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Care Coordination for Children With Special Needs in Medicaid: Lessons From MedicareAs increasing numbers of children with special healthcare needs move into Medicaid managed care, health plans can improve care coordination using evidence from Medicare.
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The Effect of Implementing a Care Coordination Program on Team Dynamics and the Patient ExperienceA primary care redesign program embedding care coordinators into practices slightly improves the patient experience and does not disrupt team dynamics.
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A Transitional Care Model for Patients With Acute Coronary SyndromeThis study suggests that the Bridging the Discharge Gap Effectively (BRIDGE) program can help decrease the number of hospital readmissions in patients with acute coronary syndrome that cause unnecessary and substantial healthcare systems costs.
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A Randomized Controlled Trial of Negative Co-Payments: The CHORD TrialThis study extends value-based insurance design concepts in testing the impact on blood pressure control of rewards that provided negative co-payments for blood pressure medication.
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KeynoteIn her keynote address Anne Peters, MD, CDE, Director, Clinical Diabetes Program, University of Southern California, opened the meeting by defining what patient-centered care is. Providing care that is respectful of and responsive to individual patient preferences, needs, values, and ensuring that patients are involved in all clinical decisions, said Dr. Peters. She emphasizes the importance of looking to the needs of the individual patient and make decisions.
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A Restricted Look at CRC Screening: Not Considering Annual Stool Testing as an OptionThis is a letter clarifying some points in an article published in the February 2016 issue of AJMC by Berger et al on colorectal cancer screening guidelines.
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Active Pharmacovigilance and Healthcare UtilizationThis study highlights the potential value of innovative ways of collecting information about adverse drug events directly from patients.
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Feasibility of Integrating Standardized Patient-Reported Outcomes in Orthopedic CarePatient-reported outcomes, through the use of new technological advances, can be successfully integrated into routine orthopedic practice and shared across distinct institutions.
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Effect of Multiple Chronic Conditions Among Working-Age AdultsMultiple chronic conditions among working-age adults lead to high costs over many years. Understanding how to effectively manage such patients is an important challenge.
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Persistent High Utilization in a Privately Insured PopulationThis study describes the small number of individuals responsible for larger shares of healthcare cost persistently over a 3-year period.
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Battling the Chargemaster: A Simple Remedy to Balance Billing for Unavoidable Out-of-Network CareThe authors propose a simple legal mechanism to combat chargemaster abuses and encourage provider price competition. This solution is superior to prevailing legislative and regulatory responses to surprise out-of-network bills.
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Evaluation of Collaborative Therapy Review to Improve Care of Heart Failure PatientsWe implemented and evaluated a collaborative therapy review process aimed at optimizing heart failure therapy among patients managed by their primary care providers.
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Improving Laboratory Monitoring of Medications: An Economic Analysis Alongside a Clinical TrialAlthough some interventions may enhance medication safety, an electronic medical record reminder to providers may not be an efficient use of resources.
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Diabetes and Medicare Competitive Bidding: The "Perfect Storm" for Patient HarmA recent Diabetes Care study found flaws in Medicare's competitive bidding program for diabetes test strips. Two of that study's co-authors discuss the findings and why CMS should suspend the bidding program.
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Factors Associated With Lung Cancer Risk Factor DocumentationThis cross-sectional observational study found several factors associated with whether a patient had sufficient lung cancer risk factor documentation in the electronic health record.
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Electronic Health Record Functions Differ Between Best and Worst HospitalsPatterns of electronic health record adoption among highand low-quality hospitals indicated that high-quality institutions had far greater use of most electronic health record functions.
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The Social Value of Childhood Vaccination in the United StatesVaccination of children born in the United States in 2009 will save 1.2 million quality-adjusted life-years, generating $184 billion in social value net of vaccination costs.
