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Latest:
Clinical Interventions Addressing Nonmedical Health Determinants in Medicaid Managed CareThis review examines the breadth of published work on interventions addressing nonmedical determinants of health that are supported by Medicaid managed care organizations.
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“Sprint to Zero“: A Strategy to Address High Rates of Nontraumatic Amputations in Minority CommunitiesCMS can take steps to raise awareness, including a specific quality measure, to ensure that testing occurs prior to nontraumatic amputation.
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Cost of Dementia in Medicare Managed Care: A Systematic Literature ReviewA systematic review of the literature reporting the cost of dementia among Medicare managed care plans found a limited and dated body of evidence.
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Long-term Economic Benefits Attributed to IVF-conceived Children: A Lifetime Tax CalculationWe estimate the future net tax contributions from an IVF-conceived child to highlight that removing barriers to fertility treatments can have long-term economic benefits.
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Medical Home Effects on Enrollees With Mental and Physical IllnessMedical home enrollment had mixed effects on acute care use and a large effect on outpatient care use. Effects on expenditures varied by mental illness.
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Real-World Outcomes Among Patients With Early Rapidly Progressive Rheumatoid ArthritisThis study suggests that lower healthcare resource use and achieving low disease activity are associated with first-line abatacept compared with a first-line tumor necrosis factor-α inhibitor for patients with early rapidly progressive rheumatoid arthritis.
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The Combined Effect of the Electronic Health Record and Hospitalist Care on Length of StayNo national studies have examined the interaction effect of the electronic health record (EHR) and hospitalist care on length of stay (LOS). Thus, we examine the combined effect of the EHR and hospitalist care on LOS.
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Resource Utilization With Insulin Pump Therapy for Type 2 Diabetes MellitusA retrospective claims analysis of managed care enrollees with type 2 diabetes mellitus showed that insulin pump therapy reduced antidiabetic drug and healthcare resource use.
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Disparities in Antidepressant Adherence in Primary Care: Report From IsraelPatient characteristics such as psychiatric diagnosis were associated with variations in adherence, although physician characteristics were not.
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Collecting Mortality Data to Drive Real-Time Improvement in Suicide PreventionThe Perfect Depression Care initiative serves as an example of how suicide prevention programs can collect real-time mortality data internally to drive rapid quality improvement.
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HITECH Spurs EHR Vendor Competition and Innovation, Resulting in Increased AdoptionThis is the first empirical evidence to demonstrate increased competition and innovation in the EHR industry as a result of the HITECH program.
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Case Study: How Does an ACO Generate Savings Three Years in a Row?Increasing accountable care organization savings is dependent on maximizing quality scores and increasing the number of beneficiaries while maintaining a low per-capita spend through efficiencies of care.
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Do Patient or Provider Characteristics Impact Management of Diabetes?Many more patient than provider characteristics are associated with optimal or poor glycemic control and treatment intensification when glycemic control is initially lost.
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CHAPTER 5. Clinical Guideline for Pharmacological Management of Adults With Type 2 DiabetesFrom the Adult Diabetes and Clinical Research Sections, Joslin Diabetes Center, Harvard Medical School. Approved May 10, 2016; updated April 24, 2018. For the Figure and Tables, download the PDF at the end of the chapter.
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A Multimodal Blood Pressure Control Intervention in 3 Healthcare SystemsA multisite multimodal intervention of patient education, home monitoring, measurement reporting to an IVR system, and pharmacist follow-up achieved greater BP reductions vs usual care.
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Patient Assignment and Quality Performance: A Misaligned SystemThis article explores the congruence between payer patient assignment and quality performance and the implications for incentive payments in alternative payment models.
