Authors
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Potential Role of Network Meta-Analysis in Value-Based Insurance DesignThis study illustrates that where clinical trials are lacking, network meta-analysis can provide valuable insights into the potential clinical and economic benefits of value-based insurance design.
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Utilization Management for Smoking Cessation Pharmacotherapy: Varenicline Rejected Claims AnalysisAbout half of the patients in this study did not fill any smoking cessation medication following a rejected claim for varenicline.
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Implications of Eligibility Category Churn for Pediatric Payment in MedicaidAnalyses of Ohio Medicaid claims data from 2013 to 2015 reveal that instability among eligibility categories is common and affects average capitation but not health service use.
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Disease Management Programs: Barriers and BenefitsPerceived barriers and benefits to implementing disease management programs among Israeli healthcare leaders could assist other countries faced with increasing numbers of chronically ill patients.
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Differences in Telehealth During COVID-19 Between Commercial and Medicaid EnrolleesDifferences in use of telehealth between commercial and Medicaid populations during the COVID-19 pandemic are associated with managed care enrollment.
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Placement of Selected New FDA-Approved Drugs in Medicare Part D Formularies, 2009-2013There is significant heterogeneity in formulary placement and restrictions on new drug approvals in the Part D marketplace.
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Gender Differences in Prescribing of Zolpidem in the Veterans Health AdministrationWe found inappropriate prescribing of zolpidem, in terms of both guideline-discordant dosage and coprescribing with benzodiazepines, with female veterans affected more than male veterans.
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Reduction of Emergency Department Use in People With DisabilitiesThis study examined emergency department use by Medicaid beneficiaries with disabilities in safety-net clinics that have adopted the patient-centered medical home model compared with matched comparison beneficiaries.
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A Systematic Review of Reference Pricing: Implications for US Prescription Drug SpendingReference pricing is an effective cost-containment tool widely used in other countries; it may be an attractive policy strategy for the US healthcare system.
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Self-Efficacy in Insurance Decision Making Among Older AdultsOlder adults who prefer to delegate insurance decisions tend to be female and married, to have less Medicare knowledge, and to have someone in their lives they trust to make decisions for them.
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Medication Nonadherence, Mental Health, Opioid Use, and Inpatient and Emergency Department Use in Super-UtilizersNonadherence to essential chronic medications and mental health diagnosis were associated with higher hospitalizations and emergency department use among Medicare super-utilizers.
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Acupuncture and Chiropractic Care: Utilization and Electronic Medical Record CaptureMost patients with chronic musculoskeletal pain use acupuncture or chiropractic care. A substantial percentage of this utilization, however, is not captured by the electronic medical record.
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Nurse Practitioner Comanagement for Patients in an Academic Geriatric PracticeNurse practitioner comanagment improved quality of care for 5 chronic conditions in an academic geriatrics practice.
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Areas of Addressable Friction for the Adoption of Greater Healthcare Affordability: Insights from US PhysiciansBased on an analysis of Medscape Business of Medicine data, we identify 5 specific areas of friction for the success of payment reform efforts.
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Uniting the Tribes of Health System ImprovementLarge-scale transformation of the US healthcare system will require multiple interventions and tools implemented together.
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Cost-effectiveness of Brentuximab Vedotin With Chemotherapy in Treatment of CD30-Expressing PTCLAn economic model based on the ECHELON-2 trial demonstrated cost-effectiveness of brentuximab vedotin with chemotherapy in frontline treatment of CD30-expressing peripheral T-cell lymphoma (PTCL).
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Integrated Care Organizations: Medicare Financing for Care at HomeThis paper presents a policy proposal to integrate care for Medicare beneficiaries through creation of integrated care organizations and a Medicare home care benefit.
