Authors
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Variation in Hospital Inpatient Prices Across Small Geographic AreasGreater geographic variation was found among private than public payers in the inpatient price per discharge for most hospital services.
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Building the Infrastructure for a Safety-Net Accountable Care OrganizationA young community health improvement collaborative in Trenton, New Jersey, is transforming healthcare for the community, with the community.
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Understanding Factors Associated With Increases in Medicare Advantage Enrollment, 2007-2018Increases in Medicare Advantage market share over the past 10 years are largely caused by an increased preference for managed care among Medicare beneficiaries.
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Genetic Counselors Save Costs Across the Genetic Testing SpectrumGenetic counselors (GCs) increasingly serve a variety of roles across the healthcare spectrum, including test utilization management. Our data show that utilizing the expertise of GCs reduced test order errors, improved patient outcomes, and resulted in significant cost savings to the healthcare system.
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Using "Roll-up" Measures in Healthcare Quality Reports: Perspectives of Report Sponsors and National AlliancesThis study identifies practices and perceptions around public reporting of “roll-upâ€
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Reference-Based Pricing: An Evidence-Based Solution for Lab Services ShoppingReference-based pricing combined with employer education and an online shopping tool significantly improved members' utilization of lab services at or below the reference price
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Impact of a National Specialty E-Consultation Implementation Project on AccessE-consult implementation grew from 12 to 122 VHA sites with multiple specialties. The adjusted e-consult rate of 1.93/100 consults saved significant patient travel miles and costs.
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Documentation of the 5 As for Smoking Cessation by PCPs Across Distinct Health SystemsEvaluation of the 5 As of smoking cessation using patient electronic medical records across 6 distinct healthcare systems, stratified by comorbidity, gender, age, race ethnicity.
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Cost-Effectiveness Analysis of Vagal Nerve Blocking for Morbid ObesityThis lifetime economic analysis demonstrates vagal nerve blocking therapy to be a cost-effective alternative to conventional therapy in class 2 and 3 obesity patients.
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Impact of Primary and Specialty Care Integration via Asynchronous CommunicationGeisinger’s Ask-a-Doc program, which enables direct asynchronous communication between primary and specialty care, was associated with lower healthcare utilization and cost, implying more efficient care.
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Critical Incident Stress Debriefing After Adverse Patient Safety EventsThe authors explore the potential value of providing critical incident stress debriefing for health professionals involved in adverse patient safety events and the instances in which this could be routinely implemented.
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The Feasibility and Equity of Text Messaging to Determine Patient Eligibility for Lung Cancer ScreeningText messaging shows promise for assessing smoking status and identifying lung cancer screening eligibility, particularly among middle-aged, educated individuals with medium or high income. However, a multimodal approach is crucial for equitable implementation of such a program.
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The Oncogenic Hepatitis C Virus and Direct-Acting Antivirals: Economic Implications for Hepatocellular Carcinoma in Medicaid Beneficiaries With CirrhosisThe oncogenic effects of the hepatitis C virus can impact patient outcomes for hepatocellular carcinoma (HCC) and have economic implications for medical spending. This study underscores the importance of treating patients early in the disease process for savings associated with reducing the risks of HCC.
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Association of Co-pay Elimination With Medication Adherence and Total CostThis study evaluated cost and utilization attributed to members enrolled in a health care program with no pharmacy co-pay. Health care savings were identified in addition to medication adherence improvements.
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Road Map to Success in the OCM: From Team Building to ImplementationWe learned that a true patient-centered approach would be a combination of objective, numerical, centripetal measures defined in the Oncology Care Model (OCM) and subjective centrifugal emotions, aspirations, and expectations. We created smart teams, enabling an efficient transition from volume to value. These exercises were similar to building a higher pyramid on top of what we already achieved during our journey toward Patient-Centered Speciality Practice (PCSP) accreditation by the the National Committee for Quality Assurance in 2015. Although the transition to being a PCSP was speciality agnostic and truly patient centric, the OCM gave us a blueprint that was specific to the needs of PCCC.
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Change in Claims-Based Diabetes Medications Is a Diabetes Improvement IndicatorWithout clinical information, a decrease in use of medications can serve as a proxy for clinical improvement.
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Diabetes: An Opportunity to Have a Lasting Impact on Health Through Lifestyle ModificationThree cardiologists, including the 2015-2016 president of the American College of Cardiology, review the evidence in support of lifestyle modification for diabetes management or remission.
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Did Medicare Advantage Payment Cuts Affect Beneficiary Access and Affordability?The Affordable Care Act’s reductions to Medicare Advantage plan payments were not significantly associated with healthcare access or affordability for enrollees.
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Pilot of Urgent Care Center Evaluation for Acute Coronary SyndromeA formal protocol for urgent care center evaluation of potential acute coronary syndrome safely precluded emergency department visits among 84% of those eligible.
