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Meeting the Measure: Improving ADHD Care in the Medical HomeQuality improvement methodology was implemented to ensure that patients receiving medications for attention-deficit/hyperactivity disorder (ADHD) returned for an appointment within 30 days of initiating medication.
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Late Diagnosis of Hepatitis C Virus Infection, 2014-2016: Continuing Missed Intervention OpportunitiesLate hepatitis C virus infection diagnosis points to a need for earlier screening and treatment before the onset of severe liver disease leading to high cost and diminished outcomes.
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Cost of Home vs Clinic Administration of Paclitaxel in Metastatic Breast CancerHome administration of oral paclitaxel and encequidar is associated with potential cost savings for payers compared with clinic administration of intravenous chemotherapy in metastatic breast cancer patients.
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Inefficiencies in Osteoarthritis and Chronic Low Back Pain ManagementThis study identified inefficiencies in drug and medical service utilization related to pain management among Medicare members with osteoarthritis and chronic low back pain.
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Spending Variation Among ACOs in the Medicare Shared Savings ProgramAnalysis of spending differences among accountable care organizations (ACOs) may help identify cost savings opportunities. We examined the magnitude and sources of spending variation among ACOs over 4 years.
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Identifying Groups of Nonparticipants in Type 2 Diabetes Mellitus EducationThis study describes reasons for nonparticipation in type 2 diabetes mellitus education and identifies typical subgroups of nonparticipants in order to improve recruitment strategies.
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Patient-Initiated E-mails to Providers: Associations With Out-of-Pocket Visit Costs, and Impact on Care-Seeking and HealthPatients with higher out-of-pocket visit costs, such as co-payments and deductibles, initiated provider contact by e-mail more often. Patients report that e-mailing changed their care-seeking behaviors and improved overall health.
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High-Touch Care Leads to Better Outcomes and Lower Costs in a Senior PopulationEvaluating the impact of a high-touch primary care model among a Medicare Advantage population in comparison with a standard practice–based model. Check out our website’s new table/figure pop-up feature! Click on the name of a table or figure in the text to see it in your browser.
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Clinical Characteristics and Treatment Patterns Among US Patients With HIVIt is important to take into account individual complexities such as comorbidities and pill burden when selecting antiretroviral therapy regimens for individuals living with HIV.
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Developing a Composite Weighted Quality Metric to Reflect the Total Benefit Conferred by a Health PlanThe authors developed a weighted quality measure to reflect the total health benefit conferred by a health plan annually to its members.
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ACA Marketplace Premiums and Competition Among Hospitals and Physician PracticesPremiums in federally facilitated Affordable Care Act Health Insurance Marketplaces are higher in geographic areas with more concentrated hospitals and physician practices and fewer insurers.
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Care Coordination for Children With Special Needs in Medicaid: Lessons From MedicareAs increasing numbers of children with special healthcare needs move into Medicaid managed care, health plans can improve care coordination using evidence from Medicare.
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Physician-Specific Variation in Medication Adherence Among Diabetes PatientsPhysician-specific, aggregate patient medication adherence data vary significantly and provide an expanded focus for interventions to improve patient adherence to treatment.
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Opportunities to Improve the Value of Outpatient Surgical CareOutpatient surgeries in the United States account for roughly 7% of annual healthcare expenditures. To exploit substantial opportunities to improve the value of outpatient surgical care, the authors composed an evidence-based care delivery composite for national discussion and pilot testing.
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The Presurgical Episode: An Untapped Opportunity to Improve ValueExpansion of episode of care measurement models to include presurgical care is an added opportunity to improve quality, value, and efficiency in healthcare delivery.
