Authors
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Synchronized Prescription Refills and Medication Adherence: A Retrospective Claims AnalysisA retrospective claims analysis showed that synchronized refill schedules were associated with better medication adherence among Medicare Advantage patients taking multiple maintenance medications.
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Developing Evidence That Is Fit for Purpose: A Framework for Payer and Research DialogueA decision-making framework that can be used to harmonize the evidence payer's desire for coverage and formulary decisions with the evidence generated by researchers.
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Care Coordination in Accountable Care Organizations: Moving Beyond Structure and IncentivesIn order to live up to their potential, ACOs should ensure that clinical staff possess the professional skills necessary to effectively coordinate care.
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Modeling Financial Outcomes and Quantifying Risk in Episode-Based Payment ModelsThis article provides a description of prospective financial simulation methodology and use cases with empirical data for episode-based bundled payments, including implications for contract negotiations and value-based care redesign.
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Health System Correlates of Receipt of Radiation Therapy After Breast-Conserving Surgery: A Study of Low-Income Medicaid-Enrolled WomenOmission of radiation therapy after breast-conserving surgery leads to poor outcomes. Geographic isolation and scarcity of healthcare specialists correlate with low adjuvant radiation therapy use.
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Postacute Care Partnerships and Patient ProgressionPostacute care partners are required for successful patient transitions. Collaboration among multidisciplinary teams and community resources is critical for discharge planning and partnership alignment.
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A Better Way: Leveraging a Proven and Utilized System for Improving Current Medication Reconciliation ProcessesIn this reply to the commentary, “A Call for a Statewide Medication Reconciliation Program,” published in the October 2016 issue of The American Journal of Managed Care®, authors discuss a proven and scalable solution to improve medication reconciliation that is already available to, and used by, clinicians.
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Economic/Societal Burden of Metastatic Breast Cancer: A US PerspectiveCostly new breast cancer therapies augment the significant burden this disease places on healthcare resources, but in context they may still provide value to society.
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Anticoagulation in Atrial Fibrillation: Impact of Mental IllnessAtrial fibrillation patients with mental health conditions are less likely to be eligible for warfarin receipt, and those who are eligible receive warfarin at lower rates.
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Improving Adherence to Cardiovascular Disease Medications With Information TechnologyImproving adherence to long-term medication therapy remains a challenge. Health information technology interventions that leverage electronic medical records are promising, low-cost approaches for increasing adherence.
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Investigating the Impact of Intervention Refusal on Hospital ReadmissionFindings suggest that some at-risk patients may not be receptive to in-home transition interventions and that opting out may be associated with higher odds of hospital readmission.
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Cost Savings From Avoidance of Early Elective DeliveriesResearchers calculated savings available to healthcare insurers if providers of obstetrical services avoided the performance of early elective deliveries. The calculations illustrate a considerable savings.
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Leveraging EHRs to Improve Hospital Performance: The Role of ManagementThe authors' study identifies a key factor, management quality, which modifies the association between electronic health record adoption and hospital performance.
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FASStR: A Framework for Ensuring High-Quality Operational Metrics in Health CareThrough literature review and collaborative design, we propose the Focus, Activity, Statistic, Scale type, and Reference (FASStR) framework to provide a systematic approach to health care operation metric definition and use.
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Integrating Behavioral Health Under an ACO Global Budget: Barriers and Progress in OregonFinancial barriers to behavioral health integration in Oregon Medicaid accountable care organizations (ACOs) limit opportunities to expand integrated care, but state and organizational opportunities exist.
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The Arkansas Payment Improvement Initiative: Early Perceptions of Multi-Payer Reform in a Fragmented Provider LandscapeArkansas has implemented multi-payer payment reform incorporating both episodic and Patient-Centered Medical Home models. Early perceptions of a sample of stakeholders were largely positive to date.
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Implementation of Paperless Credentialing in a Multi-State Managed Care OrganizationInstitution of paperless credentialing is analyzed on a pre-/post-implementation basis to understand the impact on business and productivity.
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Patient-Centered Medical Home and Quality Measurement in Small PracticesSmall practices with NCQA patient-centered medical home recognition perform better on quality measures, especially those related to chronic conditions.
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Understanding and Improving Value Frameworks With Real-World Patient OutcomesNew value frameworks should incorporate real-world evidence that reflects patient treatment behavior, adherence to medication, and equity concerns arising from disparities in care.
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Leader Perceptions of Multi-Sectoral Healthcare Alliance Response to Health ReformsThe authors investigated multi-sectoral healthcare alliance responses to the ACA and whether these responses differed between states supportive and unsupportive of health reform.
