Authors
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Assessing the Impact of an Integrated Care System on the Healthcare Expenditures of Children With Special Healthcare NeedsThis study analyzes the effect of a managed care program on Medicaid expenditures for children with special healthcare needs using a quasi-experimental design.
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Factors Associated With Primary Care Physician Turnover in the VAThis longitudinal observational study found higher team satisfaction with workload to be significantly associated with lower primary care physician turnover.
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Impact of Complex Care Management on Spending and Utilization for High-Need, High-Cost Medicaid PatientsComplex care management for high-need, high-cost Medicaid patients significantly reduced total medical expenditures and inpatient utilization in a randomized quality improvement trial.
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Inpatient Placement: Associations With Mortality, Cost, and Length of StayPlacement of patients in an inpatient hospital setting is associated with lower length of stay and mortality at the expense of higher costs.
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Ten Ways to Improve Health Care, Right NowHere are 10 concrete, immediately implementable, and highly impactful measures that could significantly improve the US health care system by expanding access and reducing costs.
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Impact of Education Program on Influenza Vaccination Rates in SpainA simple education program was effective in improving the influenza vaccination rate, although vaccination in the previous year was the main predictor of adherence.
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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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Economic and Clinical Impact of Routine Weekend Catheterization ServicesWeekend cardiac catheterization availability for inpatients reduced length of stay and maintained quality of care (no excess hazard for weekend cases), but costs were similar.
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Effects of Nonadherence With Prescription Drugs Among Older AdultsPrescription nonadherence in older patients with chronic health conditions resulted in more emergency department use.
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Access to Primary and Dental Care Among Adults Newly Enrolled in MedicaidNearby provider supply did not affect identification of usual sources of primary or dental care among new Medicaid enrollees. Strategies to improve access are needed.
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Approaches for Overcoming Barriers to Cross-Sector Data SharingThe authors identified challenges to cross-sector data sharing and the approaches used to overcome these challenges in the Mid-Ohio Farmacy, a partnership to address food insecurity.
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Bundled Payments Lead to Quality Improvements in Hospitals’ Skilled Nursing Facility Referral NetworksThe Bundled Payments for Care Improvement program was associated with improved quality of skilled nursing facilities in hospital referral networks for patients undergoing surgery for joint replacement.
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Contemporary Use of Dual Antiplatelet Therapy for Preventing Cardiovascular EventsUse of dual antiplatelet therapy was modest for patients with existing cardiovascular disease for whom subgroup analysis from a landmark clinical trial suggested benefit in preventing cardiovascular events, and low for patients with multiple risk factors without established cardiovascular disease, for whom increased cardiovascular events were suggested.
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Home Care Program for Patients at High Risk of HospitalizationRandomized controlled trial of a home care program for managed care patients resulted in lower probability of hospital admission and greater patient satisfaction with care.
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Population Health in Primary Care: Cost, Quality, and Experience ImpactAn evaluation of the use of predictive modeling for primary care resource allocation demonstrated reduced spending and improved quality and patient experience for publicly insured adults.
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Physician Assessment of Appropriate Healthcare Level Among Nonurgent PatientsPhysicians at an emergency department and in primary care evaluated the appropriateness of complaints among nonurgent patients. Low regular previous healthcare use correlated with inappropriateness.
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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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Effects of Electronic Decision Support on High-Tech Diagnostic Imaging Orders and PatientsElectronic decision support for high-tech diagnostic imaging was associated with reduced volume and increased appropriateness, but had little impact on findings or patients.
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Reaching Beyond the Exam Room: How Technology-backed Lifestyle Intervention Is Improving Health Outcomes for Diabetes and Hypertension ManagementAuthors from the digital health provider Noom offer an update of a successful employer-based initiative.
