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Premium Tax Credits in the American Rescue Plan and Off-Marketplace EnrolleesWe estimate that the median 2021 premium tax credit for off-marketplace enrollees in California would be $311 if they switched to marketplace plans, with wide variation by age and plan size.
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Humanistic and Economic Burden of Hepatocellular Carcinoma: Systematic Literature ReviewWorldwide, more than half a million new cases of hepatocellular carcinoma (HCC) are diagnosed annually. The incidence of HCC in the United States is rising with an estimated 31,000 new cases in 2018. Disease prognosis remains poor, with a 5-year survival rate across all disease stages estimated between 10%-20%, and 3% for those diagnosed with distant disease. Although morbidity is significant, especially among patients with advanced-stage disease, limited information exists on the humanistic and economic burden of HCC.
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Generalized Cost-Effectiveness Analysis to Assess Treatment Value in Hepatitis CThis article estimates the comprehensive value of direct-acting antivirals for the treatment of hepatitis C virus using a generalized cost-effectiveness analysis.
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A Blueprint for Pharmacy Benefit Managers to Increase ValuePharmacy benefit managers can increase value through promoting use of cost-effective medications, timely initiation of essential therapy, and adherence to that therapy.
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Cost-Effectiveness of Roux-en-Y Gastric Bypass in Type 2 Diabetes PatientsA predictive health economic model indicated that Roux-en-Y gastric bypass is cost-effective in the treatment of type 2 diabetes mellitus compared with medical management.
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How Pooling Fragmented Healthcare Encounter Data Affects Hospital ProfilingIncomplete records of patient history can bias hospital profiling. Completing health records for Medicare-covered patients in VA hospitals resulted in modest changes in hospital performance.
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Population Health in Primary Care: Cost, Quality, and Experience ImpactAn evaluation of the use of predictive modeling for primary care resource allocation demonstrated reduced spending and improved quality and patient experience for publicly insured adults.
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Costs of Providing Antiplatelet Medication for Percutaneous Coronary Intervention PatientsAn insurance benefit that provides percutaneous coronary intervention patients with a discharge supply of antiplatelet medication could result in cost savings for insurers.
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A Multidisciplinary Intervention for Reducing Readmissions Among Older Adults in a Patient-Centered Medical HomeA collaborative practice model to reduce hospital readmissions from an outpatient environment.
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Provider Organization Performance Assessment Utilizing Diabetes Physician Recognition ProgramRetrospective chart review to assess the impact of the Diabetes Physician Recognition Program showed that most patients achieved control levels recommended by national treatment guidelines.
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Does Medicare Advantage Enrollment Affect Home Healthcare Use?Medicare Advantage beneficiaries use less home healthcare than do their fee-for-service counterparts, but there is marked regional variation in use by both groups.
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Economics of Influenza Vaccine Administration Timing for ChildrenVaccinating children earlier (ie, September or October) can provide net economic benefit to society and to third-party payers. Vaccination of children remained cost-effective through December.
