Authors
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Amazing Grace: A Free Clinic's Transformation to the Patient-Centered Medical Home ModelDespite many barriers, Grace Medical Home, a free clinic, achieved patient-centered medical home recognition in October 2014 through a focused team-based approach.
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Impact of MMRV Combination Vaccine on Childhood Vaccination ComplianceAlthough vaccination compliance increased slightly following use of combination MMRV instead of separate MMR and varicella vaccines, additional barriers to improved compliance warrant future evaluation.
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Overdose Risk for Veterans Receiving Opioids From Multiple SourcesAmong veterans in Massachusetts, receipt of opioids from multiple sources, with or without benzodiazepines, was associated with worse opioid-related outcomes.
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True "Meaningful Use": Technology Meets Both Patient and Provider NeedsA qualitative study of patient and provider perspectives regarding the after-visit summary and the patient portal features of the electronic health record.
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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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Impact of a Medical Home Model on Costs and Utilization Among Comorbid HIV-Positive Medicaid PatientsAmong HIV-positive Medicaid patients with comorbid medical and psychiatric disorders, there was increased outpatient service utilization, yet relative cost savings, for patients who were treated in patient-centered medical homes.
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Noninvasive Ventilation at Home Reduces Mortality in COPD With CRFThis study explores the association between receiving noninvasive ventilation at home and mortality, hospitalizations, and emergency department visits in patients with chronic obstructive pulmonary disease (COPD) with chronic respiratory failure (CRF).
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Does Care Consultation Affect Use of VHA Versus Non-VHA Care?Uncoordinated multisystem use is problematic for Veterans Health Administration (VHA) patients with dementia. The Partners in Dementia Care intervention is successful in changing the pattern of VHA versus non-VHA use.
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Cost of Biologic Treatment Persistence or Switching in Rheumatoid ArthritisPatients with rheumatoid arthritis who switched biologics incurred higher costs than patients who persisted on biologics. Etanercept appeared to be associated with the lowest costs.
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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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Performance Measurement for People With Multiple Chronic Conditions: Conceptual ModelThe Performance Measurement for People with Multiple Chronic Conditions conceptual model can facilitate development and refinement of quality measures for a medically complex population.
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Rural Hospital Transitional Care Program Reduces Medicare SpendingA telephonic transitional care program at a rural hospital reduced postdischarge Medicare spending by 31% and reduced inpatient spending for Medicare fee-for-service beneficiaries.
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Impact of Atypical Antipsychotic Use Among Adolescents With Attention-Deficit/Hyperactivity DisorderA retrospective study of the treatment patterns and economic outcomes associated with off-label atypical antipsychotic use in the treatment of adolescents with attention-deficit/hyperactivity disorder.
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Prevalence of Osteoporosis in Men in a VA Rehabilitation CenterMen in a VA rehabilitation unit who had osteoporosis were older and thinner, but otherwise similar (metabolic and functional status) to control subjects.
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Medicare Capitation Model, Functional Status, and Multiple Comorbidities: Model AccuracyThis study of financial implications of risk adjustment for Medicare payments to individuals with comorbidities and functional impairment demonstrates the importance of controlling for disability.
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Rural Hospital Transitional Care Program Reduces Medicare SpendingA telephonic transitional care program at a rural hospital reduced postdischarge Medicare spending by 31% and reduced inpatient spending for Medicare fee-for-service beneficiaries.
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Analytic Models to Identify Patients at Risk for Prescription Opioid AbuseThis study evaluates the feasibility of using claims data to evaluate risk factors for prescription opioid abuse among patients in a privately insured population.
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Optimizing Enrollment in Employer Health Programs: A Comparison of Enrollment Strategies in the Diabetes Health PlanAn automatic enrollment strategy for health insurance programs may not only increase the total number of enrollees but may also decrease some enrollment disparities.
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Assessing the Effect of the VHA PCMH Model on Utilization Patterns Among Veterans With PTSDThis study utilizes a validated instrument to create case and control groups to measure the effect of the Veterans Health Administration (VHA)’s patient-centered medical home (PCMH) model on utilization patterns among veterans with posttraumatic stress disorder (PTSD).
