Authors
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Pilot of Decision Support to Individualize Colorectal Cancer Screening RecommendationsColorectal cancer screening involves balancing immediate harms with longer-term benefits; electronic medical record decision support may facilitate personalized benefit/harm assessment.
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Identifying Groups of Nonparticipants in Type 2 Diabetes Mellitus EducationThis study describes reasons for nonparticipation in type 2 diabetes mellitus education and identifies typical subgroups of nonparticipants in order to improve recruitment strategies.
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Prices and Complications in Hospital-Based and Freestanding Surgery CentersAverage prices are substantially higher but rates of complications are similar in hospital-based vs freestanding surgery centers for colonoscopy, arthroscopy, and cataract removal surgery.
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Variation in Hospital Inpatient Prices Across Small Geographic AreasGreater geographic variation was found among private than public payers in the inpatient price per discharge for most hospital services.
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What Are the Potential Savings From Steering Patients to Lower-Priced Providers? A Static AnalysisSteering patients who visit providers with above-median prices to their market’s median-priced provider would save 42%, 45%, and 15% of laboratory, imaging, and durable medical equipment spending, respectively.
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Persistence With Biologic Therapies in the Medicare Coverage GapFor patients who reached the Medicare Part D coverage gap, discontinuation was more likely for patients taking osteoporosis medication.
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Primary Nonadherence to Statin Therapy: Patients' PerceptionsThis study explores self-reported reasons for primary nonadherence among patients newly prescribed statin medication in an integrated health delivery system.
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Perspective: FDA/CMS Parallel Review Advances Coverage for Cancer Comprehensive Genomic ProfilingAuthors from Foundation Medicine explain the regulatory path that led to approval of FoundationOne CDx.
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Medication Adherence and Readmission After Myocardial Infarction in the Medicare PopulationBetter outpatient medication adherence reduces the likelihood of readmission after a recent myocardial infarction.
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Disease Management Programs in Type 2 Diabetes: Quality of CareDisease management programs for diabetes can improve some processes of care, but they do not improve intermediate outcomes beyond doubt.
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Attributes Common to Programs That Successfully Treat High-Need, High-Cost IndividualsMany programs attempting to effectively treat high-need, high-cost individuals have not been able to lower spending, improve outcomes, or increase satisfaction. This paper suggests 8 attributes that many successful programs share.
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Increasing Copayments and Adherence to Diabetes, Hypertension, and Hyperlipidemic MedicationsA copayment increase from $2 to $7 adversely affected veterans' adherence to statins, antihypertensives, and oral hypoglycemic agents.
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Cognitive Impairment and Reduced Early Readmissions in Congestive Heart Failure?Proactive identification of cognitive impairment and compensatory destigmatized patient/familial psychoeducation regarding “forgetfulness” in hospitalized patients with congestive heart failure may reduce readmission rates substantially.
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Predialysis Nephrology Care Among Older Veterans Using Department of Veterans Affairs or Medicare-Covered ServicesMany older veterans do not receive appropriate nephrology care before beginning dialysis. Dual use of Veterans Affairs and Medicare-covered services was associated with better patterns of care.
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The Effects of Federal Parity on Substance Use Disorder TreatmentFederal parity led to an increase in spending on substance use disorder treatment.
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Gatekeeping and Patterns of Outpatient Care Post Healthcare ReformIs specialist “gatekeeping” in modern health maintenance organization (HMO) insurance associated with differences in outpatient care? The study finds that HMO gatekeeping may meaningfully reduce specialist utilization.
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A Multidisciplinary Intervention for Reducing Readmissions Among Older Adults in a Patient-Centered Medical HomeA collaborative practice model to reduce hospital readmissions from an outpatient environment.
