Authors
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Ambulatory Care–Sensitive Emergency Visits Among Patients With Medical Home AccessPatients often self-refer to the emergency department (ED) for management of an ambulatory care–sensitive condition, and the ED may be the most appropriate care location.
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Economic Evaluation of an Internet-Based Weight Management ProgramAn Internet-based weight management program provides a cost-effective alternative for weight management.
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The Characteristics of Physician Practices Joining the Early ACOs: Looking Back to Look ForwardPhysician practices intending to join Medicare accountable care organizations (ACOs) in 2012 had greater capabilities in health information technology, care management processes, and quality improvement methods than those not intending to join, but they still were far from using all recommended behaviors to manage risk.
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Randomized Trial of an Electronic Asthma Monitoring System Among New York City ChildrenChildren who used an electronic monitoring system had as many emergency department visits and hospitalizations for asthma as children who used a paper diary.
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Medicaid Prior Authorization and Opioid Medication Abuse and OverdoseEnrollees in Medicaid plans employing prior authorization policies for opioid medications may have lower rates of opioid medication abuse and overdose.
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Trends in Bisphosphonate Initiation Within an Integrated Healthcare Delivery SystemThe authors observed a marked shift toward treatment of higher-risk subsets of younger postmenopausal women (with prior fracture and/or with osteoporosis), and away from women at lower risk.
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The Redesign of Consumer Cost Sharing for Specialty Drugs at the California Health Insurance ExchangePatients can be shielded from the most onerous cost-sharing burdens for specialty drugs while keeping premiums affordable for the entire enrolled population.
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An Early Warning Tool for Predicting at Admission the Discharge Disposition of a Hospitalized PatientWe developed an early warning discharge disposition prediction tool to facilitate discharge planning and coordination, potentially reducing length of hospital stay and improving patient experience.
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Healthcare System Effects of Pay-for-Performance for Smoking Status DocumentationA payer-sponsored pay-for-performance incentive for smoking status documentation prompted implementation of a systemwide electronic reminder and improved documentation among all healthcare system patients.
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Effect of Management Strategies and Clinical Status on Costs of Care for Advanced HIVAntiretroviral drugs have replaced hospitalization and other services as the most costly component of HIV care, except in patients with especially advanced HIV.
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Does Medicare Managed Care Reduce Racial/Ethnic Disparities in Diabetes Preventive Care and Healthcare Expenditures?The authors aimed to examine whether participation in Medicare managed care, compared with fee-for-service, has any effects on racial/ethnic disparities in diabetes care and healthcare expenditures among older adults.
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Addressing Cost Barriers to Medications: A Survey of Patients Requesting Financial AssistancePatients are receptive to diverse strategies to screen for cost barriers but want participatory decision making to address cost-efficacy tradeoffs.
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VHA Pharmacy Use in Veterans With Medicare Drug CoverageGreater Medicare managed care benefit levels reduce both the likelihood and magnitude of Veterans Health Administration pharmacy use by Medicare dually enrolled veterans.
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Review of Outcomes Associated With Restricted Access to Atypical AntipsychoticsThis literature review evaluates the impact of restricted access to atypical antipsychotic drugs in individuals with schizophrenia or bipolar disorder.
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Concentration of High-Cost Patients in Hospitals and MarketsHigh-cost patients are only modestly concentrated in specific hospitals and healthcare markets.
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"Under the Radar": Nurse Practitioner Prescribers and Pharmaceutical Industry PromotionsNurse practitioner prescribers exhibited a high rate of contact with pharmaceutical industry promotional activities.
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State of Emergency Preparedness for US Health Insurance PlansHealth insurance plans serve a critical role in public health emergencies. The authors queried plans about issues related to emergency preparedness: infrastructure, adaptability, connectedness, and best practices.
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Testing of a Tethered Personal Health Record Framework for Early End-of-Life DiscussionsPilot testing demonstrates the use of a novel, personal health record—based framework used in primary care settings may improve presence and quality of advance care planning documentation in the electronic health record.
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Relevance of Current Guidelines for Organizing an Anticoagulation ClinicAnticoagulation clinics in an integrated healthcare system differed widely in their organization and management, but these differences were not consistently related to their performance.
