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Implementing an Oncology Precision Medicine Clinic in a Large Community Health SystemPrecision medicine is increasingly being utilized in oncology. Aurora Health Care has implemented Syapse software to integrate molecular data into the electronic health record to accommodate precision medicine findings.
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Cost of Care for Malignant and Benign Renal MassesMethods for better identifying malignant versus benign disease before nephrectomy could provide significant benefits to patients and payers.
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Cost of Pharmacotherapy for Opioid Use Disorders Following Inpatient DetoxificationThe mean 24-week cost per participant was $5416 for extended-release injectable naltrexone (57% detoxification, 37% medication, 6% provider/patient) and $4148 for buprenorphine-naloxone (64% detoxification, 12% medication, 24% provider/patient).
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Evaluation of the Quality Blue Primary Care Program on Health OutcomesImplementation of the Quality Blue Primary Care program in Louisiana was associated with a shift in primary care delivery and reductions in overall cost.
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Dual-Eligible Beneficiaries and Inadequate Access to Primary Care ProvidersStates with the most restrictive scope-of-practice laws have an inadequate supply of primary care clinicians to serve a high concentration of dual-eligible beneficiaries.
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No Time to Waste: Decreasing Patient Wait Times for Chemotherapy Administration Using Automated Prioritization in an Oncology Pharmacy SystemUsing a prioritization algorithm in an oncology pharmacy system at the Johns Hopkins University, patient wait times for chemotherapy administration were significantly decreased.
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Lessons From the Front: Designing and Implementing Clinical Pathways by and for CliniciansAs cancer care becomes more complex and more expensive, decision-support algorithms offer a mechanism to define best practice, reduce unwarranted variation, and control costs across growing networks.
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Low Screening and Follow-up for Unhealthy Alcohol Use Among Health Plan BeneficiariesScreening and follow-up for unhealthy alcohol use are low among plan members. Use of standardized screening tools, documentation, and care for alcohol misuse need improvement.
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Comparison of Provider and Plan-Based Targeting Strategies for Disease ManagementThe authors compared targeting strategies and characteristics of chronic disease care management programs delivered by primary care practices with one administered by a large health plan.
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Economic Burden of Osteoporotic Fractures in US Managed Care EnrolleesOsteoporotic fractures are associated with a significant economic burden, including costs of rehabilitation services and a high total all-cause cost of care.
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Treatment Decisions for Complex Patients: Differences Between Primary Care Physicians and Midlevel ProvidersMidlevel providers were significantly less likely than physicians to change blood pressure (BP) treatment for complex diabetic patients presenting with elevated BP at a single visit.
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Potential Savings From Increasing Adherence to Inhaled Corticosteroid Therapy in Medicaid-Enrolled ChildrenIncreasing adherence to inhaled corticosteroids for Medicaid-enrolled children with asthma could cost-effectively decrease both Medicaid spending and adverse clinical outcomes.
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Trends in Retail Clinic Use Among the Commercially InsuredRetail clinic use increased dramatically over 3 years, especially among young, healthy, higher income enrollees living close to retail clinics.
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Preventive Care and Health Behaviors Among Overweight/Obese Men in HMOsHealthcare organizations may reduce weight-related health risks and disparities in care among overweight/obese patients through promoting cancer screening exams, healthier diets, and physical activity.
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Provider Type and Management of Common Visits in Primary CareIn primary care, nurse practitioners and physician assistants do not necessarily order more ancillary services, or more costly services among alternatives, than physicians.
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EHRs in Primary Care Practices: Benefits, Challenges, and Successful StrategiesSmall primary care practices reap some organizational and quality of care improvements from electronic health records; however, challenges persist in achieving meaningful use standards.
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The Role of Health Systems in Reducing Tobacco DependenceAddressing tobacco use is an important health system role. This process evaluation discusses facilitators and barriers to implementing systems changes to improve tobacco treatment delivery.
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If Beef Is Not Sustainable, Is Growing It the Answer?The Dietary Guidelines Advisory Committee said the way meat is raised is bad for the environment. A project from the Netherlands offers a high-tech, if expensive, solution.
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Inefficiencies in Osteoarthritis and Chronic Low Back Pain ManagementThis study identified inefficiencies in drug and medical service utilization related to pain management among Medicare members with osteoarthritis and chronic low back pain.
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Making Sense of Advanced Payment ModelsThe American Society of Clinical Oncology has developed the Patient-Centered Oncology Payment (PCOP) model with the hope that PCOP will be accepted by CMS as an advanced alternative payment model, and become available to medical oncologists as an alternative to the Merit-based Incentive Payment System.
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Integrating Primary Care and Public Health for Advance Care PlanningThis article proposes a new model, Public-Primary ACP, that leverages coordination between primary care and public health workforces to improve delivery of advance care planning.
