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Characteristics and Medication Use of Veterans in Medicare Advantage PlansVeterans enrolled in Medicare Advantage plans differed from fee-for-service sector enrollees in several demographic, geographic, and clinical characteristics and in patterns of medication use.
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Understanding Factors Associated With Increases in Medicare Advantage Enrollment, 2007-2018Increases in Medicare Advantage market share over the past 10 years are largely caused by an increased preference for managed care among Medicare beneficiaries.
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The Diagnosis for Diagnostics: Changes to Medicare Payment and Coverage of Clinical Laboratory TestsThe basis for determining Medicare payment rates for clinical diagnostic laboratory tests is changing. These changes will be important for all payers and providers to follow for future reimbursement and contract negotiations.
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Moving Pharma Contracting Into the Era of AccountabilityA chief medical officer for a major payer outlines the challenges making sure that certain high-cost therapies are directed to the patients who need them.
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Small Practice Participation and Performance in Medicare Accountable Care OrganizationsMedicare beneficiaries attributed to small practices in accountable care organizations (ACOs) achieve greater savings than beneficiaries attributed to large practices in ACOs.
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COPD Exacerbation Costs in the IMPACT Study: A Within-Trial AnalysisTreatment with fluticasone furoate/umeclidinium/vilanterol (FF/UMEC/VI) compared with FF/VI or UMEC/VI reduced exacerbation-related costs associated with chronic obstructive pulmonary disease (COPD) in the US healthcare system.
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Substitutive Hospital at Home for Older Persons: Effects on CostsSubstitutive Hospital at Home care for 4 common conditions is associated with cost savings.
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Cost-Effectiveness Analysis of SBRT Versus IMRT: An Emerging Initial Radiation Treatment Option for Organ-Confined Prostate CancerStereotactic body radiation therapy for low- to intermediate-risk prostate cancer has potential cost savings and may improve access to radiation, increase convenience, and boost quality of life.
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Development and Pilot Testing of Guidelines to Monitor High-Risk Medications in the Ambulatory SettingPilot testing of guidelines for the laboratory monitoring of high-risk medications shows that monitoring is highly variable and that there is room for improvement.
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Dialing In: Effect of Telephonic Wellness Coaching on Weight LossSmall weight loss was reported by overweight/obese individuals targeted for telephonic wellness coaching in this large retrospective study using pre-post design.
