Authors
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Initial Experience With a First-to-Market Member Accountability-Based Insurance ProductA new insurance product based on principles of member and purchaser accountability was adopted rapidly and resulted in several health improvements.
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Variation in Markups on Outpatient Oncology Services in the United StatesCharges for oncology services vary widely across hospitals and impose financial burdens. Further legislation is needed to address disparities in access to high-quality cancer care.
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Potential of Risk-Based Population Guidelines to Reduce Cardiovascular Risk in a Large Integrated Health SystemThe authors evaluated the clinical applicability, accuracy, and implications of using an automated risk calculator and risk-based decision tool in an integrated health system.
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Authors’ Reply to “Comment on Generalizability of GLP-1 RA CVOTs in US T2D Population”The authors of the manuscript “Generalizability of Glucagon-Like Peptide-1 Receptor Agonist Cardiovascular Outcome Trials Enrollment Criteria to the US Type 2 Diabetes Population” respond to a letter to the editor.
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Implementation of EHR-Based Strategies to Improve Outpatient CAD CareWe examined the impact of electronic reminders followed by performance reports and financial incentives. Physicians responded more to reports and incentives than to reminders alone.
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Implications of Eligibility Category Churn for Pediatric Payment in MedicaidAnalyses of Ohio Medicaid claims data from 2013 to 2015 reveal that instability among eligibility categories is common and affects average capitation but not health service use.
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Distal Upper and Lower Limb Fractures Associated With Thiazolidinedione UseThis study demonstrates that patients with diabetes taking thiazolidinediones have higher proportions of distal upper and lower limb fractures than those not taking the drug.
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Characterizing Medical Care by Disease Phase in Metastatic Colorectal CancerThis study characterized patterns and costs of medical care by disease phase in patients with newly diagnosed mCRC using a large US national commercially insured claims database.
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Adoption of Electronic Prescribing for Controlled Substances Among Providers and PharmaciesWe present the first reported national trends in the adoption of electronic prescription of controlled substances, from July 2012 to December 2013. The results show that the uptake rates of this newly allowed process are steadily increasing.
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Electronic Consults for Improving Specialty Care Access for VeteransThe combination of electronic consultations and active triage of specialty care consults effectively reduces wait times for outpatient clinics.
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Cost-Effectiveness of 21-Gene Assay in Node-Positive, Early-Stage Breast CancerA decision-analytic model was used to estimate cost-effectiveness of adopting a 21-gene assay in treatment decisions for women with early-stage N (1-3)/ER HER2-negative breast cancer.
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Healthcare Continuity From Hospital to Territory in Lombardy: TELEMACO ProjectThe TELEMACO project successfully used telemedicine to establish a healthcare continuity from hospital to territory in remote areas of the Lombardy region of Italy.
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Barriers to Transition of Obese Patients From Hospital to CommunityThis study explored barriers to the transition of obese patients from hospital to community as perceived by case managers, nursing home directors, and home health directors.
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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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Medicine Reimbursement Recommendations in Canada, Australia, and ScotlandPharmacoeconomic analyses appear to account for differences in recommendations made regarding public payment when national bodies consider the same drugs for the same indication.
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A Way Out of the Dismal Arithmetic of Hepatitis C TreatmentThis special issue presents important new peer-reviewed research, covering issues ranging from access and the out-of-pocket costs of a treatment course, to the real-world consequences-both economic and clinical-of failing to treat.
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Value-Based Arrangements May Be More Prevalent Than AssumedWe surveyed biopharmaceutical manufacturers and payers to understand the prevalence and characteristics of value-based payment arrangements, as well as their implementation obstacles and success factors.
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Improving Influenza Immunization in Pregnant Women and Healthcare WorkersInfluenza vaccination rates in pregnant women and healthcare workers were increased with standing orders, vaccine advocates, and educational activities on influenza immunization.
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Computed Tomography Scan Use Variation: Patient, Hospital, and Geographic FactorsWe observed small-area variation in computed tomography scan use for inpatients in New York State, even after controlling for relevant patient and hospital characteristics.
