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Screening for Health Literacy, Social Determinants, and Discrimination in Health PlansThis study provides insight on the experiences of patients of a national health plan with 2 structural determinants of health—health care discrimination and health literacy—and how those interact with social determinants of health and patient demographics.
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Language Barriers and LDL-C/SBP Control Among Latinos With DiabetesAmong Latino patients with diabetes, ethnicity and language barriers were not associated with lipid and blood pressure control despite their associations with glycemic control in prior research. 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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Long-term Glycemic Control After 6 Months of Basal Insulin TherapyThe authors evaluate long-term glycemic control in a 5-year follow-up period after patients with newly diagnosed type 2 diabetes mellitus with severe hyperglycemia were treated with 6 months of basal insulin therapy in a randomized controlled trial.
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Structural Capabilities in Small and Medium-Sized Patient-Centered Medical HomesThirty medical home pilot primary care practices had high structural capabilities at baseline and performance improved substantially after 24 months in practices starting with lower capabilities.
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Long-Term Statin Use and the Risk of Parkinson's DiseaseThis historical cohort study demonstrates that long-term statin use is associated with a significant decrease in the incidence of Parkinson's disease.
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Compliance, Persistence, and Switching Patterns for ACE Inhibitors and ARBsThis drug-utilization study in a prescription database of more than 50,000 patients analyzed compliance, persistence, and switching behavior for ACE inhibitors and ARBs.
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Variation in US Outpatient Antibiotic Prescribing Quality Measures According to Health Plan and GeographyAntibiotic prescribing has become viewed as a patient safety and quality-of-care issue. The authors analyzed quality measures related to appropriate antibiotic prescribing and testing.
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Validation of a Claims-Based Algorithm to Characterize Episodes of CareThe Michigan Value Collaborative has created a claims-based algorithm that categorizes claims into episode components. This manuscript describes the validation of this algorithm.
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Major Depression Associated With Rates of Cardiovascular Disease State TransitionsPatients with major depression had faster transitions to both early and later stages of cardiovascular disease than patients without major depression.
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Beyond Average Spending: Distributional and Seasonal Commercial Insurance Trends, 2012-2021Analysis of 2012-2021 commercial claims demonstrates that spending growth was concentrated among the highest spenders and there was increasing subsidy across enrollees through cost-sharing design.
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Identifying Children at Risk of Asthma Exacerbations: Beyond HEDISAnalysis of insurance claims reveals that criteria other than the Healthcare Effectiveness Data and Information Set (HEDIS) persistent asthma definition can identify more at-risk patients with reasonable loss of specificity.
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The Long-term Social Value of Granulocyte Colony-Stimulating FactorsAlthough currently underutilized, granulocyte colony-stimulating factor prophylaxis as supportive cancer care provides substantial value to society. Aligning utilization with clinical guidelines would increase this value considerably.
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Electronic Health Record Problem Lists: Accurate Enough for Risk Adjustment?Electronic health record (EHR)-based comorbidity assessment had low sensitivity for identifying major comorbidities and poorly predicted survival. EHR-based comorbidity data require validation prior to application to risk adjustment.
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"No-Shows": Who Fails to Follow Up With Initial Behavioral Health Treatment?Patients who obtained authorization but did not get initial mental health treatment needed treatment as much as or more than patients who presented for care.
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Current Value-Based Care Models Need Greater Emphasis on Specialty CareThis article provides an overview of the impact of specialty care and the opportunity for it to leapfrog primary care as a lead focus for accountable care.
