Authors
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Impact of a Medicare MTM Program: Evaluating Clinical and Economic OutcomesA pharmacist-led Medicare Medication Therapy Management program can improve clinical outcomes in Medicare beneficiaries without an increase in medication costs.
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The Potential Impact of CAR T-Cell Treatment Delays on SocietyTreatment delays limit the social value generated by chimeric antigen receptor (CAR) T-cell therapy for the treatment of pediatric acute lymphoblastic leukemia and diffuse large B-cell lymphoma.
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Validation of a Claims-Based Algorithm to Characterize Episodes of CareThe Michigan Value Collaborative has created a claims-based algorithm that categorizes claims into episode components. This manuscript describes the validation of this algorithm.
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Medical Homes Require More Than an EMR and Aligned IncentivesPrimary care teams implementing medical homes experience professional role confusion and interpersonal conflict, and require effective administrative leadership to ensure success during this transition.
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Office Procedures for Older Adults by Physician Associates and Nurse PractitionersThe authors probed Medicare Part B data to explore outpatient clinical procedures performed by physician associates and nurse practitioners and report the trends from 2014 through 2021.
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Robotic Arm–Assisted Knee Surgery: An Economic AnalysisCompared with manual total knee arthroplasty, patients younger than 65 years undergoing robotic arm–assisted total knee arthroplasty experience fewer days in hospital, less utilization of services, and lower average total costs at 90 days.
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Financial Factors That Influenced Telemedicine Delivery During the COVID-19 PandemicThis study describes financial issues that influenced telemedicine provision and use for patients with chronic conditions and their providers during COVID-19.
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Patient-Reported Denials, Appeals, and Complaints: Associations With Overall Plan RatingsPatient ratings of plans and care were lower among beneficiaries filing complaints or reporting denied care. Appeals did not further predict ratings, but successful complaint resolution did.
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The Arkansas Payment Improvement Initiative: Early Perceptions of Multi-Payer Reform in a Fragmented Provider LandscapeArkansas has implemented multi-payer payment reform incorporating both episodic and Patient-Centered Medical Home models. Early perceptions of a sample of stakeholders were largely positive to date.
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Population-Based Breast Cancer Screening in a Primary Care NetworkA health information technology system designed to facilitate population-based breast cancer screening increased mammography rates in overdue women beyond rates achieved with office-based reminders alone.
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A Longitudinal Examination of the Asthma Medication Ratio in ChildrenThis longitudinal examination of the asthma medication ratio in a national sample of children has determined the predictive accuracy of a rolling 3-month ratio.
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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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Patient-Centered Teamwork in Care TransitionsPhysician-led patient care teams have the potential to impact care transitions to prevent fragmentation of care, and ensure seamless care delivery.
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How Health Insurance Providers Are Tackling Social Barriers to HealthWhen people are healthier, care is more affordable for everyone. For the healthcare industry, it is a common-sense decision to confront nonmedical factors that affect people’s health so dramatically.
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A Comparison of Administrative Claims–Based Risk Predictors for Pediatric AsthmaA comparison of claims-based asthma risk predictors in a national sample of children with Medicaid determines accuracy and informs risk predictor choice.
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Benefits and Risks of Live Attenuated Influenza Vaccine in Young ChildrenUse of live attenuated influenza vaccine in young children has a favorable benefit-risk profile.
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Impact of Compliance With Proton Pump Inhibitors on NSAID TreatmentPatients with gastroesophageal reflux disease who are compliant with proton pump inhibitor therapy stay on NSAIDs longer than noncompliant patients.
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Analysis of 2016 Connecticut ACO Medicare Shared Savings Program Data to Identify Opportunities for Population Health Pharmacist ServicesPublicly reported Medicare Shared Savings Program accountable care organization (ACO) data can be analyzed to identify cost and medication-related quality performance improvement opportunities to support pharmacist integration into ACO population health services.
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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.
