Authors
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The National Oncology Working Group (NOW) Initiative: Payer and Provider Collaborations in Oncology Benefits ManagementThis article highlights the work of the National Oncology Working Group (NOW) Initiative.
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Leveraging EHRs for Patient Engagement: Perspectives on Tailored Program OutreachDivergent reactions among women at high risk for diabetes highlight challenges of implementing tailored outreach messages, driven by electronic health records, to promote patient engagement in preventive lifestyle programs.
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Hospital Admissions and MS: Temporal Trends and Patient CharacteristicsAn examination of hospitalization patterns in patients with multiple sclerosis with a focus on the association with time and patient characteristics.
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Cost of Delivering Centralized and Decentralized Reminder/Recall for Vaccinations to Children and Adolescents in an ACOCentralized reminder/recall (R/R) is less costly to deliver than decentralized R/R for both children and adolescents when implemented for patients within an accountable care organization.
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Impact of Clinical Training on Recruiting Graduating Health ProfessionalsA business case is made for medical centers to offer high-quality clinical training experiences to recruit graduating health professionals.
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Tracking Spending Among Commercially Insured Beneficiaries Using a Distributed Data ModelThe authors demonstrate the utility of distributed data models for reporting of local trends and variation in utilization, pricing, and spending for commercially insured beneficiaries.
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Improvements in Access and Care Through the Affordable Care ActAffordable Care Act exchange enrollees in California and Colorado reported significant improvements in access to care and fewer barriers to receiving care due to costs.
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The Effect of Disease Management on Utilization of Services by Race/Ethnicity: Evidence From the Florida Medicaid ProgramThis study examines racial/ethnic differences in utilization of inpatient days and ED and outpatient visits before and after implementation of a Medicaid disease management program.
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Value-Based Payment Models in Oncology: Will They Help or Hinder Patient Access to New Treatments?The Deloitte Center for Health Solutions recently interviewed individuals from health plans, providers, and clinical pathway developers that are participating, supporting, or evaluating oncology payment models to understand what approaches are perceived to be working, the early results, and the potential impact on innovation.
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Socioeconomic Disparities Across Ethnicities: An Application to Cervical Cancer ScreeningAn examination of socioeconomic disparities in cervical cancer screening across ethnic groups in the United States using concentration indices and probit regression analyses.
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Cancer Screening Across the Aging ContinuumThe article reviews the current state of knowledge regarding screening guidelines for older adults and gives recommendations for healthcare providers working with older adults.
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ED-Based Care Coordination Reduces Costs for Frequent ED UsersResults of our pilot randomized controlled intervention involving emergency department (ED)-based care coordination and community health workers demonstrated a trend toward fewer ED visits, fewer hospitalizations, and lower costs among intervention patients.
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Beneficiary Engagement in Medicare's Alternative Payment Models: From Serendipity to Active ChoiceThis article explores elements of patient and consumer engagement implicated by Medicare’s alternative payment models, emphasizing the potential for shopping and use of cost information.
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When Quality Fails Patients: Finding the Best in Diabetes CareAuthors from the Mayo Clinic discuss situational goals in diabetes care, because quality targets enforced too strictly may harm patients who are working hard to manage their disease.
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Cost-Sharing Payments for Out-of-Network Care in Commercially Insured AdultsThis study of claims among adults covered by employer-sponsored plans revealed substantial variations in out-of-network cost-sharing payments. The growth of cost sharing for nonemergent hospitalizations is concerning.
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Single- Versus Multiple-Tablet HIV Regimens: Adherence and Hospitalization RiskSingle-tablet regimens are associated with higher adherence rates, decreased hospitalizations, and a higher proportion of patients with undetectable viral load compared with multiple-tablet regimens in patients with HIV/AIDS.
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Effect of High-Deductible Insurance on Health Care Use in Bipolar DisorderHigh-deductible health plan members with bipolar disorder experienced a reduction in nonpsychiatrist mental health provider visits but no changes in other utilization.
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Mind the Gap: The Potential of Alternative Health Information ExchangeProprietary health information exchanges (HIEs) offer significant but uneven opportunities to advance provider connectivity. Open forms of HIE remain critical for comprehensive coverage of patient transitions.
