Authors
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Option Pricing: A Flexible Tool to Disseminate Shared Savings ContractsBy pricing options that protect providers from downside risk,health plans can more clearly evaluate different shared savings contracts and expand them to smaller providers.
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Adoption and Use of Stand-Alone Electronic Prescribing in a Health Plan-Sponsored InitiativeIn a health plan–sponsored e-prescribing initiative, participating PCPs' mean e-prescribing rate was 1 prescription per 4 pharmacy claims, but some PCPs achieved high use.
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Insomnia Risks and Costs: Health, Safety, and Quality of LifeThis review article discusses the issues surrounding the risks and costs of sleep disturbance as they relate to society and the individual.
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Evolving Approaches to Care in the Management of Psoriatic DiseaseErin L. Arnold, MD, FACR, of Orthopaedics and Rheumatology of the North Shore in Skokie, IL, discusses evolving treatment strategies and the use of biologic therapies in the management of psoriatic disease.
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Association Between Length of Stay and Readmission for COPDAmong patients admitted for chronic obstructive pulmonary disease (COPD) at Veterans Affairs hospitals, hospital-level length of stay was not associated with 30-day readmission.
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Care Coordination to Increase Referrals to Smoking Cessation Telephone Counseling: A Demonstration ProjectAn intervention to increase tobacco treatment rates through care coordination for telephone counseling was effective in raising referral rates and in achieving excellent long-term abstinence.
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Features of Health Care Interventions Associated With Reduced Services and SpendingThis study identifies several factors shared by locally defined delivery system innovations that have been shown to reduce service use and lower health care spending.
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Excess Hospitalization Days in an Academic Medical Center: Perceptions of Hospitalists and Discharge PlannersWe assessed the frequency of and reasons for medically unnecessary hospital days, which affect patients, payers, hospitals, and healthcare providers.
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Impact of Medical Homes on Quality, Healthcare Utilization, and CostsPatient-centered medical home practices provided better preventive care and disease management with less resource utilization than practices not pursuing PCMH status.
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Healthcare Spending and Preventive Care in High-Deductible and Consumer-Directed Health PlansEnrollment in high-deductible health plans is associated with reduced spending on healthcare and with moderate reductions in the use of preventive care.
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False Activation of the Cardiac Catheterization Laboratory for Primary PCIBetween 2005 and 2011, rates of cardiac catheterization laboratory false activation doubled while mean door-to-balloon times for primary PCI declined.
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Absenteeism and Productivity Among Employees Being Treated for Hepatitis CEmployees with hepatitis C (HCV) who underwent existing treatments had more absences and higher indirect costs than HCVinfected employees who did not undergo treatment.
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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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Pharmacists as Healthcare Providers: Integration Into the MainstreamOn the second day of "Patient-Centered Diabetes Care: Putting Theory Into Practice," Jan Berger, MD, MJ, president of Health Intelligence Partners, moderated the panel discussion "Measuring the Impact of Pharmacists in Diabetes Patient Care."
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Electronic Sharing of Diagnostic Information and Patient OutcomesA study evaluating the association between hospital sharing of electronic health record diagnostic information and hospital quality using Hospital Compare scores.
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The Hidden Value of Behavioral HealthCarolinas HealthCare System created a behavioral health service line to drive transformation in value-based healthcare. Four projects are described, which demonstrate that modest investment in behavioral health pays dividends in reduced cost and increased quality and experience.
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How Comorbidities and Preoperative Expenditures Correlate With Postoperative Adverse OutcomesAdjusting for patients' covariates, postoperative complications and mortality among geriatric surgical patients exhibited an age-dependent, illness-related, and preoperative medical expense“associated pattern under universal healthcare coverage.
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More Comprehensive Discussion of CRC Screening Associated With Higher ScreeningMore comprehensive discussion of colorectal screening by primary care physicians was associated with higher screening rates among adults aged 51 to 80 years who were overdue for screening.
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Variation in Fracture Risk Estimation Among East Asian WomenFracture prediction tools for East Asian individuals vary by country. In the United States, the US-Asian Fracture Risk Assessment Tool provides hip fracture probabilities that correspond to observed estimates.
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The Unintended Consequences of Medicare’s Wage Index Adjustment on Device-Intensive Hospital ProceduresThe authors found an association between Medicare’s wage index adjustment and the differential use of labor-intensive surgical procedures and medical device–intensive minimally invasive clinical procedures across the United States.
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Medication Adherence and Healthcare Disparities: Impact of Statin Co-Payment ReductionThis study examined patterns of medication adherence after a reduction in medication co-payment amount among privately insured patients living in racially diverse neighborhoods.
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Specialist Participation in Healthcare Delivery Transformation: Influence of Patient Self-ReferralAnalyses of national trends indicate that a considerable proportion of new specialist visits among both Medicare and private insurance beneficiaries are self-referred.
