressure measure may promote performance incentives for overtreatment of blood pressure, causing potential harm, especially in the elderly population.
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Managed Care for Long-Stay Nursing Home Residents: An Evaluation of Institutional Special Needs PlansThis study examines UnitedHealthcare’s Institutional Special Needs Plans and their association with hospital and skilled nursing facility use.
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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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The Promises and Pitfalls of TelemedicineTelemedicine technology promises to improve patient outcomes and increase physician efficiency. Adoption depends on physicians’ ability to safely care for patients while being reimbursed.
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Comprehensive Health Management Pharmacist-Delivered Model: Impact on Healthcare Utilization and CostsPharmacist-provided comprehensive medication management led to a significant difference in emergency department visits and a cost savings of $2.10 to $2.60 for every $1.00 spent relative to a comparator group.
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Economic Outcomes of Insurer-Led Care Management for High-Cost Medicaid PatientsThis study evaluated economic outcomes of an insurer-led care management program for high-cost Medicaid patients using teams of community health care workers and nurses.
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Successful Implementation of APSO Notes Across a Major Health SystemIn this study, the authors demonstrate widespread adoption and satisfaction with the novel APSO (Assessment, Plan, Subjective, Objective) format for progress notes at a large, integrated health delivery network.
