Authors
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Trends in Retail Clinic Use Among the Commercially InsuredRetail clinic use increased dramatically over 3 years, especially among young, healthy, higher income enrollees living close to retail clinics.
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Overcoming Barriers to a Research-Ready National Commercial Claims DatabaseLessons learned about data governance and distribution from a voluntary healthcare claims repository, the Health Care Cost Institute, a nonprofit research organization
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The Use of Claims Data Algorithms to Recruit Eligible Participants Into Clinical TrialsUsing an ICD-9-CM code algorithm, the authors effectively identified potentially difficult-to-reach populations for a hypertension clinical trial.
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Postdischarge Telephone Calls by Hospitalists as a Transitional Care StrategyTreating hospitalists effectively identify and efficiently address early postdischarge problems through a single, brief telephone encounter.
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Dental Capitation Insurance Provider Compensation: A Fair Deal?A 13-year study of actual compensation amounts and rates paid to solo general dentists by a capitation or managed care type of insurance plan.
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GRACE Principles: Recognizing High-Quality Observational Studies of Comparative EffectivenessThe GRACE principles lay out 3 questions to help healthcare providers, patients, and other decision makers evaluate the quality of noninterventional comparative effectiveness studies.
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Primary Care Diabetes Bundle Management: 3-Year Outcomes for Microvascular and Macrovascular EventsUsing a system for primary care management of patients with diabetes may reduce the risk of myocardial infarction, stroke, and retinopathy over a 3-year period.
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A Systematic Review of Measurement Properties of Instruments Assessing PresenteeismA systematic review of presenteeism instruments found that most have been validated to some extent, but evidence for criterion validity is virtually absent.
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Disconnects Between Provider Network Directories and Patient PreferencesThis study found widespread instances of disconnect in online provider directories between information needed by patients and data availability.
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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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Private Sector Risk-Sharing Agreements in the United States: Trends, Barriers, and ProspectsAssessment of current trends, success factors, and challenges in the use of risk-sharing agreements in the US private sector.
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Health Information Technology and the Medical School CurriculumThere are opportunities for and obstacles to adding core biomedical informatics competencies to medical school curricula.
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Cost-Sharing and Initiation of Disease-Modifying Therapy for Multiple SclerosisThis study examines the association between cost-sharing and initiation of disease-modifying therapies among privately insured patients with multiple sclerosis.
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Effects of a Medicaid Prior Authorization Policy for PregabalinState Medicaid programs’ pregabalin prior authorization accomplished the objective of lower pregabalin utilization; the unintended effects were increased opioid use and increased disease-related healthcare costs.
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Effect of Management Strategies and Clinical Status on Costs of Care for Advanced HIVAntiretroviral drugs have replaced hospitalization and other services as the most costly component of HIV care, except in patients with especially advanced HIV.
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Pharmacist-Provided Telephonic Medication Therapy Management in an MAPD PlanPharmacist-provided telephonic medication therapy management consultations can lead to decreases in total all-cause healthcare expenditures in a Medicare Advantage Prescription Drug plan population.
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VHA Pharmacy Use in Veterans With Medicare Drug CoverageGreater Medicare managed care benefit levels reduce both the likelihood and magnitude of Veterans Health Administration pharmacy use by Medicare dually enrolled veterans.
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Hospitals’ Strategies to Reduce Costs and Improve Quality: Survey of Hospital LeadersHospitals pursue a broad range of efforts to improve quality, with those participating in bundled payments attempting to reduce postacute care to a greater degree than nonparticipants.
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Voice Response System to Measure Healthcare Costs:A STAR*D ReportModerate underreporting biases were found when patient responses to an interactive voice response system were compared with medical records in the STAR*D clinical trial.
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Impact of a Pharmacy-Based Transitional Care Program on Hospital ReadmissionsPatients receiving postdischarge care from pharmacists had a 28% lower risk of readmission at 30 days and a 31.9% lower risk at 180 days compared with usual care.
