Authors
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A Dementia Care Management Intervention: Which Components Improve Quality?Specifically trained care managers are essential for quality gains from a dementia care management program; even higher quality accrues with coordination across community and primary care.
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Health Insurance and Breast-Conserving Surgery With Radiation TreatmentType of health insurance plays a significant role in the likelihood of receiving the recommended treatment among women diagnosed with early-stage breast cancer.
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Medicaid Managed Care: Issues for Enrollees With Serious Mental IllnessThe authors studied Kansas Medicaid enrollees with serious mental illness and their experiences with integrated managed care and unmet needs.
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Economic Outcomes of Insurer-Led Care Management for High-Cost Medicaid PatientsThis study evaluated economic outcomes of an insurer-led care management program for high-cost Medicaid patients using teams of community health care workers and nurses.
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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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Evaluation of Value-Based Insurance Design With a Large Retail EmployerRetrospective analysis of value-based insurance design (VBID) showed the potential for VBID to improve adherence and reduce utilization and costs with active disease management counseling.
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Improving Population Health Through Multistakeholder PartnershipsImproving population health requires developing innovative multistakeholder partnerships to enable mining and cross-leveraging data sets, creating patient touchpoint “ecosystems,” and aligning investments with each stakeholder’s returns.
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Knowledge Gaps Inhibit Health IT Development for Coordinating Complex Patients' CareThis study examines the leading edge of health information technology used to coordinate the care of complex patients.
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Cost-Effectiveness Analysis of Vagal Nerve Blocking for Morbid ObesityThis lifetime economic analysis demonstrates vagal nerve blocking therapy to be a cost-effective alternative to conventional therapy in class 2 and 3 obesity patients.
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Impact of Celecoxib Restrictions in Medicare Beneficiaries With ArthritisA formulary restriction policy in a Medicare population was associated with lower celecoxib utilization; however, higher gastrointestinal- and arthritis-related medical costs were observed.
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Cancellations in Primary Care in the Veterans Affairs Health Care SystemThis article examines the prevalence of unused primary care appointments in the Veterans Affairs Health Care System.
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A Team Approach to Systematic Behavioral Screening and InterventionExpanding primary care teams with trained and supported paraprofessionals enables systematic delivery of widely recommended, evidence-based, cost-saving alcohol, drug, and depression screening and intervention services.
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Impact of Medical and/or Pharmacy Reimbursement on Adult Vaccination RatesBy covering vaccinations under both the medical and pharmacy benefit, rather than the medical benefit alone, health insurers can help improve adult vaccination rates.
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Potential Role of Comanagement in Rescue of Surgical PatientsMedical comanagement of patients who had perioperative complications was associated with lower mortality, suggesting that comanagement may facilitate effective rescue.
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USPSTF Colorectal Cancer Screening Guidelines: An Extended Look at Multi-Year Interval TestingRe-analysis of US Preventive Services Task Force colorectal cancer screening guidelines shows that every-3-year screening with multi-target sDNA could address poor performance of recommended annual testing.
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Depression Self-Management Assistance Using Automated Telephonic Assessments and Social SupportAutomated patient support calls with feedback to informal caregivers and clinicians represent a viable strategy for increasing access to depression monitoring and self-management assistance.
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US Employee Wellness Programs and Access to Obesity Treatment in Employer-Sponsored Health InsuranceEmployer policies for access to maximum benefits do not always match those for access to obesity therapy.
