Authors
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Tracking Spending Among Commercially Insured Beneficiaries Using a Distributed Data ModelThe authors demonstrate the utility of distributed data models for reporting of local trends and variation in utilization, pricing, and spending for commercially insured beneficiaries.
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Clinical Consequences of Disseminating the Rosiglitazone FDA Safety WarningNotifying patients and providers about the rosiglitazone cardiovascular safety alert led to sweeping changes in drug therapy that were initiated by both physicians and patients.
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Primary Care Appointment Availability and Nonphysician Providers One Year After Medicaid ExpansionAfter Medicaid expansion in Michigan, appointment availability for new Medicaid patients stably increased-this is perhaps attributable to increasing proportions of appointments scheduled with nonphysician providers.
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Infused Chemotherapy Use in the Elderly After Patent ExpirationAs calls for improving the quality and cost efficiency of oncology increase, future empirical work is needed to examine the responsiveness of oncologists' treatment decision making to incentives among patients of all ages and insurance types.
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Diabetes and Employment Productivity: Does Diabetes Management Matter?Diabetes itself affected working and wages more than control of blood sugar levels in a Mexican American population.
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Optimizing the Use of Telephone Nursing Advice for Upper Respiratory Infection SymptomsTelephone nursing advice for home care offers an effective and clinically appropriate way to manage upper respiratory infection symptoms for adult members of a large integrated health plan.
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Effect of Patient Comorbidities on Filling of Antihypertensive PrescriptionsPatients in a Medicaid managed care plan who had cardiovascular comorbidities were not more likely to fill antihypertensive prescriptions than patients without these conditions.
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The Value of Decreasing Health Cost VolatilityEven if they leave average cost the same, interventions that decrease cost variability have economic value.
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Claims Identification of Patients With Severe Cancer-Related SymptomsThe authors established a claims-based mechanism for identifying patients with lung cancer with more severe patient-reported cancer-related symptoms who could benefit from engagement with health care programs.
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Geographic Variation in Medicare and the Military Healthcare SystemGeographic variation in healthcare spending and utilization within the Military Health System is higher and significantly correlated with Medicare across hospital referral regions.
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More Hospice Care Meant Longer Survival, Lower End-of-Life Costs for Metastatic Melanoma PatientsA study in The American Journal of Managed Care found that longer stays in hospice were associated with longer survival and lower end-of-life costs for patients with metastatic melanoma, a particularly deadly and increasingly common form of cancer.
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Emergency Department Use: A Reflection of Poor Primary Care Access?An original emergency department patient survey, insurance claims data, and administrative records are used to examine the characteristics of nonurgent users.
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Antibiotic Prescribing for Respiratory Infections at Retail Clinics, Physician Practices, and Emergency DepartmentsThere are concerns that retail clinics provide inferior quality of care. The authors found no difference in quality among retail clinics, physician offices, and emergency departments.
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Medicare Advantage: What Explains Its Robust Health?Payment policy, health plan characteristics, and Medicare beneficiary characteristics come together to foster continued growth in the Medicare Advantage program.
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Initiation of Triple Therapy Maintenance Treatment Among Patients With COPDClaims data analysis showed that 60% of patients with chronic obstructive pulmonary disease (COPD) receiving triple therapy had no evidence of exacerbation or only 1 exacerbation not resulting in hospitalization.
