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Florida Blue Program Focuses on Weight Loss - and Fun - to Prevent Type 2 Diabetes in Older AdultsHow does the largest payer in a state with a large senior population respond to the rising need for diabetes care and prevention?
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True "Meaningful Use": Technology Meets Both Patient and Provider NeedsA qualitative study of patient and provider perspectives regarding the after-visit summary and the patient portal features of the electronic health record.
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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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Understanding Factors Associated With Readmission Disparities Among Delta Region, Delta State, and Other HospitalsRevisions of the Hospital Readmissions Reduction Program should consider including community characteristics in risk adjustment models and adding mechanisms that recognize improvement given the uniqueness of the Mississippi Delta region.
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Strategies for Implementing Best Practices in Independent Physician AssociationsThe objective of this research was to identify strategies that significantly lower unnecessary inpatient utilization among Medicare beneficiaries with chronic disease.
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Patient Safety Intervention to Reduce Unnecessary Red Blood Cell UtilizationThis study evaluated the impact of a patient safety intervention and national guideline to reduce unnecessary red blood cell transfusions in a large, urban academic medical center.
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Leveraging EHRs for Patient Engagement: Perspectives on Tailored Program OutreachDivergent reactions among women at high risk for diabetes highlight challenges of implementing tailored outreach messages, driven by electronic health records, to promote patient engagement in preventive lifestyle programs.
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Creating Successful Alternative Payment ModelsThe authors draw on the experience of past and present payment reforms to suggest principles for successfully designing alternative payment models.
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A Deep Learning Model for Pediatric Patient Risk StratificationArtificial intelligence based on medical claims data outperforms traditional models in stratifying patient risk.
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Antibiotic Use for Viral Acute Respiratory Tract Infections Remains CommonAntibiotic use for acute respiratory tract infections that are largely viral remains common. Macrolide use has increased since 2007, and 9% of patients received a second antibiotic within 30 days.
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Characteristics and Medication Use of Veterans in Medicare Advantage PlansVeterans enrolled in Medicare Advantage plans differed from fee-for-service sector enrollees in several demographic, geographic, and clinical characteristics and in patterns of medication use.
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Impact of a Medicare MTM Program: Evaluating Clinical and Economic OutcomesA pharmacist-led Medicare Medication Therapy Management program can improve clinical outcomes in Medicare beneficiaries without an increase in medication costs.
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Predicting Nursing Home Placement Among Home- and Community-Based Services Program ParticipantsThe authors developed a model to identify participants in a home- and community-based services program who are at highest risk for long-term nursing home placement.
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Toward Tailored Disease Management for Type 2 DiabetesThe heterogeneous nature of care processes and patients should be taken into account in both the design and evaluation of disease management programs for diabetes.
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Clinical and Economic Outcomes of a Collaborative Cardiology Care ProgramPatients with chronic cardiac conditions benefited from a health care program that strengthened collaboration between general practitioners and cardiology specialists in Baden-Wuerttemberg, Germany.
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Tools to Improve Referrals From Primary Care to Specialty CareData from a national survey of Veterans Health Administration specialists indicate that referral templates may improve the appropriateness, clarity, and completeness of primary care–specialty care referrals.
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A Web-Based Clinical Decision Support System for Depression Care ManagementThis article describes the development and capabilities of a Webbased decision support system for care managers working in the context of the chronic care model.
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Primary Care Physicians' Views of Medicare Part DPrimary care physicians have mixed views of prescription drug coverage under Medicare Part D.
