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Project ECHO: An Effective Means of Increasing Palliative Care CapacityThis article provides insight on the work of 7 of Project ECHO’s replicating partners from around the world who are implementing the ECHO model to address the knowledge gap that underlies integrated palliative care crisis.
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From the Editor-in-Chief: Halt the Glucose Test Strip Bidding Program Until It Can Be FixedEven when things go well, managing diabetes is not easy. Keeping tabs on this disease 24/7 takes planning, commitment, support, and the right tools. For years, a chief complaint among those living with diabetes has been that managed care nickel-and-dimes people over basic supplies, which are comparatively cheap—things like test strips and sensors for a continuous glucose monitor—but will shell out thousands for dialysis and amputations. In the years ahead, if Congress wants to understand rising costs for end-stage renal disease or an increase in emergency department visits for hypoglycemia, it should look directly to CMS’ foray into competitive bidding for blood glucose test strips.
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Long-term Cost Effects of Collaborative Care for Late-life DepressionOlder adults with depression and comorbidities who participated in a 12-month collaborative care program had lower total healthcare costs over 4 years than those in care as usual.
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Scheduled and Unscheduled Hospital Readmissions Among Patients With DiabetesThis population-based study examines socioeconomic and clinical factors associated with scheduled and unscheduled readmissions after discharge among older patients with diabetes.
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The Gamification of Healthcare: Emergence of the Digital Practitioner?Gamification in healthcare is gaining momentum, with attempts to apply gaming principles to improve patient clinical outcomes. This trend establishes the need for a “digital practitioner” who channels these games, monitors progress, and selects the most appropriate ones for a given patient.
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Value-Based Payment in Implementing Evidence-Based Care: The Mental Health Integration Program in Washington StateValue-based payment improved fidelity to key elements of the Collaborative Care Model—an evidence-based mental health intervention—and improved patient depression outcomes in Washington state.
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Reducing Out-of-Pocket Cost Barriers to Specialty Drug Use Under Medicare Part D: Addressing the Problem of "Too Much Too Soon"Medicare claims analyses offer insight into how proposed policy changes would affect out-of-pocket prescription costs for Part D beneficiaries requiring specialty drugs.
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Data Breach Locations, Types, and Associated Characteristics Among US HospitalsDespite the high level of hospital adoption of electronic health records and the federal incentives to do so, the most common type of data breach in hospitals occurred with paper records and films.
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Post-SNF Outcomes and Cost Comparison: Medicare Advantage vs Traditional MedicarePatients enrolled in Medicare Advantage had better outcomes and lower cost following skilled nursing facility (SNF) discharge than patients enrolled in traditional fee-for-service Medicare.
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Access to Chiropractic Care and the Cost of Spine Conditions Among Older AdultsAmong older adults who have a spine condition, access to chiropractic care may reduce medical spending on diagnostic services.
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Patients' Perspectives of Care Management: A Qualitative StudyRisk-stratified care management is a cornerstone of patient-centered medical home models, but studies on patients’ perspectives of it are scarce. We explored patients’ experiences with care management, what they found useful, and what needs improvement.
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Addressing the Primary Care Workforce CrisisAs delivery system reforms increasingly rely on a strong primary care workforce, policies are needed to grow and strengthen this workforce.
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Deprescribing in the Context of Multiple Providers: Understanding Patient PreferencesDeprescribing could reduce the risk of harm from inappropriate medications. Understanding patient attitudes regarding which clinicians can make deprescribing recommendations can facilitate effective design and implementation of interventions.
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Applying Weighting Methodologies to a Commercial Database to Project US Census Demographic DataThis study tests the feasibility of projecting commercial insurance demographic information to the US Census population, and creating the framework for a simple weighting scheme.
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Physician Assistants/Associates at 6 DecadesThis paper reviews the status of physician assistants/associates, an essential component of the US health care workforce. The evidence of their clinical performance and utilization trends are illustrated.
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Gauging the Experiences of the Seriously Ill in California: Analyzing Serious Illness Beyond Medicare Fee-for-ServiceSignificant populations of seriously ill individuals are insured by all lines of business and have meaningfully different needs and medical histories in California.
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The Role of Behavioral Health Services in Accountable Care OrganizationsData suggest that behavioral health providers and services must be included as core components of accountable care organizations to achieve desired health and cost outcomes.
