Authors
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Small Practices' Experience With EHR, Quality Measurement, and IncentivesA study to assess clinician attitudes and experiences after participating in a New York City cardiovascular disease focused quality recognition and financial incentive program using health information technology.
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The Redesign of Consumer Cost Sharing for Specialty Drugs at the California Health Insurance ExchangePatients can be shielded from the most onerous cost-sharing burdens for specialty drugs while keeping premiums affordable for the entire enrolled population.
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Journey Forward: The New Face of Cancer Survivorship CareWellPoint, UCLA's Jonsson Comprehensive Cancer Center, the National Coalition for Cancer Survivorship (NCCS) and Genentech collaborated to develop Journey Forward, a first-of-its-kind program for coordinating post-treatment care.
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Frequency of and Harm Associated With Primary Care Safety IncidentsPhysicians' and nurses' assessments of the frequency and harm of incidents can be a supplemental method to study patient safety in the primary care office.
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Costs of Treating Lower Respiratory Tract InfectionsCompared with other costs of treatment, expenditures for antibiotics were nominal in an adult primary care population with lower respiratory tract infections.
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Using the 4 Pillars to Increase Vaccination Among High-Risk Adults: Who Benefits?Pneumococcal; tetanus, diphtheria, and pertussis; and influenza vaccination increased among high-risk adults in a 2-year study.
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Measures of ED Utilization in a National Cohort of ChildrenThrough analysis of multistate Medicaid data, this study identifies differences in 2 commonly used measures of emergency department (ED) utilization, ED visit count and ED reliance.
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Costs of Venous Thromboembolism Associated With Hospitalization for Medical IllnessVenous thromboembolism during or after recent hospitalization for medical illness contributes a substantial economic burden to society across all hospital and ambulatory care delivered.
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Claims Identification of Patients With Severe Cancer-Related SymptomsThe authors established a claims-based mechanism for identifying patients with lung cancer with more severe patient-reported cancer-related symptoms who could benefit from engagement with health care programs.
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Upcoding Emergency Admissions for Non-Life-Threatening Injuries to ChildrenFor-profit status was found to influence the probability of upcoding for inpatient cases involving non-life-threatening injuries with implications for Medicaid and other insurers.
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Pharmacy Team Engagement in Navigating the Revenue Cycle for High-Cost Medications in Patients With CancerWith the clinical and financial implications of high-cost medications, and their impact on health system revenue, it is of utmost importance for all key stakeholders to be engaged in the complex revenue cycle.
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Progress of Diabetes Severity Associated With Severe Hypoglycemia in TaiwanRapid progression of diabetes complications was associated with higher risk of severe hypoglycemia.
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General Medical Claims for Behavioral Health Patients in JapanThis Japanese cohort shows that behavioral health service users had health care costs higher than those of individuals who did not use behavioral health services, yet lower than the costs demonstrated by studies in US populations.
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Ambulatory Care Fragmentation and Hospitalization Among Veterans With DiabetesHaving highly fragmented ambulatory care and a usual provider of care outside the Veterans Health Administration increased the odds of hospitalization among veterans with diabetes.
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Telehealth and Hospitalizations for Medicare Home Healthcare PatientsAn integrated, clinician-focused telehealth monitoring system significantly reduced hospitalizations in Medicare home healthcare patients.
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Oncology Practice Transformation Helps Deliver Patient-Centered Cancer Care in a Community Oncology PracticeOne possible way to reduce overall cost, improve patient experience, and improve outcomes in cancer care is to shift the focus of healthcare delivery away from volume and toward value. Patient-centered cancer care holds the promise of addressing these issues.
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Physician Prices and Low-Value Services: Evidence From General Internal MedicineThis study found extensive variation in general internal medicine physician prices and that high-priced physicians provided fewer low-value services but had higher spending on these services.
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Identifying Frail Older People Using Predictive ModelingThe frailty determination of the Adjusted Clinical Groups“diagnoses based predictive model identified frail elders with moderate success compared with a validated screening questionnaire.
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Effect of a Managed Care Disease Management Program on Diabetes CareProcesses and outcomes of diabetes care improved substantially over 6 years in a managed care health plan with a comprehensive diabetes disease management program.
